Anaesthesiology - Science topic

Background Access to adequate pain treatment is a fundamental right, yet international data suggest that a considerable number of children experience acute and persistent pain. Little is known about the occurrence of both acute and persistent pain in children. The incidence of persistent postoperative pain in children is an unexplored area but inte...

Introduction: The introduction of Artificial Intelligence (AI) into anaesthesiology is a turning point in clinical practice, improving patient safety and outcomes. This review is aimed at exposing current applications in anaesthesiology in the Indian scenario and highlighting the gaps in research that can be explored in future works. Objective: The...

Background/Objectives: Virtual preoperative anaesthetic assessments can significantly reduce healthcare costs and improve patient convenience. The challenge with virtual consults is often the airway assessments, which screen for potentially difficult airways (PDAs). The objective of this pilot study was to determine the reliability of standard airw...

Dr. Naresh Wamanrao Paliwal is a prominent figure in the field of anaesthesiology for his contributions to Segmental Thoracic Spinal Anaesthesia (STSA) in India. Dr. Paliwal graduated in medicine from Govt Medical College Nagpur, Maharashtra, in 1983 and completed his post-graduate training in anaesthesiology in 1986 from the same institution. He i...

A anestesia obstétrica têm sua importância destacada pelo alívio álgico, além de amenizar os riscos de possíveis interferências que podem implicar a gestante durante o trabalho de parto. Destarte, em associação a outras práticas clínicas, observa-se uma maior segurança ofertada ao paciente, uma vez que as estratégias de cuidado e os planos de monit...

p>The robot-based approach has been the most significant advancement in minimally invasive surgery over the past decade. Robotic coronary heart surgery represents half of the total cases of robotics-based cardiac surgery. Since 1998, it has emerged as a revolutionary approach to standard coronary surgery. However, despite its promising beginning, t...

Objective: To document information on the available obstetric anaesthesia services and structure of resident training in a Pakistani setting. Method: The survey was conducted from June to September 2018 across the Sindh province of Pakitan after approval from the ethics reiew committee of the Pakistan Society of Anaesthesiology, and covered all tea...

Objectives: This study evaluates the effectiveness of electroencephalography-based monitoring during general anesthesia in geriatric ENT surgery patients. Methods: A randomized prospective study included 99 patients (ages 70–85, ASA III–IV) undergoing ENT surgery. They were divided into three groups: Group A (n=33) had CONOX monitoring, Group B (n=...

Introduction An established anaesthetic procedure used during total trapeziometacarpal joint (TMCJ) arthroplasty is the brachial plexus block (BPB). It was hypothesized that local anaesthesia (LA) provides advantages in overall cost, enables intraoperative assessment of the prosthesis, and minimises the anaesthetic risk. In this study, LA to BPB wa...

Background Hemodynamic changes are independent risk factors for long-term patient morbidity and duration of hospital stay. According to the statistics, the three most prevalent complications in the postanaesthesia care unit were airway events, haemodynamic instability, and postoperative nausea and vomiting. Hemodynamic instability in the postanaest...

Penanganan kasus gawat darurat tenaga Kesehatan dan calon tenaga Kesehatan diwajibkan untuk mempunyai ketangkasan dan skill yang kompeten. Salah satu pengetahuan yang penting bagi tenaga Kesehatan adalah tentang kegawat daruratan. Tujuan penelitian ini adalah mengidentifikasi tingkatan pengetahuan Penanganan Pertama Kegawat daruratan (PPGD) berdasa...

Introdução O fenótipo da cardiomiopatia hipertrófica em felinos é uma das cardiopatias mais comuns na espécie, com uma prevalência de 15% 1, 2. As raças mais acometidas são Ragdoll e Maine Coon, podendo acometer qualquer raça, incluindo animais sem raça definida, sendo os machos e adultos a partir de 6 anos com maior predisposição à doença 1,2. A c...

