1,720,969 research outputs found
Regional anaesthesia for ambulatory surgery
No full textRegional anaesthesia (RA) has an important and ever-expanding role in ambulatory surgery. Specific practices vary depending on the preferences and resources of the anaesthesia team and hospital setting. It is used for various purposes, including as primary anaesthetic technique for surgery but also as postoperative analgesic modality. The limited duration of action of currently available local anaesthetics limits their application in postoperative pain control and enhanced recovery. The search for the holy grail of regional anaesthetics continues. Current evidence suggests that a peripheral nerve block performed with long-acting local anaesthetics in combination with intravenous or perineural dexamethasone gives the longest and most optimal sensory block. In this review, we outline some possible blocks for ambulatory surgery and additives to perform RA. Moreover, we give an update on local anaesthesia drugs and adjuvants, paediatric RA in ambulatory care and discuss the impact of RA by COVID-19.(c) 2022 Elsevier Ltd. All rights reserved.This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors
Non-pharmacological sedation techniques: The role of hypnosis, virtual reality, and other strategies
No full textNon-pharmacological sedation techniques are increasingly recognised as valuable adjuncts in modern perioperative care. This narrative review explores the clinical applications of hypnosis, virtual reality, music therapy, aromatherapy, and mindfulness-based interventions in various settings, including regional anaesthesia, paediatrics, obstetrics, and ambulatory surgery. These strategies aim to reduce perioperative anxiety, enhance patient comfort, and lower reliance on pharmacological sedatives. Hypnosis and virtual reality are supported by growing evidence from randomised trials, while simpler interventions such as music and aromatherapy are easily implementable with minimal training. Mindfulness and breathing exercises show promise but remain underexplored in anaesthesia-specific settings. Successful implementation requires selecting appropriate patients, developing effective protocols, and providing staff education. These techniques are most effective when used as part of a multimodal approach to sedation. Further research is needed to assess long-term outcomes, cost-effectiveness, and standardisation across institutions. Non-pharmacological sedation offers a patient-centred, low-risk contribution to safe and personalised anaesthesia care. Their use during procedural sedation, either as standalone strategies or in combination with pharmacological agents, is increasingly recognised across a range of interventional and diagnostic settings.This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sector
Perception and knowledge of anesthesia and the role of anesthesiologists : a Belgian single-center cross-sectional survey
No full textStudy Objective : To assess the knowledge of anesthesia and the role of anesthesiologists and evaluate the prevalence of concerns of certain risks of anesthesia and surgery in Belgian patients. Design : Observational mono-center cross-sectional survey. Setting : Preoperative patients planned for elective surgery in Jessa Hospital, Belgium. Interventions : An observational survey in Dutch. Measurements : Patient demographics and charac-teristics, perception of the patient of the expertise, role, and responsibility of the anesthesiologist, knowledge of the patient regarding anesthesia, and patients acute accent fear of specific risks and side effects of anesthesia and surgery. Associations were analyzed with the Pearson correlation coefficient or the Spearman rank's correlation coefficient. Main Results : In total 361 patients completed the survey. Patient demographics were as follows : 54.8% males, mean age (+/- SD) 58,84 +/- 16,38 years. Most patients (87.3%) recognized anesthesiologists as specially trained medical doctors but more than 50% underestimated their different perioperative responsibilities. Patients underestimated the dura-tion of education of an anesthesiologist in 84.2%. Their role at the intensive care unit (69.3%), the emergency department (71.2%), and the delivery room (71.2%) were relatively well known. Their role at the chronic pain management clinic (44.8%) and the preoperative anesthesia consultation (40.7%) was less well known. Some patients thought that general anesthesia frequently results in brain damage (22.7%). Older age and lower educational level were associated with lower knowledge. In general, 8.3% of all patients were very anxious about anesthesia, 22.7% somewhat, and 69% not at all. Female gender and lower educational level were positively correlated with a higher risk of fear. : Most patients in this single-center Belgian cohort were aware that anesthesiologists are specialized medical doctors. Overall, the patient acute accent s knowledge of the anesthesiologist's expertise and responsibilities and anesthesia was rather limited.This study is part of the Limburg Clinical Research Program (LCRP) UHasselt-ZOL-Jessa, supported by the foundation Limburg Sterk Merk, province of Limburg, Flemish government, Hasselt University, Ziekenhuis Oost-Limburg and Jessa Hospital
Comments on: “Wide awake local anesthesia no tourniquet (WALANT) versus axillary brachial plexus block for carpal tunnel release: Care pathways and operating room costs” by B. Boukebous, C. Maillot, L.C. Castel, J. Donadio, P. Boyer, M.A. Rousseau, published in Orthop Traumatol Surg Res 2022;103358
No full textstatus: Publishe
Perception and knowledge of anesthesia and the role of anesthesiologists : a Belgian single-center cross-sectional survey
No full textStudy Objective : To assess the knowledge of anesthesia and the role of anesthesiologists and evaluate the prevalence of concerns of certain risks of anesthesia and surgery in Belgian patients. Design : Observational mono-center cross-sectional survey. Setting : Preoperative patients planned for elective surgery in Jessa Hospital, Belgium. Interventions : An observational survey in Dutch. Measurements : Patient demographics and charac-teristics, perception of the patient of the expertise, role, and responsibility of the anesthesiologist, knowledge of the patient regarding anesthesia, and patients acute accent fear of specific risks and side effects of anesthesia and surgery. Associations were analyzed with the Pearson correlation coefficient or the Spearman rank's correlation coefficient. Main Results : In total 361 patients completed the survey. Patient demographics were as follows : 54.8% males, mean age (+/- SD) 58,84 +/- 16,38 years. Most patients (87.3%) recognized anesthesiologists as specially trained medical doctors but more than 50% underestimated their different perioperative responsibilities. Patients underestimated the dura-tion of education of an anesthesiologist in 84.2%. Their role at the intensive care unit (69.3%), the emergency department (71.2%), and the delivery room (71.2%) were relatively well known. Their role at the chronic pain management clinic (44.8%) and the preoperative anesthesia consultation (40.7%) was less well known. Some patients thought that general anesthesia frequently results in brain damage (22.7%). Older age and lower educational level were associated with lower knowledge. In general, 8.3% of all patients were very anxious about anesthesia, 22.7% somewhat, and 69% not at all. Female gender and lower educational level were positively correlated with a higher risk of fear. : Most patients in this single-center Belgian cohort were aware that anesthesiologists are specialized medical doctors. Overall, the patient acute accent s knowledge of the anesthesiologist's expertise and responsibilities and anesthesia was rather limited.This study is part of the Limburg Clinical Research Program (LCRP) UHasselt-ZOL-Jessa, supported by the foundation Limburg Sterk Merk, province of Limburg, Flemish government, Hasselt University, Ziekenhuis Oost-Limburg and Jessa Hospital
The combination of corticosteroid and tocolytic therapy in a preeclamptic patient is a risk factor for the development of acute pulmonary oedema
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Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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