Preventing hypothermia in outpatient plastic surgery by self-warming or forced-air-warming blanket: A randomised controlled trial
BACKGROUND In our outpatient post anaesthesia unit patients reported that they were feeling cold with or without shivering. Anaesthetic agents cause reduced thermoregulation, initially by redistribution of blood flow from core to periphery, later by negative balance between thermogenesis and heat loss. Even mild peri-operative hypothermia increases the risk of surgical wound infections, bleeding, impaired cardiac function, shivering, and decreases comfort. OBJECTIVE(S) We aimed to evaluate which of our current active warming measures, self-warming blanket or forced-air-warming blanket, were most effective in preventin...
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Work environment Source Type: research

Comparison between the new fully automated viscoelastic coagulation analysers TEG 6s and ROTEM Sigma in trauma patients: A prospective observational study
CONCLUSION Strong to very strong correlations were observed between corresponding TEG 6s and ROTEM Sigma parameters. However, absolute values showed significant differences for most of the measurements. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Coagulation Source Type: research

The use of a thromboelastometry-based algorithm reduces the need for blood product transfusion during orthotopic liver transplantation: A randomised controlled study
BACKGROUND Orthotopic liver transplantation is associated with a risk of bleeding. Coagulation in cirrhotic patients is difficult to assess with standard coagulation tests because of rebalanced coagulation. This can be better assessed by thromboelastometry which can detect coagulation impairments more specifically in such patients. OBJECTIVES Our first objective was to compare the number of units of blood products transfused during liver transplantation when using an algorithm based on standard coagulation tests or a thromboelastometry-guided transfusion algorithm. DESIGN Randomised controlled trial. SETTING Sin...
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Coagulation Source Type: research

Allogeneic red cell transfusion and its influence on relevant humoral and cellular immunological parameters: A prospective observational trial
CONCLUSION Our data indicate that red cell transfusion alone does not create an immunological response in otherwise healthy surgical patients. Our findings do not generally contradict the transfusion-related immunomodulation phenomenon, which has, however, primarily been observed in patients with an already weakened or procedure-deteriorated immune system, such as from malignant disease, significant comorbidity, extensive abdominal/thoracic surgery and cardiopulmonary bypass. TRIAL REGISTRATION The study was registered on 15 May 2014, before enrolment of the first patient, at www.ClinicalTrials.gov, NCT02140216. (Sour...
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Coagulation Source Type: research

The challenge of the predatory open-access publishing outbreak
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Editorials Source Type: research

How to avoid predatory and hijacking publishers?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Editorials Source Type: research

A predatory world
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - October 7, 2019 Category: Anesthesiology Tags: Invited commentary Source Type: research

Changes in caesarean section anaesthesia between 2011 and 2015: Czech and Slovak national surveys
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

The anaesthetic and analgesic effects of pectoral nerve and parasternal block combination for patients undergoing breast cancer surgery: A phase II study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Persistent postoperative pain after ambulatory paediatric surgery
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Potential beneficial effect of pre-operative nebulisation of corticosteroids in children with upper respiratory tract infection
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Ipsilateral hemidiaphragmatic paresis after a supraclavicular and costoclavicular brachial plexus block: A randomised observer blinded study
CONCLUSION Costoclavicular BPB produces a lower incidence of ipsilateral PNP than a supraclavicular BPB. NAME OF REGISTRY Clinical Trial Registry of India. IDENTIFIER CTRI/2017/09/009763. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Loco-regional anaesthesia Source Type: research

Analgesic efficacy of ultrasound-guided interscalene block vs. supraclavicular block for ambulatory arthroscopic rotator cuff repair: A randomised noninferiority study
BACKGROUND Ultrasound-guided interscalene block (ISB) is the reference technique for pain control after ambulatory upper limb surgery, but supraclavicular block (SCB) is an alternative. OBJECTIVES The aim of this study was to compare the efficacy of SCB vs. ISB in patients undergoing ambulatory arthroscopic rotator cuff repair (ARCR), with the hypothesis of noninferiority of SCB analgesia compared with ISB. DESIGN A randomised, single-blind, noninferiority study. SETTING Hôpital Privé Jean Mermoz, Centre Paul Santy, Lyon, France. PATIENTS Ambulatory ARCR patients. INTERVENTION Patients were ra...
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Loco-regional anaesthesia Source Type: research

