Two-handed jaw thrust decreases postoperative sore throat in patients undergoing double-lumen endobronchial intubation: A randomised study
BACKGROUND Tracheal intubation using a double-lumen endobronchial tube (DLT) causes postoperative sore throat. OBJECTIVE To determine the effect of two-handed jaw thrust on postoperative sore throat in patients requiring insertion of a DLT. DESIGN A randomised study. SETTING A tertiary teaching hospital from December 2017 to May 2018. PATIENTS One-hundred and six patients undergoing one-lung anaesthesia. INTERVENTIONS Patients were allocated to one of two groups (n=53 each). In the jaw thrust group, the two-handed jaw thrust manoeuvre was applied at intubation and advancement of the DLT. In the control gro...
Source: European Journal of Anaesthesiology - January 10, 2020 Category: Anesthesiology Tags: Airway management Source Type: research

Pre-operative transnasal endoscopy as a predictor of difficult airway: A prospective cohort study
CONCLUSION TFEL is a useful tool in predicting difficult intubation, improving predictability of routine bedside evaluation. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT02671877. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - January 10, 2020 Category: Anesthesiology Tags: Airway management Source Type: research

A novel method for ultrasound-guided radial artery cannulation in neonates by trainee anaesthesiologists: A randomised controlled trial
CONCLUSION Trainee anaesthesiologists can achieve higher success rates by using the Saline MDNTP-US technique instead of the MDNTP-US technique for radial artery catheterisation in neonates, taking less time with a lower incidence of complications. TRIAL REGISTRATION ChiCTR-IOR-17014119 (Chinese Clinical Trial Registry). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - January 10, 2020 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Intranasal dexmedetomidine premedication in children with recent upper respiratory tract infection undergoing interventional cardiac catheterisation: A randomised controlled trial
CONCLUSION Administration of intranasal DEX 1.5 μg kg−1 30 to 45 min before induction led to a reduction in the incidence of PRAE in children aged less than 3 years with recent URI undergoing interventional cardiac catheterisation. TRIAL REGISTRATION chictr.org.cn identifier: ChiCTR-RRC-17012519. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - January 10, 2020 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Hypoxia, hypercarbia, and mortality reporting in studies of anaesthesia-related neonatal neurodevelopmental delay in rodent models: A systematic review
CONCLUSION Hypoxia and hypercarbia have known apoptotic effects on developing brains. Hence, the inadequate control of hypercarbia and hypoxia in neonatal rodent models of anaesthetic exposure during spontaneous ventilation suggests that the evidence for developmental delay and neurotoxicity attributed to anaesthesia may not be valid in humans. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - January 10, 2020 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

The effects of sedatives, neuromuscular blocking agents and opioids on ventilator-associated events
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - January 10, 2020 Category: Anesthesiology Tags: Editorial Source Type: research

European Society of Anaesthesiology academy multimedia platform: An easy way to learn
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Media review Source Type: research

Reply to: effectiveness of a visual noise warning system on noise levels in a surgical ICU
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Effectiveness of a visual noise warning system on noise levels in a surgical ICU
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: caval aorta index as a predictor of hypotension after spinal anaesthesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Caval aorta index as a predictor of hypotension after spinal anaesthesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: bilateral subcostal transversus abdominis plane block as a component of multimodal analgesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Bilateral subcostal transversus abdominis plane block as a component of multimodal analgesia
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: high-flow nasal cannula oxygen therapy for modified electroconvulsive therapy
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

