Assessment of haemostasis in patients with liver cirrhosis
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: survival after long-term isoflurane sedation in critically ill surgical patients
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Survival after long-term isoflurane sedation in critically ill surgical patients
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: association of preoperative cardiovascular drugs with short-term mortality after coronary artery bypass grafting
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Association of preoperative cardiovascular drugs with short-term mortality after coronary artery bypass grafting
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: crystalloids and hydroxyethyl starches in noncardiac surgical patients
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Crystalloids and hydroxyethyl starches in noncardiac surgical patients
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: postoperative shoulder pain after laparoscopic hysterectomy with deep neuromuscular blockade and low-pressure pneumoperitoneum
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Postoperative shoulder pain after laparoscopic hysterectomy with deep neuromuscular blockade and low-pressure pneumoperitoneum
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: does deep neuromuscular blockade affect pain after laparoscopic surgery?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Does deep neuromuscular block affect pain after laparoscopic surgery?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: postoperative intermediate care unit and life-threatening complications: How much and how are they linked?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Postoperative intermediate care unit and life-threatening complications: How much and how are they linked?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Influence of preoperative oral rehydration on arterial plasma rocuronium concentrations and neuromuscular blocking effects: A randomised controlled trial
CONCLUSION: Preoperative rehydration significantly reduces arterial plasma rocuronium concentrations in the first 2 minutes after administration, prolonging the onset time and shortening the duration of effect. A higher dose or earlier administration should be considered for patients who receive preoperative rehydration. TRIAL REGISTRATION: Umin identifier: UMIN000011981. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Neuromuscular blocking agents Source Type: research

Diaphragmatic and intercostal electromyographic activity during neostigmine, sugammadex and neostigmine–sugammadex-enhanced recovery after neuromuscular blockade: A randomised controlled volunteer study
We examined the EMGdi and sEMG at the intercostal muscles during recovery enhanced by neostigmine or sugammadex or neostigmine–sugammadex as primary outcomes. Secondary objectives were the tidal volume, PaO2 recorded between the onset of spontaneous breathing and extubation of the trachea and SpO2 during and after anaesthesia. RESULTS: During weaning, median peak EMGdi was 0.76 (95% confidence interval: 1.20 to 1.80) μV in the neostigmine group, 1.00 (1.23 to 1.82) μV in the sugammadex group and 0.70 (0.91 to 1.21) μV in the neostigmine–sugammadex group (P  (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Neuromuscular blocking agents Source Type: research

The European Board of Anaesthesiology recommendations for safe medication practice: First update
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 practis...
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Special article Source Type: research

Open access to research data: the two sides of the coin
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 2, 2016 Category: Anesthesiology Tags: Editorial Source Type: research

Enhanced Recovery for Major Abdominopelvic Surgery
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Book review Source Type: research

A severe complication after ultrasound-guided thoracic paravertebral block for breast cancer surgery: total spinal anaesthesia: A case report
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

C-MAC videolaryngoscope compared with direct laryngoscopy for rapid sequence intubation in an emergency department: A randomised clinical trial
BACKGROUND: Airway management in the emergency room can be challenging when patients suffer from life-threatening conditions. Mental stress, ignorance of the patient's medical history, potential cervical injury or immobilisation and the presence of vomit and/or blood may also contribute to a difficult airway. Videolaryngoscopes have been introduced into clinical practice to visualise the airway and ultimately increase the success rate of airway management. OBJECTIVE: The aim of this study was to test the hypothesis that the C-MAC videolaryngoscope improves first-attempt intubation success rate compared with direct laryngo...
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Airway management Source Type: research

Determination of the appropriate sizes of oropharyngeal airways in adults: correlation with external facial measurements: A randomised crossover study
CONCLUSION: With regard to adequate ventilation in conjunction with an acceptable endoscopic view, an oropharyngeal airway whose size is based upon the distance from the maxillary incisors to the angle of the mandible is more advantageous than if based upon the distance from the corner of the mouth to the angle of the mandible. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT01945411. The clinical trial was registered before patient enrolment. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Airway management Source Type: research

Effects of hyperventilation on cerebral oxygen saturation estimated using near-infrared spectroscopy: A randomised comparison between propofol and sevoflurane anaesthesia
CONCLUSION: The effects of hyperventilation on estimated rSO2 were similar with propofol and sevoflurane anaesthesia. Changes in rSO2 correlated well with ventilation changes. TRIAL REGISTRATION: Japan Primary Registries Network (JPRN); UMIN-CTR ID; UMIN000010640 (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Neuroanaesthesia Source Type: research

