Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications: LAS VEGAS - an observational study in 29 countries
BACKGROUND: Limited information exists about the epidemiology and outcome of surgical patients at increased risk of postoperative pulmonary complications (PPCs), and how intraoperative ventilation was managed in these patients. OBJECTIVES: To determine the incidence of surgical patients at increased risk of PPCs, and to compare the intraoperative ventilation management and postoperative outcomes with patients at low risk of PPCs. DESIGN: This was a prospective international 1-week observational study using the ‘Assess Respiratory Risk in Surgical Patients in Catalonia risk score’ (ARISCAT score) for PPC for r...
Source: European Journal of Anaesthesiology - July 8, 2017 Category: Anesthesiology Tags: Ventilation Source Type: research

Postoperative pulmonary complications - Still room for improvement
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2017 Category: Anesthesiology Tags: Invited Commentary Source Type: research

Anaesthesia and orphan disease series: What is the yield?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2017 Category: Anesthesiology Tags: Editorial Source Type: research

Anaesthesia for the Elderly Patient
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Book review Source Type: research

Better safe than sorry: An observational study of #ESALondon tweets
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Burnout compared between anaesthesiology and psychiatry residents in France: An observational study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Cricoid pressure impedes mask ventilation: A randomised crossover trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Positive pressure ventilation through small cricothyroidotomy tubes in a model lung
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Training in intraoperative handover and display of a checklist improve communication during transfer of care: An interventional cohort study of anaesthesia residents and nurse anaesthetists
BACKGROUND: Handovers during anaesthesia are common, and failures in communication may lead to morbidity and mortality. OBJECTIVES: We hypothesised that intraoperative handover training and display of a checklist would improve communication during anaesthesia care transition in the operating room. DESIGN: Interventional cohort study. SETTING: Single-centre tertiary care university hospital. PARTICIPANTS: A total of 204 random observations of handovers between anaesthesia providers (residents and nurse anaesthetists) over a 6-month period in 2016. INTERVENTION: Two geographically different hospital sites were studied s...
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Safety Source Type: research

Background noise lowers the performance of anaesthesiology residents’ clinical reasoning when measured by script concordance: A randomised crossover volunteer study
CONCLUSION: Our study suggests that noise affects clinical reasoning of anaesthesiology residents especially junior residents when measured by SCT. This observation supports the hypothesis that noise should be prevented in operating rooms especially when junior residents are providing care. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Safety Source Type: research

Glidescope versus Airtraq DL for double-lumen tracheal tube insertion in patients with a predicted or known difficult airway: A randomised study
CONCLUSION: There is no difference in success rates of tracheal intubation with a double-lumen tube in patients with a predicted or known difficult airway when using either a Glidescope or Airtraq device. TRIAL REGISTRATION: National register of the French National Agency for Medicines and Health Products Safety No. 2014-A00143-44. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Airway management Source Type: research

Comparison of laryngeal mask airway insertion methods, including the external larynx lift with pre-inflated cuff, on postoperative pharyngolaryngeal complications: A randomised clinical trial
CONCLUSION: The external larynx lift technique was associated with a lower incidence of blood on the airway at removal, suggesting that the method may decrease trauma to the tissues of the upper airway during insertion. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT01749033. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Airway management Source Type: research

Laryngeal tube suction II or endotracheal intubation for laparoscopic radical prostatectomy in a head down position: A randomised controlled trial
CONCLUSION: Our data suggest that LTS II should not be the preferred method of airway management in patients undergoing laparoscopic radical prostatectomy. TRIAL REGISTRATION: DRKS00008985 (German Clinical Trials Register). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Airway management Source Type: research

The effect of head rotation on efficiency of face mask ventilation in anaesthetised apnoeic adults: A randomised, crossover study
BACKGROUND: Upper airway obstruction occurs commonly after induction of general anaesthesia. It is the major cause of difficult mask ventilation. OBJECTIVES: The aim of this study was to determine whether head rotation improves the efficiency of mask ventilation of anaesthetised apnoeic adults. DESIGN: A randomised, crossover study. SETTING: Single university teaching hospital. PATIENTS: Forty patients, aged 18 to 75 years with a BMI 18.5 to 35.0 kg m−2 requiring general anaesthesia for elective surgery were recruited and randomised into two groups. INTERVENTIONS: Once apnoeic after induction of general anae...
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Airway management Source Type: research

Perioperative factors related to the severity of vocal cord paralysis after thoracic cardiovascular surgery: A retrospective review
BACKGROUND: Vocal cord paralysis (VCP) is a rare complication of thoracic cardiovascular surgery. In severe cases, life-threatening airway obstruction may occur. OBJECTIVE: To evaluate the incidence and severity of VCP among patients who underwent thoracic cardiovascular surgery and to identify possible risk factors. DESIGN: Single-centre retrospective review of adult patients. SETTING: Osaka University Hospital, Suita, Japan, from January 2013 to August 2015. PATIENTS: We included 688 patients in the final analysis. Preoperative, intraoperative and postoperative data were collected from medical records. Patients with ...
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Airway management Source Type: research

