Postoperative pain
Hypnosis through virtual reality aids in medical recovery
Anesthesiologists at UT Southwestern Medical Center are helping to explore the use of hypnosis through virtual reality to lessen postoperative pain and anxiety in children.
Keyword: anaesthesia
Teamwork <3
7-Tesla: Multidisciplinary care is key to cardiac disease management
New 7-Tesla MR methods could potentially shed light on cardiomyopathies’ principles, according to a leading French radiologist who also stresses the importance of teamwork between radiologists, cardiologists, surgeons and anaesthesiologists. Morphologic and dynamic information of the myocardium is achieved with millimetric resolution (0.9x0.9 square mm). Strong intensity variations…
ANESTHESIOLOGY 2018
Virtual reality reduces children’s anxiety and pain
Innovative virtual reality (VR) technologies hold promise in reducing children’s anxiety and pain before and after medical procedures and surgery, suggest two studies that were presented at the Anesthesiology 2018 annual meeting. The first study found virtual reality hypnosis (VRH) reduced anxiety, total postoperative opioid consumption and vomiting in children after scoliosis surgery.…
Mysterious blackout
What happens when we lose consciousness during anaesthesia?
The first successful surgery under anaesthesia occurred in the 1840s. Since then—more than 170 years later—people have been developing theories about what might be going on in the brain while a person is unconscious. And many mysteries remain. Despite thousands of surgeries taking place each day in the United States, researchers still don’t understand exactly which specific areas of the…
Innovation from Spain
Tackling an epidural anaesthesia complication
Four potentially game changing solutions selected for the annual commercial acceleration program of the Spanish foundation for innovation and prospective in healthcare (Spanish: FIPSE), included Duralock, a system that could ease post partum pain by avoiding postdural puncture headache (PDPH), a common complication of epidural anaesthesia. PDPH occurs when the anaesthesiologist punctures the dura…
Technology benefits
Driving regional anaesthesia forward with point-of-care ultrasound
Point-of-care ultrasound is playing an important role in the anaesthesiology department at Spain’s Hospital Clinic of Barcelona. Dr Xavier Sala-Blanch, Senior Doctor and Head of Section in the hospital’s Department of Anaesthesiology and Resuscitation and Associate Professor of Anatomy in the Faculty of Medicine at the University of Barcelona, discussed how the use of ultrasound technology…
Rising up
Anaesthesia is a story of great success
Technical innovations and the implementation of quality standards in anaesthesia have immensely increased patient safety. ‘Over the past 60 years, patient safety during anaesthesia has improved more than in any other medical discipline,’ according to Professor Achim von Goedecke MD MSc, Director of the Institute of Anaesthesiology and Critical Care at Landeskrankenhaus Steyr in Upper Austria.…
Regional anaesthesia
SonoSite supports first pan-European ESRA training
Saturday the 27th of January 2018 marks the first ESRA European Day of Regional Anaesthesia, delivered simultaneously in over 20 training hubs across the continent. FUJIFILM SonoSite is delighted to be backing this new initiative by providing point-of-care ultrasound devices to many of the workshops. Dr Jonathan Womack, an anaesthetic consultant at the Royal Victoria Infirmary (RVI), Newcastle,…
Rise and shine
Caffeine shortens recovery time from general anesthesia
Caffeine helps quickly boost wakefulness following general anesthesia, a new study finds. The stimulant—used daily by more than 90 percent of adults in the U.S.—appears to alter physiological function in two different ways to shorten recovery time.
Point-of-care
The TUBE approach to perioperative point-of-care ultrasound
Anaesthetists working in perioperative medicine have increasingly taken a whole body approach to patient evaluation known as TUBE – Total Ultrasound Body Examination – thanks to the development of point-of-care ultrasound. Dr Christophe Aveline, Consultant Anaesthetist in critical care and surgery at the Sévigné Private hospital in Rennes, is an advocate of TUBE and works closely on its…
Pediatrics
Watching movies can replace anaesthesia for children in radiotherapy
Children with cancer could be spared dozens of doses of general anaesthesia by projecting a video directly on to the inside of a radiotherapy machine during treatment, according to research presented at the ESTRO 36 conference.
