McGRATH MAC video laryngoscope for insertion of a transoesophageal echocardiography probe: A randomised controlled trial
BACKGROUND: Transoesophageal echocardiography (TOE) probe insertion in anaesthetised patients can cause pharyngeal and oesophageal injuries. Kim et al. have shown that insertion assisted by a Macintosh laryngoscope can reduce such complications but it may sometimes be difficult to observe the passage of a TOE probe. The McGRATH MAC (McGRATH) has been shown to provide a better view of the glottis, piriform fossa and oesophageal inlet during tracheal intubation than the Macintosh. OBJECTIVE: We hypothesised that the McGRATH provided better visualisation of the oesophageal inlet and was useful as an aid to TOE probe placemen...
Source: European Journal of Anaesthesiology - March 3, 2016 Category: Anesthesiology Tags: Airway management Source Type: research

Anatomical location of the vocal cords in relation to cervical vertebrae: A new predictor of difficult laryngoscopy?
BACKGROUND: Several anatomical factors, such as prognathism, sex, short thyromental distance and others are known to make direct laryngoscopy difficult. OBJECTIVE: We investigated the hypothesis that the anatomical position of the vocal cords in relation to the cervical vertebrae correlates with difficult laryngoscopy. Existing MRI was used to identify the position of the vocal cords relative to the cervical spine in patients with and without difficult laryngoscopy. DESIGN: Observational study with adaptive enrichment. SETTING: University hospital. PATIENTS: A total of 142 adult patients, 91 with easy (Cormack-Lehane c...
Source: European Journal of Anaesthesiology - March 3, 2016 Category: Anesthesiology Tags: Airway management Source Type: research

Efficacy of coaxial ventilation with a novel endotracheal catheter equipped with a functional cuff: A swine model study
CONCLUSION: An ECFC combined with a regular pressure-controlled ICU ventilator can produce adequate tidal volumes in adult human-sized swine. Our results establish the feasibility of ventilation with this new alternative technique. The safety and advantages of such a technique remain to be determined in humans. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 3, 2016 Category: Anesthesiology Tags: Airway management Source Type: research

Neck circumference as a predictor of difficult intubation and difficult mask ventilation in morbidly obese patients: A prospective observational study
BACKGROUND: There is conflicting evidence as to whether obesity and neck circumference are predictors of difficult intubation in the surgical population. In addition, the cut-off neck circumference related to difficult intubation has not been clearly identified. OBJECTIVES: The primary study objective was to determine whether neck circumference and obesity were predictors of difficult intubation in morbidly obese surgical patients. Secondary outcomes included difficult mask ventilation. DESIGN: A prospective, noninterventional study. SETTING: Canadian tertiary care surgical centre between October 2012 and August 2013. ...
Source: European Journal of Anaesthesiology - March 3, 2016 Category: Anesthesiology Tags: Airway management Source Type: research

Regional or general anaesthesia for carotid endarterectomy: Does it matter?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 3, 2016 Category: Anesthesiology Tags: Invited commentary Source Type: research

Local anaesthesia for carotid endarterectomy: Con: decrease the stress for all
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 3, 2016 Category: Anesthesiology Tags: Pro & con debate Source Type: research

Local anaesthesia for carotid endarterectomy: Pro: protect the brain
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 3, 2016 Category: Anesthesiology Tags: Pro & con debate Source Type: research

Assessing anaesthesia practice in the vulnerable age group: NECTARINE: A European prospective multicentre observational study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 3, 2016 Category: Anesthesiology Tags: Editorial Source Type: research

Surgical procedure and postoperative delirium in geriatric hip fracture patients
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

The effect of a modified GlideScope intubation technique on procedure times, airway morbidity and haemodynamic response
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

An unusual cause of postoperative airway obstruction: A case report
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

On patient safety, teams and psychologically disturbed pilots
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Simulation unmasks deficit in the knowledge of the WHO checklist among junior anaesthetists: Simulation scenario and survey
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Perioperative management of nail polish, artificial nails and piercings in The Netherlands: A survey study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Correspondence Source Type: research

Tizanidine for the management of acute postoperative pain after inguinal hernia repair: A placebo-controlled double-blind trial
BACKGROUND: α2-Agonists are used postoperatively as a component of multimodal analgesia. Tizanidine is a centrally acting α2-agonist with muscle relaxant properties. OBJECTIVE: The aim of this study was to compare the efficacy of tizanidine with placebo in terms of postoperative pain scores, analgesic consumption, return to daily activity and health-related quality of life. DESIGN: A randomised double-blind study. SETTING: Diskapi Yildirim Beyazit Training and Research Hospital. INTERVENTIONS: After obtaining ethical approval and informed patient consent, 60 patients undergoing inguinal hernia repair under ...
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Postoperative pain Source Type: research

Preoperative celecoxib in noncardiac surgery: A systematic review and meta-analysis of randomised controlled trials
CONCLUSION: Results of this study are limited by significant heterogeneity and inclusion of mainly small trials. However, there appears to be a slight to modest benefit of preoperative celecoxib on reducing postoperative morphine consumption, pain, nausea and vomiting. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Postoperative pain Source Type: research