High-flow nasal cannula oxygen therapy for modified electroconvulsive therapy
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: comparing the analgesic efficacy of local infiltration analgesia vs. intrathecal morphine after total knee replacement
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Comparing the analgesic efficacy of infiltration analgesia vs. intrathecal morphine after total knee arthroplasty
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: pre-oxygenation by facemask or high-flow nasal oxygen
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Pre-oxygenation by facemask or high-flow nasal oxygen
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: will one hour less make any difference?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Will one hour less make any difference?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Comparison of neostigmine vs. sugammadex for recovery of muscle function after neuromuscular block by means of diaphragm ultrasonography in microlaryngeal surgery: A randomised controlled trial
BACKGROUND Postoperative residual curarisation (PORC) is a risk directly related to the use of neuromuscular blocking agents during surgical procedures. Acceleromyography is distressing for conscious patients when assessing PORC. Diaphragm ultrasonography could be a valid alternative. OBJECTIVES The primary objective was to achieve a 28% lower incidence of PORC in patients who, after rocuronium administration, received neostigmine or sugammadex at 30 min after surgery. To assess PORC, diaphragm ultrasonography was used, and thickening fractioning [the difference of thickness at the end of inspiration (TEI) and at th...
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Neuromuscular blocking agents Source Type: research

A comparison between the flexor hallucis brevis and adductor pollicis muscles in atracurium-induced neuromuscular blockade using acceleromyography: A prospective observational study
BACKGROUND Neuromuscular blockade (NMB) monitoring is essential to avoid residual NMB. While the adductor pollicis is the recommended site for monitoring recovery, it is not always accessible. The flexor hallucis brevis could be an interesting alternative. OBJECTIVE The aim of our study was to compare NMB onset and recovery at both sites. DESIGN Prospective observational study. SETTING Operating rooms at the University Hospital of Poitiers, France. PATIENTS Sixty patients scheduled for surgery under general anaesthesia with neuromuscular blocking agents were enrolled from January 2016 to September 2017. Data ...
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Neuromuscular blocking agents Source Type: research

Peri-operative serum lactate level and postoperative 90-day mortality in a surgical ICU: A retrospective association study
BACKGROUND There is inadequate information on the association of pre-operative and postoperative peak level of lactate with mortality of surgical ICU patients. OBJECTIVE To investigate the association between peri-operative lactate level and 90-day mortality in patients admtted to the surgical ICU. DESIGN Retrospective cohort study. SETTING ICUs in single tertiary academic hospital. PATIENTS Adult patients postoperatively admitted to the ICU between January 2012 and December 2017. INTERVENTION None. MAIN OUTCOME MEASURES Hazard ratios of 90-day mortality according to the following serum lactate levels w...
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Intensive care Source Type: research

Reintubation in the ICU following cardiac surgery: is it more difficult than first-time intubation in the operating room?: A prospective observational study
The objective of this study was to compare the initial intubation in the cardiac operating room with reintubation (if required) in the ICU following cardiac surgery. DESIGN A prospective, observational study. SETTING Department of Anesthesiology and Intensive Care Medicine, Clinical Hospital of Santiago, Spain. PATIENTS With approval of the local ethics committee, over a 44-month period, we prospectively enrolled all cardiac surgical patients who were intubated in the operating room using direct laryngoscopy, and who required reintubation later in the ICU. MAIN OUTCOME MEASURES The primary endpoint was to compa...
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Intensive care Source Type: research

Incidence and risk factors of postoperative delirium in patients admitted to the ICU after elective intracranial surgery: A prospective cohort study
CONCLUSION POD is prevalent in patients after elective intracranial surgery. The identified risk factors for and the potential association of POD with adverse outcomes suggest that a comprehensive strategy involving screening for predisposing factors and early prevention of modifiable factors should be established in this population. TRIAL REGISTRATION ClinicalTrials.gov NCT03087838. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

Preventive effect of dexmedetomidine on postictal delirium after electroconvulsive therapy: A randomised controlled study
BACKGROUND Postictal delirium (PID) is a relatively common complication following electroconvulsive therapy (ECT). OBJECTIVE We investigated whether prophylactic dexmedetomidine administration would safely decrease the incidence of PID in psychiatric patients after ECT. DESIGN A randomised, double-blind, placebo-controlled trial. PATIENTS A total of 223 patients undergoing ECT were randomly allocated to two groups. INTERVENTIONS Patients received 0.5 μg kg−1 dexmedetomidine (Dex group, n=111) or 0.9% sodium chloride (Con group, n=112) before ECT. Propofol was used for anaesthesia and succinylchol...
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

