Best Practice and Research. Clinical Anaesthesiology This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

A matter of perspective – Objective versus subjective outcomes in the assessment of quality of recovery
Publication date: Available online 10 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Andrea Bowyer, Colin RoyseCurrent post-operative recovery assessment exists as a dichotomy, maintaining objectivity whilst providing relevance to patient-centred care. Both objective and subjective measures are utilised in modern recovery assessment and are best viewed as complimentary. At institutional and provider levels, performance indicators are utilised as surrogates for quality of recovery but only if these indicators are assessed in the clinical context from which they are derived. Patient-reported ou...
Source: Best Practice and Research Clinical Anaesthesiology - November 12, 2018 Category: Anesthesiology Source Type: research

Approaches to the measurement of post-operative recovery
Publication date: Available online 11 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Andrea Bowyer, Colin RoyseModern recovery assessment has progressed from that which addressed purely physiological restitution in the immediate post-operative period to that which is a multi-dimensional construct existing as a continuum and which follows a predictable trajectory. Recovery tools differ in their derivation, validation and scope of assessment. Importantly, few are validated for repeat measures, an aspect crucial when assessing the temporal nature of modern recovery. Recovery can be assessed as a...
Source: Best Practice and Research Clinical Anaesthesiology - November 12, 2018 Category: Anesthesiology Source Type: research

The patient's surgical journey and consequences of poor recovery
Publication date: Available online 26 June 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Colin F. RoyseQuality of recovery is a multidimensional construct that affects individual patients in different ways and during different time periods. The evaluation of quality of recovery requires patient-reported outcome measurement tools that are sensitive in detecting change with time and are preferably objective rather than subjective by nature. Current surgical outcomes are still predominantly focused on the avoidance of complications and reduced cost. The new era of ‘value-based care’ implies that ...
Source: Best Practice and Research Clinical Anaesthesiology - November 12, 2018 Category: Anesthesiology Source Type: research

Defining quality of recovery – What is important to patients?
Publication date: Available online 6 August 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Jaume Borrell-Vega, Michelle L. Humeidan, Sergio D. BergesePostoperative recovery is a complex process with several interrelated domains. Traditionally, the absence of negative physiological symptoms like nausea and pain, along with avoidance of major postoperative complications, has been the standard set by clinicians and hospitals for a satisfactory postoperative recovery. Nonetheless, evidence from recent studies reports these items to be the least important from the patient point of view. Effective commun...
Source: Best Practice and Research Clinical Anaesthesiology - November 12, 2018 Category: Anesthesiology Source Type: research

Pharmacogenomics, precision medicine, and implications for anesthesia care
Publication date: June 2018Source: Best Practice & Research Clinical Anaesthesiology, Volume 32, Issue 2Author(s): Alan D. Kaye, Thomas Mahakian, Aaron J. Kaye, Andrew A. Pham, Brendon M. Hart, Sonja Gennuso, Elyse M. Cornett, Rodney A. Gabriel, Richard D. UrmanThe study of how individual genetic differences, known as polymorphisms, change the pharmacokinetics and pharmacodynamics of drugs is called pharmacogenomics. As the field of pharmacogenetics grows and continues to identify genetic polymorphisms, it is promising that the unmet need in this patient population may soon be addressed with personalized drug therapy based...
Source: Best Practice and Research Clinical Anaesthesiology - October 14, 2018 Category: Anesthesiology Source Type: research

Procedure-Specific Pain Management (PROSPECT) – An update
Publication date: June 2018Source: Best Practice & Research Clinical Anaesthesiology, Volume 32, Issue 2Author(s): Brian Lee, Stephan A. Schug, Girish P. Joshi, Henrik Kehlet, Helene Beloeil, Francis Bonnet, Patricia Lavand’Homme, Philipp Lirk, Esther Pogatzki-Zahn, Johan Raeder, Narinder Rawal, Marc van der VeldePost-operative pain management protocols may be optimised by examining procedure-specific evidence and outcomes. This recognition led to the formation of the PROcedure-SPECific Pain ManagemenT (PROSPECT) collaboration of anaesthesiologists and surgeons. The aim of PROSPECT is to provide practical and evidence-ba...
Source: Best Practice and Research Clinical Anaesthesiology - October 14, 2018 Category: Anesthesiology Source Type: research