The teaching and learning process helps the students gain knowledge from experts,creating future professionals. Various teaching methods are helpful in current medical education, but each method has its pros and cons. Healthcare professionals face challenges in addressing diverse learning styles among slow, average, and fast learners. Hence choosin...

Prior to the No Surprises Act (NSA), numerous states passed laws protecting patients from surprise medical bills from out-of-network (OON) hospital-based physicians supporting elective treatment in in-network hospitals. Even in non-emergency situations, patients have little ability to choose physicians such as anaesthesiologists, pathologists or ra...

O objetivo deste artigo é revisar os desafios e cuidados específicos na anestesia de pacientes geriátricos, destacando as peculiaridades dessa população e a importância de um planejamento anestésico individualizado. Serão abordados aspectos fisiológicos, estratégias de manejo perioperatório e medidas para minimizar complicações. A pesquisa foi real...

Introduction: The competency matrix of the Medical Residency Programs in Anesthesiology in Brazil has as its specific objective “performing anesthesia safely in all its stages”, whose elements for the implementation of a specific curriculum need to be defined. Given this scenario, the development and implementation of an educational module on patie...

Objective: The aim of the present study was to compare the safety and efficacy of 2.5 ml of 0.5 % hyperbaric bupivacaine with 25 mcg of fentanyl and 2.5 ml of 0.5 hyperbaric levobupivacaine with 25 mcg fentanyl when given intrathecally in adult patients undergoing elective lower limb surgeries. Methods: Our study was carried out in the Department o...

Objectives of Postgraduate Medical Education: Primary Objective: Train specialists to deliver high-quality care to patients and reintegrate them into the community with maximum functionality. Secondary Objective: Advance science through research and training. The primary goal of postgraduate medical education in anaesthesiology is to develop specia...

Background: Endotracheal intubation is considered to be the “Gold Standard” for airway management during the administration of general anesthesia and in critical care setting because of its advantages, which allows delivery of anesthetic gases and oxygen through positive pressure ventilation without inflation of stomach, permits access to tracheobr...

careAbstractObjective: To assess the perioperative management of haemostasis and transfusion practicesin adult patients undergoing craniotomies.Method: Online questionnaire addressed to Spanish anaesthesiologists and promoted by theNeurosciences and Haemostasis, Transfusion Medicine and Fluid Therapy Sections of SEDAR. Thequestionnaire was sent by...

Background: Endotracheal intubation is considered to be the “Gold Standard” for airway management during the administration of general anesthesia and in critical care setting because of its advantages, which allows delivery of anesthetic gases and oxygen through positive pressure ventilation without inflation of stomach, permits access to tracheobr...

Introduction: Anaesthesiology is a high-demand speciality with 24-hour on-call shifts, which can lead to significant stress and impaired sleep quality among anaesthetists. Non-pharmacological interventions like acupuncture have been widely explored for stress relief. This study aims to evaluate the impact of transcutaneous electrical acupoint stimu...

This paper offers a comprehensive new approach to design research in the field of digital health, by describing the development of a novel pain assessment tool based on the haptic-visual model-ling of interactive graphics. The project is developed in cooperation between the Faculty of Art and Design of the Bauhaus-Universität Weimar and the Departm...

With an anaesthesia specialist provider density that falls short of what a functioning health system needs, African countries cannot meet the growing need for safe surgery. Upscaling postgraduate training to meet this shortfall will require more recruits to take up trainee positions. Unfortunately, few undergraduate medical students consider anaest...

A sepse é uma condição médica grave que requer intervenções terapêuticas multidisciplinares. Este estudo teve como objetivo avaliar o impacto das estratégias anestésicas no manejo da sepse e suas implicações nos desfechos clínicos, abordando mortalidade, tempo de internação e qualidade de vida. A metodologia adotada foi uma revisão integrativa de l...

