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European Journal of Anaesthesiology

David T Wong, Arpan Mehta, Kawal P Singh, Siaw M Leong, Alister Ooi, Ahtsham Niazi, Eric You-Ten, Allan Okrainec, Rajesh Patel, Mandeep Singh, Jean Wong
BACKGROUND: The use of a flexible optical bronchoscopic (FOB) for intubation is an essential airway management skill. OBJECTIVE(S): Our primary objective was to compare the effects of simulator training (ORSIM high-fidelity simulator) with no simulation training on the performance of FOB intubation in anaesthetised patients. DESIGN: Randomised controlled trial. SETTING: Single-centre tertiary hospital; trial conducted between April 2015 to May 2016...
September 17, 2018: European Journal of Anaesthesiology
Evelyn Leuzinger, Beate Poblete, Christoph J Konrad, Damon Hansen
BACKGROUND: Transfusion guidelines have become increasingly restrictive. We investigated actual transfusion practices in geriatric hip fracture patients, why they differ from current guidelines and how this affects outcome. OBJECTIVES: The primary aim was to examine transfusion timing, evaluate how many red blood cell (RBC) transfusions are in keeping with and how this affects morbidity (infection, cardiac events and delirium), mortality and length of stay (LOS)...
September 17, 2018: European Journal of Anaesthesiology
Jeffrey T Y Chow, Timothy P Turkstra, Edmund Yim, Philip M Jones
BACKGROUND: Abstracts are intended to be concise summaries of the entire randomised clinical trial (RCT). Despite their importance, few studies have examined the reporting quality of abstracts in the anaesthesiology literature. OBJECTIVES: To examine the quality of RCT abstract reporting according to the CONSORT for Abstracts guidelines and determine whether recommended items omitted from the abstract were present in the body of the article. DESIGN: A cross-sectional study of RCTs...
September 17, 2018: European Journal of Anaesthesiology
Wojciech Weigl, Jan Adamski, Paweł Goryński, Andrzej Kański, Michael Hultström
BACKGROUND: Recently published international comparison data across European countries revealed high mortality rates in Polish ICUs. OBJECTIVES: Estimation of the rate of ICU mortality and identification of variables associated with ICU survival in Poland. DESIGN: Retrospective analyses of a database reporting ICU stays in Poland. SETTINGS AND PATIENTS: The study included data from all adult patients admitted to an ICU in Poland from 1 January 2012 to 31 December 2012...
September 17, 2018: European Journal of Anaesthesiology
Sjoerd de Hoogd, Abraham J Valkenburg, Eric P A van Dongen, Edgar J Daeter, Joost van Rosmalen, Albert Dahan, Dick Tibboel, Catherijne A J Knibbe
BACKGROUND: The clinical relevance of the suggested hyperalgesic effects of remifentanil is still unclear, especially in the long term. OBJECTIVE: The current study evaluated the impact of remifentanil on thermal thresholds 3 days and 12 months after surgery, measured with Quantitative Sensory Testing. DESIGN: A prospective, single-blind, randomised controlled trial. SETTING: A tertiary care teaching hospital in The Netherlands, from 2014 to 2016...
September 11, 2018: European Journal of Anaesthesiology
Sun-Kyung Park, Young G Son, Seokha Yoo, Taeyoon Lim, Won Ho Kim, Jin-Tae Kim
BACKGROUND: Previous studies have reported that deep neuromuscular block (posttetanic-count 1 to 2 twitches) improves surgical conditions during laparoscopy compared with moderate block (train-of-four count: 1 to 2 twitches). However, comparisons of surgical conditions were made using different scales and assessment intervals with variable results. OBJECTIVE: To explore the heterogeneity of previous comparisons between deep and moderate neuromuscular block. DESIGN: Systematic review and meta-analysis of randomised controlled trials (RCTs)...
