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british journal anesthesia

P Bischoff, I Rundshagen, G Schneider
Patient awareness during general anesthesia and the later recall of what happened during surgery can be experienced by patients as horrifying events that leave lasting mental trauma in the form of posttraumatic stress syndrome (PTSS). Awareness is related to a temporary insufficient depth of anesthesia. This phenomenon has been discussed for more than 20 years. According to randomized controlled studies, in the absence of risk factors awareness phenomena occur in 1-2 per 1000 operations involving general anesthesia (0...
October 2015: Der Anaesthesist
Gildasio S De Oliveira, Michael J Jung, Robert J McCarthy
BACKGROUND: Clinical trial registries have been created to reduce reporting bias. Study registration enables the examination of discrepancies between the original study design and the final results reported in the literature. The main objective of the current investigation is to compare the original clinical trial registrations and the corresponding published results in high-impact anesthesiology journals. Specifically, we examined the rates of major discrepancies (i.e., involving primary outcome, sample size calculation, or study intervention)...
October 2015: Anesthesia and Analgesia
Jean Guglielminotti, Agnès Dechartres, France Mentré, Philippe Montravers, Dan Longrois, Cedric Laouénan
BACKGROUND: Prognostic research studies in anesthesiology aim to identify risk factors for an outcome (explanatory studies) or calculate the risk of this outcome on the basis of patients' risk factors (predictive studies). Multivariable models express the relationship between predictors and an outcome and are used in both explanatory and predictive studies. Model development demands a strict methodology and a clear reporting to assess its reliability. In this methodological descriptive review, we critically assessed the reporting and methodology of multivariable analysis used in observational prognostic studies published in anesthesiology journals...
October 2015: Anesthesia and Analgesia
Nils H Münter, Ana Stevanovic, Rolf Rossaint, Christian Stoppe, Robert D Sanders, Mark Coburn
BACKGROUND: Randomised controlled trials (RCTs) are the gold standard for measuring the efficacy of any medical intervention. The present study assesses the implementation of the CONSORT statement in the top 11 anaesthesiology journals in 2011. OBJECTIVES: We designed this study in order to determine how well authors in the top 11 ranked anaesthesiology journals follow the CONSORT statement's criteria. DESIGN: A retrospective cross-sectional data analysis...
February 2015: European Journal of Anaesthesiology
N M Gibbs, W M Weightman
Making a statistically valid conclusion of the superiority of a clinical intervention in a clinical trial requires not only a statistically significant P value, but also adequate a priori power and an observed effect size larger than the clinically important value specified in the sample size calculation. We scrutinised the five most highly cited clinical trials reporting one or more conclusions of clinical superiority published in Anesthesiology, the British Journal of Anaesthesia, Anaesthesia, Anesthesia and Analgesia and Anaesthesia and Intensive Care in 2011 or 2012 to determine how many met all three requisite criteria...
September 2014: Anaesthesia and Intensive Care
Mathew Zacharias, Mohan Mugawar, G Peter Herbison, Robert J Walker, Karen Hovhannisyan, Pal Sivalingam, Niamh P Conlon
BACKGROUND: Various methods have been used to try to protect kidney function in patients undergoing surgery. These most often include pharmacological interventions such as dopamine and its analogues, diuretics, calcium channel blockers, angiotensin-converting enzyme (ACE) inhibitors, N-acetyl cysteine (NAC), atrial natriuretic peptide (ANP), sodium bicarbonate, antioxidants and erythropoietin (EPO). OBJECTIVES: This review is aimed at determining the effectiveness of various measures advocated to protect patients' kidneys during the perioperative period...
2013: Cochrane Database of Systematic Reviews
Zhi Li, Yu-Ming Sun, Fei-Xiang Wu, Li-Qun Yang, Zhi-Jie Lu, Wei-Feng Yu
BACKGROUND: The practice of giving certain authors equal credit in original research publications was increasingly common in some specialty. This study aimed to investigate the prevalence and characteristics of designating some authors with equally credited authors (ECAs) in major anaesthesia journals. METHODOLOGY/PRINCIPAL FINDINGS: The practice of giving authors equal credit was searched and identified in the three major anaesthesia journals between January 1, 2002 and December 31, 2011...
