The science behind banning desflurane: A narrative review
Potent inhaled anaesthetics are halogenated hydrocarbons with a large global warming effect. The use of fluorinated hydrocarbons (most are not anaesthetics) are being restricted but volatile anaesthetics have been exempted from legislation, until now: the EU has formulated a proposal to ban or at least severely restrict the use of desflurane starting January 2026. This narrative review addresses the implications of a politics-driven decision – without prior consultation with major stakeholders, such as the European Society of Anaesthesiology and Intensive Care (ESAIC) – on daily anaesthesia practice and reviews the pot...
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Anaesthesia Source Type: research

Randomised comparison between superior trunk and costoclavicular blocks for arthroscopic shoulder surgery: A noninferiority study
BACKGROUND Superior trunk block (STB) provides noninferior analgesia to the interscalene block and reduces the risk of hemidiaphragmatic paralysis (HDP). Recently, supraclavicular spreading has also been shown to occur during costoclavicular block (CCB), presenting as an alternative analgesic technique for shoulder surgery. OBJECTIVE The aim of this study was to determine whether there is a difference in postoperative pain scores and HDP incidence between STB and CCB. DESIGN Prospective randomised controlled trial. SETTING Chungnam National University Hospital in Daejeon from January to July 2021. ...
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Regional anaesthesia Source Type: research

Ultrasound-guided selective trunk block: Evaluation of ipsilateral sensorimotor block dynamics, hemidiaphragmatic function and efficacy for upper extremity surgery. A single-centre cohort study
CONCLUSION SeTB produces sensorimotor blockade of the entire upper extremity, causes ipsilateral HDP, and is effective as the sole anaesthetic for surgery from the proximal humerus to the hand. TRIAL REGISTRION ClinicalTrials.gov, Trial Registration No: NCT 04752410, Date submitted for Registration: 09 February 2021, Date first posted: 12 February 2021, Dates of patient enrolment: 19 February 2021 to 27 July 2021 (https://clinicaltrials.gov/ct2/show/NCT04752410). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Regional anaesthesia Source Type: research

Intensive care medicine in Europe: perspectives from the European Society of Anaesthesiology and Intensive Care
CONCLUSION Amongst the 42 European national societies surveyed (41 members of ESAIC-NASC plus Luxembourg), nineteen (45%) also include terms related to critical care medicine or ICM in their names, seven (17%) include terms related to reanimation and three (7%) to resuscitation. In recent years, several national societies revised their names to better reflect their gradual embrace of peri-operative medicine, ICM, CREM and pain management. Approximately 70% of ICU beds in Europe, and 100% in Scandinavia, are being run by anaesthesiologists, the remaining 30% being managed by physicians from other surgical or medical spe...
Source: European Journal of Anaesthesiology - September 15, 2022 Category: Anesthesiology Tags: Intensive care medicine Source Type: research

A guide to pediatric anesthesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Book reviews Source Type: research

Thoracic anesthesia procedures
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Book reviews Source Type: research

Response to: Should we infuse more fluids in liver resection?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Short scientific reports and Correspondence Source Type: research

Should we infuse more fluids in liver resection surgery?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Short scientific reports and Correspondence Source Type: research

Assessment of inter-rater agreement of the American Society of Anesthesiologists physical status classification system in a women's tertiary hospital: An observational study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Short scientific reports and Correspondence Source Type: research

The duration of procedural sedation and the incidence of hypoxaemic events: A retrospective cohort study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Short scientific reports and Correspondence Source Type: research

Differential regional cerebrovascular reactivity to end-tidal gas combinations commonly seen during anaesthesia: A blood oxygenation level-dependent MRI observational study in awake adult subjects
We examined awake participants under carefully controlled end-tidal gas concentrations to assess how regional CVR changes may present with end-tidal gas changes seen commonly with anaesthesia. DESIGN Observational study. SETTING Tertiary care centre, Winnipeg, Canada. The imaging for the study occurred in 2019. SUBJECTS Twelve healthy adult subjects. INTERVENTIONS Cerebral BOLD response was studied under two end-tidal gas paradigms. First end-tidal oxygen (ETO2) maintained stable whereas ETCO2 increased incrementally from hypocapnia to hypercapnia (CO2 ramp); second ETCO2 maintained stable where...
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Anaesthesia Source Type: research

Machine learning-based prediction of massive perioperative allogeneic blood transfusion in cardiac surgery
CONCLUSION Machine learning models may provide clinical decision support as to which patients to focus on for perioperative preventive treatment in order to preemptively reduce massive perioperative allogeneic blood transfusion by predicting, which patients are not at risk. TRIAL REGISTRATION Johannes Kepler University Ethics Committee Study Number 1091/2021, Clinicaltrials.gov identifier NCT04856618. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Artificial intelligence Source Type: research

Artificial intelligence using deep neural network learning for automatic location of the interscalene brachial plexus in ultrasound images
BACKGROUND Identifying the interscalene brachial plexus can be challenging during ultrasound-guided interscalene block. OBJECTIVE We hypothesised that an algorithm based on deep learning could locate the interscalene brachial plexus in ultrasound images better than a nonexpert anaesthesiologist, thus possessing the potential to aid anaesthesiologists. DESIGN Observational study. SETTING A tertiary hospital in Shanghai, China. PATIENTS Patients undergoing elective surgery. INTERVENTIONS Ultrasound images at the interscalene level were collected from patients. Two independent image data...
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Artificial intelligence Source Type: research

Pain management after total knee arthroplasty: PROcedure SPEcific Postoperative Pain ManagemenT recommendations
CONCLUSION The present review identified an optimal analgesic regimen for unilateral primary TKA. Future studies to evaluate enhanced recovery programs and specific challenging patient groups are needed. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Pain Source Type: research

Effect of intravenous lidocaine on pain after head and neck cancer surgery (ELICO trial): A randomised controlled trial
CONCLUSION Intravenous lidocaine in ENT cancer surgery did not show any additional analgesic or morphine-sparing effect 48 h after surgery. Three to six months after surgery, there was no significant difference in pain scores or consumption of analgesics. Patients treated pre-operatively with opioids were not evaluated in the study. TRIAL REGISTRATION Clinicaltrials.gov identifier: NCT02894710 and EUDRACT number 2015-005799-90. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 4, 2022 Category: Anesthesiology Tags: Pain Source Type: research