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Anaesthesia, critical care, pain

Eric Ehieli, Suraj Yalamuri, Charles S Brudney, Srinivas Pyati
Critically ill patients are a heterogeneous group with diverse comorbidities and physiological derangements. The management of pain in the critically ill population is emerging as a standard of care in the intensive care unit (ICU). Pain control of critically ill patients in the ICU presents numerous challenges to intensivists. Inconsistencies in pain assessment, analgesic prescription and variation in monitoring sedation and analgesia result in suboptimal pain management. Inadequate pain control can have deleterious effects on several organ systems in critically ill patients...
October 24, 2016: Postgraduate Medical Journal
David Whitaker, Guttorm Brattebø, Stefan Trenkler, Indulis Vanags, Flavia Petrini, Zuhal Aykac, Dan Longrois, Stephan Alexander Loer, Tomasz Gaszynski, Jurate Sipylaite, Elena Copaciu, Vladimir Cerny, Jonas Akeson, Jannicke Mellin-Olsen, Carmel Abela, Adela Stecher, Sibylle Kozek-Langenecker, Indrek Rätsep
These European Board of Anaesthesiology (EBA) recommendations for safe medication practice replace the first edition of the EBA recommendations published in 2011. They were updated because evidence from critical incident reporting systems continues to show that medication errors remain a major safety issue in anaesthesia, intensive care, emergency medicine and pain medicine, and there is an ongoing need for relevant up-to-date clinical guidance for practising anaesthesiologists. The recommendations are based on evidence wherever possible, with a focus on patient safety, and are primarily aimed at anaesthesiologists practising in Europe, although many will be applicable elsewhere...
October 3, 2016: European Journal of Anaesthesiology
E Hoerner, K Schebesta, M Hüpfl, O Kimberger, B Roessler
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
Syeda Fauzia Hasan, Mohammad Hamid
BACKGROUND AND AIMS: Incident reporting is a reliable and inexpensive tool used in anaesthesia to identify errors in patient management. A hospital incident reporting system was already present in our hospital, but we were unable to find any incident related to acute pain management. Hence, acute pain service (APS) was started for voluntary incident reporting in post-operative patients to identify critical incidents, review the root cause and suggest remedial measures. METHODS: All post-operative patients managed by APS were included in this observational study...
December 2015: Indian Journal of Anaesthesia
Benoît Plaud, Jean-Yves Lefrant
No abstract text is available yet for this article.
February 2016: Anaesthesia, Critical Care & Pain Medicine
Benoit Plaud
No abstract text is available yet for this article.
February 2015: Anaesthesia, Critical Care & Pain Medicine
M J Overton, N A Smith
The role of anaesthetists has expanded and evolved to include critical care, perioperative and pain medicine and general clinical skills, as well as operating theatre-based clinical anaesthesia. Across Australia and New Zealand, these topics are taught to varying degrees, however no uniform curriculum or standardisation exists between universities. In this study, we used a Delphi technique to develop consensus-based priorities to guide medical educators when reviewing and implementing student anaesthesia curricula...
January 2015: Anaesthesia and Intensive Care
J Morris, M Callstrom
PURPOSE: To demonstrate the feasibility in treating primary and metastatic lesions to the cervical spine and paraspinal soft tissues using CT-guided cryoablation. To share techniques of avoiding/displacing critical structures and the role of intraprocedural neural monitoring including motor and sensory evoked potentials. MATERIALS AND METHODS: CT-guided cryoablation of primary and metastatic lesions involving the cervical spine performed by the authors were retrospectively reviewed...
July 2014: Journal of Neurointerventional Surgery
Eduardo Cordioli
BACKGROUND: Enthusiasts suggest that labouring in water and waterbirth increase maternal relaxation, reduce analgesia requirements and promote a midwifery model of care. Critics cite the risk of neonatal water inhalation and maternal/neonatal infection. OBJECTIVES: To assess the evidence from randomised controlled trials about immersion in water during labour and waterbirth on maternal, fetal, neonatal and caregiver outcomes. METHODS: HASH(0x3d6a4a8) SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 June 2011) and reference lists of retrieved studies...
2013: São Paulo Medical Journal, Revista Paulista de Medicina
Renyu Liu, Paul S García, Lee A Fleisher
BACKGROUND: Since current general interest in anesthesia is unknown, we analyzed internet keyword searches to gauge general interest in anesthesia in comparison with surgery and pain. METHODS: The trend of keyword searches from 2004 to 2010 related to anesthesia and anaesthesia was investigated using Google Insights for Search. The trend of number of peer reviewed articles on anesthesia cited on PubMed and Medline from 2004 to 2010 was investigated. The average cost on advertising on anesthesia, surgery and pain was estimated using Google AdWords...
January 23, 2012: Journal of Anesthesia & Clinical Research
Madhuri S Kurdi, Tushar Patel
Melatonin is a neurohormone secreted by the pineal gland. It is widely present in both plant and animal sources. In several countries, it is sold over the counter as tablets and as food supplement or additive. Currently, it is most often used to prevent jet lag and to induce sleep. It has been and is being used in several clinical trials with different therapeutic approaches. It has sedative, analgesic, anti-inflammatory, anti-oxidative and chronobiotic effects. In the present review, the potential therapeutic benefits of melatonin in anaesthesia and critical care are presented...
