Disclosing and reporting medical errors: Cross-sectional survey of Swiss anaesthesiologists
CONCLUSION: Willingness to disclose or report errors varied widely between hospitals. Thus, heads of department and hospital chiefs need to be aware of the importance of local culture when it comes to error communication. Error disclosure training and improving feedback on how error reports are being used to improve patient safety may also be important steps in increasing anaesthesiologists’ communication of errors. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Complications and errors Source Type: research

Development and validation of a score to predict postoperative respiratory failure in a multicentre European cohort: A prospective, observational study
CONCLUSION: A risk score based on seven objective, easily assessed factors was able to predict which patients would develop PRF. The score could potentially facilitate preoperative risk assessment and management and provide a basis for testing interventions to improve outcomes. The study was registered at ClinicalTrials.gov (identifier NCT01346709). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Complications and errors Source Type: research

Eliminate postoperative respiratory complications: preoperative screening opens the door to clinical pathways that individualise perioperative treatment
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Invited commentary Source Type: research

Surgery was successful – but how did it go for the patient? Experiences from and hopes for the Swedish Perioperative Register
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Editorial Source Type: research

Oxford Case Histories in Anaesthesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Book review Source Type: research

Hyperostosis frontalis interna as a potential source of cerebral oximetry signal interference: A case report
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Bag-mask ventilation in rapid sequence induction: A survey of current practice among members of the UK Difficult Airway Society
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Airway obstruction in the postanaesthetic care unit of a tertiary care centre: A prospective audit
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

The orotracheal tube dance
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Comparison of McGrath and Pentax-AWS Airwayscope for tracheal intubation by anaesthesiologists during chest compression in a manikin: A randomised crossover trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Comparison of Quick Track and Melker for emergent invasive airway management during chest compression: A crossover simulation trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

A complication of the laryngeal mask airway: Pharyngolaryngeal rupture and pneumomediastinum
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Multicentre validation of manufacturers’ weight-based recommendations for laryngeal mask airway size choice in anaesthetic practice: A retrospective analysis of 20 893 cases
BACKGROUND: Manufacturers’ weight-based recommendations for laryngeal mask airway (LMA) sizes are not scientifically founded and have never been validated clinically. OBJECTIVE: The validation of manufacturers’ weight-based recommendations in clinical practice and whether other patient variables such as sex and age may influence LMA size choice. DESIGN: A retrospective study. SETTING: Four Israeli hospitals (two tertiary and two secondary hospitals). METHODS: Data on LMA use were retrieved from the Anaesthesia Information Management System (AIMS). Multinomial logistic regression analysis including weight, sex a...
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Airway management Source Type: research

Improvement in glottic visualisation by using the C-MAC PM video laryngoscope as a first-line device for out-of-hospital emergency tracheal intubation: An observational study
BACKGROUND: Out-of-hospital tracheal intubation is associated with life-threatening complications. To date, no study has compared direct and video laryngoscopic views simultaneously in the same patients in an out-of-hospital setting. OBJECTIVES: The aim of this study was to determine the effect of C-MAC PM video laryngoscope on laryngeal view, compared with direct laryngoscopy, and to estimate possible consequences for patient safety. DESIGN: An observational, single-centre study. SETTING: Helicopter Emergency Medical Service (HEMS) ‘CHRISTOPH 22’, Ulm, Germany. PATIENTS: Two-hundrend and twenty-eight emergency...
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Airway management Source Type: research

Left double-lumen tube with or without a carinal hook: A randomised controlled trial
CONCLUSION: When a DLT is used, the presence of a carinal hook gives neither advantage nor added complications. TRIAL REGISTRATION: ClinicalTrials.gov, NCT00969683. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Airway management Source Type: research

A comparison of the disconnection technique with continuous bronchial suction for lung deflation when using the Arndt endobronchial blocker during video-assisted thoracoscopy: A randomised trial
BACKGROUND: The use of the Arndt endobronchial blocker has not gained widespread acceptance during video-assisted thoracoscopic surgery (VATS) because of its high cost and longer time to operative lung collapse especially in patients with chronic obstructive pulmonary disease (COPD). The use of a ventilator disconnection technique has been shown to produce a comparable degree of lung collapse when used with either a double-lumen tube or an Arndt endobronchial blocker. OBJECTIVE: We hypothesised that the use of bronchial suction through the suction port of the endobronchial blocker would be associated with a comparable time...
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Airway management Source Type: research

The reflective intubation manoeuvre increases success rate in moderately difficult direct laryngoscopy: A prospective case–control study
CONCLUSION: Reflective intubation proved to be successful in moderately difficult intubation conditions (Cormack and Lehane classes 2 and 3a). Reflective intubation represents a very useful first-line methodological extension of direct laryngoscopic tracheal intubation. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Airway management Source Type: research