Sore throat following three adult supraglottic airway devices: A randomised controlled trial
BACKGROUND: Sore throat is a common complaint after surgery. It affects patient satisfaction and can affect activity after discharge. The supraglottic airway device (SAD) offers an alternative to traditional tracheal intubation with potential benefit in preventing sore throat. OBJECTIVE: The aim of this study was to compare the incidence of sore throat following three different SADs, the laryngeal mask airway Unique (LMA-U) and the more recent LMA Supreme (LMA-S) and the I-gel. DESIGN: A randomised single-blind controlled three parallel-group trial. SETTING: University Hospital of Nîmes, Division of Anaesthesia In...
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Airway management Source Type: research

A newly developed tracheal tube offering ‘pressurised sealing’ outperforms currently available tubes in preventing cuff leakage: A benchtop study
BACKGROUND: No currently used tracheal tube offers full protection against aspiration of oropharyngeal secretions into the lower airways. OBJECTIVE: We developed a tracheal tube equipped with two polyvinylchloride (PVC) cuffs with a supplementary port opening between the cuffs through which a continuous positive pressure of 5 cmH2O is provided [double-cuffed PVC (PVCdc)]. We compared this PVCdc with four different cuff types (cylindrical PVC, conical PVC, cylindrical polyurethane and conical polyurethane). DESIGN: A comparison study using an in-vitro benchtop model of an artificial rigid trachea. INTERVENTIONS: Trache...
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Airway management Source Type: research

Publication and innovation in airway management: quality not quantity!
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Invited commentary Source Type: research

Anaemic parturient and the anaesthesiologist: Are we asleep at the wheel?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2017 Category: Anesthesiology Tags: Editorial Source Type: research

Ultrasound Guided Regional Anaesthesia; 2nd edition
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 3, 2017 Category: Anesthesiology Tags: Book Review Source Type: research

Late rebound of dabigatran levels after idarucizumab reversal in two patients with severe renal failure
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 3, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: European resuscitation council should have gone further to promote cardiopulmonary resuscitation awareness
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 3, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

European resuscitation council should have gone further to promote cardiopulmonary resuscitation awareness
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 3, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: is the central venous pressure an obsolescent model or a valuable puzzle stone in haemodynamic monitoring?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 3, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Is the central venous pressure an obsolescent model or a valuable puzzle stone in haemodynamic monitoring?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 3, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology: First update 2016
The objective of these updated guidelines is to provide healthcare professionals with an overview of the most recent evidence to help ensure improved clinical management of patients. For this update, electronic databases were searched without language restrictions from 2011 or 2012 (depending on the search) until 2015. These searches produced 18 334 articles. All articles were assessed and the existing 2013 guidelines were revised to take account of new evidence. This update includes revisions to existing recommendations with respect to the wording, or changes in the grade of recommendation, and also the addition of new ...
Source: European Journal of Anaesthesiology - May 3, 2017 Category: Anesthesiology Tags: Guidelines Source Type: research

Clinical guidelines: How can we improve adherence and implementation?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 3, 2017 Category: Anesthesiology Tags: Editorial Source Type: research

Use of anaesthetics in young children: Consensus statement of the European Society of Anaesthesiology, the European Society of Paediatric Anaesthesiology, the European Association of Cardiothoracic Anaesthesiology and the European Safe Tots Anaesthesia Research Initiative
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 3, 2017 Category: Anesthesiology Tags: Editorial Source Type: research

Oxford Textbook of Obstetric Anaesthesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Book review Source Type: research

Inadvertent intrathecal injection of nefopam during spinal anaesthesia: A case report
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Postoperative administration of metamizole for one single day: A retrospective cohort study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Evaluation of the diagnostic accuracy of nonverbal signs used by medical staff to assess postoperative pain: A prospective study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Quantitative pupillometry to assess nociception in a sedated patient with hemispheric cerebral infarction
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: phenylephrine and cardiac output
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Phenylephrine and cardiac output
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Time course of copeptin during a model of experimental pain and hyperalgesia: A randomised volunteer crossover trial
CONCLUSION: Copeptin concentrations do not appear to be associated directly with pain and hyperalgesia. Instead, some fentanyl-mediated effect or effects appear to have greatly increased copeptin concentrations from baseline to 120 min. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT02252458. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Pain Source Type: research

