A5000855919- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Anesthesia and Sedative Agents
- Respiratory Support and Mechanisms
- Tracheal and airway disorders
- Healthcare Operations and Scheduling Optimization
- Neuroscience of respiration and sleep
- Heart Rate Variability and Autonomic Control
- Hemodynamic Monitoring and Therapy
- Anesthesia and Neurotoxicity Research
- High Altitude and Hypoxia
- Hospital Admissions and Outcomes
- Cardiac Arrest and Resuscitation
- Foreign Body Medical Cases
- Healthcare Policy and Management
- Patient Safety and Medication Errors
- Anesthesia and Pain Management
- Obstructive Sleep Apnea Research
- Health and Medical Research Impacts
- Intensive Care Unit Cognitive Disorders
- Heat Transfer and Optimization
- Heat Transfer Mechanisms
- Thermal Regulation in Medicine
- Traumatic Brain Injury and Neurovascular Disturbances
- Blood Pressure and Hypertension Studies
Oxford University Hospitals NHS Trust
2016-2025
John Radcliffe Hospital
2013-2025
University of Oxford
2014-2025
Barro Colorado Island
2024
All India Institute of Medical Sciences
2023
Oxford Health NHS Foundation Trust
2023
University College Hospital
2022
University College London
2022
Science Oxford
2004-2021
Royal College of Anaesthetists
2018-2021
Guidelines are presented for the organisational and clinical peri-operative management of anaesthesia surgery patients who obese, along with a summary problems that obesity may cause peri-operatively. The advice is based on previously published advice, studies expert opinion.
Summary This guideline updates and replaces the 5th edition of Standards Monitoring published in 2015. The aim this document is to provide guidance on minimum standards for monitoring any patient undergoing anaesthesia or sedation under care an anaesthetist. recommendations are primarily aimed at anaesthetists practising UK Ireland, but it recognised that these guidelines may also be use other areas world. Minimum patients during recovery phase included. There transfer. new sections...
We present the main findings of 5th National Audit Project on accidental awareness during general anaesthesia. Incidences were estimated using reports as numerator, and a parallel national anaesthetic activity survey to provide denominator data. The incidence certain/probable possible cases was ~1:19 600 anaesthetics (95% CI 1:16 700-23 450). However, there considerable variation across subtypes techniques or subspecialties. with neuromuscular blockade ~1:8200 (1:7030-9700), without it...
Faced with the concern that an increasing number of airway management devices were being introduced into clinical practice little or no prior evidence their efficacy safety, Difficult Airway Society formed a working party (Airway Device Evaluation Project Team) to establish process by which community within profession could itself lead formal device/equipment evaluation. Although there are several national and international regulations governing products can come on market be legitimately...
Correct placement of supraglottic airway devices (SGDs) is crucial for patient safety and prime concern anesthesiologists who want to provide effective efficient management their patients undergoing surgery or procedures requiring anesthesia care. In the majority cases, blind insertion SGDs results in less-than-optimal anatomical functional positioning devices. Malpositioning can cause clinical malfunction result interference with gas exchange, loss-of-airway, gastric inflation, aspiration...
See Article, page 295 There are 2 recent reasonably large scale studies that investigate decision-making and processes used in the anticipated difficult airway. In this issue of Anesthesia & Analgesia, Yang et al1 report on a convenience sample 1245 patients predicted to be single US center from 2009 2014. An earlier-published study by Cumberworth al2 (but one related later cohort 2018) was set 4 UK hospitals over 1 calendar year, capturing an estimated 61,000 which 4100 (6.7%) were 17...
Over-running operating lists are known to be a common cause of cancellation operations on the day surgery. We investigated whether were overbooked because surgeons optimistic in their estimates time that would take complete. used questionnaire assess total operation 22 surgeons, 35 anaesthetists and 16 senior nursing staff for 31 common, general surgical urological procedures. The response rate was 66%. found no difference between these three groups staff, or times obtained from theatre...
Summary As part of the 5th National Audit Project Royal College Anaesthetists and Association Great Britain Ireland concerning accidental awareness during general anaesthesia, we issued a questionnaire to every consultant staff associate specialist anaesthetist in UK. The survey was designed ascertain number new cases that became known them, for patients under their direct or supervised care, calendar year, also estimate how many they had experienced careers. asked about use monitoring...
Summary There are no current descriptions of general anaesthesia characteristics for obstetric surgery, despite recent changes to patient baseline and airway management guidelines. This analysis data from the direct reporting awareness in maternity patients’ (DREAMY) study accidental during aimed describe practice England compare with earlier surveys best‐practice recommendations. Consenting patients who received surgery 72 hospitals May 2017 August 2018 were included. Baseline...
Summary We conducted an observational study of serious airway complications, using similar methods to the fourth UK National Audit Project (NAP4) over a period 1 year across four hospitals in one region UK. also activity survey week, NAP4 yield estimate for relevant denominators help interpret primary data. There were 17 defined as: failed management leading cancellation surgery (eight); recovery (five); unplanned intensive care admission (three); and emergency front neck access (one). no...
We describe a nurse-led pre-assessment system at an elective surgical centre. A targeted referral was used by trained nurses to direct referrals supervising consultant anaesthetist or the team. Of 2726 patients pre-assessed in first 2 years, 105 (3.9%) were cancelled postponed for medical optimisation after pre-assessment. There 137 cancellations (5.0%) on day of surgery, despite pre-assessment, but only 36 anaesthetic reasons. Only eight these considered 'failure' system. These results are...
Carotid endarterectomy may be performed by using cervical plexus blockade with local anesthetic supplementation the surgeon during surgery. Most practitioners use either a superficial block or combined (superficial and deep) block, but it is unclear which offers best operative conditions greatest patient satisfaction. We compared two techniques in patients undergoing carotid endarterectomy. Forty were randomized to receive block. Bupivacaine 0.375% total dose of 1.4 mg/kg was used. The main...
It is important that a surgical list planned to utilise as much of the scheduled time possible while not over-running, because this can lead cancellation operations. We wished assess whether, theoretically, known duration individual operations could be used quantitatively predict likely operating list.In university hospital setting, we first assessed extent which current ad-hoc method planning was able match times for 153 consecutive historical lists. Using receiver curve analysis, ability...