abstract：:In this study, we measured the performance of medical students and anaesthetists using a new tracker needle during simulated sciatic nerve block on soft embalmed cadavers. The tracker needle incorporates a piezo element near its tip that generates an electrical signal in response to insonation. A circle, superimposed ...

journal_title：Anaesthesia

authors： McKendrick M,Sadler A,Taylor A,Seeley J,Filipescu T,Mustafa A,McKendrick G,Halcrow J,Raju P,McLeod GA

更新日期：2021-02-01 00:00:00

abstract：:It is now apparent that severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and coronavirus disease 2019 (COVID-19) will remain endemic for some time. Improved therapeutics and a vaccine may shorten this period, but both are far from certain. Plans must be put in place on the assumption that the virus and its...

journal_title：Anaesthesia

authors： Cook TM,McGuire B,Mushambi M,Misra U,Carey C,Lucas N,O'Sullivan E,Harrop-Griffiths W

更新日期：2021-02-01 00:00:00

abstract：:In resource-constrained settings, where inequalities in access to and quality of surgical care results in excess mortality, peri-operative care registries are uncommon. A south-south collaboration supported the implementation of a context specific, clinician-led, multicentre real-time peri-operative registry in Ethiop...

journal_title：Anaesthesia

authors： Network for Peri-operative Critical care (N4PCc)*.

更新日期：2021-01-25 00:00:00

abstract：:Apnoeic oxygenation refers to oxygenation in the absence of any patient or ventilator effort to move the lungs. This phenomenon was first described in humans in the mid-20th century but has seen renewed interest in the last decade following the demonstration of apnoeic oxygenation with low-flow, and subsequently high-...

journal_title：Anaesthesia

authors： Lyons C,Callaghan M

更新日期：2021-01-01 00:00:00

abstract：:Ultrasound-guided fascial plane blocks of the chest wall are increasingly popular alternatives to established techniques such as thoracic epidural or paravertebral blockade, as they are simple to perform and have an appealing safety profile. Many different techniques have been described, which can be broadly categoris...

journal_title：Anaesthesia

authors： Chin KJ,Versyck B,Pawa A

更新日期：2021-01-01 00:00:00

abstract：:Despite the ongoing coronavirus disease 2019 (COVID-19) pandemic, elective paediatric surgery must continue safely through the first, second and subsequent waves of disease. This study presents outcome data from a children's hospital in north-west England, the region with the highest prevalence of COVID-19 in England....

journal_title：Anaesthesia

authors： Okonkwo INC,Howie A,Parry C,Shelton CL,Cobley S,Craig R,Permall N,El-Sheikha SH,Herbert N,Arnold P

更新日期：2020-12-01 00:00:00

abstract：:Prophylactic oxytocin administration at the third stage of labour reduces blood loss and the need for additional uterotonic drugs. Obesity is known to be associated with an increased risk of uterine atony and postpartum haemorrhage. It is unknown whether women with obesity require higher doses of oxytocin in order to ...

journal_title：Anaesthesia

authors： Peska E,Balki M,Maxwell C,Ye XY,Downey K,Carvalho JCA

更新日期：2020-11-23 00:00:00

abstract：:This pilot and feasibility study evaluated wrist-worn accelerometers to measure recovery from day-case surgery in comparison with daily quality of recovery-15 scores. The protocol was designed with extensive patient and public involvement and engagement, and delivered by a research network of anaesthesia trainees. For...

journal_title：Anaesthesia

authors： Ratcliffe AM,Zhai B,Guan Y,Jackson DG,South West Anaesthesia Research Matrix (SWARM).,Sneyd JR

更新日期：2020-10-05 00:00:00

abstract：:Serratus anterior plane and pectoral nerves blocks are recently described alternatives to established regional anaesthesia techniques in cardiac surgery, thoracic surgery and trauma. We performed a systematic review to establish the current state of evidence for the analgesic role of these fascial plane blocks in thes...

journal_title：Anaesthesia

authors： Jack JM,McLellan E,Versyck B,Englesakis MF,Chin KJ

更新日期：2020-10-01 00:00:00

abstract：:The current international COVID-19 health crisis underlines the importance of adequate and suitable personal protective equipment for clinical staff during acute airway management. This study compares the impacts of standard air-purifying respirators and powered air-purifying respirators during simulated difficult air...

journal_title：Anaesthesia

authors： Schumacher J,Arlidge J,Dudley D,Sicinski M,Ahmad I

更新日期：2020-10-01 00:00:00

abstract：:Mortality remains high for patients on the waiting list for organ transplantation. A marked imbalance between the number of available organs and recipients that need to be transplanted persists. Organs from deceased donors are often declined due to perceived and actual suboptimal quality. Adequate donor management off...

