20,374 results match your criteria Anaesthesia[Journal]


Analgesic benefits of the quadratus lumborum block in total hip arthroplasty: a systematic review and meta-analysis.

Anaesthesia 2022 Aug 10. Epub 2022 Aug 10.

Department of Anesthesiology and Pain Medicine, and the Ottawa Hospital Research Institute, University of Ottawa, ON, Canada.

The quadratus lumborum block (QLB) is reported to reduce pain and improve function following total hip arthroplasty; however, randomised controlled trials evaluating the benefits of adding this block to general or spinal anaesthesia in this population are conflicting. We performed a systematic review seeking randomised controlled trials investigating QLB benefits for total hip arthroplasty, stratifying comparisons regarding the addition of QLB to either general or spinal anaesthesia. The primary outcome was 24-h area under the curve (AUC) pain score. Read More

View Article and Full-Text PDF

Novel wearable and contactless heart rate, respiratory rate, and oxygen saturation monitoring devices: a systematic review and meta-analysis.

Anaesthesia 2022 Aug 10. Epub 2022 Aug 10.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Vic., Australia.

We performed a systematic review and meta-analysis to identify, classify and evaluate the body of evidence on novel wearable and contactless devices that measure heart rate, respiratory rate and oxygen saturations in the clinical setting. We included any studies of hospital inpatients, including sleep study clinics. Eighty-four studies were included in the final review. Read More

View Article and Full-Text PDF

How to write a Science Letter for Anaesthesia.

Anaesthesia 2022 Aug 9. Epub 2022 Aug 9.

Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.

View Article and Full-Text PDF

Analysis of a national difficult airway database.

Anaesthesia 2022 Aug 7. Epub 2022 Aug 7.

Department of Anaesthesia and Peri-operative Medicine, Guy's and St. Thomas' NHS Foundation Trust, London, UK.

Difficult airway management continues to adversely affect patient care and clinical outcomes and is poorly predicted. Previous difficult airway management is the most accurate predictor of future difficulty. The Difficult Airway Society initiated a national airway database to allow clinicians to access details of previous difficult airway episodes in patients issued with a difficult airway alert card. Read More

View Article and Full-Text PDF

Alfentanil-based TIVA during remifentanil shortages: a need for guidance.

Authors:
S Ford

Anaesthesia 2022 Aug 3. Epub 2022 Aug 3.

Addenbrooke's Hospital, Cambridge, UK.

View Article and Full-Text PDF

How to write a retrospective observational study.

Anaesthesia 2022 Aug 2. Epub 2022 Aug 2.

Department of Cardiothoracic Anaesthesia, Critical Care and ECMO, Wythenshawe Hospital, Manchester, UK.

View Article and Full-Text PDF

Nocebo language in anaesthetic patient written information.

Anaesthesia 2022 Aug 2. Epub 2022 Aug 2.

Department of Women's Anaesthesia, Women's and Children's Hospital, North Adelaide, SA, Australia.

Recent evidence suggests that how anaesthesia information is presented may influence patient treatment outcomes. We conducted an observational study of anaesthetic-based patient information leaflets across NHS Trusts in England for their nocebo terms vs. therapeutic terms, and how adverse effects were presented. Read More

View Article and Full-Text PDF

A randomised controlled trial in patients undergoing arthroscopic shoulder surgery comparing interscalene block with either 10 ml or 20 ml levobupivacaine 0.25.

Anaesthesia 2022 Aug 2. Epub 2022 Aug 2.

Morphological Madrid Research Center, Ultradissection Spain EchoTraining School, Madrid, Spain.

The interscalene brachial plexus block is recommended for analgesia after shoulder surgery but it may cause hemidiaphragmatic dysfunction. We tested whether ipsilateral hemidiaphragmatic contraction was better after a smaller dose of local anaesthetic without impairing analgesic effect. We randomly allocated 48 adults to 10 ml or 20 ml levobupivacaine 0. Read More

View Article and Full-Text PDF

A double-blind randomised feasibility trial of angiotensin-2 in cardiac surgery.

Anaesthesia 2022 09;77(9):999-1009

Department of Intensive Care, Austin Health, Melbourne, Australia.

