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Thursday 24 July 2014

Survey to make anaesthetics safer


Survey to make anaesthetics safer

Please send your ideas to the survey organised by the Royal College of Anaesthetists with James Lind organisation. This is urgent as survey ends this month July 2014.

Urgent to submit your thoughts towards making anaesthetics safer

Please complete this survey http://www.niaa.org.uk/PSP_Survey#pt

We have many reports of psychiatric adverse effects and some suicides following surgery.

The problems may be linked to use of antibiotics such as co-amoxiclav, as reported in the British Medical Journal November 2008.

A recent study found early postoperative delirium was found to be a very common complication after major surgery, even in a population without known risk factors. Thiopentone was independently associated with an increase in its relative risk. 

J Anesth. 2014 Apr;;28(2):198-201. doi: 10.1007/s00540-013-1706-5. Epub 2013 Sep 26.
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Incidence of postoperative delirium is high even in a population without known risk factors.
Saporito A1, Sturini E

RESULTS: According to the confusion assessment method for the ICU scale, 28 % of patients were diagnosed with early postoperative delirium. The use of thiopentone was significantly associated with an eight-fold-higher risk for delirium compared to propofol (57.1 % vs. 7.1 %, RR = 8.0, χ (2) = 4.256;; df = 1;; 0.05 < p < 0.02).
CONCLUSION: In this study early postoperative delirium was found to be a very common complication after major surgery, even in a population without known risk factors. Thiopentone was independently associated with an increase in its relative risk. 

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