Effects of adding a combined femoral and sciatic nerve block with levobupivacaine and clonidine to general anaesthesia in femoropopliteal bypass surgery: A randomised, double-blind, controlled trial
CONCLUSION Combining the two regional blocks improves the quality of postoperative care in this frail population, probably by reducing the amount of peri-operative opioid. TRIAL REGISTRATION ClinicalTrials.gov (ref. NCT01785693). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 13, 2020 Category: Anesthesiology Tags: Locoregional anaesthesia Source Type: research

Minimum effective volume of 0.5% ropivacaine for ultrasound-guided costoclavicular brachial plexus block: A dose finding study
CONCLUSION The MEV90 of 0.5% ropivacaine required to produce surgical anaesthesia with an ultrasound-guided CC-BPB is 20.9 ml. CLINICAL TRIAL REGISTRATION The trial was registered with the Chinese Clinical Trials Registry (www.chictr.org.cn, ChiCTR-IOR-15007515, principal investigator: Manoj Kumar Karmakar, date of registration: 4 December 2015). CLINICAL TRIAL NUMBER AND REGISTRY URL ChiCTR-IOR-15007515, Chinese Clinical Trials Registry (www.chictr.org.cn). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 13, 2020 Category: Anesthesiology Tags: Locoregional anaesthesia Source Type: research

Transversus abdominis plane block versus quadratus lumborum block type 2 for analgesia in renal transplantation: A randomised trial
CONCLUSION The reduction of fentanyl consumption in the first 24 h after renal transplantation with no difference in pain intensity and patient satisfaction shows a beneficial effect of one-sided QLB type 2 over a one-sided TAPB in regards to postoperative analgesia. However, the reduction in opioid consumption did not affect the frequency of opioid-related adverse effects. TRIAL REGISTRATION ClinicalTrials.gov ID: NCT02783586. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 13, 2020 Category: Anesthesiology Tags: Locoregional anaesthesia Source Type: research

Subarachnoid block and ultrasound-guided transversalis fascia plane block for caesarean section: A randomised, double-blind, placebo-controlled trial
BACKGROUND After caesarean section, maternal postoperative comfort is critical to allow the new mother to care for her baby. Insufficient pain relief during the postoperative period may delay maternal/infant bonding and, in addition, such pain has been linked to subsequent depression and chronic pain. Caesarean section is commonly performed with a Pfannenstiel incision, and a transversalis fascia plane (TFP) block provides postoperative analgesia in the T12 and L1 dermatomes. OBJECTIVE The aim of this study was to investigate the effect of the TFP block on postoperative opioid consumption and pain scores in patients u...
Source: European Journal of Anaesthesiology - August 13, 2020 Category: Anesthesiology Tags: Locoregional anaesthesia Source Type: research

Dislocation rates of perineural catheters placed either perpendicular or parallel to the femoral nerve: A randomised controlled trial
CONCLUSION Rotating the ultrasound probe to the long-axis in-plane view enabled examination of the catheter position when it was placed parallel to the nerve. The parallel placement of the catheter required more time, but did not significantly improve dislocation rate, pain scores or sensory blockade. TRIAL REGISTRATION Clinicaltrials.gov identifier: NCT03693755. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 13, 2020 Category: Anesthesiology Tags: Locoregional anaesthesia Source Type: research

Transverse vs. parasagittal in-plane approaches in ultrasound-guided paravertebral block using a microconvex probe: A randomised controlled trial
CONCLUSION There were no clinically significant differences between approaches for continuous ultrasound-guided thoracic paravertebral block using a microconvex probe, and both approaches achieved a high rate of correct catheter placement. TRIAL REGISTRATION UMIN Clinical Trials Registry identifier: UMIN000015988. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 13, 2020 Category: Anesthesiology Tags: Locoregional anaesthesia Source Type: research

Haematoma, abscess or meningitis after neuraxial anaesthesia in the USA and the Netherlands: A closed claims analysis
CONCLUSIONS Claims of spinal haematoma were often related to errors in antihaemostatic medication and delay in diagnosis and/or treatment. Spinal abscess claims were related to emergency interventions and lack of sterility. We wish to highlight these potential preventable causes, both when performing the neuraxial procedure and during postprocedural care of patients. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 13, 2020 Category: Anesthesiology Tags: Locoregional anaesthesia Source Type: research