Acute kidney injury is common after cardiac surgery. Vasoplegic hypotension may contribute to kidney injury, and different vasopressors may have variable effects on kidney function. We conducted a double-blind, randomised feasibility trial comparing peri-operative angiotensin-2 with noradrenaline. Read More

View Article and Full-Text PDF
September 2022

The accuracy of ventilator logbooks in calculating environmental burden of inhalational agents.

Authors:
J Gandhi I Baxter

Anaesthesia 2022 Jul 28. Epub 2022 Jul 28.

Freeman Hospital, Newcastle Upon Tyne, UK.

View Article and Full-Text PDF

Peri-operative management of transgender patients: time for some guidance?

Anaesthesia 2022 Jul 28. Epub 2022 Jul 28.

South East Scotland School of Anaesthesia, Edinburgh, UK.

View Article and Full-Text PDF

Videolaryngoscopy, oesophageal intubation and uncertainty: lessons from Cochrane.

Anaesthesia 2022 Jul 27. Epub 2022 Jul 27.

Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.

View Article and Full-Text PDF

Right ventricular dysfunction in patients with COVID-19 pneumonitis: replies.

Authors:
P McCall B Shelley

Anaesthesia 2022 Jul 21. Epub 2022 Jul 21.

University of Glasgow and Golden Jubilee National Hospital, Glasgow, UK.

View Article and Full-Text PDF

Screening for diabetes peri-operatively: a reply.

Anaesthesia 2022 Jul 21. Epub 2022 Jul 21.

Norwich Medical School, University of East Anglia, Norwich, UK.

View Article and Full-Text PDF

Invasive mechanical ventilation in patients with acute respiratory distress syndrome receiving extracorporeal support: a narrative review of strategies to mitigate lung injury.

Anaesthesia 2022 Jul 21. Epub 2022 Jul 21.

Department of Critical Care Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.

Veno-venous extracorporeal membrane oxygenation is indicated in patients with acute respiratory distress syndrome and severely impaired gas exchange despite evidence-based lung protective ventilation, prone positioning and other parts of the standard algorithm for treating such patients. Extracorporeal support can facilitate ultra-lung-protective ventilation, meaning even lower volumes and pressures than standard lung-protective ventilation, by directly removing carbon dioxide in patients needing injurious ventilator settings to maintain sufficient gas exchange. Injurious ventilation results in ventilator-induced lung injury, which is one of the main determinants of mortality in acute respiratory distress syndrome. Read More

View Article and Full-Text PDF

Anaesthetists' current practice and perceptions of aerosol-generating procedures: a mixed-methods study.

Anaesthesia 2022 09 21;77(9):959-970. Epub 2022 Jul 21.

Anaesthesia, Pain and Critical Care Sciences, School of Physiology, Pharmacology and Neuroscience, University of Bristol, UK.

The evidence base surrounding the transmission risk of 'aerosol-generating procedures' has evolved primarily through quantification of aerosol concentrations during clinical practice. Consequently, infection prevention and control guidelines are undergoing continual reassessment. This mixed-methods study aimed to explore the perceptions of practicing anaesthetists regarding aerosol-generating procedures. Read More

View Article and Full-Text PDF
September 2022

The effect of overlapping surgical scheduling on operating theatre productivity: a narrative review.

Anaesthesia 2022 09 21;77(9):1030-1038. Epub 2022 Jul 21.

Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

This article reviews the background to overlapping surgery, in which a single senior surgeon operates across two parallel operating theatres; anaesthesia is induced and surgery commenced by junior surgeons in the second operating theatre while the lead surgeon completes the operation in the first. We assess whether there is any theoretical basis to expect increased productivity in terms of number of operations completed. A review of observational studies found that while there is a perception of increased surgical output for one surgeon, there is no evidence of increased productivity compared with two surgeons working in parallel. Read More

View Article and Full-Text PDF
September 2022

How to conduct collaborative research studies.

Anaesthesia 2022 Jul 20. Epub 2022 Jul 20.

Department of Anaesthesia and Peri-operative Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.

View Article and Full-Text PDF

The COVID-19 pandemic and its consequences for chronic pain: a narrative review.