Determination of loss of consciousness: a comparison of clinical assessment, bispectral index and electroencephalogram: An observational study
CONCLUSION: There was no statistically significant correlation between BIS and EEG at clinical LOC. BIS monitoring may not be a reliable method for determining LOC. CLINICAL TRIALS REGISTRY: This trial was not registered because registration was not mandatory at the time of the trial. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Neuroanaesthesia Source Type: research

Implementation of patient blood management remains extremely variable in Europe and Canada: the NATA benchmark project: An observational study
CONCLUSION: Implementation of PBM remains extremely variable across centres. The relative importance of factors explaining RBC transfusion differs across institutions, some being patient related whereas others are related to the healthcare process. The results reported confidentially to each centre will allow them to implement tailored measures to improve their PBM strategies. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

Rhabdomyolysis and acute kidney injury: creatine kinase as a prognostic marker and validation of the McMahon Score in a 10-year cohort: A retrospective observational evaluation
BACKGROUND: High-volume fluid resuscitation and the administration of sodium bicarbonate and diuretics have a theoretical renoprotective role in patients at high risk of acute kidney injury (AKI) following rhabdomyolysis. Abnormally elevated creatine kinase has previously been used as a biological marker for the identification of patients at high risk of AKI following rhabdomyolysis. OBJECTIVE: To assess the sensitivity and specificity of plasma creatine kinase (admission and peak values) for the prediction of AKI requiring renal replacement therapy (RRT) or of death in patients with confirmed rhabdomyolysis. To compare t...
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

Impact of a prophylactic combination of dexamethasone–ondansetron on postoperative nausea and vomiting in obese adult patients undergoing laparoscopic sleeve gastrectomy during closed-loop propofol–remifentanil anaesthesia: A randomised double-blind placebo-controlled study
CONCLUSION: The combination of dexamethasone and ondansetron was not effective in preventing PONV or severe PONV in obese patients undergoing laparoscopic sleeve gastrectomy after TIVA. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT01876290. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Postoperative nausea and vomiting Source Type: research

Recommended practice for out-of-hospital emergency anaesthesia in adults: Statement from the Out-of-Hospital Emergency Anaesthesia Working Group of the Emergency Medicine Research Group of the German Society of Anaesthesiology and Intensive Care
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Special article Source Type: research

Postoperative nausea and vomiting: is everything now solved or still more questions than answers?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Invited commentary Source Type: research

Risk prediction instruments to guide perioperative care in elderly patients with advanced disease: A basic necessity
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2016 Category: Anesthesiology Tags: Editorial Source Type: research

The laryngeal mask airway in elective paediatric day case ENT surgery: a prospective audit
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Anaesthesia and orphan disease: Hutchinson–Gilford progeria syndrome, a case report and summary of previous cases
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Anaesthesia and orphan disease: sedation with ketofol in two patients with Joubert syndrome
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Epidural abscess after epidural analgesia in children: report of two cases
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Incidence and severity of chronic pain after caesarean section: A systematic review with meta-analysis
CONCLUSION: This meta-analysis finds a clinically relevant incidence of CPSP ‘wound’ after caesarean section ranging from 15% at 3 months to 11% at 12 months or longer that has been largely stable in recent years. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Pain Source Type: research

Modelling of the optimal bupivacaine dose for spinal anaesthesia in ambulatory surgery based on data from systematic review
CONCLUSION: Ambulatory surgery is possible under spinal anaesthesia with bupivacaine although the dose range that ensures reliable anaesthesia with duration short enough to guarantee ambulatory management is narrow. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Pain Source Type: research

Is there any analgesic benefit from preoperative vs. postoperative administration of etoricoxib in total knee arthroplasty under spinal anaesthesia?: A randomised double-blind placebo-controlled trial
CONCLUSION: Preemptive administration of etoricoxib 120 mg orally in patients undergoing total knee arthroplasty under spinal anaesthesia is superior to postoperative administration of the same dose in terms of its morphine-sparing effect during the first postoperative 48 h, but not in prolonging the time to first analgesia, and is associated with a similar incidence of side-effects. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT 02534610. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Pain Source Type: research

Clinical concentrations of morphine are cytotoxic on proliferating human fibroblasts in vitro
CONCLUSION: Cytotoxic effects of morphine are exposure, time and concentration dependent. Simulating aspects of inflammatory conditions seems to increase resistance to morphine cytotoxicity especially in the presence of higher concentration and longer exposure times. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Pain Source Type: research