Risk and prognosis of COVID-19 in patients treated with renin–angiotensin–aldosterone inhibitors
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 13, 2020 Category: Anesthesiology Tags: Editorial Source Type: research

Paediatric anaesthesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Book review Source Type: research

Anaesthesia and orphan disease: A patient with neuromyotonia undergoing single lung ventilation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Anaesthesia and orphan disease: Phelan–McDermid syndrome
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Anaesthesia and orphan diseases: Yellow nail syndrome
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Effect of an ultrasound-guided lung recruitment manoeuvre on postoperative atelectasis in children: A randomised controlled trial
CONCLUSION Ultrasound-guided lung recruitment may be more effective than the conventional procedure in terms of the prevention of intra-operative atelectasis and postoperative desaturation; however, its beneficial effects on postoperative atelectasis remain unclear. An inspiratory airway pressure of more than 30 cmH2O is required for full recruitment of alveoli in healthy children. CLINICAL TRIAL REGISTRY ClinicalTrials.gov (NCT03453762). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Role of TFA-1 adhesive forehead sensors in predicting fluid responsiveness in anaesthetised children: A prospective cohort study
CONCLUSION The PVI of TFA-1 forehead sensor is a good alternative, but is not superior to the finger sensor and ΔVpeak in evaluating fluid responsiveness in mechanically ventilated children under general anaesthesia. CLINICAL TRIAL REGISTRATION www.clinicaltrials.gov, NCT03132480. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Towards integrative neuromonitoring of the surgical newborn: A systematic review
CONCLUSION Neuromonitoring with the techniques currently used will neither help our understanding of the altered neonatal pathophysiology, nor enable early detection of deviation from the norm. The modalities lack specificity and are not related to clinical (long-term) outcome or prognosis. Accordingly, we were unable to draw up a monitoring guideline. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Systemic and regional cerebral perfusion in small infants undergoing minor lower abdominal surgery under awake caudal anaesthesia: An observational study
CONCLUSION The current study shows that awake caudal anaesthesia does not impair systemic and regional cerebral perfusion in small infants. TRIAL REGISTRATION German registry of clinical studies (DRKS-ID: 800015742). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Risk of major cardiovascular and cerebrovascular complications after elective surgery in patients with sleep-disordered breathing: A retrospective cohort analysis
BACKGROUND There is limited and conflicting data on whether sleep-disordered breathing (SDB) is associated with postoperative major cardiovascular and cerebrovascular events (MACCE), and mortality. OBJECTIVES To determine whether SDB is associated with increased risks of MACCE, mortality and length of hospital stay. DESIGN Retrospective cohort analysis from the Nationwide Inpatient Sample. SETTING Adults who underwent elective abdominal, orthopaedic, prostatic, gynaecological, thoracic, transplant, vascular or cardiac surgery in the United States of America between 2011 and 2014. PATIENTS The study cohort inc...
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

Immediate postoperative high-sensitivity troponin T concentrations and long-term patient-reported health-related quality of life: A prospective cohort study
CONCLUSION Higher levels of postoperative troponin measured immediately after surgery were independently associated with lower self-reported HRQoL total score at 1-year follow-up. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

Postoperative atrial fibrillation following emergency noncardiothoracic surgery: A systematic review
CONCLUSION In this study, atrial fibrillation occurred frequently, especially following emergency orthopaedic, vascular and neurosurgery. Emergency surgery and age were independent risk factors for developing atrial fibrillation. POAF seems to be related to a higher risk of postoperative complications and mortality, though further studies with long-term follow-up are needed. TRIAL REGISTRATION CRD42019112090. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

The impact of peri-operative intravenous lidocaine on postoperative outcome after elective colorectal surgery: A meta-analysis of randomised controlled trials
CONCLUSION This meta-analysis provides some support for the administration of peri-operative IVL infusion in elective colorectal surgery. However, further evidence is necessary to fully elucidate its potential benefits in light of the high levels of study heterogeneity and mixed quality of methodology. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

