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Anaesthesia Jan 2022
Topics: Anesthesia; Critical Care; Humans; Nervous System Diseases; Patient Reported Outcome Measures
PubMed: 35001378
DOI: 10.1111/anae.15637 -
Medicine Dec 2023To analyze clinical characteristics and anesthesia-related factors influencing central fever during cranial neurosurgery. 31 central fever cases (observation) and 120...
To analyze clinical characteristics and anesthesia-related factors influencing central fever during cranial neurosurgery. 31 central fever cases (observation) and 120 controls (no fever) underwent detailed investigation. Anaesthesia-related variables were analyzed using logistic regression. Observation group exhibited significantly elevated indicators-CSF white blood cells, protein, CRP, severe EEG abnormalities, abnormal imaging, positive meningeal signs, seizures, consciousness disorders, and status epilepticus (P < .05). Anesthesia plans showed no influence (P > .05). pH, PaCO2, PaO2, SaO2, MAP, ICP, CPP, and SjiO2 didn't impact central fever (P > .05). However, high HR, low Da-jvO2, and low CEO2 were independent risk factors (P < .05). Central fever, marked by CNS abnormalities, manifests with distinctive clinical features. Anesthesia plans have limited impact, while elevated HR, low Da-jvO2, and low CEO2 independently contribute to central fever. Understanding these factors is crucial for perioperative care optimization.
Topics: Humans; Anesthesia; Central Nervous System Diseases; Fever; Risk Factors
PubMed: 38115349
DOI: 10.1097/MD.0000000000036523 -
British Journal of Anaesthesia May 2023Recently, fatigue has received more attention as a workplace hazard. This scoping review focuses on fatigue in anaesthesia providers. We explore the prevalence of... (Review)
Review
BACKGROUND
Recently, fatigue has received more attention as a workplace hazard. This scoping review focuses on fatigue in anaesthesia providers. We explore the prevalence of fatigue in anaesthesia providers, and we examine how fatigue impacts their performance.
METHODS
A literature search was independently conducted from December 2019 through March 2020. The following four databases were consulted: MEDLINE, CINAHL, EMBASE, and PubPsych. Only studies discussing fatigue in anaesthesia providers were eligible.
RESULTS
The initial database search identified a total of 118 studies, of which 30 studies were included in the review. Eight articles concerned the prevalence of fatigue in anaesthesia providers, whereas 22 explored the impact of fatigue on the performance of anaesthesia providers. Up to 60.8% of anaesthesia providers suffered from severe excessive daytime sleepiness, and fatigue was denoted as a common workplace problem in up to 73.1% of anaesthesia providers. Fatigue had a negative influence on medication errors and vigilance, and it decreased the performance of anaesthesia providers during laboratory psychomotor testing. There was a decrease in non-technical skills (notably communication and teamwork) and worsening mood when fatigued.
CONCLUSIONS
Based on this scoping review, fatigue is a prevalent a phenomenon that anaesthesia providers cannot ignore. A combination of deterioration in non-technical skills, increased medication errors, loss of sustained attention, and psychomotor decline can lead to poorer performance and cause patient harm. Concrete strategies to mitigate fatigue should be developed.
Topics: Humans; Anesthesia; Fatigue; Anesthesiology
PubMed: 36697276
DOI: 10.1016/j.bja.2022.12.011 -
Veterinary Anaesthesia and Analgesia Sep 2020
Topics: Anesthesia; Animals; Horses
PubMed: 32892983
DOI: 10.1016/j.vaa.2020.08.004 -
Anaesthesia Jul 2023
Topics: Humans; Anesthesia; Anesthesiology; Risk Factors
PubMed: 36946429
DOI: 10.1111/anae.16006 -
Journal of the American Veterinary... Aug 2021
Topics: Anesthesia; Animals
PubMed: 34242069
DOI: 10.2460/javma.259.3.251 -
Journal of the American Veterinary... Jun 2021
Topics: Anesthesia; Animals
PubMed: 34061608
DOI: 10.2460/javma.258.12.1341 -
Journal of the American Veterinary... Jun 2021
Topics: Anesthesia; Animals
PubMed: 33978441
DOI: 10.2460/javma.258.11.1193 -
Journal of the American Veterinary... Apr 2021
Topics: Anesthesia; Animals
PubMed: 33825536
DOI: 10.2460/javma.258.8.853 -
British Journal of Anaesthesia Mar 2023The role of artificial intelligence in ultrasound-guided regional anaesthesia is explored in a recent study by Bowness and colleagues, published in the British Journal...
The role of artificial intelligence in ultrasound-guided regional anaesthesia is explored in a recent study by Bowness and colleagues, published in the British Journal of Anaesthesia. The investigators showed that non-expert ability to identify key sono-anatomical structures was improved with the assistance of proprietary artificial intelligence software. Whether such software could increase learning efficiency, and thereby patient access, to regional anaesthesia, will require further study.
Topics: Humans; Artificial Intelligence; Anesthesia, Conduction; Ultrasonography; Anesthesiology; Ultrasonography, Interventional
PubMed: 36639327
DOI: 10.1016/j.bja.2022.12.005