Prof. Kessler began by explaining that the topic of how regional anaesthesia should be performed has always been an intense and somewhat emotional discussion. Should it be performed in awake, sedated and/or anaesthetised patients? He asked the audience how many of them routinely perform peripheral nerve blocks in the anaesthetised patient; around 20% said yes.
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Entries by Anaesthesiology.asia
Closed-loop studies date back over 60 years. One of the early studies published in 1950 included 50 patients who received thiopental or ether using the closed-loop controller. Anaesthesiologists were already aware then of how to quantify the depth of anaesthesia using electroencephalogram (EEG) activity.
Total intravenous anaesthesia (TIVA) with propofol is associated with several advantages regarding anaesthesia maintenance including increased patient satisfaction and lower rates of postoperative pain (POP) and postoperative nausea and vomiting (PONV), as concluded by a meta-analysis published in BMC Anesthesiology.
Instilling post-operative intraperitoneal bupivacaine at the base of the caecum reduces postoperative pain scores and in-hospital opioid-use in patients undergoing laparoscopic appendectomy, as reported in the American Journal of Surgery by investigators of the Metro Health Hospital in Wyoming, MI, United States (NCT03004222).