What is new in the battle against postoperative nausea and vomiting?
Publication date: June 2018Source: Best Practice & Research Clinical Anaesthesiology, Volume 32, Issue 2Author(s): Vahé S. Tateosian, Katelynn Champagne, Tong J. GanThe issue of postoperative nausea and vomiting (PONV) still poses a significant burden on our patients. Although rarely associated with a life-threatening condition, it is consistently considered as one of the most undesirable side effects of surgery and anesthesia. There are well-established risk factors for the development of PONV that include patient-related factors, anesthetic technique, use of volatile anesthetics, use of nitrous oxide, duration of anesth...
Source: Best Practice and Research Clinical Anaesthesiology - October 14, 2018 Category: Anesthesiology Source Type: research

New anticoagulants, reversal agents, and clinical considerations for perioperative practice
We describe the different categories of drugs, e.g., antiplatelet, anticoagulant, and thrombolytic, with particular emphasis on the new drugs that have been introduced into the market. These agents can be evaluated by a number of methods including low-, medium-, or high-risk procedures and guidelines and best practice standards that have been published regarding the amount of time to wait after stopping the medication and before performing a procedure, e.g., the American Society of Regional Anesthesia and Pain Medicine recommendations. The present investigation will also describe new reversal agents for anticoagulants and ...
Source: Best Practice and Research Clinical Anaesthesiology - October 14, 2018 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: June 2018Source: Best Practice & Research Clinical Anaesthesiology, Volume 32, Issue 2Author(s): (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - October 14, 2018 Category: Anesthesiology Source Type: research

Perioperative Pharmacology - New Evidence, Agents, and Concepts Impacting Perioperative Practice
Publication date: Available online 14 September 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Richard D. Urman (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - September 14, 2018 Category: Anesthesiology Source Type: research

Newer Propofol, Ketamine, and Etomidate Derivatives and Delivery Systems Relevant to Anesthesia Practice
Publication date: Available online 23 August 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): N. Hulsman, M.W. Hollmann, B. PreckelAbstractDrug discovery is the cornerstone of developments in the field of anesthesia. Each year new drugs enter the market and possibly change clinical practice. The development of new anesthetics can be divided into two groups. One strategy is the discovery of a new type of drugs, a unique molecular structure with better clinical properties and lesser side effects than the already existing drugs. Another strategy is changing the molecular structure of current clinically ...
Source: Best Practice and Research Clinical Anaesthesiology - August 24, 2018 Category: Anesthesiology Source Type: research

Cognitive Self-Assessment Scales in Surgical Settings: Acceptability and Feasibility
Publication date: Available online 9 August 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): N. Stoicea, K.N. Koehler, D.W. Scharre, S.D. BergeseAbstractPreexisting cognitive impairment is associated with poorer surgical outcomes, longer hospital stays, and increased morbidity and mortality. This necessitates the use of screening tools to evaluate preoperative cognitive status in elderly surgical patients. Given the growing population of older adults and increased prevalence of cognitive impairment, it is necessary to investigate whether staff administered or self-administered cognitive screening exa...
Source: Best Practice and Research Clinical Anaesthesiology - August 9, 2018 Category: Anesthesiology Source Type: research

Pharmacogenomics, Precision Medicine, and Implications on Anesthesia Care
Publication date: Available online 6 August 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Alan D. Kaye, Thomas Mahakian, Aaron J. Kaye, Andrew A. Pham, Brendon M. Hart, Sonja Gennuso, Elyse M. Cornett, Rodney Gabriel, Richard D. UrmanAbstractThe study of how individual genetic differences known as polymorphisms change the pharmacokinetics and pharmacodynamics of drugs is pharmacogenomics. As the field of pharmacogenetics grows and continues to identify genetic polymorphisms, it is promising that the unmet need in this patient population may soon be addressed with personalized drug therapy based on...
Source: Best Practice and Research Clinical Anaesthesiology - August 7, 2018 Category: Anesthesiology Source Type: research

Defining quality of recovery-What Is Important to Patients?
Publication date: Available online 6 August 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Jaume Borrell-Vega, Clinical Research, Michelle L. Humeidan, Sergio D. BergeseAbstractPostoperative recovery is a complex process with several interrelated domains. Traditionally, the absence of negative physiologic symptoms like nausea and pain, along with avoidance of major post-operative complications, has been the bar set by clinicians and hospitals for a satisfactory postoperative recovery. Nonetheless, evidence from recent studies report these items to be the least important from the patient point of vi...
Source: Best Practice and Research Clinical Anaesthesiology - August 7, 2018 Category: Anesthesiology Source Type: research

New antihypertensive medications and clinical implications
This article also describes new antihypertensive agents currently available or under development that could impact perioperative management. (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - August 2, 2018 Category: Anesthesiology Source Type: research