journal_title：Anaesthesia

authors： Bera KD,Shah A,English MR,Harvey D,Ploeg RJ

更新日期：2020-09-01 00:00:00

abstract：:As COVID-19 disease escalates globally, optimising patient outcome during this catastrophic healthcare crisis is the number one priority. The principles of patient blood management are fundamental strategies to improve patient outcomes and should be given high priority in this crisis situation. The aim of this expert ...

journal_title：Anaesthesia

authors： Baron DM,Franchini M,Goobie SM,Javidroozi M,Klein AA,Lasocki S,Liumbruno GM,Muñoz M,Shander A,Spahn DR,Zacharowski K,Meybohm P

更新日期：2020-08-01 00:00:00

abstract：:The number of patients requiring tracheal intubation rose dramatically in March and April 2020 with the COVID-19 outbreak. Our thoracic surgery department has seen an increased incidence of severe pneumomediastinum referred for surgical opinion in intubated patients with COVID-19 pneumonitis. Here we present a series ...

journal_title：Anaesthesia

authors： Wali A,Rizzo V,Bille A,Routledge T,Chambers AJ

更新日期：2020-08-01 00:00:00

abstract：:In the UK, tranexamic acid is recommended for all surgical procedures where expected blood loss exceeds 500 ml. However, the optimal dose, route and timing of administration are not known. This study aimed to evaluate current practice of peri-operative tranexamic acid administration. Patients undergoing primary total ...

journal_title：Anaesthesia

authors： Lloyd TD,Neal-Smith G,Fennelly J,Claireaux H,Bretherton C,Carr AJ,Murphy M,Kendrick BJ,Palmer AJR,collaborators.

更新日期：2020-08-01 00:00:00

abstract：:Modern four-factor prothrombin complex concentrate was designed originally for rapid targeted replacement of the coagulation factors II, VII, IX and X. Dosing strategies for the approved indication of vitamin K antagonist-related bleeding vary greatly. They include INR and bodyweight-related protocols as well as fixed...

journal_title：Anaesthesia

authors： Erdoes G,Koster A,Ortmann E,Meesters MI,Bolliger D,Baryshnikova E,Martinez Lopez De Arroyabe B,Ahmed A,Lance MD,Ranucci M,von Heymann C,Agarwal S,Ravn HB

更新日期：2020-07-17 00:00:00

abstract：:We reviewed the literature on management of general and regional anaesthesia in pregnant women with anticipated airway difficulty. We identified 138 publications comprising 158 cases; these either described equipment or techniques for the provision of general anaesthesia, or the management of women with regional analg...

journal_title：Anaesthesia

authors： Mushambi MC,Athanassoglou V,Kinsella SM

更新日期：2020-07-01 00:00:00

abstract：:Pre-operative anaemia is associated with poor outcomes after elective surgery but its relationship with outcomes after emergency surgery is unclear. We analysed National Emergency Laparotomy Audit data from 1 December 2013 to 30 November 2017, excluding laparotomy for haemorrhage. Anaemia was classified as 'mild' 129-...

journal_title：Anaesthesia

authors： Boyd-Carson H,Shah A,Sugavanam A,Reid J,Stanworth SJ,Oliver CM

更新日期：2020-07-01 00:00:00

abstract：:We recorded the survival of 141 patients assessed for radical cystectomy, which included cardiopulmonary exercise testing. The median Kaplan-Meier survival estimates were: 1540 days for the whole cohort; 2200 days after cystectomy scheduled (n = 108); and 843 days without surgery. The mortality hazard remained double ...

journal_title：Anaesthesia

authors： Longdon E,Mistry H,Pratt O,Donnelly A,O'Neill S,Nachiappan M,Darwin L,Clarke N,Hartley R

更新日期：2020-07-01 00:00:00

abstract：:Phrenic-sparing analgesic techniques for shoulder surgery are desirable. Intra-articular infiltration analgesia is one promising phrenic-sparing modality, but its role remains unclear because of conflicting evidence of analgesic efficacy and theoretical concerns regarding chondrotoxicity. This systematic review and me...

journal_title：Anaesthesia

authors： Yung EM,Got TC,Patel N,Brull R,Abdallah FW

更新日期：2020-06-29 00:00:00

abstract：:Severe acute respiratory syndrome-corona virus-2, which causes coronavirus disease 2019 (COVID-19), is highly contagious. Airway management of patients with COVID-19 is high risk to staff and patients. We aimed to develop principles for airway management of patients with COVID-19 to encourage safe, accurate and swift ...