September 3, 2018: European Journal of Anaesthesiology
Fabrice Michel, Thomas Vacher, Florence Julien-Marsollier, Christophe Dadure, Jean-Vincent Aubineau, Corinne Lejus, Nada Sabourdin, Eric Woodey, Gilles Orliaguet, Christopher Brasher, Souhayl Dahmani
BACKGROUND: Peri-operative respiratory adverse events (PRAEs) in paediatric patients with upper respiratory tract infections (URTIs) remain inadequately explored in patients allowed to proceed to anaesthesia and surgery. OBJECTIVE: To determine the incidence and risk factors of PRAE in children with URTI allowed to proceed to anaesthesia. DESIGN: Multicentre cohort study performed over 6 months in France. SETTING: Sixteen centres with dedicated paediatric anaesthetists...
August 16, 2018: European Journal of Anaesthesiology
Susanne Koch, Leopold Rupp, Christine Prager, Klaus D Wernecke, Sylvia Kramer, Astrid Fahlenkamp, Claudia D Spies
BACKGROUND: Epileptiform discharges frequently occur in children during induction of anaesthesia. However, studies analysing the impact of epileptiform discharges on postoperative emergence delirium in children are still scarce. The aim of this study is to correlate the incidence of epileptiform activity during anaesthesia induction with the occurrence of emergence delirium during stay in the recovery room. OBJECTIVES: Prospective, observational cohort study in children 0...
August 14, 2018: European Journal of Anaesthesiology
Kirsten Boenigk, Ghislaine C Echevarria, Emmanuel Nisimov, Annelise E von Bergen Granell, Germaine E Cuff, Jing Wang, Arthur Atchabahian
BACKGROUND: The current opioid epidemic highlights the urgent need for effective adjuvant therapies to complement postoperative opioid analgesia. Intra-operative ketamine infusion has been shown to reduce postoperative opioid consumption and improve pain control in opioid-tolerant patients after spinal fusion surgery. Its efficacy for opioid-naïve patients, however, remains controversial. OBJECTIVE: We hypothesised that low-dose ketamine infusion after major spinal surgery reduces opioid requirements in opioid-tolerant patients, but not in opioid-naïve patients...
August 14, 2018: European Journal of Anaesthesiology
Christiane E Beck, Lars Witt, Lisa Albrecht, Nils Dennhardt, Dietmar Böthig, Robert Sümpelmann
OBJECTIVES: Current guidelines recommend 6 h of fasting for solids before anaesthesia. However, prolonged fasting may lead to discomfort, hunger, thirst, misbehaviour and lipolysis. To prevent this, a more liberal fasting regimen has been empirically implemented in our children's hospital, allowing a shorter fasting time of 4 h for a standardised light breakfast. AIM: The aim of this study was to determine the gastric emptying time after a standardised light breakfast in healthy children...
August 7, 2018: European Journal of Anaesthesiology
Jing Wang, Ghislaine Echevarria, Lisa Doan, Nydia Ekasumara, Steven Calvino, Floria Chae, Erik Martinez, Eric Robinson, Germaine Cuff, Lola Franco, Igor Muntyan, Marina Kurian, Bradley F Schwack, Andrea S Bedrosian, George A Fielding, Christine J Ren-Fielding
BACKGROUND: When administered as a continuous infusion, ketamine is known to be a potent analgesic and general anaesthetic. Recent studies suggest that a single low-dose administration of ketamine can provide a long-lasting effect on mood, but its effects when given in the postoperative period have not been studied. OBJECTIVE: We hypothesised that a single low-dose administration of ketamine after bariatric surgery can improve pain and mood scores in the immediate postoperative period...
August 7, 2018: European Journal of Anaesthesiology
Jian-Tong Shen, Miao Xu, Yan Wu, Shi-Hong Wen, Xiang Li, Bing-Cheng Zhao, Wen-Qi Huang
BACKGROUND: Circulating cardiac troponin levels are powerful predictors of prognosis in many clinical settings, but their association with outcomes after noncardiac surgery is unclear. OBJECTIVES: The aim of this systematic review was to summarise current evidence on the association of pre-operative troponin elevation with postoperative major adverse cardiac events (MACE) and mortality in patients undergoing noncardiac surgery. DESIGN: Systematic review of observational studies with meta-analysis...
