European Journal of Anaesthesiology 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Effect of intravenous dexmedetomidine and remifentanil on neonatal outcomes after caesarean section under general anaesthesia: A systematic review and meta-analysis
BACKGROUND
Various strategies have been used to mitigate haemodynamic instability during general anaesthesia for caesarean section. However, the safety of these strategies for neonates remains controversial.
OBJECTIVE
To investigate the effects of intravenous dexmedetomidine and remifentanil on neonatal outcomes during caesarean section under general anaesthesia.
DESIGN
Systematic review and meta-analysis of randomised controlled trials.
DATA SOURCES
Databases of PubMed, EMBASE and CENTRAL were searched until March 2020 and updated in February 2021.
ELIGIBILITY CRITERIA
Randomised controlled...
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Obstetrics Source Type: research
A randomised double-blind comparison of phenylephrine and norepinephrine for the management of postspinal hypotension in pre-eclamptic patients undergoing caesarean section
BACKGROUND
Studies comparing phenylephrine and norepinephrine for the treatment of postspinal hypotension in pre-eclamptic patients are limited.
OBJECTIVE
To compare bolus doses of phenylephrine and norepinephrine for treating hypotension in pre-eclamptic mothers undergoing caesarean section under spinal anaesthesia. It was hypothesised that norepinephrine and phenylephrine use would be associated with similar neonatal outcome.
DESIGN
Randomised controlled study.
SETTING
Single centre, tertiary care, university teaching hospital, from December 2018 to March 2020.
PATIENTS
A total of 86 women...
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Obstetrics Source Type: research
Treatment of spinal anaesthesia-induced hypotension with cafedrine/theodrenaline versus ephedrine during caesarean section: Results from HYPOTENS, a national, multicentre, prospective, noninterventional study
This study relates to the cohort of patients receiving spinal anaesthesia for caesarean section.
SETTING
German hospitals using either C/T or ephedrine in their routine clinical practice.
PATIENTS
Women aged at least 18 years receiving spinal anaesthesia for caesarean section.
INTERVENTIONS
Bolus administration of C/T or ephedrine at the discretion of the attending anaesthesiologist.
MAIN OUTCOME MEASURES
Endpoints within 15 min after initial administration of C/T or ephedrine were area under the curve between the observed SBP and the minimum target SBP; and incidence of newly occurring heart ...
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Obstetrics Source Type: research
Factors associated with an increased risk of instrumental vaginal delivery in women with epidural analgesia for labour: A retrospective cohort study
BACKGROUND
Epidural analgesia is the most effective form of labour analgesia, but is associated with an increased risk of instrumental delivery.
OBJECTIVE
To evaluate factors that are associated with an increased risk of instrumental delivery.
DESIGN
Retrospective cohort data study.
SETTING
Singapore's major public maternity institution.
PATIENTS
All obstetric patients who received labour epidural analgesia for vaginal delivery between January 2012 to December 2015.
INTERVENTION
None.
MAIN OUTCOME MEASURES
Our primary outcome was the incidence of instrumental delivery.
RESUL...
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Obstetrics Source Type: research
The efficacy of high flow nasal oxygenation for maintaining maternal oxygenation during rapid sequence induction in pregnancy: A prospective randomised clinical trial
BACKGROUND
High-flow nasal oxygenation (HFNO) for pre-oxygenation in rapid sequence induction (RSI) has only been assessed in volunteer parturients without intubation.
OBJECTIVES
To evaluate the efficacy of HFNO in comparison with the conventional facemask for oxygenation during RSI for caesarean section under general anaesthesia.
SETTING
Operating room in a tertiary hospital.
DESIGN
Prospective randomised, controlled study.
PARTICIPANTS
Thirty-four healthy parturients undergoing general anaesthesia for caesarean section.
INTERVENTIONS
Parturients were randomly assigned to HFNO or sta...