The efficacy of local infiltration analgesia in the early postoperative period after total knee arthroplasty: A systematic review and meta-analysis
CONCLUSION: LIA is effective for acute pain management after TKA. Intraoperative peri-articular but not intra-articular injection may be helpful in pain control up to 24 h. The use of postoperative intra-articular catheter placement is still inconclusive. The benefit of LIA as an adjunctive treatment to regional anaesthesia was not demonstrated. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Pain Source Type: research

Stressors in anaesthesiology: development and validation of a new questionnaire: A cross-sectional study of Portuguese anaesthesiologists
CONCLUSION: SQA is a well adjusted measure for assessing stressors in anaesthesia physicians and includes clinical, organisational and team stress factors. Results showed that the SQA is a robust and reliable instrument. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Work environment Source Type: research

Work stress and satisfaction in relation to personality profiles in a sample of Dutch anaesthesiologists: A questionnaire survey
CONCLUSION: Personality profiles were found to be related to anaesthesiologists’ experience of work-related stress and satisfaction. One-third of the anaesthesiologists in our sample were categorised as distressed and are at risk of developing work-related mental health problems. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Work environment Source Type: research

To streamline the guideline challenge: The European Society of Anaesthesiology policy on guidelines development
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Editorial Source Type: research

Impact of age on anaesthesiologists’ competence: A narrative review
The international anaesthesia community is getting older, in line with trends worldwide, and as men and women age there is the risk that psychophysiological decline could have an impact on clinical practice. Impairment of technical and nontechnical skills could have a negative impact on patients’ safety and outcomes. The ageing process may not necessarily go hand-in-hand with a predictable pattern of decreased competence as not all aspects of functional decline are affected at the same rate and to the same extent. The development of simulation has provided a means of detecting and perhaps reversing the decline in abi...
Source: European Journal of Anaesthesiology - October 4, 2016 Category: Anesthesiology Tags: Review Source Type: research

Reply to: metamizole for postoperative pain therapy
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Metamizole for postoperative pain therapy
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: importance of half-the-air pressure test in Shamrock lumbar plexus block
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Importance of half-the-air pressure test in Shamrock lumbar plexus block
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Protective effects of continuous positive airway pressure on a nonventilated lung during one-lung ventilation: A prospective laboratory study in rats
CONCLUSIONS: CPAP applied to the nonventilated lung during OLV suppresses blood flow shift and decreases inflammatory cytokines and water content in both lungs. Application of CPAP may attenuate lung injury during and after OLV. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 3, 2016 Category: Anesthesiology Tags: Ventilation Source Type: research

Pressure-regulated volume control vs. volume control ventilation in healthy and injured rabbit lung: An experimental study
BACKGROUND: It is not well understood how different ventilation modes affect the regional distribution of ventilation, particularly within the injured lung. OBJECTIVES: We compared respiratory mechanics, lung aeration and regional specific ventilation ( ) distributions in healthy and surfactant-depleted rabbits ventilated with pressure-regulated volume control (PRVC) mode with a decelerating inspiratory flow or with volume control (VC) mode. DESIGN: Randomised experimental study. ANIMALS AND INTERVENTIONS: New Zealand white rabbits (n = 8) were anaesthetised, paralysed and mechanically ventilated either with VC o...
Source: European Journal of Anaesthesiology - September 3, 2016 Category: Anesthesiology Tags: Ventilation Source Type: research

Intra-operative dexmedetomidine reduces early postoperative nausea but not vomiting in adult patients after gynaecological laparoscopic surgery: A randomised controlled trial
CONCLUSION: For adult patients undergoing gynaecological laparoscopic surgery, supplemental use of dexmedetomidine during general anaesthesia reduced the incidence of early postoperative nausea but not vomiting within the 24 h after surgery. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR-IPR-15006914. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 3, 2016 Category: Anesthesiology Tags: Postoperative nausea and vomiting Source Type: research

Total intravenous anaesthesia versus single-drug pharmacological antiemetic prophylaxis in adults: A systematic review and meta-analysis
CONCLUSION: This meta-analysis confirms the results from indirect comparisons in individual studies: instead of substituting inhalational anaesthesia with propofol-based TIVA, a similar antiemetic effect can be achieved by adding single-drug pharmacological prophylaxis to the inhalational anaesthetic. STUDY REGISTRATION: This systematic review with meta-analysis was registered at PROSPERO (www.crd.york.ac.uk/PROSPERO ), study number CRD42015019571. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 3, 2016 Category: Anesthesiology Tags: Postoperative nausea and vomiting Source Type: research