keyword
Keywords Anaesthesiology, analgesia, cr...

Anaesthesiology, analgesia, critical care

https://read.qxmd.com/read/38084575/low-dose-caudal-versus-dorsal-penile-nerve-block-for-postoperative-analgesia-after-circumcision-a-randomized-comparative-study
#1
JOURNAL ARTICLE
Mayar Hassan El Sersi, Mohamed Sidky Mahmoud Zaki, Samar Sobhi Elnaggar, Ramy Mahrose
INTRODUCTION: Paediatric male circumcision is a painful surgical procedure, which is usually carried out under general anaesthesia. Regional analgesic techniques, including dorsal penile nerve block (DPNB) and caudal nerve block (CNB), are superior to opioid and non-opioid systemic analgesia for postoperative pain control after circumcision. MATERIAL AND METHODS: The purpose of our study was to compare the efficacy, duration of postoperative analgesia, and complications of DPNB, CNB, and the combination of 2 blocks...
2023: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/38084572/effect-of-transversus-abdominis-plane-block-with-or-without-buprenorphine-after-inguinal-hernia-surgery-on-postoperative-pain
#2
JOURNAL ARTICLE
Nirvana Ahmed Elshalakany, Asmaa Mohamed Salah
INTRODUCTION: Transversus abdominis plane (TAP) has been mentioned as having bene-ficial effects on chronic pain after hernioplasty. This study assessed the effects of TAP block on acute and persistent postoperative pain after inguinal hernia surgery, with or without buprenorphine. MATERIAL AND METHODS: 64 patients were allocated to group R ( n = 32) and received 20 mL of 0.25% ropivacaine for TAP block; group RB ( n = 32) received 20 mL of 0.25% ropivacaine containing 300 µg of buprenorphine for TAP block...
2023: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/38084571/continuous-lumbar-erector-spinae-plane-block-as-an-alternative-to-epidural-analgesia-in-pain-treatment-in-patients-undergoing-hip-replacement-surgery-a-prospective-pilot-study
#3
JOURNAL ARTICLE
Agata Hanych, Paweł Kutnik, Przemysław Pasiak, Aleksandra Zakrzewska-Szalak, Oksana Wichowska, Mariusz Jednakiewicz, Adam Nogalski, Paweł Piwowarczyk, Michał Borys
INTRODUCTION: Postoperative pain associated with hip replacement surgery can be severe, decreasing the patient's mobility and satisfaction with perioperative treatment. Regional techniques are commonly used as postoperative analgesia in hip surgery patients. MATERIAL AND METHODS: We performed a prospective pilot study on patients undergoing hip replacement surgery. We anesthetized each participant with spinal technique and allocated patients according to postoperative analgesia to the continuous epidural group and the continuous lumbar erector spinae plane block (ESPB) group...
2023: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/37728449/ultrasound-guided-fascia-iliaca-block-versus-quadratus-lumborum-block-for-perioperative-analgesia-in-patients-undergoing-hip-surgery-a-randomised-controlled-trial
#4
RANDOMIZED CONTROLLED TRIAL
Sameh Refaat, Mohamed M Ali, Ibrahim M E Elsherief, Marwa M Mohamed
INTRODUCTION: Femoral neck fractures are common orthopaedic fractures, especially in old age, and they represent a life-threatening condition requiring surgical intervention. In this study, we aimed to compare 2 regional techniques used to decrease perioperative pain. MATERIAL AND METHODS: In this parallel group randomized controlled clinical trial we enrolled 68 patients from both sexes scheduled for hip surgery after femoral neck fractures. The patients were randomly allocated to 2 equal groups with one receiving ultrasound- guided supra-inguinal fascia iliaca block (FIB) and the other receiving ultrasound- guided anterior quadratus lumborum block (QLB)...
2023: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/37587880/serious-complications-related-to-regional-anaesthesia-study-of%C3%A2-greek-courts-decisions
#5
JOURNAL ARTICLE
Evangelia Samara, Lampros Tzoumas, Konstantinos Tzoumas, Petros Tzimas, Georgios Papadopoulos
BACKGROUND: Regional anaesthesia and analgesia present many advantages. Related complications are few and have been fully described. Information on regional anaesthesia malpractice is lacking in Greece. The objectives of the analysis were to highlight areas of high litigation risk and report the financial impact of claims. METHODS: Published judicial decisions of criminal, civil, administrative and disciplinary content, from 1995 to 2020, were searched in the legal information banks...