Modifiable factors associated with postoperative delirium after hip fracture repair: An age-stratified retrospective cohort study
BACKGROUND Postoperative delirium in hip fracture patients is common and is associated with substantial morbidity and consumption of resources. OBJECTIVE Using data from the USA, we aimed to examine the relationship between postoperative delirium and (modifiable) peri-operative factors mentioned in the American Geriatrics Society Best Practice Statement on Postoperative Delirium in Older Adults, stratified by ‘young old’ ( (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

Can preventive hyperbaric oxygen therapy optimise surgical outcome?: A systematic review of randomised controlled trials
CONCLUSION Peri-operative preventive HBOT may be a promising intervention to improve surgical patient outcome. However, future work should consider addressing the methodological weaknesses identified in this review. TRIAL REGISTRATION The protocol (CRD42018102737) was registered with the International ProspectiveRegister of Systematic Reviews (PROSPERO). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

Improvement in pre-operative risk assessment in adults undergoing noncardiac surgery by a process-oriented score: A prospective single-centre study
CONCLUSION The PRO-score detected warning signs in ‘healthy’ ASA-PS 1 or 2 and in ASA-PS 3 or 4 patients. Furthermore, it influenced the management of these patients, and thus improved the process quality of risk assessment. The physical examination should include the assessment of vital signs. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

Improving peri-operative outcome: Time once more to update protocols
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 29, 2020 Category: Anesthesiology Tags: Editorial Source Type: research

Acute pain after serratus anterior plane or thoracic paravertebral blocks for video-assisted thoracoscopic surgery: A randomised trial. Retraction
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 10, 2020 Category: Anesthesiology Tags: Retraction Source Type: research

European Society of Anaesthesiology guidelines on peri-operative use of ultrasound-guided for vascular access (PERSEUS vascular access): Erratum
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 10, 2020 Category: Anesthesiology Tags: Erratum Source Type: research

Cardiac anesthesia: A problem-based learning approach
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 10, 2020 Category: Anesthesiology Tags: Book review Source Type: research

Oblique versus longitudinal axis/in-plane approaches for ultrasound-guided radial arterial cannulation: A randomised controlled trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 10, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Connected devices to evaluate sleep, physical activity and stress pattern of anaesthesiology and intensive care residents
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 10, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Waste of anaesthetic gases may be related to impairment of nurse health in the postanaesthesia care unit
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 10, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Ankle blood pressure is not a reliable surrogate for brachial blood pressure in young healthy patients undergoing general anaesthesia: A prospective observational cohort study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 10, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Hydroxyethyl starch and fluid challenge: Ethical concerns in haemodynamic and fluid responsiveness research
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 10, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Ten years of the Helsinki Declaration on patient safety in anaesthesiology: An expert opinion on peri-operative safety aspects
Patient safety is an activity to mitigate preventable patient harm that may occur during the delivery of medical care. The European Board of Anaesthesiology (EBA)/European Union of Medical Specialists had previously published safety recommendations on minimal monitoring and postanaesthesia care, but with the growing public and professional interest it was decided to produce a much more encompassing document. The EBA and the European Society of Anaesthesiology (ESA) published a consensus on what needs to be done/achieved for improvement of peri-operative patient safety. During the Euroanaesthesia meeting in Helsinki/Finland...
Source: European Journal of Anaesthesiology - June 10, 2020 Category: Anesthesiology Tags: Special article Source Type: research

Reply to: thromboelastometry-based algorithms and the need for transfusion during liver transplantation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Thromboelastometry-based algorithms and the need for transfusion during liver transplantation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: comparison of low and high positive end-expiratory pressure during low tidal volume ventilation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Comparison of low and high positive end-expiratory pressure during low tidal volume ventilation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: could an electronic log-book be effective for medical training in anaesthesiology?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Could an electronic log-book be effective for medical training in anaesthesiology?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

The use of three-dimensional printing and virtual reality to develop a personalised airway plan in a 7.5-year-old child: A case report
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Cricothyroid membrane identification with ultrasonography and palpation in cadavers with a novel fixation technique (Fix for Life): A laboratory investigation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Blind intubation through the disposable intubating laryngeal tube suction: A prospective observational study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