An arrow pointing somewhere: Qualitative study of the Helsinki declaration on patient safety and its role in European anaesthesiology
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - December 5, 2019 Category: Anesthesiology Tags: Editorial Source Type: research

Neuroanesthesia: A Problem-Based Learning Approach
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Book review Source Type: research

Tips and tricks: release of a tongue entrapped in a bottle with the use of positive pressure
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Skin-to-skin contact during caesarean delivery: An intriguing interaction between the mother and her child
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Evaluation of the association between voice formants and difficult facemask ventilation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Glottic visibility for laryngeal surgery: Tritube vs. microlaryngeal tube: A randomised controlled trial
BACKGROUND Good visibility is essential for successful laryngeal surgery. A Tritube with outer diameter 4.4 mm, combined with flow-controlled ventilation (FCV), enables ventilation by active expiration with a sealed trachea and may improve laryngeal visibility. OBJECTIVES We hypothesised that a Tritube with FCV would provide better laryngeal visibility and surgical conditions for laryngeal surgery than a conventional microlaryngeal tube (MLT) with volume-controlled ventilation (VCV). DESIGN Randomised, controlled trial. SETTING University Medical Centre. PATIENTS A total of 55 consecutive patients (>18 y...
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Airway management Source Type: research

Laryngeal Mask Airway Supreme vs. the Spritztube tracheal cannula in anaesthetised adult patients: A randomised controlled trial
CONCLUSION The Spritztube was as effective as the LMA-S in maintaining the airway with all patients being successfully ventilated without difficulty. The success rate of achieving a patent airway was comparable between the groups, with a similar occurrence of complications. TRIAL REGISTRATION NCT03443219. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Airway management Source Type: research

Patient safety and the role of the Helsinki Declaration on Patient Safety in Anaesthesiology: A European survey
CONCLUSION Many patient safety practices encouraged by the Declaration are well embedded in many European countries. The data have highlighted areas where there is still room for improvement. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Safety Source Type: research

Prehabilitation before major intra-abdominal cancer surgery: A systematic review of randomised controlled trials
CONCLUSION The content of prehabilitation programmes was heterogeneous. Studies with a high therapeutic validity found unequivocal evidence that prehabilitation had beneficial effects on postoperative outcomes. Future research should focus on adequate selection and inclusion of high-risk surgical patients and provide personalised and probably multimodal (partly) supervised prehabilitation, with objective monitoring of progress. Measuring the incidence and impact of postoperative complications may contribute to demonstrating the clinical value of prehabilitation. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

The role of goal-directed therapy in the prevention of acute kidney injury after major gastrointestinal surgery: Substudy of the OPTIMISE trial
CONCLUSION In this trial, GDT did not reduce the incidence of AKI amongst high-risk patients undergoing major gastrointestinal surgery. This may reflect improving standards in usual patient care. TRIAL REGISTRATION OPTIMISE Trial Registration ISRCTN04386758 (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Perioperative medicine Source Type: research

Laryngoscopic techniques modulate anaesthesiologists’ perception of halitosis in patients: A randomised controlled trial
BACKGROUND Perception of halitosis in patients during intubation is a common and additional stressor for anaesthesiologists and may lead to potential health risks. OBJECTIVES We hypothesised that intubation with videolaryngoscopy could help reduce the anaesthesiologists’ perception of patients’ oral malodor during intubation. DESIGN A single-blinded, randomised controlled trial. SETTING Single centre general hospital, Guangdong Province, China. PARTICIPANTS A total of 440 patients who underwent intubation under general anaesthesia for elective surgery, aged 18 to 60 years old, American Society of ...
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Original articles - Christmas issue Source Type: research

Thermochromic nail polish as a novel indicator to predict infraclavicular brachial plexus block success: A prospective cohort study
CONCLUSION The current study demonstrates that the colour change in thermochromic nail polish is a valid and reliable indicator for the prediction of block success. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT03767868. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Original articles - Christmas issue Source Type: research