Bilateral subcostal transversus abdominis plane block does not improve the postoperative analgesia provided by multimodal analgesia after laparoscopic cholecystectomy: A randomised placebo-controlled trial
BACKGROUND Laparoscopic cholecystectomy might be considered minor surgery, but it may result in severe postoperative pain. Subcostal transversus abdominis plane (TAP) block, which produces long-lasting supra-umbilical parietal analgesia, might improve analgesia after laparoscopic cholecystectomy. OBJECTIVE We investigated whether subcostal TAP block would reduce opioid consumption and pain after laparoscopic cholecystectomy in patients provided with multimodal analgesia. DESIGN A randomised, placebo-controlled, double-blind study. SETTING The study was conducted at a university teaching hospital from December 20...
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Loco-regional anaesthesia Source Type: research

Ultrasound-assisted vs. landmark-guided paramedian spinal anaesthesia in the elderly: A randomised controlled trial
BACKGROUND Neuraxial ultrasound might improve the efficacy of spinal anaesthesia but this has not been tested for the paramedian approach in the elderly. OBJECTIVE The current study aims to assess whether the ultrasound-assisted paramedian technique can decrease the number of needle passes required for success compared with the landmark-guided paramedian technique in the elderly. DESIGN Randomised controlled study. SETTING Single-institution, tertiary-level hospital in Seoul, Republic of Korea from October 2017 to January 2018. PATIENTS Eighty patients aged at least 60 years undergoing orthopaedic surgery. I...
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Loco-regional anaesthesia Source Type: research

Does programmed intermittent epidural bolus improve childbirth conditions of nulliparous women compared with patient-controlled epidural analgesia?: A multicentre, randomised, controlled, triple-blind study
CONCLUSION The mechanics of the second stage did not differ whether PIEB or PCEA was used. Analgesic conditions appeared to be superior with PIEB, especially at full dilation. TRIAL REGISTRATION NCT01856166. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Obstetric anaesthesia Source Type: research

Neuraxial labour analgesia is associated with a reduced risk of maternal depression at 2 years after childbirth: A multicentre, prospective, longitudinal study
CONCLUSION For nulliparous women with single-term cephalic pregnancy planning for vaginal delivery, the use of neuraxial analgesia during labour was associated with a reduced risk of maternal depression at 2 years after childbirth. TRIAL REGISTRATION www.chictr.org.cn: ChiCTR-OCH-14004888 and ClinicalTrials.gov: NCT02823418. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Obstetric anaesthesia Source Type: research

Guidewire-assisted vs. direct radial arterial cannulation in neonates and infants: A randomised controlled trial
CONCLUSION For radial artery cannulation in neonates and infants, guidewire-assisted radial artery cannulation showed superiority over the direct technique in terms of first-attempt success rate and overall success rate without delaying the procedure time. TRIAL REGISTRATION Clinicaltrials.gov (identifier: NCT03217019). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Virtual reality exposure before elective day care surgery to reduce anxiety and pain in children: A randomised controlled trial
CONCLUSION In children undergoing elective day care surgery, VRE did not have a beneficial effect on anxiety, pain, emergence delirium or parental anxiety. However, after more painful surgery, children in the VRE group needed rescue analgesia significantly less often, a clinically important finding because of the side effects associated with analgesic drugs. Options for future research are to include children with higher levels of anxiety and pain and to examine the timing and duration of VRE. TRIAL REGISTRATION Netherlands Trial Registry: NTR6116. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

The distance between the glottis and the cuff of a tracheal tube placed through three supraglottic airway devices in children: A randomised controlled trial
BACKGROUND After tracheal tube insertion via various types of supraglottic airway devices, the distance from the tube cuff to the vocal cords has not been evaluated in children. OBJECTIVES The aim of this study was to evaluate the position of a tracheal tube cuff relative to the glottis in children when one of three supraglottic airway devices (I-gel, AuraGain and air-Q laryngeal airway) are used as intubation conduits. DESIGN A randomised controlled trial. SETTING Tertiary children's hospital. PATIENTS Children aged less than 7 years. INTERVENTION In vivo fibre-optic assessment and in vitro measurement. ...
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Paediatric anaesthesia Source Type: research

Long-term neurocognitive impairment after general anaesthesia in childhood: Is obstructive sleep apnoea to blame?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 6, 2019 Category: Anesthesiology Tags: Editorial Source Type: research

Functional MRI: basic principles and emerging clinical applications for anaesthesiology and the neurological sciences
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Book review Source Type: research

