Comparison of the ease of tracheal intubation using a McGrath Mac videolaryngoscope and a standard Macintosh laryngoscope in normal airways: A randomised trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Limited maximal mouth opening in patients with spinal muscular atrophy complicates endotracheal intubation: An observational study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

The performance of ultrasound-based quantification of the hyomental distance ratio in predicting difficult airway in anaesthesia: A STARD-compliant prospective diagnostic study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Level of agreement between laboratory and point-of-care prothrombin time in patients after stopping or continuation of acenocoumarol anticoagulation: A comparison of diagnostic accuracy
CONCLUSION The current study shows a good level of agreement and clinical accuracy between the laboratory and POC-INR in patients who stopped anticoagulation intake for surgery. However, in patients who continued their anticoagulation therapy, the agreement between the two methods was less accurate. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Coagulation Source Type: research

Adjusted calculation model of heparin management during cardiopulmonary bypass in obese patients: A randomised controlled trial
BACKGROUND Anticoagulation during cardiopulmonary bypass (CPB) is usually adapted to total body weight (TBW). This may be inaccurate in obese patients and lead to heparin overdose with a risk of bleeding. OBJECTIVES To validate the efficacy and safety of an adjusted calculation model of heparin dosing based on ideal body weight (IBW) rather than TBW in obese CPB patients, with an expected target mean plasma heparin concentration of 4.5 IU ml−1 after onset of CPB in the experimental group. DESIGN Randomised controlled study. SETTING University hospital. PATIENTS Sixty obese patients (BMI ≥ 30...
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Coagulation Source Type: research

Evaluation of two neck ultrasound measurements as predictors of difficult direct laryngoscopy: A prospective observational study
CONCLUSION Airways ultrasounds might be considered as a predictor of restricted/difficult laryngoscopy and unpredicted difficult intubation. TRIAL REGISTRATION ClinicalTrials.gov: NCT03547193. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Airway management Source Type: research

Comparison of the laryngeal mask airway supreme and the i-gel in paralysed elderly patients: A randomised controlled trial
BACKGROUND The laryngeal mask airway supreme (LMA-S) and i-gel are both popular second-generation supraglottic airway devices that have been widely studied in surgical patients, but their differences in clinical performance in the elderly are not clear. OBJECTIVE We compared the efficacy and safety of the LMA-S and i-gel in anaesthetised and paralysed elderly patients. DESIGN A randomised study. SETTING Single-centre trial, study period January 2014 from to October 2016. PATIENTS One hundred and six elderly patients who underwent urological or orthopaedic surgery with an expected duration less than 2 h. IN...
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Airway management Source Type: research

Emergence times and airway reactions during general anaesthesia with remifentanil and a laryngeal mask airway: A multicentre randomised controlled trial
This study was powered for the primary outcome ‘time to state date of birth’ and the secondary outcome ‘intra-operative cough’. Time to emergence from anaesthesia and the incidence of upper airway complications were assessed on the day of surgery. RESULTS The primary outcome was analysed for 343 patients: desflurane (n=114), sevoflurane (n=111) and propofol (n=118). The desflurane group had the fastest emergence. The mean (± SD) times to state the date of birth following desflurane, sevoflurane and propofol were 8.1 ± 3.6, 10.1 ± 4.0 and 9.8 ± 5.1 min, re...
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Airway management Source Type: research

Low perfusion pressure is associated with renal tubular injury in infants undergoing cardiac surgery with cardiopulmonary bypass: A secondary analysis of an observational study
CONCLUSION Maintaining the perfusion pressure above 60% of the normal age-standardised mean arterial pressure may provide an effective renal protective strategy. TRIAL REGISTRATION Registered on October 11, 2010, ClinicalTrials.gov Identifier: NCT01219998. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Lung recruitment prevents collapse during laparoscopy in children: A randomised controlled trial
BACKGROUND Capnoperitoneum and anaesthesia impair lung aeration during laparoscopy in children. These changes can be detected and monitored at the bedside by lung ultrasound (LUS). OBJECTIVE The aim of our study was to assess the impact of general anaesthesia and capnoperitoneum on lung collapse and the potential preventive effect of lung recruitment manoeuvres, using LUS in children undergoing laparoscopy. DESIGN Randomised controlled study. SETTING Single-institution study, community hospital, Mar del Plata, Argentina. PATIENTS Forty-two children American Society of Anesthesiologists I–II aged 6 month...
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