journal_title：Anaesthesia

authors： Cook TM,El-Boghdadly K,McGuire B,McNarry AF,Patel A,Higgs A

更新日期：2020-06-01 00:00:00

abstract：:The efficient use of operating theatres requires accurate case scheduling. One common method is 'booking to the mean'. Here, the mean times for individual operations are summed to approximate the time allocated to the list. An alternative approach is 'probabilistic scheduling'. Here, the means and standard deviation o...

journal_title：Anaesthesia

authors： Pandit JJ

更新日期：2020-05-01 00:00:00

abstract：:Guidelines recommend restrictive red blood cell transfusion strategies. We conducted an observational study to examine whether the rate of peri-operative red blood cell transfusion in the USA had declined during the period from 01 January 2011 to 31 December 2016. We included 4,273,168 patients from all surgical subsp...

journal_title：Anaesthesia

authors： Nordestgaard AT,Rasmussen LS,Sillesen M,Steinmetz J,Eid AI,Meier K,Kaafarani HMA,Velmahos GC

更新日期：2020-04-01 00:00:00

abstract：:There are numerous possible techniques for delivering local anaesthetic through peripheral nerve catheters. These include continuous infusions, patient-controlled boluses and programmed intermittent boluses. The optimal delivery regimen of local anaesthetic is yet to be conclusively established. In this review, we ide...

journal_title：Anaesthesia

authors： Law WZW,Sara RA,Cameron AJD,Lightfoot NJ

更新日期：2020-03-01 00:00:00

abstract：:Traditional methods used to disseminate educational resources to front-line healthcare staff have several limitations. Social media may increase the visibility of these resources among targeted groups and communities. Our project aimed to disseminate key clinical messages from the National Tracheostomy Safety Project ...

journal_title：Anaesthesia

authors： Ng FK,Wallace S,Coe B,Owen A,Lynch J,Bonvento B,Firn M,McGrath BA

更新日期：2020-02-01 00:00:00

abstract：:It is unclear how best to predict peri-operative cardiovascular risk in patients with atrial fibrillation undergoing non-cardiac surgery. This study examined the accuracy of the revised cardiac risk index and three atrial fibrillation thrombo-embolic risk models for predicting 30-day cardiovascular events after non-ca...

journal_title：Anaesthesia

authors： McAlister FA,Youngson E,Jacka M,Graham M,Conen D,Chan M,Szczeklik W,Alonso-Coello P,Devereaux PJ,vascular events in non-cardiac surgery patIents cohort evaluation (VISION) investigators.

更新日期：2020-01-01 00:00:00

abstract：:Peri-operative risk estimation has traditionally focused on assessing the likelihood of postoperative morbidity and mortality using pre-operative functional assessment. Although this strategy is currently recommended by most major society guidelines, contemporary evidence suggests that cardiac biomarker measurement ha...

journal_title：Anaesthesia

authors： Ruzycki SM,Prystajecky M,Driedger MR,Kachra R

更新日期：2020-01-01 00:00:00

abstract：:Patients with obstructive sleep apnoea are at increased risk of adverse postoperative outcomes, such as cardiac and respiratory complications. It has been hypothesised that obstructive sleep apnoea also increases the risk for postoperative delirium and acute postoperative pain. We conducted a retrospective, observatio...

journal_title：Anaesthesia

authors： Strutz PK,Kronzer V,Tzeng W,Arrington B,McKinnon SL,Ben Abdallah A,Haroutounian S,Avidan MS

更新日期：2019-12-01 00:00:00

abstract：:Pre-operative intervention to improve general health and readiness for surgery is known as prehabilitation. Modification of risk factors such as physical inactivity, smoking, hazardous alcohol consumption and an unhealthy weight can reduce the risk of peri-operative morbidity and improve patient outcomes. Intervention...

journal_title：Anaesthesia

authors： McDonald S,Yates D,Durrand JW,Kothmann E,Sniehotta FF,Habgood A,Colling K,Hollingsworth A,Danjoux G

更新日期：2019-12-01 00:00:00

abstract：:Modern mechanical ventilator technologies broadly consist of digitally-controlled electronic devices and analogue systems driven by compressed gas sources. Drawbacks such as high cost, complex maintenance and the need for cumbersome sources of compressed driving gas hinder adoption in pre-hospital and low-resource env...

journal_title：Anaesthesia

authors： Darwood A,McCanny J,Kwasnicki R,Martin B,Jones P

更新日期：2019-11-01 00:00:00

abstract：:Propofol is the most commonly administered intravenous agent for anaesthesia in children. However, there are concerns that the emulsified preparation may not be safe in children with an allergy to egg, peanut, soybean or other legumes. We conducted a retrospective study of children with immunologically confirmed egg, ...

journal_title：Anaesthesia

authors： Sommerfield DL,Lucas M,Schilling A,Drake-Brockman TFE,Sommerfield A,Arnold A,von Ungern-Sternberg BS