Atypical clinical presentation of variant Creutzfeldt–Jakob disease
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Air embolism during venous sheath replacement
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Rhabdomyolysis and muscle infarcts associated with intra-operative compression
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Intra-operative rhabdomyolysis during upper limb surgery
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Peri-operative role of continuous positive airway pressure in mitigating respiratory side effects associated with interscalene brachial plexus block: A proof-of-concept study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Effects of pre-operative recreational smoked cannabis use on opioid consumption following inflammatory bowel disease surgery: A historical cohort study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Can quantitative sensory tests predict failed back surgery?: A prospective cohort study
CONCLUSION The study indicates that assessment of altered central pain processing using current QST is unlikely to identify patients at risk of FBSS and is therefore unlikely to inform clinical decisions. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Diagnostic and prediction Source Type: research

Pre-operative assessment of 30-day mortality risk after major surgery: the role of the quick sequential organ failure assessment: A retrospective observational study
This study investigated the relationship between pre-operative qSOFA scores and 30-day mortality after major surgery. It also evaluated the predictive value of qSOFA scores combined with the American Society of Anesthesiologists (ASA) physical status and Charlson comorbidity index (CCI). DESIGN A retrospective observational study. SETTING Single tertiary academic hospital. PATIENTS Medical records of patients who underwent major surgery (estimated blood loss>500 ml; surgery time>2 h) between January 2010 and December 2017 were examined. MAIN OUTCOME MEASURES The qSOFA score was measured within 24 h ...
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Diagnostic and prediction Source Type: research

Validation of 3-minute diagnostic interview for CAM-defined Delirium to detect postoperative delirium in the recovery room: A prospective diagnostic study
CONCLUSION In this diagnostic study, 3D-CAM showed strong performance for detection of POD in the recovery room. Due to the low training requirements, fast application and high sensitivity, it might be particularly appropriate for clinical staff with limited experience in the assessment of POD. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT02992717 (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Diagnostic and prediction Source Type: research

Colour Doppler ultrasound after major cardiac surgery improves diagnostic accuracy of the pulmonary infection score in acute respiratory failure: A prospective observational study
CONCLUSION Compared with sCPIS, LUS-sCPIS improved diagnostic accuracy in the detection of postoperative pneumonia in patients with acute respiratory failure after cardiac surgery. It could be a useful bedside tool to guide pneumonia management. TRIAL REGISTRATION Clinicaltrials.gov identifier: NCT03279887. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Diagnostic and prediction Source Type: research

Complex effects of continuous vasopressor infusion on fluid responsiveness during liver resection: A randomised controlled trial
CONCLUSION Continuous administration of phenylephrine increased fluid responsiveness during liver resection, suggesting complex effects of continuous vasopressor infusion involving changes in cardiac preload and afterload. TRIAL REGISTRATION UMIN000011024. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Pharmacology Source Type: research

Propofol intravenous anaesthesia with desflurane compared with desflurane alone on postoperative liver function after living-donor liver transplantation: A randomised controlled trial
CONCLUSION Despite the simultaneous administration of propofol infusion in both donors and recipients, no improvement in laboratory or surgical outcome was observed after LDLT compared with patients who received desflurane anaesthesia alone. TRIAL REGISTRATION NCT02504138 at clinicaltrials.gov. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Pharmacology Source Type: research

Effect of sevoflurane-based or propofol-based anaesthesia on the incidence of postoperative acute kidney injury: A retrospective propensity score-matched analysis
CONCLUSION In this retrospective study, no significant difference was found in the incidence of postoperative AKI after lung resection surgery between patients who received propofol-based TIVA and those who received sevoflurane-based inhalational anaesthesia. Considering the methodological limitation of this retrospective study, further studies are required to confirm these results. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Pharmacology Source Type: research

Comparison of low and high positive end-expiratory pressure during low tidal volume ventilation in robotic gynaecological surgical patients using electrical impedance tomography: A randomised controlled trial
BACKGROUND The appropriate level of positive end-expiratory pressure (PEEP) during intra-operative mechanical ventilation remains unclear. OBJECTIVE The aim of this study was to investigate the effects of different levels of PEEP with low tidal volume (low-VT) ventilation in a steep Trendelenburg position (30°) and pneumoperitoneum on oxygenation, respiratory mechanics and ventilation distribution using electrical impedance tomography. DESIGN A randomised controlled trial. SETTING Single university secondary care centre, conducted from January 2017 to December 2017. PATIENTS Forty female patients, aged 20...
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Ventilation Source Type: research

Comparison of a simplified nasal continuous positive airways pressure device with nasal cannula in obese patients undergoing colonoscopy during deep sedation: A randomised clinical trial
BACKGROUND Continuous positive airways pressure (CPAP) with a CPAP machine and mask has been shown to be more effective at minimising hypoxaemia than other devices under deep sedation. However, the efficacy of a new and simple CPAP device for spontaneously breathing obese patients during colonoscopy is unknown. OBJECTIVE We hypothesised that oxygenation and ventilation in obese patients under deep sedation during colonoscopy using CPAP via a new nasal mask (SuperNO2VA) would be better than routine care with oxygen supplementation via a nasal cannula. DESIGN Randomised study. SETTING Single-centre, June 2017 to O...
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Ventilation Source Type: research