Background: Evidence suggests differences in medical practice and patient outcomes between male and female physicians and surgeons. To date, no such relationships were investigated in anaesthesiologists. This study aimed to investigate an association between anaesthesiologists’ sex and anaesthesia quality metrics as well as outcomes. Methods: We pe...

Leki zwiotczające mięśnie poprzecznie prążkowane bez wątpienia zrewolucjonizowały anestezjologię i inne dziedziny medycyny, umożliwiając bezpieczne i efektywne przeprowadzanie znieczulenia ogólnego. Przed wprowadzeniem tej grupy leków, techniki anestezji opierały się na metodach inhalacyjnych, które wiązały się z większym ryzykiem powikłań, w tym c...

El manejo de la vía aérea difícil (VAD) ha mejorado significativamente con las nuevas guías de la ASA 2022, que introducen algoritmos específicos y enfatizan la intubación temprana, así como el uso de videolaringoscopios y ecografía para evaluar la anatomía. Además, la simulación clínica promueve mejores resultados y seguridad en situaciones crític...

Airway management in children poses unique challenges due to the different anatomy, physiology, and pathophysiology across the pediatric age span. The recently published joint European Society of Anaesthesiology and Intensive Care-British Journal of Anaesthesia (ESAIC-BJA) neonatal and infant airway management guidelines provide recommendations and...

The new National Education Policy (NEP), structured around the principles of access, equity, quality, and accountability, emphasizes that professional education is a fundamental part of the overall higher education system. In alignment with this vision, medical education needs a transformative approach to ensure the curriculum’s duration, structure...

Objective To aid the shortage of general practitioners (GPs) in Germany, since 2011 medical specialists from other fields may switch specialisation by undergoing a slim-lined training programme (lateral entry) into general practice (GP). Available published qualitative and quantitative data on lateral entrants (LEs) is scarce. Aim of the study was...

Post-operative pain after any shoulder surgery is very common. Pain management after shoulder surgeries pose a challenge to anesthesiologists. The study aims to assess the effect of dexamethasone as an adjuvant to 0.5% ropivacaine in ultrasound guided single shot interscalene brachial plexus block in elective shoulder surgeries. The prospective ran...

La inteligencia artificial se ha definido como el estudio de algoritmos, que otorgan a las máquinas la capacidad de razonar y realizar funciones, como la resolución de problemas, el reconocimiento de objetos y palabras, la inferencia de estados del mundo y la toma de decisiones. La adaptación de algoritmos y herramientas de IA a la ciencia, ha traí...

The rapid rise and potential of artificial intelligence (AI) have created growing excitement and much debate on its potential to bring transformative changes across entire industries, including the medical industry. This systematic review aims to investigate the advancements in the AI industry and its potential implementation, specifically in the f...

Aim of the study Although neonatal resuscitation is rare, and high-risk births usually occur in specialised centres, unexpected resuscitation measures may be necessary during births that are initially considered low-risk. This survey assessed the practices of healthcare providers in Austrian hospitals for postnatal resuscitation and evaluated their...

Anaesthesia is integral to a wide range of clinical procedures; however, there is a global challenge in the anaesthesia workforce due to several contributing factors. This study seeks to assess the knowledge and perceptions of medical students regarding anaesthesia as a specialty. Understanding these perspectives is essential to addressing the glob...

Role of an Anaesthesiologist: Act as a perioperative physician skilled in perioperative care, pain medicine, and critical care. Exhibit sound clinical judgment and technical expertise. Provide appropriate anaesthetic care in diverse situations, including emergencies. Collaborate with team members, patients, and families for tailored perioperative p...

Objectives Several anaesthetic protocols for caesarean section (c-section) have been described in dogs; however, anaesthesiological studies in cats undergoing c-section are lacking. The aim of this study was to assess the viability and outcome of kittens born from queens undergoing emergency c-section and receiving propofol or alfaxalone for anaest...