2023: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/37306272/comparing-the%C3%A2-quality-of%C3%A2-analgesia-with-ultrasound-guided-pectoral-nerve-block-and-serratus-anterior-plane-block-ii-in-patients-undergoing-modified-radical-mastectomy-a%C3%A2-randomised-clinical-trial
#6
RANDOMIZED CONTROLLED TRIAL
Abdelrhman Alshawadfy, Shimaa A Al-Touny
INTRODUCTION: Despite the recent use of serratus anterior plane (SAP) and pectoral nerve (PECS) blocks for pain management following breast surgery, there are insufficient data comparing their analgesic benefits. This study aimed to compare the quality of analgesia for PECS and SAP blocks in patients having modified radical mastectomy (MRM). MATERIAL AND METHODS: This trial enrolled 50 adult female patients scheduled for MRM under anaesthesia. Patients were randomly allocated to two groups...
2023: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/37306266/heart-rate-variability-in-anaesthesiology-narrative-review
#7
REVIEW
Magdalena Wujtewicz, Radoslaw Owczuk
Heart rate variability (HRV) is a measure that shows the variation in time between consecutive heartbeats - a physiological phenomenon controlled by the autonomic nervous system. Over the years the analysis of this parameter has been used in many fields of medicine, including anaesthesiology, for scientific and research purposes. We carried out a review of the available literature on the applicability of HRV assessment in anaesthesiology. Several potential applications of HRV in clinical anaesthesia have been identified and proven feasible...
2023: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/36849928/developing-expert-international-consensus-statements-for-opioid-sparing-analgesia-using-the-delphi-method
#8
JOURNAL ARTICLE
Daniel Da Der Sng, Giulia Uitenbosch, Hans D de Boer, Hugo Nogueira Carvalho, Juan P Cata, Gabor Erdoes, Luc Heytens, Fernande Jane Lois, Paolo Pelosi, Anne-Françoise Rousseau, Patrice Forget, David Nesvadba
INTRODUCTION: The management of postoperative pain in anaesthesia is evolving with a deeper understanding of associating multiple modalities and analgesic medications. However, the motivations and barriers regarding the adoption of opioid-sparing analgesia are not well known. METHODS: We designed a modified Delphi survey to explore the perspectives and opinions of expert panellists with regard to opioid-sparing multimodal analgesia. 29 anaesthetists underwent an evolving three-round questionnaire to determine the level of agreement on certain aspects of multimodal analgesia, with the last round deciding if each statement was a priority...
February 27, 2023: BMC Anesthesiology
https://read.qxmd.com/read/36189904/guidelines-for-treatment-of-acute-pain-in-children-the-consensus-statement-of-the-section-of-paediatric-anaesthesiology-and-intensive-therapy-of-the-polish-society-of-anaesthesiology-and-intensive-therapy
#9
Maciej Cettler, Marzena Zielińska, Jowita Rosada-Kurasińska, Anna Kubica-Cielińska, Konrad Jarosz, Alicja Bartkowska-Śniatkowska
RATIONALE AND SCOPE OF THE GUIDELINES Pain is a subjective unpleasant sensory and emotional experience. Acute pain occurs irrespective of age and has a prevalence of about 5% of the general population. Surgical procedures and painful diagnostic procedures are the main causes of this unpleasant and dangerous phenomenon for hospitalized children. It should be remembered that maintaining homeostasis in a child undergoing surgery is also affected by provision of an adequate level of analgesia and sedation as well as nerve conduction block within the surgical site...
2022: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/36062421/fascial-plane-blocks-for-breast-surgery-current-state-of-knowledge
#10
REVIEW
Wojciech Gola, Szymon Białka, Agata Andrzejewska, Piotr Palaczynski, Hanna Misiołek
Breast surgeries belong to the most frequently performed procedures and are often associated with a high intensity of pain in the postoperative period. Regional anesthesia techniques, and paravertebral block, have been the gold standard of postoperative pain management for major breast cancer surgeries. In recent years, the development of new techniques of regional anesthesiology, which is due to the extensive implementation of ultrasound imaging, has enabled the use of a number of new blockades. The "new players" in regional anesthesiology include numerous fascial plane blocks...
2022: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/34762729/2022-american-society-of-anesthesiologists-practice-guidelines-for-management-of-the-difficult-airway
#11
REVIEW
Jeffrey L Apfelbaum, Carin A Hagberg, Richard T Connis, Basem B Abdelmalak, Madhulika Agarkar, Richard P Dutton, John E Fiadjoe, Robert Greif, P Allan Klock, David Mercier, Sheila N Myatra, Ellen P O'Sullivan, William H Rosenblatt, Massimiliano Sorbello, Avery Tung
The American Society of Anesthesiologists; All India Difficult Airway Association; European Airway Management Society; European Society of Anaesthesiology and Intensive Care; Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care; Learning, Teaching and Investigation Difficult Airway Group; Society for Airway Management; Society for Ambulatory Anesthesia; Society for Head and Neck Anesthesia; Society for Pediatric Anesthesia; Society of Critical Care Anesthesiologists; and the Trauma Anesthesiology Society present an updated report of the Practice Guidelines for Management of the Difficult Airway...
