Innovations, inventions and Dr Archie Brain

Liban, J.B.

doi:10.1111/anae.12084

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…There are a number of possible reasons for the discrepancy between the incidence of AAGA known to anaesthetists as established by this survey and that reported in other research studies [1][2][3][4][5]; these are summarised in Table 5 [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. The issue of trainees' experiences of AAGA is worth discussing: we did not ask trainees to complete a questionnaire, assuming that any complaint received would be handled also by a consultant supervisor.…”

Section: Discrepancy Between Our Calculated Incidence and Other Estimmentioning

confidence: 99%

“…UK clinical practice differs to an extent that makes AAGA less common, e.g. greater use of supraglottic airways with avoidance of neuromuscular blockade [29][30][31]); or, UK anaesthesia is a purely medical specialty and further, in recent years has been an increasingly consultant-delivered service [32,33] loss of detail. The response rate was very high indeed for a survey of this size, and gives us some confidence as to the accuracy of the data.…”

Section: Under-reportingmentioning

confidence: 99%

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A national survey of anaesthetists (NAP5 Baseline) to estimate an annual incidence of accidental awareness during general anaesthesia in the UK

Pandit

Cook

Jonker³

et al. 2013

Anaesthesia

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Summary As part of the 5th National Audit Project of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland concerning accidental awareness during general anaesthesia, we issued a questionnaire to every consultant and staff and associate specialist anaesthetist in the UK. The survey was designed to ascertain the number of new cases of accidental awareness that became known to them, for patients under their direct or supervised care, for a calendar year, and also to estimate how many cases they had experienced during their careers. The survey also asked about use of monitoring designed to measure the depth of anaesthesia. All local co‐ordinators responsible for each of 329 hospitals (organised into 265 ‘centres’) in the UK responded, as did 7125 anaesthetists (82%). There were 153 new cases of accidental awareness notified to respondents in 2011, an estimated incidence of 1:15 414, lower than the 1–2:1000 previously reported in prospective clinical trials. Almost half the cases (72, 47%) occurred at or after induction of anaesthesia but before surgery, with 46 (30%) occurring during surgery and 35 (23%) after surgery before full recovery. Awareness during surgery appeared to lead more frequently to pain or distress than at induction and emergence (62% vs 28% and 23%, respectively). Depth of anaesthesia monitors were available in 164 centres (62%), but routinely used by only 132 (1.8%) of anaesthetists. The disparity between the incidence of awareness as notified to anaesthetists and that reported in trials warrants further examination and explanation.

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Section: Discrepancy Between Our Calculated Incidence and Other Estimmentioning

confidence: 99%

Section: Under-reportingmentioning

confidence: 99%

A national survey of anaesthetists (NAP5 Baseline) to estimate an annual incidence of accidental awareness during general anaesthesia in the UK

Pandit

Cook

Jonker³

et al. 2013

Anaesthesia

View full text Add to dashboard Cite

show abstract

“…Unfortunately, such training has been uncoordinated. One of the indisputable rare successes, however, was the laryngeal mask airway , which has revolutionised the management of both normal and difficult airways.…”

Section: The Basis Of a Selection Process For Difficult Airway Devicesmentioning

confidence: 99%