Experience
25 years of point-of-care ultrasound in anaesthesia
Dr. Thomas Grau, Head of Anaesthesia, Surgery, Intensive Care, Emergency Medicine and Pain at the Gütersloh Clinic, first studied ultrasound for a PhD on spinal imaging at Heidelberg University Hospital in the 1990s. 25 years on, he reflects on the role point-of-care ultrasound now plays in anaesthesia.
Mechanical ventilation
Top anaesthesiologist stresses automation limits
Mechanical ventilation and subspecialisation are key aspects of modern anaesthesia and critical care practice according to Dr Javier Garcia Fernandez, Head of Critical Care and Anaesthesiology at University Hospital Puerta de Hierro in Madrid.
Ebola
Anesthesiologists need to 'better educate' themselves
As the Ebola virus disease pandemic unfolded in 2014, it may have seemed like a sudden and unprecedented event. But the disease has a long history, the epidemic is ongoing, and new outbreaks are certain to occur in the future, reports the September issue of Anesthesia & Analgesia.
Faster skin biopsies without anesthesia
Universidad Carlos III de Madrid (UC3M) and the Institute for Health Research of the Hospital "Ramón y Cajal" (IRYCIS have patented a new device for performing skin biopsies. With this new tool a skin biopsy can be performed with fewer instruments and the length of the procedure is shortened from thirty minutes to less than five.
Surgery
Sedatives for patients receiving general anesthesia questioned
Although sedatives are often administered before surgery, a randomized trial finds that among patients undergoing elective surgery under general anesthesia, receiving the sedative lorazepam before surgery, compared with placebo or no premedication, did not improve the self-reported patient experience the day after surgery, but was associated with longer time till removal off a breathing tube…
TAVI rises another step in the United Kingdom
A hospital with a reputation for trailblazing heart surgery has taken transcatheter aortic valve implantation (TAVI) onto the next step in the UK.
Optimising peri-operative procedures
Many physiological and observational studies indicate that non-invasive ventilation (NIV) after both thoracic and abdominal surgery is helpful and non-randomised trials have indeed confirmed the benefits.
Carefully selected devices reward MHH with 50% cost cuts
In intensive care units (ICUs) little can be automated to relieve staff pressures – with the exception of point of care testing (POCT)
Anaesthesiology
Accidental awareness under general anaesthesia
A UK study has highlighted the issue of patients waking up from a general anaesthetic while undergoing surgery. The research, which questioned more than 7,100 consultant anaesthetists, revealed that there was about one episode of accidental awareness in every 15,000 general anaesthetics cases in the three million UK operations in 2011.
Ambulatory surgery
Massive and increasing cost pressure urges many hospitals to look for alternatives to expensive in-patient surgery.
The 33rd International Symposium on Intensive Care and Emergency Medicine
Belgium – Last year, the annual ISICEM event attracted almost 6,000 participants from 101 countries. Its chairman, Professor Jean-Louis Vincent, from the Intensive Care Medicine Department in Erasme University Hospital, Brussels, offered EH a few reasons for its continuing success.
Still a challenge
Perioperative anaesthesia for patients with heart failure
Can an anaesthetist treat a patient with heart failure (HF) without any specialist knowledge of cardiology? That was the question posed by Dr Florian Weis, from the Clinic of Anaesthesiology at the University Hospital of the Ludwig Maximilian University Munich, when lecturing on perioperative management of this patient group.
GE unveils avance CS2 Anaesthesia Delivery System
Leveraging more than 100 years of anaesthesia expertise, GE Healthcare introduces ecoFLOW technology option to help guide clinicians in agent delivery, while providing economic and environmental benefits.