更新日期：2019-10-01 00:00:00

abstract：:The measurement of extravascular lung water is a relatively new technology which has not yet been well validated as a clinically useful tool. We studied its utility in patients undergoing pulmonary endarterectomy as they frequently suffer reperfusion lung injury and associated oedematous lungs. Such patients are there...

journal_title：Anaesthesia

authors： Butchart AG,Zochios V,Villar SS,Jones NL,Curry S,Agrawal B,Jenkins DP,Klein AA

更新日期：2019-10-01 00:00:00

abstract：:Although bedside screening tests are routinely used to identify people at high risk of having a difficult airway, their clinical utility is unclear. We estimated the diagnostic accuracy of commonly used bedside examination tests for assessing the airway in adult patients without apparent anatomical abnormalities sched...

journal_title：Anaesthesia

authors： Roth D,Pace NL,Lee A,Hovhannisyan K,Warenits AM,Arrich J,Herkner H

更新日期：2019-07-01 00:00:00

abstract：:Coagulopathy in patients with traumatic brain injury is associated with an increase in morbidity and mortality. Although timely and aggressive treatment of coagulopathy is of paramount importance, excessive transfusion of blood products has been linked with poor long-term outcomes in patients with traumatic brain inju...

journal_title：Anaesthesia

authors： Gratz J,Güting H,Thorn S,Brazinova A,Görlinger K,Schäfer N,Schöchl H,Stanworth S,Maegele M

更新日期：2019-07-01 00:00:00

abstract：:The use of fluid-warming systems is recommended for infusion rates > 500 ml.h-1 to avoid peri-operative hypothermia. Some fluid-warming devices use disposable aluminium-heated plates for heat transfer, but there is no protective coating to separate the fluid from the heated aluminium surface. It is unknown if this cou...

journal_title：Anaesthesia

authors： Perl T,Kunze-Szikszay N,Bräuer A,Quintel M,Röhrig AL,Kerpen K,Telgheder U

更新日期：2019-06-01 00:00:00

abstract：:Most anaesthetists using target-controlled infusion systems will have observed that the calculated effect-site concentration at loss of consciousness is usually higher than the concentration at emergence. Inertia is the ability of biological systems to keep a functional state at rest or in activity and is an active pr...

journal_title：Anaesthesia

authors： Sepúlveda PO,Tapia LF,Monsalves S

更新日期：2019-06-01 00:00:00

abstract：:Blood transfusion is given according to haemoglobin thresholds aimed at restoration of arterial oxygen-carrying capacity. Patient survival after severe haemorrhagic shock depends on restoration of microvascular perfusion, tissue oxygen delivery, endothelial function and organ integrity. We investigated a novel crystal...

journal_title：Anaesthesia

authors： Oller L,Dyer WB,Santamaría L,Largo C,Javidroozi M,Shander A

更新日期：2019-06-01 00:00:00

abstract：:A decision by a society to sanction assisted dying in any form should logically go hand-in-hand with defining the acceptable method(s). Assisted dying is legal in several countries and we have reviewed the methods commonly used, contrasting these with an analysis of capital punishment in the USA. We expected that, sin...

journal_title：Anaesthesia

authors： Sinmyee S,Pandit VJ,Pascual JM,Dahan A,Heidegger T,Kreienbühl G,Lubarsky DA,Pandit JJ

更新日期：2019-05-01 00:00:00

abstract：:The deployment of physician-led pre-hospital enhanced care teams capable of critical care interventions at the scene of injury may confer a survival benefit to victims of major trauma. However, the evidence base for this widely adopted model is disputed. Failure to identify a clear survival benefit has been attributed...

journal_title：Anaesthesia

authors： Hepple DJ,Durrand JW,Bouamra O,Godfrey P

更新日期：2019-04-01 00:00:00

abstract：:There are approximately 8.5 million Jehovah's Witnesses and around 150,000 live in Great Britain and Ireland. Based on their beliefs and core values, Jehovah's Witnesses refuse blood component transfusion (including red cells, plasma and platelets). They regard non-consensual transfusion as a physical violation. Conse...

journal_title：Anaesthesia

authors： Klein AA,Bailey CR,Charlton A,Lawson C,Nimmo AF,Payne S,Ruck Keene A,Shortland R,Smith J,Torella F,Wade P

更新日期：2019-01-01 00:00:00

abstract：:Peri-operative hyperglycaemia, whether the cause is known diabetes, undiagnosed diabetes or stress hyperglycaemia, is a risk factor for harm, increased length of stay and death. There is increasing evidence that peri-operative hyperglycaemia is a modifiable risk factor, and many of the interventions required to improv...

journal_title：Anaesthesia

authors： Levy N,Dhatariya K

更新日期：2019-01-01 00:00:00