Comparison between bougies and stylets for simulated tracheal intubation with the C-MAC D-blade videolaryngoscope
BACKGROUND: The C-MAC D-blade is a new, highly angulated, videolaryngoscope blade designed for use in patients with difficult airways. Directing a tracheal tube into the trachea with any indirect viewing laryngoscope can be difficult, even with a good view of the laryngeal inlet. OBJECTIVE: To determine which introducing strategy is most suitable for use with the C-MAC D-blade videolaryngoscope. DESIGN: Observational manikin study. SETTING: Centre for Simulation and Patient Safety. PARTICIPANTS: Twenty-four anaesthetists of at least 12 months’ of experience. INTERVENTIONS: Six tracheal tube introducer strategies (no ...
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Airway management Source Type: research

Real-time in-vivo imaging of pulmonary capillary perfusion using probe-based confocal laser scanning endomicroscopy in pigs: An interventional laboratory study
BACKGROUND: Little is known about real-time in-vivo microscopy of pulmonary capillary perfusion because current microscopy requires direct access to lung tissue with surgical intervention such as the thoracic-window technique and open-lung model. OBJECTIVES: To evaluate if probe-based confocal laser scanning endomicroscopy (pCLE) via the trachea allows for real-time in-vivo visualisation of pulmonary capillary density and red blood cell (RBC) velocity in pigs. DESIGN: An interventional animal study. SETTING: European University Hospital. ANIMALS: Nine female domestic pigs (50 to 60 kg) were used. MAIN OUTCOME MEASURES: A...
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Monitoring Source Type: research

Intraoperative temperature monitoring with zero heat flux technology (3M SpotOn sensor) in comparison with sublingual and nasopharyngeal temperature: An observational study
BACKGROUND: Perioperative hypothermia is common in patients undergoing general anaesthesia and is associated with important adverse events. The ‘gold standard’ for monitoring body core temperature – the pulmonary artery catheter – is invasive and unsuitable for most patients. For routine clinical practice, other sites and methods of temperature monitoring are commonly used. OBJECTIVE: The aim of this study was to evaluate a new temperature sensor (3M SpotOn) using the ’zero heat flux’ method attached to the forehead, and compare it to sublingual and nasopharyngeal sensors in terms of cor...
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Monitoring Source Type: research

Changes in cerebral oxygen saturation following prone positioning for orthopaedic surgery under general anaesthesia: A prospective observational study
BACKGROUND: Prone positioning is often necessary in orthopaedic surgery. The prone position, however, may result in impaired cerebral venous drainage with a subsequent reduction in cerebral perfusion. As a consequence, cerebral hypoxia may occur with the potential for neurological impairment. OBJECTIVE: We assessed the changes in cerebral oxygen saturation with near-infrared spectroscopy using two different monitors after positioning the patient from supine to prone. DESIGN: Prospective observational study. SETTING: Primary Care University Hospital, from May 2010 to February 2011. PARTICIPANTS: Forty patients undergoing ge...
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Monitoring Source Type: research

Intrathoracic pressure regulation to treat intraoperative hypotension: A phase II pilot study
BACKGROUND: Intraoperative hypotension secondary to acute blood loss and fluid shifts increases morbidity and mortality. Intrathoracic pressure regulation (IPR) is a new therapy that enhances circulation by increasing venous return with a negative intrathoracic pressure created noninvasively, either actively (vacuum source or patient inspiration) or passively (chest recoil during cardiopulmonary resuscitation). OBJECTIVE: In this Phase II pilot study, we tested the hypothesis that active IPR therapy would improve the haemodynamic status of patients who developed clinically significant hypotension during abdominal surgery. ...
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Monitoring Source Type: research

Cardiorespiratory interaction: a novel mechanical approach to treating intraoperative hypotension
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Invited commentary Source Type: research

O2, anybody?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 6, 2015 Category: Anesthesiology Tags: Editorial Source Type: research

Strategies to prevent ventilation-associated pneumonia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Anatomical basis of the various spread patterns around the femoral nerve in the inguinal region
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Noninvasive monitors of blood pressure in the critically ill: What are acceptable accuracy and precision?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Ultrasound-guided tranversus abdominis plane block for herniorrhaphy in children: What is the optimal dose of levobupivacaine?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Differences between state entropy and bispectral index during analysis of identical electroencephalogram signals: A comparison with two randomised anaesthetic techniques
CONCLUSION: High-frequency signals and eye blinks may account for index values that falsely indicate consciousness. Compared with BIS, state entropy showed more false classifications of the clinical state at transition between consciousness and unconsciousness. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Neuromonitoring Source Type: research

Alerting thresholds for the prevention of intraoperative awareness with explicit recall: A secondary analysis of the Michigan Awareness Control Study
CONCLUSION: We could not derive a single population-based alerting threshold for the prevention of intraoperative awareness using either anaesthetic concentration or bispectral index values. These data indicate a need to move towards individualised alerting strategies in the prevention of intraoperative awareness. TRIAL REGISTRATION: Primary trial registration (Michigan Awareness Control Study) ClinicalTrials.gov identifier: NCT00689091. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Neuromonitoring Source Type: research