A modified CO2/O2 Guedel airway improves capnographic accuracy compared with a CO2/O2 nasal cannula: An infant manikin study
BACKGROUND Capnography via a CO2/O2 nasal cannula is commonly used for respiratory monitoring during sedation. However, signal disturbances are frequently encountered, especially in young children. OBJECTIVE Sampling ports placed closer to the trachea have been shown to result in improved signal quality. In a manikin model of a 6-month-old infant we compared capnography from a modified Guedel airway with a CO2 port located at the tip with that from a CO2/O2 nasal cannula. DESIGN A comparison study using an artificial model of a breathing 6-month-old infant. SETTING Department of Paediatrics, Inselspital Bern, Sw...
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

The emergency paediatric surgical airway: A systematic review
CONCLUSION The absence of best practice evidence necessitates further studies to provide a clear advice on best practice management for the paediatric emergency surgical airway in the CICO scenario. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Cannot oxygenate, cannot intubate in small children: Urgent need for better data!
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Invited commentary Source Type: research

Anaesthesiology and ethics: Autonomy in childbirth
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 5, 2018 Category: Anesthesiology Tags: Editorial Source Type: research

Supraglottic airways: One size does not fit all
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Standardised pain management decreases expenses on analgesics: results from a 5-year programme at a university hospital
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Evaluation of transversus abdominis plane block in open appendectomy in paediatrics: Comparison of ropivacaine in two different concentrations
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Anaesthesia and orphan diseases: anaesthetic management of a patient with X-linked Charcot–Marie–Tooth disease type 1
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Anaesthesia and orphan diseases: difficult tracheal intubation in a child with Frank–ter Haar syndrome
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Severe and persistent morphine-induced respiratory depression associated with ATP-Binding Cassette Subfamily B Member 1 and catechol-O-methyltransferase genetic defects: A case report
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Fasting before elective surgery does not result in hypovolaemia: A prospective, observational study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Low anaesthetic waste gas concentrations in postanaesthesia care unit: A prospective observational study
CONCLUSION Low trace amounts of sevoflurane were detected in both PACUs equipped with controlled air exchange systems. Occupational exposure limits were not exceeded. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Deontology and safety Source Type: research

For beginners in anaesthesia, self-training with an audiovisual checklist improves safety during anaesthesia induction: A randomised, controlled two-centre study
CONCLUSION The use of an audiovisual self-training checklists improves safety-relevant behaviour in the early stages of a residency training programme in anaesthesia. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Deontology and safety Source Type: research

Self-confidence and level of knowledge after cardiopulmonary resuscitation training in 14 to 18-year-old schoolchildren: A randomised-interventional controlled study in secondary schools in Germany
BACKGROUND Education of schoolchildren in cardiopulmonary resuscitation (CPR) is a strategic goal for improvement of bystander CPR in society. OBJECTIVE(S) The primary objective was to analyse the impact of CPR training on the resuscitation knowledge and self-confidence of secondary schoolchildren. In addition, independent predictors of improved CPR knowledge and self-confidence were investigated. DESIGN Randomised-interventional controlled study. SETTING Four secondary schools in Germany. PARTICIPANTS Four hundred and twenty-four schoolchildren aged from 14 to 18 years were included into the study. Fifty-one...
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Deontology and safety Source Type: research

Patient factors and outcomes associated with the withdrawal or withholding of life-sustaining therapies in mechanically ventilated brain-injured patients: An observational multicentre study
BACKGROUND Knowledge of the factors associated with the decision to withdraw or withhold life support (WWLS) in brain-injured patients is limited. However, most deaths in these patients may involve such a decision. OBJECTIVES To identify factors associated with the decision to WWLS in brain-injured patients requiring mechanical ventilation who survive the first 24 h in the ICU, and to analyse the outcomes and time to death. DESIGN A retrospective observational multicentre study. SETTINGS Twenty French ICUs in 18 university hospitals. PATIENTS A total of 793 mechanically ventilated brain-injured adult patien...
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Deontology and safety Source Type: research