2013: PloS One
V Jevtovic-Todorovic, A R Absalom, K Blomgren, A Brambrink, G Crosby, D J Culley, G Fiskum, R G Giffard, K F Herold, A W Loepke, D Ma, B A Orser, E Planel, W Slikker, S G Soriano, G Stratmann, L Vutskits, Z Xie, H C Hemmings
Although previously considered entirely reversible, general anaesthesia is now being viewed as a potentially significant risk to cognitive performance at both extremes of age. A large body of preclinical as well as some retrospective clinical evidence suggest that exposure to general anaesthesia could be detrimental to cognitive development in young subjects, and might also contribute to accelerated cognitive decline in the elderly. A group of experts in anaesthetic neuropharmacology and neurotoxicity convened in Salzburg, Austria for the BJA Salzburg Seminar on Anaesthetic Neurotoxicity and Neuroplasticity...
August 2013: British Journal of Anaesthesia
Evangelia S Papavasiliou, Sarah G Brearley, Jane E Seymour, Jayne Brown, Sheila A Payne
CONTEXT: Numerous attempts have been made to describe and define sedation in end-of-life care over time. However, confusion and inconsistency in the use of terms and definitions persevere in the literature, making interpretation, comparison, and extrapolation of many studies and case analyses problematic. OBJECTIVES: This evidence review aims to address and account for the conceptual debate over the terminology and definitions ascribed to sedation at the end of life over time...
November 2013: Journal of Pain and Symptom Management
F Cassinello, J J Ariño, A Bartolomé Ruibal, J C de la Pinta, F B de la Quintana, M E Espinosa, F Gilsanz, J Gómez-Arnau, A González Arévalo, L López-Quero, J L López-Romero, E Moret, I Mourelle, A Pensado, A Planas, F Perez-Cerdá, R Rincón
We present this document as a guide to preparing a specific institutional pre-anaesthesia checklist, as recommended in the Helsinki declaration on patient safety in anaesthesiology. Also, the recently recommended WHO "safe surgery check-list" includes a check-list for anaesthesia. A working group was established in accordance with the charter of the Spanish Society of Anaesthesiology and Resuscitation (Sociedad Española de Anestesiología y Reanimación [SEDAR]). The new patient safety culture introduced into medicine, and the recommendations of European anaesthesia societies has led us to design and update protocols in order to improve results in this important part of our speciality...
April 2012: Revista Española de Anestesiología y Reanimación
Z Li, L-X Qiu, F-X Wu, L-Q Yang, S Sun, W F Yu
Significant growth has been seen in the field of anaesthesiology in recent decades. The current geographic distribution of the publications on anaesthesia research may be different from ten years ago. We performed this literature survey to examine the national origin of articles published in international anaesthesiology journals and to evaluate their contribution to anaesthesia research. Articles published in 18 major anaesthesiology journals from 2000 to 2009 were identified from the PubMed database and the Science Citation Index...
March 2011: Anaesthesia and Intensive Care
A Fassoulaki, G Karabinis, A Paraskeva
The aim of the present study was to evaluate six anesthesia journals and academic criteria, required for the editors and reviewers, as perceived by European anesthesiologists submitted to a questionnaire. The six journals were: Acta Anaesthesiologica Scandinavica (AAS), Anesthesia and Analgesia (AN/AN), Anesthesiology (ANESTH), British Journal of Anaesthesia (BJA), Canadian Journal of Anesthesia (CJA) and European Journal of Anaesthesiology (EJA). Anesthesiologists were questioned on number of articles read per issue, preferred category of article and type of subject addressed, usefulness of supplemental issues as well as to score each journal for quality, format and color...
2010: Acta Anaesthesiologica Belgica
Jennifer Dunlop, Geertje Boschma, Rosella Jefferson
There is little historical knowledge available about nurses' role in anaesthesia in Canada. It appears, from the few sources available, that nurses did administer anaesthesia in the early 20th century in Canada. The limited historiography reveals that nurses who worked in small rural hospitals across Canada were, due to the lack of physician specialty and coverage, involved in the administration of anaesthesia. To learn more about nurses' role in this area the authors explored the oral history collection from the British Columbia's History of Nursing group at the College of Registered Nurses of British Columbia Library...