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Obstetrics Source Type: research
Intra-operative open-lung ventilatory strategy reduces postoperative complications after laparoscopic colorectal cancer resection: A randomised controlled trial
BACKGROUND
The role of the positive end-expiratory pressure (PEEP) and lung recruitment manoeuvre (LRM) combination (termed open-lung strategy, OLS) during intra-operative mechanical ventilation is not clear.
OBJECTIVE
To determine whether an open-lung strategy constituting medium PEEP (6–8 cmH2O) and repeated LRMs protects against postoperative complications in at-risk patients undergoing laparoscopic colorectal cancer resection under low-tidal-volume ventilation.
DESIGN
A prospective, assessor-blinded, randomised controlled trial.
SETTING
Single university-affiliated hospital, conducted from ...
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Ventilation Source Type: research
Sex difference and intra-operative tidal volume: Insights from the LAS VEGAS study
BACKGROUND
One key element of lung-protective ventilation is the use of a low tidal volume (VT). A sex difference in use of low tidal volume ventilation (LTVV) has been described in critically ill ICU patients.
OBJECTIVES
The aim of this study was to determine whether a sex difference in use of LTVV also exists in operating room patients, and if present what factors drive this difference.
DESIGN, PATIENTS AND SETTING
This is a posthoc analysis of LAS VEGAS, a 1-week worldwide observational study in adults requiring intra-operative ventilation during general anaesthesia for surgery in 146 hospitals in 29 c...
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Ventilation Source Type: research
Effects of positive end-expiratory pressure/recruitment manoeuvres compared with zero end-expiratory pressure on atelectasis in children: A randomised clinical trial
CONCLUSIONS
The reduced atelectasis provided by lung-protective ventilation does not persist from 15 min after extubation onwards. Further studies are needed to determine if it yields better results in other types of surgery.
TRIAL REGISTRATION
Chictr.org.cn (ChiCTR2000033469). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Ventilation Source Type: research
Optimal positive end-expiratory pressure to prevent anaesthesia-induced atelectasis in infants: A prospective, randomised, double-blind trial
CONCLUSION
To reduce anaesthesia-induced atelectasis measured by ultrasound in healthy infants undergoing low abdominal, genitourinary or superficial regional operations, 6 cmH2O of PEEP was more effective than 3 cmH2O. PEEP of 9 cmH2O was comparable with 6 cmH2O.
TRIAL REGISTRATION
ClinicalTrials.gov identifier NCT03969173 (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Ventilation Source Type: research
Effect of positive end-expiratory pressure during anaesthesia induction on non-hypoxic apnoea time in infants: A randomised controlled trial
CONCLUSION
Positive end-expiratory pressure during anaesthesia induction with face mask ventilation increased nonhypoxic apnoea time in infants.
CLINICAL TRIAL REGISTRATION
www.clinicaltrials.gov, NCT03540940. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Ventilation Source Type: research
Communication in the ICU during the COVID-19 pandemic
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 16, 2021 Category: Anesthesiology Tags: Editorial Source Type: research
More notable names in anaesthesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 12, 2021 Category: Anesthesiology Tags: Book review Source Type: research
Kidney dysfunction has a major impact on the effect of idarucizumab for dabigatran reversal
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 12, 2021 Category: Anesthesiology Tags: Correspondence Source Type: research
Short-term administration of nonsteroidal anti-inflammatory drugs in older patients with hip fracture: A cohort study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 12, 2021 Category: Anesthesiology Tags: Correspondence Source Type: research
Tapentadol versus oxycodone analgesia and side effects after laparoscopic hysterectomy: A randomised controlled trial
CONCLUSION
We found tapentadol to be similar in analgesic efficacy to oxycodone during the first 24 h after hysterectomy, but with significantly less nausea.
TRIAL REGISTRATION
ClinicalTrials.gov, NCT03314792. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 12, 2021 Category: Anesthesiology Tags: Pain Source Type: research