Toll-like receptor 4 deficient mice do not develop remifentanil-induced mechanical hyperalgesia: An experimental randomised animal study
CONCLUSION Tlr4 receptor involvement is suggested in the development of remifentanil-induced hyperalgesia in mice. TRIAL REGISTRATION CEA-UCM 107/2012. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Genetics Source Type: research

Opioid-related genetic polymorphisms do not influence postoperative opioid requirement: A prospective observational study
CONCLUSION No major relationship has been demonstrated between SNP of OPRM1, ABCB1, COMT and morphine requirement, pain level or adverse effects in the postoperative period. TRIAL REGISTRATION NCT00822549 (www.clinicaltrials.gov). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Genetics Source Type: research

Safety and efficacy of peri-operative administration of hydroxyethyl starch in children undergoing surgery: A systematic review and meta-analysis
CONCLUSION Intravascular volume expansion with low molecular weight 6% HES did not appear to modify renal function, blood loss or transfusion when administered to children during the peri-operative period. However, given the lack of statistical power and the very low GRADE quality of evidence, more high-quality RCTs are needed to explore these outcomes. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Fluids Source Type: research

Does goal-directed haemodynamic and fluid therapy improve peri-operative outcomes?: A systematic review and meta-analysis
CONCLUSION Peri-operative modern goal-directed therapy reduces morbidity and mortality. Importantly, the quality of evidence was low to very low (e.g. Grading of Recommendations, Assessment, Development and Evaluation scoring), and there was much clinical heterogeneity among the goal-directed therapy devices and protocols. Additional well designed and adequately powered trials on peri-operative goal-directed therapy are necessary. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Fluids Source Type: research

Peri-operative goal-directed therapy: A definitive answer remains elusive
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2018 Category: Anesthesiology Tags: Invited commentary Source Type: research

Anaesthesia in High-Risk Patients
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 1, 2018 Category: Anesthesiology Tags: Book Review Source Type: research

Pre-operative evaluation of adults undergoing elective noncardiac surgery: Updated guideline from the European Society of Anaesthesiology
This article aims to provide an overview of current knowledge on the subject with an assessment of the quality of the evidence in order to allow anaesthesiologists all over Europe to integrate – wherever possible – this knowledge into daily patient care. The Guidelines Committee of the ESA formed a task force comprising members of the previous task force, members of ESA scientific subcommittees and an open call for volunteers was made to all individual active members of the ESA and national societies. Electronic databases were searched from July 2010 (end of the literature search of the previous ESA guidelines ...
Source: European Journal of Anaesthesiology - May 1, 2018 Category: Anesthesiology Tags: Guidelines Source Type: research

Pre-operative evaluation of the adult patient undergoing elective noncardiac surgery: updated guideline from the European Society of AnaesthesiologyDirection and not directives
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - May 1, 2018 Category: Anesthesiology Tags: Invited Commentary Source Type: research

Economic evaluation of bilateral sternal local anaesthetic infusions via multi-hole catheters after cardiac surgery
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

The trapezius plane block: a technique for regional anaesthesia of the superficial posterior thorax
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Intubation with cervical spine immobilisation: a comparison between the KingVision videolaryngoscope and the Macintosh laryngoscopeA randomised controlled trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: what is more important, cost or effectiveness?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

What is more important, cost or effectiveness?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Comparison of double intravenous vasopressor automated system using nexfin versus manual vasopressor bolus administration for maintenance of haemodynamic stability during spinal anaesthesia for caesarean delivery: A randomised double-blind controlled trial
BACKGROUND Hypotension is a common side effect of spinal anaesthesia during caesarean delivery and is associated with maternal and foetal adverse effects. We developed an updated double intravenous vasopressor automated (DIVA) system that administers phenylephrine or ephedrine based on continuous noninvasive haemodynamic monitoring using the Nexfin device. OBJECTIVE The aim of our present study is to compare the performance and reliability of the DIVA system against Manual Vasopressor Bolus administration. DESIGN A randomised, double-blind controlled trial. SETTING Single-centre, KK Women's and Children's Hospit...
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Obstetric anaesthesia Source Type: research