The effect of a standardised source of divided attention in airway management: A randomised, crossover, interventional manikin study
CONCLUSION: The scenario was effective for simulation training involving divided attention in acute care medicine. The significant effects on performance and perceived workload demonstrate the validity of the model, which was also characterised by high acceptability, technical simplicity and a novel degree of standardisation. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Safety in the workplace Source Type: research

High rate of burnout among anaesthesiologists in Belgrade teaching hospitals: Results of a cross-sectional survey
CONCLUSION: Burnout rates in Belgrade teaching hospitals among anaesthesiologists are higher than in foreign hospitals. Emotional and/or physical breakdowns can have serious effects when these individuals care for patients in extremely stressed situations that may occur perioperatively. Causes for burnout should be examined more closely and means implemented to reverse this process. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Safety in the workplace Source Type: research

Psychological distress, burnout and personality traits in Dutch anaesthesiologists: A survey
BACKGROUND: The practice of anaesthesia comes with stress. If the demands of a stressful job exceed the resources of an individual, that person may develop burnout. Burnout poses a threat to the mental and physical health of the anaesthesiologist and therefore also to patient safety. OBJECTIVES: Individual differences in stress appraisal (perceived demands) are an important factor in the risk of developing burnout. To explore this possible relationship, we assessed the prevalence of psychological distress and burnout in the Dutch anaesthesiologist population and investigated the influence of personality traits. DESIGN: S...
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Safety in the workplace Source Type: research

Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: A prospective interventional study of postoperative handovers
CONCLUSION: Compared with the comparison group with no intervention, when SBAR was implemented in an anaesthetic clinic, we were unable to show any improvement in recalled information among receivers following postoperative handover. TRIAL REGISTRATION: Current controlled trials http://www.controlled-trials.com Identifier: ISRCTN37251313. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Safety in the workplace Source Type: research

Current issues in postoperative pain management
Postoperative pain has been poorly managed for decades. Recent surveys from USA and Europe do not show any major improvement. Persistent postoperative pain is common after most surgical procedures, and after thoracotomy and mastectomy, about 50% of patients may experience it. Opioids remain the mainstay of postoperative pain treatment in spite of strong evidence of their drawbacks. Multimodal analgesic techniques are widely used but new evidence is disappointing. Regional anaesthetic techniques are the most effective methods to treat postoperative pain. Current evidence suggests that epidural analgesia can no longer be con...
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Review Source Type: research

Migration of skilled anaesthesiologists from low to high-income economies: Urgent action needed
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - February 3, 2016 Category: Anesthesiology Tags: Editorial Source Type: research

Clinical Anesthesia Procedures of the Massachusetts General Hospital; 9th edn
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Book review Source Type: research

Measuring regional cerebral oxygen saturation during surgery in the prone position
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Sevoflurane-induced reduction of bispectral index does not affect human cerebral microcirculation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Falsely reduced bispectral index during light anaesthesia in the elderly
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Xenon anaesthesia in a patient with susceptibility to malignant hyperthermia: A case report
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Delayed diagnosis of anaphylaxis secondary to ondansetron: A case report
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: preoxygenation by spontaneous breathing or noninvasive positive pressure ventilation with and without positive end-expiratory pressure
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Preoxygenation by spontaneous breathing or noninvasive positive pressure ventilation with and without positive end-expiratory pressure
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: zero-heat flux thermometry
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Zero-heat flux thermometry
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

The effect of an anaesthetic patient information video on perioperative anxiety: A randomised study
BACKGROUND: Despite growing evidence that an educational anaesthesia video can effectively reduce perioperative anxiety, the ideal medium for addressing perioperative anxiety is unclear. OBJECTIVE: The purpose of this study was to investigate the effect of viewing an anaesthetic patient information video on anxiety levels in patients scheduled to undergo surgery. DESIGN: A randomised controlled trial. SETTING: Pingtung Christian Hospital (PTCH), Taiwan. PATIENTS: One hundred patients were randomised to either an experimental group (n = 50) or a control group (n = 50). INTERVENTIONS: At the preoperative clinic, the ...
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Miscellaneous Source Type: research

Assessment of haemostasis in patients with cirrhosis: Relevance of the ROTEM tests?: A prospective, cross-sectional study
The objective of this study is to investigate the correlation between three specific approaches of haemostasis (ROTEM, thrombin generation and coagulation factors/inhibitors) on the same plasma sample from patients with cirrhosis. DESIGN: A prospective, observational study. SETTING: Single university hospital. PARTICIPANTS: Forty patients with cirrhosis. INTERVENTION: Measurement of the following factors: model for end-stage liver disease (MELD) scores; ROTEM maximum clot firmness (ROTEM-MCF) in EXTEM, INTEM, FIBTEM assays; fibrinogen; factors V and VIII; von Willebrand factor; protein C; protein S; antithrombin; and the t...
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Monitoring Source Type: research

Monitoring heart rate variability to assess experimentally induced pain using the analgesia nociception index: A randomised volunteer study
CONCLUSION: ANI did not allow a differentiation of painful, nonpainful or sham stimuli in alert volunteers. Therefore, ANI does not exclusively detect nociception, but may be modified by stress and emotion. Thus, we conclude that ANI is not a specific, robust measure for assessment of pain intensity. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Monitoring Source Type: research

