All news from Anaesthesiology

Patients Undergoing Surgery Is Difficult To Wake Up During A General Anesthetic

Accidental awareness (when a patient becomes conscious during a general anesthetic) is an incredibly important issue to both patients and anesthetists. Patients undergoing surgery can be assured that it is highly uncommon to wake up during a general anesthetic.

The largest ever research study (NAP5) performed on this topic was carried out in 2014 by the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland. It showed that approximately one person in 20,000 reported awareness, and it most commonly occurred before surgery started or after it finished.

People Plan For The End-Of-Life In Dying

A study determines that Dying To Know Day Exists To Get people talking and take action toward planning for the end of life. A NATIONAL day of action is encouraging Australians not to wait to talk about death. The Mid North Coast Local Health District is joining the conversation this Dying to Know Day on August 8.

Repeating Patterns Of Bone Minerals In Human Bone

Researchers have found that repeating patterns of bone minerals go deeper and smaller than previously thought. Bone is mostly made of the flexible protein collagen and the hard mineral apatite. The two elements are arranged in nested repeating patterns from the smaller to the larger scale, eventually influencing the overall structure of bone. The study was published in the journal Science.

Enzyme Removes N6-DMAD Critical for Brain Development

Scientists have identified a function for a mysterious DNA modification in fruit flies' brain development, which may provide hints to its role in humans. Emory scientists have identified a function for a mysterious DNA modification in fruit flies' brain development, which may provide hints to its role in humans. The study was published in Molecular Cell.

Intravital Microscopy Imaging Of Cancer Lesions In The Bone

Scientists have engineered a system allowing microscopic monitoring and imaging of cancer that has spread to the bone in mice so they can better understand and develop a treatment for bone metastasis in humans.

Advanced prostate cancer and other cancers metastasize to the bones, causing resistance to therapy and pain for patients, but it's not really clear what makes the bone so special to prostate cancer progression.

Patient Safety In The ICU

Previous studies have shown that when all members of the clinical care team feel comfortable speaking up, team performance improves. With intimate knowledge of patients’ wishes, medical histories and clinical conditions, patients and their families are increasingly considered crucial members of the optimal patient-centered care team.

However, to have an impact on patient safety, patients and families must feel comfortable voicing concerns about care to the medical team. Currently, little is known about patients’ and their families’ level of comfort with speaking up in real time in the ICU setting. The study was published today in BMJ Quality and Safety.

Association Between Psoriasis And Risk Of Serious Infections

According to a study, researchers showed that Psoriasis raises the risk of serious infections regardless of other traditional risk factors for infections. Accessing an electronic medical records database, researchers assessed 187,258 patients with mild psoriasis (mean age 46.4±17.5 years; 48.4% male) and 12,442 patients with moderate-to-severe disease (mean age 49.4±15.1 years; 48.7% male).

Cox proportional hazards regression analyses were performed to evaluate the risk of serious infection according to psoriasis severity. The incidence rate of psoriasis in patients without psoriasis (n=954,315) was 78.5 per 10,000 person-years, which was lower than that in all psoriasis patients (88.9 per 10,000 person-years). Analysis by disease severity showed that the incidence rate was highest in those with moderate-to-severe vs mild psoriasis (145.7 vs 85.7 per 10,000 person-years).

Emergency Rooms Helping Mental Health Patients

A study determines that emergency room personnel are getting extra help in responding to people who come to their doors with mental and behavioral health issues. The hospital gets frustrated because it's the same people coming through, the same challenges. They walk out the door and there's no follow-through.

The problem, Wilson explained, is that many people come to the ER who don't need to be admitted to the hospital for medical treatment but need help. But ER employees do not have the resources to help guide them toward stability.