Anaesthesia 2022 09 18;77(9):1039-1050. Epub 2022 Jul 18.

Center for Pain Medicine, Western Reserve Hospital, Cuyahoga Falls, OH, USA.

The COVID-19 pandemic transformed everyday life, but the implications were most impactful for vulnerable populations, including patients with chronic pain. Moreover, persistent pain is increasingly recognised as a key manifestation of long COVID. This narrative review explores the consequences of the COVID-19 pandemic for chronic pain. Read More

View Article and Full-Text PDF
September 2022

Neuromuscular blockade in the ICU: if you can't measure it, you can't manage it.

Authors:
C R Bailey

Anaesthesia 2022 09 15;77(9):953-955. Epub 2022 Jul 15.

Department of Anaesthetics, Guy's and St. Thomas' NHS Foundation Trust, London, UK.

View Article and Full-Text PDF
September 2022

Residual neuromuscular blockade in the ICU: a prospective observational study and national survey.

Anaesthesia 2022 09 15;77(9):991-998. Epub 2022 Jul 15.

Intensive Care, Medical Research Institute of New Zealand, Wellington, New Zealand.

Residual neuromuscular blockade is associated with significant morbidity. It has been widely studied in anaesthesia; however, the incidence of residual neuromuscular blockade in patients managed in the ICU is unknown. We conducted a prospective observational study in a tertiary ICU to determine the incidence of residual neuromuscular blockade using quantitative accelerographic monitoring. Read More

View Article and Full-Text PDF
September 2022

How to perform and write a trial sequential analysis.

Anaesthesia 2022 Jul 13. Epub 2022 Jul 13.

Department of Anaesthesia and Pain Medicine, Kantonsspital Baden, Baden, Switzerland.

View Article and Full-Text PDF

Severe maternal morbidity in Scotland.

Anaesthesia 2022 09 12;77(9):971-980. Epub 2022 Jul 12.

Department of Anaesthesia, Critical Care and Pain Medicine, Royal Infirmary of Edinburgh, UK.

Using a cohort study design, we analysed 17 diagnoses and 9 interventions (including critical care admission) as a composite measure of severe maternal morbidity for pregnancies recorded over 14 years in Scotland. There were 762,918 pregnancies, of which 7947 (10 in 1000 pregnancies) recorded 9345 severe maternal morbidity events, 2802 episodes of puerperal sepsis being the most common (30%). Severe maternal morbidity incidence increased from 9 in 1000 pregnancies in 2012 to 17 in 1000 pregnancies in 2018, due in part to puerperal sepsis recording. Read More

View Article and Full-Text PDF
September 2022

How to conduct a Delphi consensus process.

Authors:
L C Savic A F Smith

Anaesthesia 2022 Jul 11. Epub 2022 Jul 11.

Department of Anaesthesia, University Hospitals of Morecambe Bay NHS Foundation Trust, Kendal, UK.

View Article and Full-Text PDF

How to design and interpret a randomised controlled trial using Bayesian statistics.

Anaesthesia 2022 Jul 6. Epub 2022 Jul 6.

Department of Anaesthesia, Peri-operative Medicine and Intensive Care, Torbay Hospital, Devon, UK.

View Article and Full-Text PDF

Screening for diabetes peri-operatively: should we be measuring glucose, HbA … and insulin?

Authors:
S M White K Regan

Anaesthesia 2022 Jul 1. Epub 2022 Jul 1.

University Hospitals Sussex NHS Foundation Trust, Brighton, UK.

View Article and Full-Text PDF

Impact of country of origin on procedure-specific postoperative pain management (PROSPECT) recommendations.

Anaesthesia 2022 09 1;77(9):1057-1059. Epub 2022 Jul 1.

University of Texas Southwestern Medical Center, Dallas, TX, USA.

View Article and Full-Text PDF
September 2022

The need to improve opioid prescribing and data collection in patients undergoing orthopaedic surgery.

Anaesthesia 2022 08 28;77(8):854-857. Epub 2022 Jun 28.

Nottingham Digestive Diseases Centre and National Institute for Health Research Nottingham Biomedical Research Centre, Nottingham University Hospitals and University of Nottingham, Nottingham, UK.

View Article and Full-Text PDF