Transcutaneous carbon dioxide measurements in fruits, vegetables and humans: A prospective observational study
BACKGROUND Transcutaneous carbon dioxide measurement (TcCO2) is frequently used as a surrogate for arterial blood gas sampling in adults and children with critical illness. Data from noninvasive TcCO2 monitoring assists with clinical decisions regarding mechanical ventilation settings, estimation of metabolic consumption and determination of adequate end-organ tissue perfusion. OBJECTIVES To report TcCO2 values obtained from various fruits, vegetables and elite critical care medicine specialists. DESIGN Prospective, observational, nonblinded cohort study. SETTINGS Single-centre, tertiary paediatric referral cent...
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Original articles - Christmas issue Source Type: research

The concept of peri-operative medicine to prevent major adverse events and improve outcome in surgical patients: A narrative review
Peri-operative Medicine is the patient-centred and value-based multidisciplinary peri-operative care of surgical patients. Peri-operative stress, that is the collective response to stimuli occurring before, during and after surgery, is, together with pre-existing comorbidities, the pathophysiological basis of major adverse events. The ultimate goal of Peri-operative Medicine is to promote high quality recovery after surgery. Clinical scores and/or biomarkers should be used to identify patients at high risk of developing major adverse events throughout the peri-operative period. Allocation of high-risk patients to specific ...
Source: European Journal of Anaesthesiology - November 3, 2019 Category: Anesthesiology Tags: Review article Source Type: research

Pre-operative ultrasonographic evaluation of inferior vena cava collapsibility index and caval aorta index as new predictors for hypotension after induction of spinal anaesthesia: A prospective observational study: erratum
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Erratum Source Type: research

Core topics in anaesthesia and peri-operative care of the morbidly obese surgical patient
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Book review Source Type: research

Myocardial injury and anaemia in patients undergoing surgery for fractured neck of femur: An observational study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Prolonged muscle relaxation following succinylcholine administration in a cirrhotic patient: A case report
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

European anaesthetists’ preferences to front of neck access in a ‘cannot intubate, cannot oxygenate’ situation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Association between intra-operative fentanyl dosing and postoperative nausea/vomiting and pain: A prospective cohort study
CONCLUSION Even when using propofol and antiemetic agents, PONV within the first 24 h remained higher than expected. Intra-operative fentanyl, a modifiable risk factor, is associated with the incidence of PONV and postoperative pain. TRIAL REGISTRATION ClinicalTrials.gov, NCT03201315. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Postoperative pain Source Type: research

Effects of depth of neuromuscular block on postoperative pain during laparoscopic gastrectomy: A randomised controlled trial
BACKGROUND Evidence on whether the use of deep neuromuscular block (NMB) influences postoperative pain after laparoscopic surgery is limited, and existing studies have shown conflicting results. We studied the effect of the depth of NMB during laparoscopic gastrectomy on postoperative pain. OBJECTIVE The aim of this study was to evaluate the effect of depth of NMB during laparoscopic gastrectomy on postoperative pain by allocating patients randomly to either deep or moderate NMB with a standard-pressure pneumoperitoneum. DESIGN A randomised, controlled, double-blind study. SETTING A university-affiliated hospita...
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Postoperative pain Source Type: research

Effectiveness of a visual noise warning system on noise levels in a surgical ICU: A quality improvement programme
CONCLUSION Visual noise warning systems can be effective in achieving a reduction in noise levels in critical care units. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Work environment Source Type: research

Preparation of anaesthesia workstation for trigger-free anaesthesia: An observational laboratory study
BACKGROUND Trigger-free anaesthesia is required for patients who are susceptible to malignant hyperthermia. Therefore, all trace of volatile anaesthetics should be removed from anaesthetic machines before induction of anaesthesia. Because the washout procedure is time consuming, activated charcoal filters have been introduced, but never tested under minimal flow conditions. OBJECTIVE To investigate performance of activated charcoal filters during long duration (24 h) simulated ventilation. DESIGN A bench study. SETTING A Primus anaesthesia machine (Dräger) was contaminated with either 4% sevoflurane or 8%...
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Work environment Source Type: research