March 2013: Indian Journal of Anaesthesia
Ankit Agarwal
There was an era when bark of mandrake plant, boiled in wine was used to administer anesthesia. Ether, after reigning the kingdom of anaesthesiology for more than a century, came to be superseded by newer and newer agents. Anaesthesiology has witnessed tremendous developments since infancy. The introduction of advanced airway adjuncts, labour analgesia, patient controlled analgesia, fibreoptics, Bispectral Index monitors, workstations, simulators and robotic surgeries are only to name a further few. Anaesthesia for robotic surgery received much impetus and is still a dream to come true in many countries...
November 2012: Indian Journal of Anaesthesia
M D Scarlett, A Crawford-Sykes, H E Harding, D R Chen
The one-year Diploma in Anaesthetics (DA) was the first postgraduate programme offered by the then Faculty of Medicine of The University of the West Indies (UWI). It was instituted in 1966, when the need for trained physician anaesthetists became paramount. Over 200 physicians have been awarded the DA which was discontinued in 1994. The four-year Doctor of Medicine in Anaesthetics [DM (Anaesthetics)] was commenced in 1974 and continues to train most of the region's physician anaesthetists. The majority of the 119 graduates (as of December 2011) are providing invaluable services to the people of the Caribbean...
July 2012: West Indian Medical Journal
Robert Gaiser
The specialty of anaesthesiology has expanded from the intra-operative management of the surgical patient undergoing an operative procedure to the perioperative management of patients undergoing procedures. The perioperative management involves the preoperative evaluation and preparation and also involves the postoperative management of the patient. To effectively perform these functions, a solid foundation in cardiology, pulmonary Medicine, critical care Medicine and pain medicine is mandatory. After completing the required courses in medical school, electives in these areas will prepare the student for further training in anaesthesiology...
March 2012: Best Practice & Research. Clinical Anaesthesiology
N Hoffmann, G Breuer, J Schüttler, A E Goetz, G N Schmidt
BACKGROUND: In 2003 anaesthesiology was implemented as a compulsory speciality of undergraduate teaching in Germany due to the revised regulations of medical education. Besides the preexisting subject of emergency medicine an obligatory course in anaesthesiology was introduced. Thus anaesthesiology has gained considerable importance in all medical faculties. To gain insight into the current status of undergraduate medical education in the university departments of anaesthesiology a nationwide survey at all university departments in Germany was initiated...
March 2012: Der Anaesthesist
A Sáez Fernández, J M Sistac Ballarín, F Martínez Torrente, J M Calvo Vecino, M Olmos Rodríguez
The recent publication of guidelines for postgraduate training in anesthesiology, pain, and intensive care issued by the European Board of Anaesthesia (EBA) and the European Union of Medical Specialists (UEMS) ( specifies directions we must take with our residents. The training section of the Sociedad Española de Anestesiología y Reanimación (SEDAR) has decided to make the guidelines available on the association's website so that the UEMS/EBA proposals can be compared to the training program drafted by the Spanish national board for our specialty...
August 2011: Revista Española de Anestesiología y Reanimación
J G Hardman, D G Lambert
No abstract text is available yet for this article.
July 2011: British Journal of Anaesthesia
Carmen Maccagnano, Vincenzo Scattoni, Marco Roscigno, Marco Raber, Diego Angiolilli, Francesco Montorsi, Patrizio Rigatti
BACKGROUND: Prostate biopsy (PBx) techniques have changed significantly since the original Hodge's scheme, with an increase in the number and location of cores. These improvements have been realized in part because of the introduction of different local anaesthesia techniques. We critically analysed the literature discussing the role of anaesthesia techniques for use during PBx to find which technique provides the best pain relief for the patient and safety for the urologist. METHODS: We performed a literature review by searching the Medline database for articles published between January 2000 and March 2010...
2011: Urologia Internationalis
Patricia Krohm, Olivier Levionnois, Murielle Ganster, Luca Zilberstein, Claudia Spadavecchia
OBJECTIVE: To evaluate the peri-operative analgesic efficacy of intra-articular bupivacaine administered before or after stifle arthrotomy. STUDY DESIGN: Prospective, randomized, blind, placebo-controlled experimental trial. ANIMALS: Thirty-nine healthy goats. METHODS: The goats were allocated randomly to one of three intra-articular treatment groups: group PRE (bupivacaine before and saline after surgery), group POST (saline before and bupivacaine after surgery) and group CON (saline before and after surgery)...
July 2011: Veterinary Anaesthesia and Analgesia
Alexander Schleppers, Thomas Prien, Hugo Van Aken
For years now, the German Society of Anaesthesiology and Intensive Care Medicine and the Professional Association of German Anaesthesiologists have been actively involved in efforts to improve patient safety. To this end, a whole range of activities have been initiated in recent years and, since February 2011, collected together on our home page 'PATSI' ( Further, the implementation of syringe labelling (ISO 26825) with additional information on drugs frequently used in intensive care was carried out...
June 2011: Best Practice & Research. Clinical Anaesthesiology
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