Effect of positive end-expiratory pressure on gastric insufflation during induction of anaesthesia when using pressure-controlled ventilation via a face mask: A randomised controlled trial
BACKGROUND Face mask ventilation (FMV) during induction of anaesthesia is associated with risk of gastric insufflation that may lead to gastric regurgitation and pulmonary aspiration. A continuous positive airway pressure (CPAP) has been shown to reduce gastric regurgitation. We therefore hypothesised that CPAP followed by FMV with positive end-expiratory pressure (PEEP) during induction of anaesthesia would reduce the risk of gastric insufflation. OBJECTIVE The primary aim was to compare the incidence of gastric insufflation during FMV with a fixed PEEP level or zero PEEP (ZEEP) after anaesthesia induction. A seconda...
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Ventilation Source Type: research

Cannabis hyperalgesia: A phenomenon underestimated in the peri-operative period?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - August 1, 2019 Category: Anesthesiology Tags: Invited Commentary Source Type: research

Anaesthesia and orphan disease: Dubowitz syndrome
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

A possible treatment for propofol-induced neuroexcitation or propofol frenzy
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

The occurrence of myocardial injury after carotid endarterectomy: The result of routine troponin screening
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Management of neuraxial anaesthesia for intrapartum caesarean delivery based on the quality of epidural labour analgesia: A case series
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Pre-operative evaluation of microcirculation for the prediction of complications after cardiac surgery under extracorporeal circulation: Study protocol
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Diaphragmatic dysfunction following cardiac surgery: Observational study
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Correspondence Source Type: research

Effect of pre-operative oral carbohydrate loading on recovery after day-case cholecystectomy: A randomised controlled trial
CONCLUSION Compared with overnight fasting, pre-operative carbohydrate loading did not significantly enhance peri-operative well being or recovery in patients undergoing day-case cholecystectomy. TRIAL REGISTRATION Clinicaltrials.gov Identifier: NCT03757208. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Fluids Source Type: research

Effects of goal-directed crystalloid vs. colloid fluid therapy on microcirculation during free flap surgery: A randomised clinical trial
CONCLUSION Our results showed that when fluid management was guided by detailed haemodynamic assessment, more crystalloid than colloid was needed to maintain haemodynamic stability, but there was no difference between the effects of crystalloids and colloids on the microcirculation. TRIAL REGISTRATION ClinicalTrials.gov NCT03288051. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Fluids Source Type: research

Tidal volume challenge to predict fluid responsiveness in the operating room: An observational study
CONCLUSION The changes in PPV and SVV obtained after VTC are reliable and comparable to the changes in CI and SVI obtained after EEOT performed at 8 ml kg−1 PBW in predicting fluid responsiveness in neurosurgical patients. TRIAL REGISTRATION ACTRN12618000351213. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Fluids Source Type: research

The impact of a transversus abdominis plane block including clonidine vs. intrathecal morphine on nausea and vomiting after caesarean section: A randomised controlled trial
BACKGROUND Intrathecal morphine (ITM) is a widely used technique for postcaesarean section analgesia but entails a high risk of postoperative nausea and vomiting (PONV). The transversus abdominis plane (TAP) block is an alternative. OBJECTIVE We tested the hypothesis that a TAP block including clonidine reduces the incidence of PONV after caesarean section when compared with ITM. DESIGN A randomised, controlled, double-blinded study. SETTING Geneva University Hospitals, Switzerland, from October 2013 to February 2017. PATIENTS A total of 182 patients undergoing elective caesarean section were studied. Reasons...
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Postoperative nausea and vomiting Source Type: research

A serotonin transporter polymorphism is associated with postoperative nausea and vomiting: An observational study in two different patient cohorts
BACKGROUND Clinical risk factors for postoperative nausea and vomiting (PONV) are well described, whereas genetic findings are conflicting. OBJECTIVE The aim of this study was to investigate a possible association of genetic variants and nongenetic variables with the incidence and severity of PONV. DESIGN A prospective observational study in two independent and different patient cohorts. SETTING Two independent patient cohorts differing in surgical procedures were enrolled in two tertiary care hospitals between 2008 and 2016. PATIENTS Consecutive patients of European origin undergoing elective surgery in two ...
Source: European Journal of Anaesthesiology - July 8, 2019 Category: Anesthesiology Tags: Postoperative nausea and vomiting Source Type: research