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.

Do we feel pain during anesthesia? A critical review on surgery-evoked circulatory changes and pain perception
Publication date: December 2017Source: Best Practice & Research Clinical Anaesthesiology, Volume 31, Issue 4Author(s): A. Cividjian, F. Petitjeans, N. Liu, M. Ghignone, M. de Kock, L. QuintinThe difficulty of defining the three so-called components of « an-esthesia » is emphasized: hypnosis, absence of movement, and adequacy of anti-nociception (intraoperative « analgesia »). Data obtained from anesthetized animals or humans delineate the activation of cardiac and vasomotor sympathetic reflex (somato-sympathetic reflex) and the cardiac parasympathetic deactivation observed following somatic stimuli. Sympathetic activ...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

A matter of perspective - Objective vs Subjective outcomes in assessment of quality of recovery
Publication date: Available online 10 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Andrea Bowyer, Colin RoyseAbstractCurrent postoperative 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 an institutional and provider level, performance indicators are utilised as surrogates for quality of recovery but do so only if assessed in the clinical context from which they are derived. Patient reported outcomes...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

The future of recovery - Integrated, digitalised and in real-time
Publication date: Available online 10 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Bowyer Andrea, Royse ColinAbstractTraditional perioperative risk prediction recovery identifies patient populations at risk of suboptimal recovery but not individual patients in whom this actually occurs and in whom timely intervention would be beneficial. Patient focused recovery emphasises a return to a semblance of normality and an ability to perform activities previously undertaken. A patient’s sense of self-efficacy and engagement in their own care positively influences functional improvement and emoti...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

Approaches to the measurement of postoperative recovery
Publication date: Available online 11 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Bowyer Andrea, Royse ColinAbstractModern recovery assessment has progressed from that which addressed purely physiological restitution in the immediate postoperative period to that which is a multidimensional 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 assesse...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

Securing the Future Anaesthetic Workforce
Publication date: Available online 13 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Chris CareyAbstractA suitably skilled workforce that is of an appropriate size is essential for the provision of healthcare services. Anaesthetists play an essential role in a wide range of clinical areas and effective workforce planning and training are essential in maintaining service provision. Workforce planning requires consideration of a number of different factors related to the workforce itself and services that are required. Long term predictions must be made as the process of training a consultant w...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

Integrating cross-border emergency medicine systems: securing future pre-clinical medical workforce for remote medical services
Publication date: Available online 13 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Tomasz Ucinski, Gregorz Dolata, Robert Helminiak, Lutz Fischer, Steffen Fleßa, Bernhard Brehmer, Armin Vierth, Volker Grundmann, Sebastian Rehberg, Kathrin Krügel, Maud Partecke, Peter Brinkrolf, Klaus Hahnenkamp, Konrad MeissnerAbstractThe European Union intends to enable its citizens to interact across borders in relevant areas of society and culture in order to further integrate neighboring regions. Medicine has not been at the core of recent EU-funded efforts in central Europe, in part due to significan...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

Securing the continuity of medical competence in times of demographic change
Publication date: Available online 14 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Klaus Hahnenkamp, Joachim Hasebrook, Wolfgang Buhre, Hugo Van Aken (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

Moving towards a competence center for geriatric medicine and care: quality management and human resource management as major support factors
Publication date: Available online 14 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Kerstin Löffler, Judith Goldgruber, Gerd HartingerAbstractChanged employment models, an ageing workforce and demands of new generations are challenging health care facilities to go down new paths. Never before have well qualified staff been as highly sought after within the medical and nursing care sector as they are today.For many years the Geriatric Health Care Centres (GGZ) in the city of Graz—a large regional health care provider with more than 650 staff across five locations—has focused a lot of att...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

How Anesthetists Manage Growing Demands with Dwindling Resources in German University Hospitals: Overview and Outlook
Publication date: Available online 14 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Juergen Hinkelmann, Joachim Hasebrook, Christiane Goeters, Klaus HahnenkampSummaryAs a central service provider in medical care, anesthetists manage the growing demand on medical services, increasing specialization and patient morbidity. Various indicators and measurements have been used to match staff capacity, competence, and workload. It remains unclear whether the problems are due to real shortages or ‘just’ to a wrong distribution. Medical services, service development, infrastructure, capacity, and ...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

Integration of satisfaction and quality of recovery
Publication date: Available online 30 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Nicolas Bruder, Pascal AuquierAbstractAmong patient-reported outcomes, patient satisfaction and quality of recovery are key measures of patient-centered care. The measurement of patient satisfaction should use validated, multidimensional scales. There are general scales aiming to evaluate the entire perioperative period and scales focused on specific periods (postoperative) or techniques (loco-regional anaesthesia). Recovery assessment tools (like the PostopQRS) share some domains with satisfaction scales but...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

Improving female physician´s careers in academic medicine - chances and challenges
Publication date: Available online 30 April 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Bettina Pfleiderer, Marina Bortul, Silvia Palmisano, Sibyll Rodde, Joachim HasebrookAbstractUniversity hospitals are involved in the care of critically ill patients, pre- and postgraduate education, and medical research with an increasing demand on physicians due to a higher burden of disease. The number of female physicians is increasing; however young female physicians are less willing to work at university hospitals under the given conditions. They often don’t find appropriate working conditions in mostl...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

The patient journey and consequences of poor recovery
Publication date: Available online 26 June 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Colin F. RoyseAbstractQuality of recovery is a multidimensional construct that affects individual patients in different ways and over different time periods. To measure quality of recovery requires patient reported outcome measurement tools which are sensitive to detecting change over time and are preferably objective rather than subjective in nature. Current surgical outcomes are still predominantly focused on avoidance of complications and reduced cost. The new era of “value-based care” implies that outc...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

Perioperative Implications of Common and Newer Psychotropic Medications Used in Clinical Practice
Publication date: Available online 2 July 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Alan D. Kaye, Ryan J. Kline, Elliott R. Thompson, Aaron J. Kaye, Justin A. Terracciano, Harish B. Siddaiah, Richard D. Urman, Elyse M. CornettAbstractPsychotropic medications are widely prescribed by clinicians as both primary therapy for a variety of psychiatric and neurodegenerative diseases and as adjunctive analgesics for use in the perioperative period. It is critical to understand various modes of action, drug-drug interactions, side effects, and clinical implications. Health care providers must understan...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

What is New on the Battle Against Post-Operative Nausea and Vomiting?
Publication date: Available online 2 July 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Vahe S. Tateosian, Katelynn Champagne, Tong J. GanAbstractThe issue of PONV still poses a significant burden on our patients. Although rarely associated with a life-threatening condition, it is consistently considered 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 anesthesia, opioid administration, and ...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research

New Opioid Receptor Modulators and Agonists
Publication date: Available online 2 July 2018Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Alan D. Kaye, Elyse M. Cornett, Shilpa S. Patil, Sonja A. Gennuso, Matthew N. Colontonio, Dustin R. Latimer, Aaron J. Kaye, Richard D. Urman, Nalini VadiveluAbstractThere has been significant research to develop an ideal synthetic opioid. Opioids with variable properties have been synthesized possessing efficacy and reduced side effects when compared to previously agents. An opioid modulator is a drug that can produce both agonistic and antagonistic effects at different opioid receptors and therefore, cannot be...
Source: Best Practice and Research Clinical Anaesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research