Knowledge

Collections of articles, notes and knowledge from the metajournal community.

What contribution does anesthesia make to climate change?

Anesthesia Climate
Also see Carbon Footprint from Anaesthetic gas use [pdf] from the UK’s Sustainable Development Unit.

comment
- Article
  
  Inhalation anaesthetics and climate change.
  
  Br J Anaesth. 2010 Dec 1;105(6):760-6.
- Editorial
  
  Climate effect of inhaled anaesthetics.
  
  Br J Anaesth. 2010 Dec 1; 105 (6): 731-3.
- Article
  
  Global warming potential of inhaled anesthetics: application to clinical use.
  
  Anesth. Analg. 2010 Jul 1;111(1):92-8.
expand and show 6 more articles
Does anesthesia cause post-operative delirium and post-operative cognitive decline?

Perioperative medicine Postoperative complications
- Review
  
  Should general anaesthesia be avoided in the elderly?
  
  Anaesthesia. 2014 Jan 1; 69 Suppl 1: 35-44.
- Randomized Controlled Trial
  
  BIS-guided anesthesia decreases postoperative delirium and cognitive decline.
  
  J Neurosurg Anesthesiol. 2013 Jan 1; 25 (1): 334233-42.
  
  BIS use in elderly patients targeting a BIS of 40-60 may reduce post-operative delirium and post-operative cognitive decline at 3 months.
  pearl
- Randomized Controlled Trial
  
  Monitoring depth of anaesthesia in a randomized trial decreases the rate of postoperative delirium but not postoperative cognitive dysfunction.
  
  Br J Anaesth. 2013 Jun 1; 110 Suppl 1: i98-105.
  
  Monitoring depth of anaesthesia in those over 60 yo decreases the incidence of post-operative delirium, though not post-operative cognitive decline.
  pearl
expand and show 11 more articles
Interesting obstetric epidural articles

Epidural Obstetric anesthesia
Articles of interest relevant to labor epidural analgesia, both specifically focusing on obstetric epidurals and more peripherally relevant to obstetric labor analgesia.
summary
- Randomized Controlled Trial
  
  A Randomized Control Trial of Bupivacaine and Fentanyl versus Fentanyl-only for Epidural Analgesia during the Second Stage of Labor.
  
  Anesthesiology. 2015 Jan 1; 122 (1): 172-7.
  
  Fentanyl-only epidural infusion shows no benefit over fentanyl/bupiv in respect to duration of labor, motor block, delivery, analgesia, or outcomes.
  pearl
- Review
  
  Intermittent epidural bolus compared with continuous epidural infusions for labor analgesia: a systematic review and meta-analysis.
  
  Anesth. Analg. 2013 Jan 1; 116 (1): 133-44.
- Meta Analysis
  
  Extending epidural analgesia for emergency Caesarean section: a meta-analysis.
  
  Br J Anaesth. 2011 Nov 1;107(5):668-78.
  
  Lidocaine with epinephrine is the most optimal solution for epidural top-up for emergency caesarean section. Adding fentanyl further speeds onset.
  pearl
expand and show 10 more articles
Avoiding post-anesthesia emergence delirium in children

Anesthesia Pediatric anesthesia Postoperative complications
- Review
  
  Does a prophylactic dose of propofol reduce emergence agitation in children receiving anesthesia? A systematic review and meta-analysis.
  
  Paediatr Anaesth. 2015 Jul 1; 25 (7): 668-76.
  
  Prophylactic propofol reduces emergence agitation in children after general anesthesia.
  pearl
- Randomized Controlled Trial
  
  Comparison of propofol and fentanyl administered at the end of anaesthesia for prevention of emergence agitation after sevoflurane anaesthesia in children.
  
  Br J Anaesth. 2013 Feb 1;110(2):274-80.
  
  Propofol 1 mg/kg reduces emergence delirium in children, without increasing nausea, vomiting or length of PACU stay, unlike fentanyl 1 mcg/kg.
  pearl
- Review
  
  Emergence delirium in children: an update.
  
  Curr Opin Anaesthesiol. 2014 Jun 1; 27 (3): 309-15.
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Predictors of labour epidural breakthrough pain

Collection
- Article
  
  Development and validation of a predictive risk factor model for epidural re-siting in women undergoing labour epidural analgesia: a retrospective cohort study.
  
  BMC Anesthesiol. 2018 Nov 29; 18 (1): 176.
- Article
  
  Analgesic efficacy using loss of resistance to air vs. saline in combined spinal epidural technique for labour analgesia.
  
  Anaesth Intensive Care. 2008 Sep 1;36(5):701-6.
- Article
  
  Predictors of breakthrough pain during labor epidural analgesia.
  
  Anesth. Analg. 2001 Aug 1;93(2):414-8, 4th contents page.
expand and show 4 more articles

Knowledge

What contribution does anesthesia make to climate change?

Does anesthesia cause post-operative delirium and post-operative cognitive decline?

Interesting obstetric epidural articles

Avoiding post-anesthesia emergence delirium in children

Predictors of labour epidural breakthrough pain