Trends in Anaesthesia and Critical Care最新文献

{"title":"Evaluating the lipsense device for reducing oral dryness in patients undergoing general anesthesia for elective daycare surgeries","authors":"Alisha Goel,&nbsp;Vikas Saini,&nbsp;Rashi Sarna,&nbsp;Sameer Sethi,&nbsp;Summit Bloria,&nbsp;Waseem Ahmad Khan,&nbsp;Rajeev Chauhan","doi":"10.1016/j.tacc.2024.101513","DOIUrl":"10.1016/j.tacc.2024.101513","url":null,"abstract":"<div><h3>Background and aims</h3><div>Postoperative thirst and oral dryness after general anesthesia is a well-known concern encountered in the post anesthesia care unit; equally distressing for the patient and the clinician. The Lipsense device (Coolsense ltd, Tel Aviv, Israel) is a novel device which allows controlled delivery of water to relieve thirst and oral dryness. We hypothesized lipsesne will be effective to decrease thirst and oral dryness and thus improve overall patient and care giver satisfaction.</div></div><div><h3>Method</h3><div>This was a prospective randomized controlled study conducted in 120 adult patients, equally divided into 3 groups receiving Lipsense, wet gauge and no intervention; undergoing daycare surgeries under general anesthesia and complaining of postoperative thirst. Numerical rating scores of thirst and oral dryness were measured at 0,1,2,3 h of postoperative period by an independent observer.</div></div><div><h3>Results</h3><div>The mean difference in intensity scores for thirst and oral dryness from baseline till the end of 3 h was greater in the Lipsense group (4.12 and 4.26 respectively) than in the wet gauge group (2.92 and 2.82). Lipsense resulted in a greater reduction, i.e. 72 % as compared to our hypothesis of 35 % reduction. Wet gauge resulted in a 46 % reduction in thirst intensity.</div></div><div><h3>Conclusion</h3><div>Lipsense is an effective device to reduce postoperative thirst and oral dryness with minimal side effects in comparison to wet gauge or no intervention in patients after general anesthesia.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"59 ","pages":"Article 101513"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the potential of artificial intelligence in airway management","authors":"Luigi La Via ,&nbsp;Antonino Maniaci ,&nbsp;David Gage ,&nbsp;Giuseppe Cuttone ,&nbsp;Giovanni Misseri ,&nbsp;Mario Lentini ,&nbsp;Daniele Salvatore Paternò ,&nbsp;Federico Pappalardo ,&nbsp;Massimiliano Sorbello","doi":"10.1016/j.tacc.2024.101512","DOIUrl":"10.1016/j.tacc.2024.101512","url":null,"abstract":"<div><div>This review examines the integration of Artificial Intelligence (AI) language models, particularly Chat GPT, in airway management. It explores AI's potential applications in education, clinical decision support, patient communication, and research, as well as its integration with existing medical technologies. The review highlights AI's benefits, including rapid access to current information, care standardization, and potential improvements in patient outcomes. However, it also addresses limitations and ethical considerations such as data security, algorithm bias, and the risk of over-reliance on AI systems. Looking forward, the review discusses AI's potential to revolutionize airway management through predictive analytics, augmented reality, and personalized learning platforms, while acknowledging implementation challenges. The broader implications of AI in healthcare are explored, including its impact on learning, innovation, and the balance between error-free decision-making and human creativity. The review concludes that while AI shows great promise in enhancing airway management, its implementation requires careful consideration of ethical implications and ongoing research. The future of AI in this field lies in its judicious use alongside skilled clinical judgment, potentially leading to significant improvements in patient care and outcomes.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"59 ","pages":"Article 101512"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the hemodynamic responses to laryngoscopy and intubation on induction with etomidate, propofol-ketamine or propofol-etomidate: A randomized trial","authors":"Malvika Gupta,&nbsp;Anju R. Bhalotra,&nbsp;Shweta Dhiman,&nbsp;Rahil Singh","doi":"10.1016/j.tacc.2024.101504","DOIUrl":"10.1016/j.tacc.2024.101504","url":null,"abstract":"<div><h3>Background</h3><div>Haemodynamic stability is desirable during induction of anaesthesia. Intravenous induction agents have differing haemodynamic effects. We compared the haemodynamic effects of combinations of propofol-ketamine (PK) and propofol-etomidate (PE) with etomidate alone during induction of anaesthesia and laryngoscopy and endotracheal intubation.</div></div><div><h3>Material and methods</h3><div>This randomized controlled study was conducted on 90 ASA I patients aged 18–50 years undergoing elective surgery requiring endotracheal intubation under general anaesthesia who were randomly allocated to either Group E (Etomidate 0.3 mg/kg), Group PE (Propofol 1 mg/kg + Etomidate 0.15 mg/kg) or Group PK (Propofol 1 mg/kg + Ketamine 1 mg/kg). Mean arterial pressure (MAP), systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and bispectral index (BIS) values were compared at different time points.