Ultrasound examination of the antrum to predict gastric content volume in the third trimester of pregnancy as assessed by MRI: A prospective cohort study
CONCLUSION We report a new mathematical model predictive of GCV in women in the third trimester of pregnancy. Furthermore, the combination of the qualitative and the quantitative ultrasound examination of the gastric antrum might be useful to assess gastric fluid volume in pregnant women. TRIAL REGISTRATION ANSM Register N°2015-A00800-49 (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Obstetric anaesthesia Source Type: research

Dexmedetomidine as a part of general anaesthesia for caesarean delivery in patients with pre-eclampsia: A randomised double-blinded trial
CONCLUSION Administration of dexmedetomidine in doses 0.4 and 0.6 μg kg−1 h−1 was associated with haemodynamic and hormonal stability, without causing significant adverse neonatal outcome. TRIAL REGISTRATION Pan African Clinical Trial Registry (PACTR201706002303170), (www.pactr.org). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Obstetric anaesthesia Source Type: research

Prediction of bilateral cerebral oxygen desaturations from a single sensor in adult cardiac surgery: A prospective observational study
CONCLUSION In cardiac surgery patients in whom there is difficulty in accommodating two rcSO2 probes, a single lateral probe can effectively measure bilateral rcSO2 in specific scenarios. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Cardiac anaesthesia Source Type: research

Microvascular reactivity, assessed by near-infrared spectroscopy and a vascular occlusion test, is associated with patient outcomes following cardiac surgery: A prospective observational study
CONCLUSION In the early postoperative period following cardiac surgery, changes in thenar and forearm tissue oxygenation variables are associated with patient resource utilisation outcomes. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Cardiac anaesthesia Source Type: research

Oesophageal or transgastric views for estimating mean pulmonary artery pressure with transoesophageal echocardiography: A prospective observational study
CONCLUSION Oesophageal and transgastric measurements of PAT have close agreement and a similar high ability to discriminate between people with and without pulmonary hypertension. The transgastric measurement was unobtainable in a small percentage of patients and required more probe manipulation. We would recommend PAT measurement in the upper oesophageal view. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Cardiac anaesthesia Source Type: research

Intra-operative lidocaine in the prevention of vomiting after elective tonsillectomy in children: A randomised controlled trial
CONCLUSION Using an intravenous lidocaine infusion as an adjuvant to general anaesthesia decreased POV in children undergoing elective tonsillectomy. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT01986309. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Ponv Source Type: research

Postoperative nausea and vomiting after unrestricted clear fluids before day surgery: A retrospective analysis
CONCLUSION Our data suggest that the liberal consumption of clear fluids before the induction of scheduled day case anaesthesia reduced the rates of postoperative nausea and vomiting. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Ponv Source Type: research

Free pre-operative clear fluids before day-surgery?: Challenging the dogma
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Invited commentary Source Type: research

Improving detection of patient deterioration in the general hospital ward environment
Patient monitoring on low acuity general hospital wards is currently based largely on intermittent observations and measurements of simple variables, such as blood pressure and temperature, by nursing staff. Often several hours can pass between such measurements and patient deterioration can go unnoticed. Moreover, the integration and interpretation of the information gleaned through these measurements remains highly dependent on clinical judgement. More intensive monitoring, which is commonly used in peri-operative and intensive care settings, is more likely to lead to the early identification of patients who are developi...
Source: European Journal of Anaesthesiology - April 3, 2018 Category: Anesthesiology Tags: Review article Source Type: research

Reply to: is the Arné risk index a valid predictor for difficult intubation with indirect laryngoscopy?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 1, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research

Is the Arné risk index a valid predictor for difficult intubation with indirect laryngoscopy?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - March 1, 2018 Category: Anesthesiology Tags: Correspondence Source Type: research