Im Rahmen einer Mitgliederanfrage wurde die Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin e. V. um eine Einschätzung gebeten, inwieweit im Rahmen der Akutschmerz­ therapie angelegte regionalanästhesiolo­ gische Schmerzkatheter durch nichtärzt­ liches Personal entfernt werden können. Bei der Auseinandersetzung und Diskus­ sion dieser...

BACKGROUND When considering whether a patient is fit for surgery, a comprehensive patient assessment represents the first step for an anaesthetist to evaluate the risks associated with the procedure and the patient's underlying diseases, and to optimise (whenever possible) the perioperative surgical journey. These guidelines from the European Socie...

Objective: To compare postoperative pain scores at rest and on movement in patients undergoing open inguinal hernia repair between those receiving illioinguinal/illiohypogastric nerve block with ropivacaine or wound infiltration with ropivacaine. Methods: The randomised clinical trial was conducted at the Department of Anaesthesiology, Aga Khan...

Objectives: To evaluate the impact of liver function test abnormalities on mortality in critically ill coronavirus disease- 2019 patients. Methods: The single-centre, retrospective study was conducted at the Department of Anaesthesiology and Reanimation, Mersin City Training and Research Hospital, Turkiye, and comprised data from March 2020 to J...

Background:Selection of speciality branch for Intern is becoming a challenge nowadays.Anaesthesia is one of the most sought after branch in developed countries while it is not much preferred in developing countries like ours. Aims:1) To assess awareness and attitude towards anaesthesiology as the choice of post graduate course amongst intern doctor...

Background ERAS is an evidence-based multimodal perioperative protocol focused on stress reduction and promoting a return to function. The aim of this work is to perform a cost-consequence analysis for the implementation of ERAS in major lung resection by means of minimally invasive surgery (VATS) from the public health service perspective, evaluat...

Background- Popliteal Sciatic block is a peripheral nerve block of sciatic nerve at the level of Popliteal fossa. It results in anaesthesia of the lower limb below the knee, both motor and sensory anaesthesia, with the exception of the medial leg and foot, which is the territory of the Saphenous nerve, a branch of the femoral nerve. Different adjuv...

Artificial intelligence (AI) was once considered avant-garde. However, AI permeates every industry today, impacting work and home lives in many ways. While AI-driven diagnostic and therapeutic applications already exist in medicine, a chasm remains between the potential of AI and its clinical applications. This article reviews the status of AI-powe...

A escolha da técnica anestésica na cesariana é um fator determinante para a segurança materno-fetal e para o desfecho neurológico das pacientes. Este artigo de revisão integrativa analisa comparativamente as abordagens anestésicas mais utilizadas em cesarianas — anestesia regional, incluindo as técnicas raquidiana e peridural, ou anestesia geral —...

Zusammenfassung Hintergrund Patient*innen der Außerklinischen Intensivpflege (AKI) sind meist mit einer Trachealkanüle versorgt und häufig invasiv beatmet. Seltener sind sie nichtinvasiv beatmet. Ab 01. Januar 2025 muss bei ihnen halbjährlich das Beatmungsentwöhnungs- und Dekanülierungspotential erhoben werden. Liegt Potential vor, soll die Einweis...

The primary objective of postgraduate medical education is to produce specialists capable of delivering high-quality care to suffering patients, thereby enabling their reintegration into the community with maximum functional ability. The secondary objective is to enhance research and training, advancing medical science and improving healthcare outc...

Zusammenfassung Heutzutage gibt es viele Online-Angebote zu Aus- und Weiterbildung in der Anästhesiologie, Intensivtherapie, Schmerz‑, Notfall- und Palliativmedizin. Von traditionellen Lehrbüchern und Präsenzveranstaltungen über Lernplattformen, Applikationen und Podcasts bis zum Training im Simulationszentrum und Virtual-Reality-Szenarien; es gibt...