Intraoperative monitoring of analgesia using nociceptive reflexes correlates with delayed extubation and immediate postoperative pain: A prospective observational study
BACKGROUND: Immediate postoperative pain could be prevented by the administration of long-lasting analgesics before the end of the anaesthesia. However, to prevent over or underdosing of analgesics under anaesthesia, tools are required to estimate the analgesia–nociception balance. OBJECTIVE: We investigated whether the pupillary dilation reflex (PDR) and the nociceptive flexion reflex (NFR) at the end of general anaesthesia correlate with immediate postoperative pain, as a sign of analgesic underdosing, and with delayed tracheal extubation as a sign of analgesic overdosing. DESIGN: Prospective observational study....
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Pain Source Type: research

Dipyrone (metamizole) markedly interferes with platelet inhibition by aspirin in patients with acute and chronic pain: A case-control study
This study was undertaken to provide clinical data, so far missing, on its interactions in this group of patients. DESIGN: A case-control study. SETTING: Primary care in one European university hospital centre. PATIENTS: In total, 27 patients with stable cardiovascular, cerebrovascular or peripheral arterial disease and acute or chronic pain were identified and given dipyrone for at least 5 days in combination with low-dose aspirin. In total, 10 comparable patients on low-dose aspirin alone served as controls. MAIN OUTCOME MEASURES: Platelet-rich plasma was prepared to determine arachidonic acid-induced aggregation (ag...
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Pain Source Type: research

Aprotinin vs. tranexamic acid in isolated coronary artery bypass surgery: A multicentre observational study
BACKGROUND: Aprotinin appears to be more efficacious than lysine analogues to reduce bleeding and transfusion of blood products in high-transfusion-risk cardiac surgical patients. However, in isolated coronary artery bypass graft (CABG) surgery, the results from head-to-head trials remain less conclusive. OBJECTIVE: Our objective was to compare the efficacies and safety of aprotinin and tranexamic acid (TXA) in patients undergoing isolated on-pump CABG. DESIGN: A multicentre before-and-after study pooling individual data from published trials and unpublished data from three other databases. SETTING: Four tertiary care t...
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Cardiac anaesthesia Source Type: research

Significance of new Q waves and their location in postoperative ECGs after elective on-pump cardiac surgery: An observational cohort study
CONCLUSION: The current analysis suggests that for patients undergoing elective on-pump cardiac surgery, only new pathological Q waves in V1 to V5 (anterior) in the 7th postoperative day ECG are associated with 12-month, all-cause mortality and/or MACE. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT00468598. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Cardiac anaesthesia Source Type: research

Dobutamine aggravates haemodynamic deterioration induced by pleural effusion: A randomised controlled porcine study
BACKGROUND: Pleural effusion is a common finding in critically ill patients and may contribute to circulatory instability and the need for inotropic support. OBJECTIVE: We hypothesised that dobutamine would affect the physiological determinants preload, afterload, contractility and changes of inferior vena cava characteristics during experimental pleural effusion. DESIGN: A randomised, controlled laboratory study. SETTING: Animal laboratory, conducted from March 2013 to May 2013. ANIMALS: Twenty-four Landrace and Yorkshire female piglets (21.3 ± 1.7 kg). INTERVENTION: Twenty piglets were included in the a...
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Cardiac anaesthesia Source Type: research

Evaluation of augmented pulse pressure variation using the Valsalva manoeuvre as a predictor of fluid responsiveness under open-chest conditions: A prospective observational study
BACKGROUND: Pulse pressure variation (PPV) is a well known dynamic preload indicator of fluid responsiveness. However, its usefulness in open-chest conditions remains controversial. OBJECTIVE: We evaluated whether augmented PPV during a Valsalva manoeuvre can predict fluid responsiveness after sternotomy. DESIGN: A prospective, observational study. SETTING: Single-centre trial, study period from October 2014 to June 2015. PATIENTS: Forty-nine adult patients who underwent off-pump coronary arterial bypass grafting. INTERVENTION: After midline sternotomy, haemodynamic parameters were measured before and after volume exp...
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Cardiac anaesthesia Source Type: research

The monopolisation of emergency medicine in Europe: the flipside of the medal
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 5, 2017 Category: Anesthesiology Tags: Editorial Source Type: research

Retraction: Comparison of four facial muscles, orbicularis oculi, corrugator supercilii, masseter or mylohyoid, as best predictor of good conditions for intubation: A randomised blinded trial. Lee HJ, Kim KS, Jeong JS, et al.
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 2, 2017 Category: Anesthesiology Tags: Retraction Source Type: research

Chronic pain management for the hospitalized patient
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 2, 2017 Category: Anesthesiology Tags: Book review Source Type: research

Personal electronic device use in the operating room: A survey of usage patterns, risks and benefits
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 2, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Intraoperative hypotension and change in estimated glomerular filtration rate after major abdominal surgery: A prospective observational study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 2, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Early perioperative immunological effects of anaesthesia and analgesia in patients undergoing prostate cancer surgery: A randomised pilot study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 2, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: adverse effects of hyperchloraemic solutions
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 2, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research

Adverse effects of hyperchloraemic solutions
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 2, 2017 Category: Anesthesiology Tags: Correspondence Source Type: research