</div></div><div><h3>Results</h3><div>After anaesthesia induction, the percentage fall in mean, systolic and diastolic blood pressure was least in the PK group. Laryngoscopy and intubation led to a rise in haemodynamic parameters in all groups. The mean, systolic and diastolic blood pressures were significantly higher in Group E at 1 min after intubation as compared to the other two groups. With etomidate, the fall in MAP prior to intubation was greater as was the intubation response despite lower BIS values. No correlation was found between haemodynamic response and BIS values attained after intubation.</div></div><div><h3>Conclusions</h3><div>Combinations of propofol with ketamine and etomidate in the selected doses were found to be superior to etomidate alone with respect to haemodynamic stability. Co-induction with propofol and ketamine maybe preferred when haemodynamic stability is required. Ketamine has the advantage of providing potent analgesia in this dose.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"59 ","pages":"Article 101504"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of a novel handheld device for accurate cricoid pressure application on a laryngotracheal model","authors":"Connor T.A. Brenna ,&nbsp;Sachin Doshi ,&nbsp;Eric Plitman ,&nbsp;Binu Jacob ,&nbsp;Sarah Miles ,&nbsp;Lisa Avery ,&nbsp;Michael Esterlis ,&nbsp;Rabail Chaudhry ,&nbsp;Mandeep Singh ,&nbsp;Michael Dinsmore","doi":"10.1016/j.tacc.2024.101502","DOIUrl":"10.1016/j.tacc.2024.101502","url":null,"abstract":"<div><h3>Background</h3><div>Cricoid pressure, manual compression of the cricoid cartilage using 30 N of force, is a well-established technique to prevent regurgitation during airway management. However, applying and maintaining the correct force has proven difficult for providers. To address this, we developed a handheld Cricoid Pressure Device, which displays applied force in real time. This study aims to assess the device in terms of its ability to aid providers in applying the correct force.</div></div><div><h3>Methods</h3><div>In a single center study, twenty five healthcare providers performed cricoid pressure for three 60-s trials on a laryngotracheal model under three conditions: 1) Standard condition with no training, 2) Post-Training condition following syringe model training, and 3) Cricoid Pressure Device condition using our novel device. The primary outcome was the proportion of providers applying pressure within the target range (30 ± 5 N) for at least 95 % of the trial duration. Secondary outcomes included providers’ feedback on the usability of the device.</div></div><div><h3>Results</h3><div>Using the Cricoid Pressure Device, 92 % of providers applied force within the target range for the third trial, compared to 4 % in the Standard condition and 8 % in the Post-training condition. A logistic mixed effects model indicated that the odds of successful application using the Device were significantly higher than the Standard condition (OR = 482.7; 95 % CI 67.7, 3442.5). All participants believed the device would be extremely useful in clinical practice.</div></div><div><h3>Conclusion</h3><div>The Cricoid Pressure Device significantly improved provider's ability to apply the target cricoid pressure to a laryngotracheal model compared to standard practice.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"59 ","pages":"Article 101502"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the combination of intravenous lidocaine and dexamethasone reduce the incidence of postoperative sore throat? A randomized controlled trial","authors":"Mostafa Abdelkhalek,&nbsp;Esraa M. Elzeiny,&nbsp;Amgad A. Zaghlol,&nbsp;Emad El Hefnawy,&nbsp;Mohamed Y. Makharita","doi":"10.1016/j.tacc.2024.101503","DOIUrl":"10.1016/j.tacc.2024.101503","url":null,"abstract":"<div><h3>Background</h3><div>The incidence of postoperative sore throat, cough, and hoarseness of voice remains significant, but the best method to reduce these symptoms is not yet definitive. The use of intravenous lidocaine combined with dexamethasone is a novel strategy to address these issues. This double-blind randomized controlled trial evaluated the incidence and severity of postoperative sore throat (POST) at rest and swallowing, cough, and hoarseness of voice by comparing the effects of a combination of intravenous lidocaine and dexamethasone versus intravenous dexamethasone alone.</div></div><div><h3>Methods</h3><div>One hundred forty patients, classified as American Society of Anesthesiologists physical status I or II, aged 18–60 years and scheduled for elective laparotomy requiring general anesthesia with endotracheal intubation for more than 120 min, were randomly assigned to receive either intravenous 8 mg dexamethasone (D group) or the same dose of dexamethasone combined with 1.5 mg/kg lidocaine (DL group). The incidence and severity of sore throat, cough, and hoarseness of voice were evaluated up to 24 h after surgery. The primary outcome measured was the incidence of POST at rest and swallowing.