Impact of propofol anaesthesia on cytokine expression profiles in the developing rat brain: A randomised placebo-controlled experimental in-vivo study
CONCLUSION: This study suggests that propofol anaesthesia does not have a major impact on pro-inflammatory cytokine expression profiles in the developing central nervous system during the brain growth spurt. These results raise arguments against the involvement of neuroinflammatory pathways in propofol-related neurotoxicity observed following the administration of this drug in the early postnatal period. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Effect of ramosetron on the QT interval during sevoflurane anaesthesia in children: A prospective observational study
CONCLUSION: Ramosetron was not associated with prolongation of the QTc interval when it was given concomitantly with sevoflurane in children. No ventricular arrhythmias or other adverse effects occurred during the study. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Development of a specific algorithm to guide haemostatic therapy in children undergoing cardiac surgery: A single-centre retrospective study
CONCLUSION: This study describes an algorithm starting with the detection of abnormal bleeding in which ROTEM could be used to guide haemostatic therapy in bleeding children after CPB. Further studies are needed to test the efficacy of this specific algorithm-based approach. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Are postoperative behavioural changes after adenotonsillectomy in children influenced by the type of anaesthesia?: A randomised clinical study
BACKGROUND: Negative postoperative behavioural changes (NPOBCs) are very frequent in children after surgery and general anaesthesia. If they persist, emotional and cognitive development may be affected significantly. OBJECTIVE: To assess whether the choice of different anaesthetic techniques for adenotonsillectomy may impact upon the incidence of NPOBC in repeated measurements. DESIGN: A randomised, controlled, parallel-group trial. SETTING: University Hospital Split, Croatia. PATIENTS: Sixty-four children (aged 6 to 12 years, ASA 1 to 2) undergoing adenotonsillectomy assigned into one of two groups: sevoflurane (S) (n =...
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Risk of autistic disorder after exposure to general anaesthesia and surgery: A nationwide, retrospective matched cohort study
CONCLUSION: Exposure to general anaesthesia and surgery before the age of 2 years age at first exposure and number of exposures were not associated with the development of autistic disorder. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Bispectral index aware or minimum alveolar concentration aware?: Alerting thresholds for prevention of awareness
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Invited commentary Source Type: research

Is this your (paediatric patient's) brain on (anaesthetic) drugs?: The search for a potential neurological phenotype of anaesthesia-related neurotoxicity in humans
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Invited commentary Source Type: research

Regional anaesthesia in neonates, infants and children: An educational review
Prophylactic analgesia with local anaesthesia is widely used in children and has a good safety record. Performing regional blocks in anaesthetised children is a safe and generally accepted practice. When compared with adults, lower concentrations of local anaesthetics are sufficient in children; the onset of a block occurs more rapidly but the duration is usually shorter. Local anaesthetics have a greater volume of distribution, a lower clearance and a higher free (non-protein-bound) fraction. The recommended maximum dose has to be calculated for every individual. Peripheral blocks provide analgesia restricted to the site ...
Source: European Journal of Anaesthesiology - April 7, 2015 Category: Anesthesiology Tags: Review Source Type: research

Intravenous nonopioid analgesic drugs in chronic low back pain patients on chronic opioid treatment: A crossover, randomised, double-blinded, placebo-controlled study: Retraction
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Retraction Source Type: research

Anesthesia for Genetic, Metabolic and Dysmorphic Syndromes of Childhood, 3rd edn.
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Book review Source Type: research

Reply to: intra-arterial injection; timely and proper treatment can make all the difference
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Intra-arterial injection; timely and proper treatment can make all the difference
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: influence of total intravenous anaesthesia and isoflurane on plasma interleukin concentrations after colorectal cancer surgery
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Influence of total intravenous anaesthesia and isoflurane on plasma interleukin concentrations after colorectal cancer surgery
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: adjusting tracheal tube cuff pressure
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Adjusting tracheal tube cuff pressure
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

A single preoperative dose of levetiracetam has no effect on pain or analgesic requirements after laparoscopic cholecystectomy
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

A survey of acute pain services in Portuguese hospitals: Are we on the right track?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

The effect of triple vs. double nonopioid therapy on postoperative pain and functional outcome after abdominal hysterectomy: A randomised double-blind control trial
CONCLUSION: This trial failed to demonstrate substantial benefits with the addition of a third nonopioid analgesic to three different double-drug regimens. Further research is needed that will more definitively support expanding multimodal analgesic practices. Our results demonstrate consistent correlations between evoked pain and functional outcomes further emphasising the need for improved analgesic regimens that will accelerate postsurgical functional recovery. TRIAL REGISTRATION: International Standard Randomised Controlled Trial Number Register 12723675. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Pain Source Type: research

Ultrasound versus fluoroscopic-guided epidural steroid injections in patients with degenerative spinal diseases: A randomised study
CONCLUSION: We have demonstrated the feasibility of ultrasound-assisted epidural steroid injections. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 10, 2015 Category: Anesthesiology Tags: Pain Source Type: research