Individualised flow-controlled ventilation versus pressure-controlled ventilation in a porcine model of thoracic surgery requiring one-lung ventilation: A laboratory study
BACKGROUND Flow-controlled ventilation (FCV) enables precise determination of dynamic compliance due to a continuous flow coupled with direct tracheal pressure measurement. Thus, pressure settings can be adjusted accordingly in an individualised approach. OBJECTIVE The aim of this study was to compare gas exchange of individualised FCV to pressure-controlled ventilation (PCV) in a porcine model of simulated thoracic surgery requiring one-lung ventilation (OLV). DESIGN Controlled interventional trial conducted on 16 domestic pigs. SETTING Animal operating facility at the Medical University of Innsbr...
Source: European Journal of Anaesthesiology - October 6, 2022 Category: Anesthesiology Tags: Ventilation Source Type: research

Distribution of ventilation and oxygenation in surgical obese patients ventilated with high versus low positive end-expiratory pressure: A substudy of a randomised controlled trial
BACKGROUND Intra-operative ventilation using low/physiological tidal volume and positive end-expiratory pressure (PEEP) with periodic alveolar recruitment manoeuvres (ARMs) is recommended in obese surgery patients. OBJECTIVES To investigate the effects of PEEP levels and ARMs on ventilation distribution, oxygenation, haemodynamic parameters and cerebral oximetry. DESIGN A substudy of a randomised controlled trial. SETTING Tertiary medical centre in Geneva, Switzerland, between 2015 and 2018. PATIENTS One hundred and sixty-two patients with a BMI at least 35 kg per square metre undergoing e...
Source: European Journal of Anaesthesiology - October 6, 2022 Category: Anesthesiology Tags: Ventilation Source Type: research

Atomised intranasal dexmedetomidine versus oral melatonin in prevention of emergence delirium in children undergoing ophthalmic surgery with sevoflurane: A randomised double-blind study
BACKGROUND Melatonin and dexmedetomidine have both been used as a premedication to decrease emergence delirium in children. The effectiveness of oral melatonin, compared with atomised intranasal dexmedetomidine, in this role is not well studied. OBJECTIVE To study the efficacy of pre-operative atomised intranasal dexmedetomidine versus oral melatonin in children scheduled for ophthalmic surgery under sevoflurane. DESIGN A prospective, randomised, double-blind trial. SETTING Ophthalmic surgery in a university teaching hospital, April 2021 to October 2021. PATIENTS A total of 120 children unde...
Source: European Journal of Anaesthesiology - October 6, 2022 Category: Anesthesiology Tags: Pediatrics Source Type: research

Efficacy of different doses of intranasal dexmedetomidine in preventing emergence agitation in children with inhalational anaesthesia: A prospective randomised trial
BACKGROUND Emergence agitation is a common paediatric complication after inhalational anaesthesia. Intranasal dexmedetomidine can prevent emergence agitation effectively, but the optimal dose is uncertain. OBJECTIVE The aim of our study was to investigate the 95% effective dose (ED95) of intranasal dexmedetomidine for the prevention of emergence agitation after inhalational anaesthesia for paediatric ambulatory surgery. DESIGN A prospective, randomised, placebo-controlled, double-blind, clinical trial. SETTING The study was conducted in Guangzhou Women and Children's Medical Center in China from Au...
Source: European Journal of Anaesthesiology - October 6, 2022 Category: Anesthesiology Tags: Pediatrics Source Type: research

A new noninvasive finger sensor (NICCI system) for continuous blood pressure and pulse pressure variation monitoring: A method comparison study in patients having neurosurgery
CONCLUSIONS The absolute agreement between BPNICCI and BPART was not clinically acceptable. We recommend not using the current version of the NICCI system for blood pressure monitoring during surgery. The absolute agreement between PPVNICCI and PPVART was clinically acceptable with moderate predictive agreement regarding pulse pressure variation categories. The NICCI system needs to be further developed and re-evaluated when an improved version is available. TRIAL REGISTRATION The study was registered in the German Clinical Trials Register (DRKS00023188) on 2 October 2020. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 6, 2022 Category: Anesthesiology Tags: Haemodynamics Source Type: research

Stoelting's Anesthesia and Co-Existing Disease
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Book review Source Type: research

Reply to: Ketamine-based analgosedation for dressing changes in burn patients
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Short scientific reports and correspondence Source Type: research

Ketamine-based analgosedation for dressing changes in burn patients
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Short scientific reports and correspondence Source Type: research

What compromised the effect of reducing atelectasis by lung protective ventilation?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Short scientific reports and correspondence Source Type: research

Effects of intra-operative ventilation with positive end-expiratory pressure on peri-operative fluid and vasopressor management in patients undergoing minimally invasive oesophagectomy: posthoc analysis of a randomised clinical trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Short scientific reports and correspondence Source Type: research

Comparison of bolus versus continuous infusion of intravenous ketamine on desflurane administration during major surgery
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Short scientific reports and correspondence Source Type: research

The anesthesiologist and global climate change: An ethical obligation to act and being scientifically rigorous
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Short scientific reports and correspondence Source Type: research

Regional tissue oxygen saturation after costoclavicular brachial plexus block: A prospective nonrandomised study of intervention
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Short scientific reports and correspondence Source Type: research

Controlled mechanical ventilation through a narrow bore lumen during tracheal surgery: A prospective observational study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Short scientific reports and correspondence Source Type: research

Anaesthesia for elite athletes
CONCLUSION This literature review aims to serve as a guide for the anaesthesiologist taking care of the elite athlete. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Anaesthesia Source Type: research