January 1, 2022: Anesthesiology
https://read.qxmd.com/read/34148682/cardiopulmonary-resuscitation-during-the-covid-19-pandemic-in-spain
#12
JOURNAL ARTICLE
María Aliaño Piña, Concha Ruiz Villén, Josefina Galán Serrano, Pablo Monedero Rodríguez
OBJECTIVES: The disease COVID-19 produces serious complications that can lead to cardiorespiratory arrest. Quality cardiopulmonary resuscitation (CPR) can improve patient prognosis. The objective of this study was to evaluate the performance of the specialty of Anaesthesiology in the management of CPR during the pandemic. METHODS: A survey was carried out with Google Forms consisting of 19 questions. The access link to the questionnaire was sent by email by the Spanish Society of Anesthesia (SEDAR) to all its members...
December 16, 2020: Revista Española de Anestesiología y Reanimación
https://read.qxmd.com/read/34092845/ultrasound-guided-intercostal-nerve-block-and-subcostal-transversus-abdominis-plane-block-for-postoperative-analgesia-in-patients-posted-for-open-cholecystectomy-a-randomized-controlled-trial
#13
JOURNAL ARTICLE
Srivastava Swati, Naaz Shagufta, Ozair Erum, Asghar Adil, Yadav Urvashi
BACKGROUND: Effective postoperative analgesia leads to early mobilization, fewer pulmonary complications, and shorter hospital stay. AIMS: We compared the analgesic effects of ultrasound-guided intercostal nerve (ICN) blocks, subcostal transversus abdominis plane (SCTAP) block, and a control group in open cholecystectomy. SETTINGS AND DESIGN: This was a prospective, randomized controlled, double-blind, multi-arm and parallel study. MATERIALS AND METHODS: The study was conducted on patients of American Society of Anaesthesiology Physical Status Classes I and II, either sex, 18-60 years of age, and body mass index 18-30 kg...
July 2020: Anesthesia, Essays and Researches
https://read.qxmd.com/read/34006045/a-review-of-92-obstetric-patients-with-covid-19-in-the-bronx-new-york-and-their-peripartum-anaesthetic-management
#14
JOURNAL ARTICLE
Steven Chen, Peter Bernstein, Singh Nair, Erik Romanelli, Rasha Khoury, Jacqueline Labins, Giuseppe Fiorica, Shamantha Reddy
INTRODUCTION: The Bronx is a borough of New York City that has been profoundly affected by the COVID-19 pandemic. Limited reports exist discussing the anaesthetic management of obstetric patients infected with COVID-19. We review a cohort of obstetric patients in the Bronx with COVID-19 and report their delivery data, anaesthetic management, and maternal-fetal outcomes. MATERIAL AND METHODS: We reviewed 92 pregnant patients with laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) who delivered between 1 February 2020 and 1 May 2020...
2021: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/33751506/the-impact-of-multimodal-therapies-on-the-comfort-and-safety-of-patients-in-the-immediate-post-anaesthetic-period-following-gynaecological-procedures-part-ii
#15
JOURNAL ARTICLE
Agnieszka Biskup, Katarzyna Plagens-Rotman, Maria Polocka-Molinska, Piotr Merks
OBJECTIVES: The second part of the study was to assess the effects of the types of anaesthesia along with multimodal analgesia on the stability of vital functions at the critical moment of awakening from anaesthesia. MATERIAL AND METHODS: The material comprised the medical records at the Department of Anaesthesiology and Intensive Care in Szczecin. The anaesthesia record forms and recovery room observation charts of 150 patients from the Gynaecology Clinic who had undergone category III and IV surgical procedures between October 2018 and January 2019 were selected for analysis...
2021: Ginekologia Polska
https://read.qxmd.com/read/33373025/-safety-and-monitoring-of-patient-controlled-intravenous-analgesia-clinical-practice-in-german-hospitals
#16
JOURNAL ARTICLE
M I Emons, M Maring, U M Stamer, E Pogatzki-Zahn, F Petzke, J Erlenwein
BACKGROUND: Patient-controlled intravenous analgesia (PCIA) is a well-established technique in acute pain management and available in most German hospitals. Despite its widespread use, information on current clinical practice is limited. This investigation evaluated clinical practice and monitoring as well as PCIA-associated adverse events and critical incidents in German hospitals. METHODS: An invitation to participate in this online-survey was sent to 995 heads of anesthesiology departments belonging to the "German Society of Anaesthesiology and Intensive Care Medicine"...