King Vision videolaryngoscope for nasal intubation in predicted difficult airway due to maxillofacial emergencies: A retrospective cohort study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Comparison of the STORZ CMAC video laryngoscope to standard direct laryngoscopy in a Pierre Robin manikin. Randomised crossover trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Can’t intubate can’t oxygenate: It takes more than a patent airway to oxygenate a patient
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Correspondence Source Type: research

Goal-directed therapy with bolus albumin 5% is not superior to bolus ringer acetate in maintaining systemic and mesenteric oxygen delivery in major upper abdominal surgery: A randomised controlled trial
CONCLUSION Bolus human albumin 5% was not superior to bolus ringer acetate in maintaining systemic or mesenteric oxygen delivery in elective major upper gastrointestinal cancer surgery, despite the administration of larger volumes of trial fluid in the ringer acetate group. No significant difference was seen in fluid-related complications or LOS. TRIAL REGISTRATION https://eudract.ema.europa.eu/ Identifier: 2013-002217-36. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Haemodynamics Source Type: research

Internal carotid artery blood flow is enhanced by elevating blood pressure during combined propofol-remifentanil and thoracic epidural anaesthesia: A randomised cross-over trial
BACKGROUND Anaesthesia reduces mean arterial pressure (MAP), and to preserve organ perfusion, vasopressors are often used to maintain MAP above 60 mmHg. Cognitive dysfunction is common following major surgery and may relate to intra-operative cerebral hypoperfusion. OBJECTIVE The aim of this study was to evaluate whether internal carotid artery (ICA) blood flow increases when MAP is kept higher than 60 mmHg using noradrenaline. DESIGN A randomised, cross-over trial. SETTING Department of Anaesthesia, Rigshospitalet, Copenhagen, Denmark, from December 2017 to April 2018. PATIENTS Patients with median [IQR]...
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Haemodynamics Source Type: research

Pre-anaesthesia ultrasonography of the subclavian/infraclavicular axillary vein for predicting hypotension after inducing general anaesthesia: A prospective observational study
We examined whether the preoperative diameter and collapsibility index of the SCV or the infraclavicular axillary vein could predict the incidence of hypotension after induction of general anaesthesia in patients undergoing laparoscopic cholecystectomy. DESIGN Prospective, observational study. SETTING Tertiary university hospital. PATIENTS Adults scheduled for laparoscopic cholecystectomy. INTERVENTION Sonographic evaluation of the SCV or the axillary vein (SCV-AV) before induction of anaesthesia. MAIN OUTCOME MEASURES The main outcome was the association between the SCV-AV measurements (diameter an collapsi...
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Haemodynamics Source Type: research

Comparison of conventional and fibreoptic-guided advance of left-sided double-lumen tube during endobronchial intubation: A randomised controlled trial
BACKGROUND Postoperative sore throat and airway injuries are relatively common after double-lumen tube (DLT) intubation. OBJECTIVE The current study aimed to evaluate the effects of fibreoptic-guided advance of DLT on postoperative sore throat and airway injuries associated with intubation. DESIGN A randomised controlled study. SETTING Tertiary hospital, Seongnam, Korea, from January 2018 to January 2019. PATIENTS One hundred twenty three patients undergoing one-lung ventilation with a left-side DLT were randomised into two groups: 62 in the conventional group and 61 in the fibreoptic-guided group. INTERVENT...
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Airway management Source Type: research

The effects of doxapram on time to tracheal extubation and early recovery in young morbidly obese patients scheduled for bariatric surgery: A randomised controlled trial
BACKGROUND Bariatric surgery is a well established treatment of the obese. Postoperative respiratory failure and airway obstruction after bariatric surgery can often be attributed to the residual depressant effects of anaesthetics, sedatives and opioids. Peri-operative management of morbidly obese patients is still a concern for operating room professionals. OBJECTIVE The evaluation of the effects of doxapram on the outcomes of general anaesthesia following bariatric surgical procedures in the morbidly obese. DESIGN A single-blind randomised controlled trial with two parallel arms. SETTING A tertiary care teachi...
Source: European Journal of Anaesthesiology - May 11, 2020 Category: Anesthesiology Tags: Airway management Source Type: research