Introduction John Snow, a British physician of the 19th century, played a pivotal role in challenging prevailing medical beliefs during his time. His groundbreaking studies on the cholera epidemic led to the rejection of the miasma theory and the establishment of the link between contaminated water and the spread of the disease. Aim This study aim...

Zusammenfassung Hintergrund Die Domänen Schmerzintensität, schmerzbedingte Beeinträchtigung, Nebenwirkungen, Aufklärung, Partizipation und persönlicher Umgang wurden bereits als relevant im Bereich perioperativer Schmerzen herausgestellt. Offen ist bisher, welche dieser Domänen besonders ausschlaggebend für die subjektiv empfundene Gesamtqualität...

Background and Aims Surgery in the pediatric age group entails a significant amount of anxiety for parents. Due to anxiety, parents are unable to take care of their children, which could affect the child's well‐being and contributes to poor outcomes. The primary objective of this study is to determine the frequency of preoperative anxiety in parent...

Structured 3-Year Curriculum: Basic Anaesthesia Training: Fundamental aspects of anaesthetic management. Subspeciality Training: Theoretical and practical exposure in disciplines like obstetric, paediatric, cardiovascular, neuro, and regional anaesthesia, among others. Advanced Anaesthesia Training: Increasing levels of complexity to challenge the...

Bakgrunn: Atelektaser er den vanligste årsaken til hypoksemi hos pasienter i generell anestesi og kan føre til postoperative lungekomplikasjoner. Rekrutteringsmanøver (RM) og bruk av positivt endeekspiratorisk trykk (PEEP) er metoder for å forebygge og behandle atelektaser hos pasienter i narkose. Samtidig rapporteres det at manglende opplæring og...

Background Working long consecutive hours’ is common for anaesthesia and critical care physicians. It is associated with impaired medical reasoning’s performance of anaesthesiology and serious medical errors. However, no study has yet investigated the impact of working long consecutive hours’ on medical reasoning. Objective The present study evalu...

Damage to the brain can have disastrous and long-lasting consequences. The European Society of Anaesthesiology and Intensive Care (ESAIC) is aware of the importance of taking good care of the brain, both of patients and of anaesthesia and intensive care unit (ICU) caregivers, and has organised a complete learning track on brain health to bring this...

Background: The use of regional anaesthetic techniques for caesarean section and labour analgesia is necessary for quality-driven obstetric anaesthesia as required by European minimum standards for obstetric analgesia and anaesthesia departments, which were issued by the European Society of Anaesthesiology and Intensive Therapy in 2020. The aim of...

Introdução: A anestesia com o paciente acordado (AWAKE) é uma técnica avançada utilizada principalmente em neurocirurgias que envolvem áreas funcionais críticas do cérebro, permitindo que o paciente permaneça consciente para monitoramento neurológico em tempo real. Essa abordagem possibilita a preservação de funções essenciais, como fala e moviment...

Background: Post-operative residual curarization (PORC) has been a concern for over 40 years, particularly with the use of long-acting neuromuscular blocking agents. Even with the introduction of intermediate-acting agents, studies continue to highlight the prevalence of PORC. Question: This study aimed to determine and compare the residual neuromu...

Shift duty can negatively impact cognitive function among residents of Specialist Program. This study aimed to obtain the differences in cognitive function of Anesthesiology and Intensive Therapy (ATI) residents at Universitas Sam Ratulangi before and after on-call duty at Prof. Dr. R. D. Kandou General Hospital Manado. This was a descriptive obser...

RESUMEN Introducción: Los pacientes con patologías de la columna cervical constituyen la población de mayor riesgo durante la intubación traqueal, pues la fuerza de tracción o el movimiento generado en la laringoscopía puede lesionar las estructuras neuroaxiales. Objetivo: Caracterizar la intubación traqueal con el videolaringoscopio VALOR en paci...