Gradient between dorsalis pedis and radial arterial blood pressures during sevoflurane anaesthesia: A self-control study in patients undergoing neurosurgery
CONCLUSION: The blood pressure, temperature and inner cross-sectional area differences between DPA and RA reduced gradually during sevoflurane anaesthesia in patients undergoing neurosurgery. Therapeutic decisions may rely on DPA pressure as long as the anaesthetists are aware of the pattern of change in DPA pressure during surgery. TRIAL REGISTRATION: www.chictr.org with registry number ChiCTR-RNRC-13003853. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Monitoring Source Type: research

Evaluation of weight-adjusted doses of palonosetron for prevention of postoperative nausea and vomiting in day care laparoscopic gynaecological surgery: A dose ranging, randomised controlled trial
BACKGROUND: Palonosetron 75 mcg is being used for the prevention of postoperative nausea and vomiting. However, weight-adjusted doses in laparoscopic surgery are unevaluated. AIM: To determine the response to three doses of palonosetron (0.5, 1.0, or 1.5 mcg kg−1) over 72 h in the postoperative period in women undergoing laparoscopic gynaecological procedures. DESIGN: A randomised dose–response study. SETTING: A tertiary care hospital and research institute in north India from July to December 2014. PATIENTS: American society of Anesthesiologists physical status I and II women, from 18 to 60 years old, ...
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Postoperative nausea and vomiting Source Type: research

Alizapride and ondansetron for the prevention of postoperative nausea and vomiting in patients undergoing laparoscopic gynaecological surgery: A double-blind, randomised, placebo-controlled noninferiority study
CONCLUSION: We found no evidence to support the noninferiority of alizapride 100 mg when compared with ondansetron 4 mg for the intraoperative prophylaxis of PONV. However, the lower than expected incidences of PONV reduced the power of this study to conclude noninferiority or confirm significant beneficial effects for either antiemetic for PON and POV during the PACU stay. TRIAL REGISTRATION: Eudra CT 2008-004789-20 (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Postoperative nausea and vomiting Source Type: research

Aprepitant for antiemesis after laparoscopic gynaecological surgery: A randomised controlled trial
CONCLUSION: Aprepitant 80 mg orally with ondansetron is effective in suppressing early PONV up to 24 h postoperatively and delays the time to first PONV in patients with fentanyl-based intravenous PCA after gynaecological laparoscopy. However, the combination prophylaxis with aprepitant and ondansetron failed to reach the predefined primary study outcome when compared with ondansetron alone. TRIAL REGISTRATION: Clinicaltrial.gov identifier: NCT01897337. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Postoperative nausea and vomiting Source Type: research

Postoperative nausea and vomiting: The role of the dopamine D2 receptor TaqIA polymorphism
CONCLUSION: In a white cohort, the TaqIA A2 allele is significantly associated with a history of PONV, which may explain the increased incidence of PONV but has no further independent influence. TRIAL REGISTRATION: German registry of clinical trials identifier: DRKS00005681 (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Postoperative nausea and vomiting Source Type: research

Dexmedetomidine added to an opioid-based analgesic regimen for the prevention of postoperative nausea and vomiting in highly susceptible patients: A randomised controlled trial
The objective of this study is to investigate whether intravenous (i.v.) patient-controlled analgesia (PCA) with dexmedetomidine added to a fentanyl-based drug mixture could reduce postoperative nausea and vomiting (PONV) in highly susceptible patients undergoing lumbar spinal surgery. DESIGN: A randomised, double-blinded study. SETTING: At a tertiary university hospital between September 2012 and September 2013. PATIENTS: One hundred and eight patients undergoing level 1 or 2 posterior lumbar spinal fusion who had at least three risk factors for PONV (female, nonsmoker, use of postoperative opioids) were randomised into t...
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Postoperative nausea and vomiting Source Type: research

The transparent clinical trial: Why we need complete and informative prospective trial registration
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Invited commentary Source Type: research

New anticoagulants in ambulatory anaesthesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 23, 2015 Category: Anesthesiology Tags: Editorial Source Type: research

Clinical Anesthesia Fundamentals
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 4, 2015 Category: Anesthesiology Tags: Book review Source Type: research

Reply to: the ‘alligator mouth’ or ‘reflective intubation’ manoeuvre? Describing and modifying the same useful technique for difficult intubation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 4, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

The ‘alligator mouth’ or ‘reflective intubation’ manoeuvre? Describing and modifying the same useful technique for difficult intubation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 4, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: systemic and alveolar inflammatory response in the dependent and nondependent lung in patients undergoing lung resection surgery
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 4, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Systemic and alveolar inflammatory response in the dependent and nondependent lung in patients undergoing lung resection surgery
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 4, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: using the C-MAC videolaryngoscope as a first-line device for out-of-hospital emergency intubation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 4, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Using the C-MAC videolaryngoscope as a first-line device for out-of-hospital emergency intubation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 4, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research