June 2021: Der Anaesthesist
https://read.qxmd.com/read/33165883/adjuvants-in-peripheral-nerve-blocks-the-current-state-of-knowledge
#17
REVIEW
Wojciech Gola, Marek Zając, Adam Cugowski
Regional anaesthetic techniques are an indispensable element of acute and postoperative pain management. The benefits of regional blocks are particularly noticeable in trauma and orthopaedic, joint reconstruction or thoracic surgical procedures. Depending on the local anaesthetic (LA) used, the duration of analgesia is limited to a maximum of 12-16 hours. There are several methods affecting the prolongation of analgesia, e.g. continuous techniques with catheters, liposomal forms of LAs or adjuvants. Due to numerous limitations and problems associated with the use of continuous techniques, lack of approval or availability of liposomal LAs, the optimal measure to prolong the duration of postoperative analgesia is the use of adjuvants...
2020: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/29156486/-update-in-obstetric-anesthesia-tried-and-trusted-methods-controversies-and-new-perspectives
#18
REVIEW
Peter Kranke, Thorsten Annecke, Dorothee H Bremerich, Daniel Chappell, Thierry Girard, Wiebke Gogarten, Robert Hanß, Lutz Kaufner, Sophie Neuhaus, Tobias Ninke, Thomas Standl, Stefan Weber, Yvonne Jelting, Thomas Volk
Since 1975, a plethora of lectures within the context of annual meetings relevant for the clinical care has been summarized in "what's new in obstetric anesthesia" by the society for Obstetric anesthesia and Perinatology which can be recommended to everyone interested in anaesthesiology in the delivery room. After the death of Gerard W. Ostheimer, Professor of Anaesthesiology at Brigham and Women's Hospital in Boston, Massachusetts, it became renamed the Gerard W. Ostheimer "what's new in obstetric anesthesia" lecture to honor his contributions to regional anesthesia and obstetric anaesthesia...
November 2017: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/29050063/-update-in-obstetric-anesthesia-tried-and-trusted-methods-controversies-and-new-perspectives-part-1
#19
REVIEW
Peter Kranke, Thorsten Annecke, Dorothee H Bremerich, Daniel Chappell, Thierry Girard, Wiebke Gogarten, Robert Hanß, Lutz Kaufner, Sophie Neuhaus, Tobias Ninke, Thomas Standl, Stefan Weber, Yvonne Jelting, Thomas Volk
Since 1975, a plethora of lectures within the context of annual meetings relevant for the clinical care has been summarized in "what's new in obstetric anesthesia" by the Society for Obstetric Anesthesia and Perinatology which can be recommended to everyone interested in anaesthesiology in the delivery room. After the death of Gerard W. Ostheimer, Professor of Anaesthesiology at Brigham and Women's Hospital in Boston, Massachusetts, it became renamed the Gerard W. Ostheimer "what's new in obstetric anesthesia" lecture to honor his contributions to regional anesthesia and obstetric anaesthesia...
October 2017: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/26609286/evidence-and-consensus-based-guideline-for-the-management-of-delirium-analgesia-and-sedation-in-intensive-care-medicine-revision-2015-das-guideline-2015-short-version
#20
REVIEW
Ralf Baron, Andreas Binder, Rolf Biniek, Stephan Braune, Hartmut Buerkle, Peter Dall, Sueha Demirakca, Rahel Eckardt, Verena Eggers, Ingolf Eichler, Ingo Fietze, Stephan Freys, Andreas Fründ, Lars Garten, Bernhard Gohrbandt, Irene Harth, Wolfgang Hartl, Hans-Jürgen Heppner, Johannes Horter, Ralf Huth, Uwe Janssens, Christine Jungk, Kristin Maria Kaeuper, Paul Kessler, Stefan Kleinschmidt, Matthias Kochanek, Matthias Kumpf, Andreas Meiser, Anika Mueller, Maritta Orth, Christian Putensen, Bernd Roth, Michael Schaefer, Rainhild Schaefers, Peter Schellongowski, Monika Schindler, Reinhard Schmitt, Jens Scholz, Stefan Schroeder, Gerhard Schwarzmann, Claudia Spies, Robert Stingele, Peter Tonner, Uwe Trieschmann, Michael Tryba, Frank Wappler, Christian Waydhas, Bjoern Weiss, Guido Weisshaar
In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine) and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine), twelve German medical societies published the "Evidence- and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care". Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from the American College of Critical Care Medicine (ACCM) in conjunction with Society of Critical Care Medicine (SCCM) and American Society of Health-System Pharmacists (ASHP) from 2013...
2015: German Medical Science: GMS E-journal
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