August 7, 2018: European Journal of Anaesthesiology
Amalia M A van den Berg, Peep F M Stalmeier, Gert Jan Scheffer, Rosella P Hermens, Martin J L Bucx
BACKGROUND: Shared decision-making (SDM) and decision-support tools have attracted broad support in healthcare as they improve medical decision-making. Experts disagree on how these can help patients evaluate their present situation and possible outcomes of therapy, and how they might reduce decisional conflict. Little is known about their implementation, especially in anaesthesiology. OBJECTIVE: To obtain a more fundamental understanding of pre-operative SDM and evaluate the use of a decision-support tool for postoperative analgesia after major thoracic and abdominal surgery...
July 30, 2018: European Journal of Anaesthesiology
Andreas Hohn, Uwe Trieschmann, Jeremy Franklin, Jan-Nicolas Machatschek, Jost Kaufmann, Holger Herff, Jochen Hinkelbein, Thorsten Annecke, Bernd W Böttiger, Stephan A Padosch
BACKGROUND: Peri-operative critical events are still a major problem in paediatric anaesthesia care. Access to more experienced healthcare teams might reduce the adverse event rate and improve outcomes. OBJECTIVE: The current study analysed incidences of peri-operative paediatric cardiac arrest before and after implementation of a specialised paediatric anaesthesia team and training programme. DESIGN: Retrospective cohort study with before-and-after analysis...
July 25, 2018: European Journal of Anaesthesiology
Junyong In, Hansu Bae, Heyran Choi, Yong Beom Kim, Sangseok Lee, Hong Seuk Yang
BACKGROUND: The concentration range of dexamethasone that inhibits neuromuscular blockade (NMB) and sugammadex reversal remains unclear. OBJECTIVE: To evaluate the effects of dexamethasone on rocuronium-induced NMB and sugammadex reversal. DESIGN: Ex vivo study. SETTING: Asan Institute for Life Sciences, Asan Medical Center, Korea, from July 2015 to November 2015. ANIMALS: One hundred sixty male Sprague-Dawley rats...
July 23, 2018: European Journal of Anaesthesiology
Maíra I Rudolph, Pauline Y Ng, Hao Deng, Flora T Scheffenbichler, Stephanie D Grabitz, Jonathan P Wanderer, Timothy T Houle, Matthias Eikermann
BACKGROUND: Residual neuromuscular block (rNMB) after surgery is not difficult to identify if proper neuromuscular monitoring is used, but many clinicians do not use quantitative neuromuscular monitoring. OBJECTIVE: The aim of this study was to develop a REsidual neuromuscular block Prediction Score (REPS) to predict postoperative rNMB and compare the predictive accuracy of the prediction score with train-of-four count (TOFC) measurement at the end of a surgical case...
July 16, 2018: European Journal of Anaesthesiology
Ronald A Kahn, Anelechi Anyanwu
BACKGROUND: Cerebral near-infrared spectroscopy (NIRS) of tissue oxygen saturation is claimed to be a surrogate marker for global cerebral perfusion. Increasingly, NIRS target-based therapy has been used during cardiac surgery in the hope of decreasing the incidence of adverse neurological outcome. OBJECTIVES: We report NIRS values for some common vegetables and faculty at a world-class medical institution. DESIGN: Observational nonblinded study...
July 16, 2018: European Journal of Anaesthesiology
Mengzhu Li, Zhiqiang Liu, Fuqing Lin, Huiying Wang, Xiaozhen Niu, Xun Ge, Shukun Fu, Lin Fang, Cheng Li
BACKGROUND: The use of sedation is becoming more commonplace. Although pulse oximetry is a standard monitoring procedure during sedation, it cannot accurately detect early hypoventilation. End-tidal carbon dioxide (EtCO2) monitoring can be an earlier indicator of airway compromise; however, the existing literature is limited to a few studies with varying outcomes. OBJECTIVES: To evaluate whether EtCO2 monitoring decreases the incidences of CO2 retention and apnoeic events in propofol-based sedation...
July 12, 2018: European Journal of Anaesthesiology
Kenta Okitsu, Akihiko Maeda, Takeshi Iritakenishi, Yuji Fujino
No abstract text is available yet for this article.
October 2018: European Journal of Anaesthesiology
Jui-An Lin, Ko-Huan Lin, An-Chih Hsu, Yu-Ting Tai
No abstract text is available yet for this article.
October 2018: European Journal of Anaesthesiology
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