June 2009: Canadian Operating Room Nursing Journal
Bruno Van Deuren, Karel Van Ammel, Yves Somers, Frank Cools, Roel Straetemans, Henk J van der Linde, David J Gallacher
The purpose of conducting cardiovascular safety pharmacology studies is to investigate the pharmacological profiles of new molecular entities (NMEs) and provide data that can be used for optimization of a possible new drug, and help make a selection of NMEs for clinical development. An anaesthetised dog preparation has been used for more than two decades by our department to measure multiple cardiovascular and respiratory parameters and to evaluate different scientific models, leading to more in-depth evaluation of drug-induced cardiovascular effects...
July 2009: Journal of Pharmacological and Toxicological Methods
Lehana Thabane, Tara Thomas, Chenglin Ye, James Paul
PURPOSE: The success of any research process relies, in part, on how well investigators are able to translate a clinical problem into a research question-a task that is not so simple for novice investigators. The PICOT approach requires that the framing of the research question specify the target Population, the Intervention of interest, the Comparator intervention, key Outcomes, and the Time frame over which the outcomes are assessed. This paper describes the use of the PICOT structure in framing research questions and examines PICOT criteria as applied to the anesthesia literature...
January 2009: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Robert Ramsdell, Jerrold Lerman, Donald Pickhardt, Doron Feldman, James Foster, Timothy T Houle
BACKGROUND: The Science Citation Index "Journal Impact Factor" (JIF) is widely used to assess journal quality and prestige. The JIFs for the specialty anesthesia are reported annually, however, the impact factors (IFs) for subspecialties in those journals have not been reported. Therefore, we compared the IFs of pediatric anesthesia (Ped IFs) and pain (Pain IFs) articles from four anesthesia journals for two epochs. METHODS: An article-by-article manual search for "source" pediatric anesthesia and pain articles published in 1998, 1999, 2003, and 2004 in Anesthesiology, Anesthesia & Analgesia, British Journal of Anaesthesia, and Canadian Journal of Anesthesia was performed...
January 2009: Anesthesia and Analgesia
Mathew Zacharias, Niamh P Conlon, G Peter Herbison, Pal Sivalingam, Robert J Walker, Karen Hovhannisyan
BACKGROUND: A number of methods have been used to try to protect kidney function in patients undergoing surgery. These include the administration of dopamine and its analogues, diuretics, calcium channel blockers, angiotensin converting enzyme inhibitors and hydration fluids. OBJECTIVES: For this review, we selected randomized controlled trials which employed different methods to protect renal function during the perioperative period. In examining these trials, we looked at outcomes that included renal failure and mortality as well as changes in renal function tests, such as urine output, creatinine clearance, free water clearance, fractional excretion of sodium and renal plasma flow...
2008: Cochrane Database of Systematic Reviews
Vasu Karri
Randomised clinical trials (RCTs) are considered the best level of evidence when evaluating interventions. Report quality is often used as a surrogate measure of methodological quality, with poorly reported trials assumed to be poorly conducted. To address this problem the CONsolidated Standards of Reporting Trials (CONSORT) statement was published, encouraging authors to explicitly report certain items of information. The aim of this study was to survey RCTs published in the plastic surgery literature and determine quality of reporting...
2006: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Ian D Duncan, Carolyn A McKinley, Sheena B Pinion, Sheena M Wilson
OBJECTIVE: To quantify the anticipated and actual pain experienced in association with preliminary cervical punch biopsies and subsequent ablative treatment with the Semm coagulator, and to test the hypothesis that the intracervical injection of prilocaine with felypressin reduces the intensity of the pain experienced. MATERIALS AND METHODS: One hundred consecutive women referred with abnormal cervical smears for colposcopic assessment and considered suitable for treatment with the Semm coagulator were recruited to a double-blind, randomized, prospective, placebo-controlled trial conducted in a colposcopy clinic in a university teaching hospital...
July 2005: Journal of Lower Genital Tract Disease
M Zacharias, I C S Gilmore, G P Herbison, P Sivalingam, R J Walker
BACKGROUND: A number of methods have been used to try to protect kidney function in patients undergoing surgery. These include the administration of dopamine, diuretics, calcium channel blockers, angiotensin converting enzyme inhibitors and hydration fluids. OBJECTIVES: For this review, we selected randomized controlled trials, which employed different methods to protect renal function during the perioperative period. In examining these trials, we looked at outcomes such as renal failure and mortality, as well as changes in the renal function tests, including urine output, creatinine clearance, free water clearance, fractional excretion of sodium and renal plasma flow...
2005: Cochrane Database of Systematic Reviews
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