The effect of high-dose versus low-dose epidural fentanyl on gastric emptying in nonfasted parturients: A double-blinded randomised controlled trial
BACKGROUND Epidural fentanyl doses above 100 μg have been shown, using the paracetamol absorption test, to reduce gastric emptying in fasted labouring women. OBJECTIVE To investigate the effect of fentanyl dose on gastric emptying in nonfasted labouring women using gastric ultrasonography. DESIGN A double-blinded randomised controlled study. SETTING A tertiary medical centre in Tel Aviv, Israel between 30 July 2020 and 11 October 2020. PATIENTS Eighty labouring women with cervical dilation 5 cm or less, at least 18 years age, at least 37 weeks gestation with a singleton pregnancy an...
Source: European Journal of Anaesthesiology - December 10, 2021 Category: Anesthesiology Tags: Obstetrics Source Type: research

An advanced double intravenous vasopressor automated system to treat hypotension during spinal anaesthesia for caesarean section: A pilot study
CONCLUSION The ADIVA system, with noninvasive continuous haemodynamic monitoring, was able to maintain maternal SBP within ±20% of baseline for the vast majority of the measurements. This system had good maternal and foetal outcomes with minimal intervention from the attending anaesthetist. TRIAL REGISTRATION NCT03620942 (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 10, 2021 Category: Anesthesiology Tags: Obstetrics Source Type: research

Analysis of 30 anaesthesia-related deaths in Germany between 2006 and 2015: An analysis of a closed claims database
CONCLUSION The majority of the anaesthesia-related deaths investigated could very probably have been avoided with simple anaesthesiological measures if routine guidelines had been followed and current standards observed. Actions to be taken are inferred from these results, and recommendations are made. In future, greater care must be taken to ensure that the level of safety already achieved in anaesthesiology can be maintained despite demographic developments and increasing economic pressures. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 10, 2021 Category: Anesthesiology Tags: Patient safety Source Type: research

Chronic stress indicated by hair cortisol concentration in anaesthesiologists and its relationship to work experience and emotional intelligence: A cross-sectional biomarker and survey study
CONCLUSION In the early and later phases of an anaesthesiologist's career, physiological chronic stress is higher than in the middle of the career. However, this physiological response could not be explained from known sources of psychological stress. We discuss these findings against the background of key differences between physiological and psychological stress. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 10, 2021 Category: Anesthesiology Tags: Patient safety Source Type: research

Pre-operative fasting in children: A guideline from the European Society of Anaesthesiology and Intensive Care
Current paediatric anaesthetic fasting guidelines have recommended conservative fasting regimes for many years and have not altered much in the last decades. Recent publications have employed more liberal fasting regimes with no evidence of increased aspiration or regurgitation rates. In this first solely paediatric European Society of Anaesthesiology and Intensive Care (ESAIC) pre-operative fasting guideline, we aim to present aggregated and evidence-based summary recommendations to assist clinicians, healthcare providers, patients and parents. We identified six main topics for the literature search: studies comparing ...
Source: European Journal of Anaesthesiology - December 10, 2021 Category: Anesthesiology Tags: Guideline Source Type: research

The rationale for the recommendations of the European Paediatric Fasting Guideline: Improving paediatric anaesthesia and perioperative medicine
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 10, 2021 Category: Anesthesiology Tags: Editorial Source Type: research

Essentials of disaster anesthesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 19, 2021 Category: Anesthesiology Tags: Book review Source Type: research

Brain fragility among middle-aged and elderly patients from electroencephalogram during induction of anaesthesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 19, 2021 Category: Anesthesiology Tags: Short scientific reports and Correspondence Source Type: research

Erroneous neuraxial administration of neuromuscular blocking drugs: Case reports and ‘the absence of evidence’
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 19, 2021 Category: Anesthesiology Tags: Short scientific reports and Correspondence Source Type: research

Tympanic membrane-infrared thermometry against zero heat flux thermometry for detection of postoperative hypothermia in children
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 19, 2021 Category: Anesthesiology Tags: Short scientific reports and Correspondence Source Type: research

Comparison of four different methods of nasogastric tube insertion with double-lumen tracheal tube in situ: A randomised clinical trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 19, 2021 Category: Anesthesiology Tags: Short scientific reports and Correspondence Source Type: research

Morbidity and mortality related to surgery in patients with bronchopulmonary dysplasia: A retrospective cohort study in a Dutch tertiary institution
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 19, 2021 Category: Anesthesiology Tags: Short scientific reports and Correspondence Source Type: research

Estimate of exposure to SARS-CoV-2 and performance of high-risk interventions by European anaesthesiologists: A Pan-European cross-sectional survey
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 19, 2021 Category: Anesthesiology Tags: Short scientific reports and Correspondence Source Type: research

Teleconsultation for preoperative evaluation during the coronavirus disease 2019 pandemic: A technical and medical feasibility study
CONCLUSION Telepreoperative evaluations are medically and technically feasible, yielding high satisfaction rates on both sides. However, regarding patient safety, not every patient is equally well suited. Overall, implementation of teleconsultation for preoperative evaluation into clinical routine could help maintain medical care during the COVID-19 pandemic. TRIAL REGISTRATION NCT04518514, ClinicalTrials.gov (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 19, 2021 Category: Anesthesiology Tags: COVID 19 Source Type: research

Association of early positive end-expiratory pressure settings with ventilator-free days in patients with coronavirus disease 2019 acute respiratory distress syndrome: A secondary analysis of the Practice of VENTilation in COVID-19 study
CONCLUSION In COVID-19 ARDS, use of higher PEEP may be associated with a lower number of VFDs, and may increase the incidence of AKI and need for RRT. TRIAL REGISTRATION Practice of VENTilation in COVID-19 is registered at ClinicalTrials.gov, NCT04346342. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 19, 2021 Category: Anesthesiology Tags: COVID 19 Source Type: research