BACKGROUND The coronavirus disease (COVID-19) pandemic disrupted training in anaesthesiology. The global shortage of healthcare workers has also negatively affected training opportunities. OBJECTIVE To evaluate the current experiences, challenges and professional development of anaesthesiology trainees across Europe. DESIGN An online cross-sectio...

Background: Osteoarthritis (OA) is one of the most common chronic type of arthritis affecting the adult population. Symptomatic knee OA affects 6% of the adult population and occurs in 10% of adult of 65 years and older. Radiofrequency ablation (RFA) has been used for the variety of chronic pain when conservative therapies failed. Genicular nerve R...

In the specialty of anaesthesiology, these objectives underscore the need for training anaesthesiologists as perioperative physicians. A qualified anaesthesiologist should be skilled in managing surgical patients, pain medicine, and critical care. Beyond technical proficiency, they must demonstrate sound judgement, effective communication, and a th...

Echocardiography has carved out a fundamental niche in anaesthesiology, revolutionizing the monitoring and management of cardiac function during surgery. Clinical practice has changed from simple 2D and 3D echocardiography to more sophisticated applications such as incorporating artificial intelligence. Echocardiography provides detailed real-time...

Introduction: The relative merits of peripheral nerve blocks (PNB) over central neuraxial anaesthesia and the advantages of the above two techniques over general anaesthesia for surgical interventions of the lower limb are well established. The competency of anaesthetic trainees in a high-volume level 1 trauma centre in administering dual ultrasoun...

Methodik: Im Rahmen einer multizentrischen, prähospitalen retrospektiven Auswertung wurde der Effekt der verwendeten Videolaryngoskopspatel auf den First-Pass-Success der Intubation durch Fachärzte für Anästhesiologie untersucht. In diesem Zusammenhang wurde anhand von Videoaufzeichnungen der Intubation die Zeitdauer objektiv durch unabhängige Stud...

Background: Processed electroencephalographic (EEG) indices can help to navigate general anesthesia. The CONOX (Fresenius Kabi) calculates two indices, the qCON (hypnotic level) and the qNOX (nociception). The CONOX also calculates indices for electromyographic (EMG) activity and EEG burst suppression (BSR). Because all EEG parameters seem to influ...

Objective: To determine the outcome of awake surgery with combined spinal epidural in geriatric colon cancer patients with advanced comorbidity. Study Design: Quasi-experimental study. Place and Duration of the Study: Department of Anaesthesiology and Reanimation, Ankara Bilkent City Hospital, Ankara, Turkiye, from April 2022 to 2023. Methodology:...

Background The aim of this study was to investigate whether and to what extent perioperative hypnosis and relaxation techniques are used in German anaesthesia departments, what they are, where any difficulties in their application lie and how great the interest in this type of therapy is. Another research question was to find out whether there are...

La anestesiología requiere precisión técnica y pericia para garantizar la seguridad del paciente. Aunque los errores pueden ocurrir debido a la falibilidad humana, es esencial que los profesionales asuman la responsabilidad de sus acciones, especialmente en situaciones críticas donde la vida del paciente está en juego. En este análisis, se presenta...

BACKGROUND The European Diploma of Anaesthesiology and Intensive Care (EDAIC) Part II examination is a supranational examination for anaesthesiologists. OBJECTIVE(S) We explore the impact of examiner pairing on leniency and stringency, commonly referred to as the ‘hawk-dove effect’. We investigate the potential variations in grading approaches, re...

Background According to the American Society of Anesthesiologists (ASA), anesthesiologists are experts in administering anesthesia, pain management, and critical care medicine. In addition, they provide general perioperative care. Personal interests, career stability, reputation, income, and clinical rotation experience influence medical students'...

The cross-sectional, prospective study was conducted at the Aga Khan University Hospital, Karachi. A questionnaire was distributed amongst anaesthesia personnel, including faculty, residents, medical officers, technicians, recovery room nurses and pain nurses working in the Department of Anaesthesiology for >3 months. Knowledge, attitudes and pract...