</div></div><div><h3>Results</h3><div>Data from 140 patients (70 patients in each group) was analyzed. The occurrence of a sore throat at rest was 41.4 % in group D and 21.4 % in group DL (P = .011). The incidence of postoperative sore throat (POST) when swallowing was 47.1 % for group D and 27.1 % for group DL (P = .014). Using dexamethasone combined with lidocaine reduced the severity of POST at rest and during swallowing at 1–2, 3, and 6 h after surgery. Multivariate logistic regression showed a reduction in POST incidence in the DL group (odds ratio, 0.4; 95 % confidence interval, 0.19–0.99; P = .05). There were no significant differences between the groups' incidence and severity of coughing or hoarseness.</div></div><div><h3>Conclusions</h3><div>Intravenous dexamethasone, combined with lidocaine, reduces the incidence and severity of postoperative sore throat at rest and during swallowing in patients requiring endotracheal intubation for over 120 min.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"59 ","pages":"Article 101503"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the effectiveness of c-mac video laryngoscope™ and reverse sellick's techniques to the blind method for nasogastric tube insertion in anesthetized, intubated patients: A randomized controlled trial","authors":"Nikhil Karthik B,&nbsp;Aparna Satish,&nbsp;Sushma H,&nbsp;Susmitha Vellanki,&nbsp;Mathew Tom,&nbsp;Malavika Kulkarni","doi":"10.1016/j.tacc.2024.101516","DOIUrl":"10.1016/j.tacc.2024.101516","url":null,"abstract":"<div><h3>Background</h3><div>Nasogastric tube (NGT) insertion in the perioperative period is a common procedure undertaken by the anesthesiologist. The conventional technique of insertion is associated with a higher failure rate under anesthesia. Additional maneuvers and instrumentation are required for a successful insertion. In this study, we evaluated the effectiveness of the C-MAC ™ video laryngoscope system with the conventional and reverse Sellick's methods for the insertion of NGT.</div></div><div><h3>Methods</h3><div>In this prospective randomized controlled trial, participants aged 18–70 years who underwent elective surgeries requiring NGT insertion were randomized into three groups. The primary outcome was the first-attempt success rate. The secondary outcomes measured were the time taken for a successful first attempt, complication rate, and ease of insertion.</div></div><div><h3>Results</h3><div>120 patients were enrolled in the study. The C-MAC ™ group had a higher first-attempt success rate (95 %) compared to the reverse Sellicks group (77.5 %) and the conventional group (70 %) (P = 0.014). The time taken for a successful first attempt was highest in the C-MAC ™ group (C-MAC vs. reverse Sellick's vs. conventional; 34.71 ± 5.94 vs. 18.66 ± 7.42 vs. 21.06 ± 6.09; P &lt; 0.001). The C-MAC ™ group reported the least complications and had the highest satisfaction rate compared to the three methods.</div></div><div><h3>Conclusions</h3><div>Employing a C-MAC video laryngoscope for insertion of NGT provides a higher success rate with the least number of complications compared to other techniques.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"59 ","pages":"Article 101516"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intracuff alkalinized 2 % lignocaine versus air for endotracheal tube induced postoperative sore throat and other laryngotracheal morbidities- A randomized, controlled trial","authors":"Navdeep Kaur ,&nbsp;Rashi Sarna ,&nbsp;Indu Mohini Sen ,&nbsp;Sandhya Yaddanapudi","doi":"10.1016/j.tacc.2024.101500","DOIUrl":"10.1016/j.tacc.2024.101500","url":null,"abstract":"<div><h3>Background</h3><div>General anesthesia with endotracheal intubation can cause postoperative sore throat (POST). The utility of intracuff lignocaine for reduction of POST in children has not been widely reported. Current study aimed to assess incidence of POST in children by comparing the effect of 2 % alkalinized lignocaine or air filled in cuffed endotracheal tube (ETT).</div></div><div><h3>Methodology</h3><div>This prospective randomized controlled trial enrolled 64 ASAI,II children, 4–10 years planned for more than 1 h of elective surgery. After endotracheal intubation, the tube cuff was inflated with alkalinized 2 % lignocaine (Group L) or air(Group A). Post operative vitals and pain was noted at regular time intervals. Emergence delirium was assessed using Watcha score. Post-anesthesia recovery characteristics were assessed using Modified Aldrete Score. POST and other post-operative events like cough, thirst, hunger, vomiting were assessed for 24 h. SPSS version 22.0 was used for descriptive and inferential statistics. P value &lt; 0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>Around 5(15.6 %) patients postoperatively,4(12.5 %) after waking up and2(6.2 %) at POD1 had sore throat in Group A while none had Group L. No significant difference was noted for post-operative sore throat, hoarseness, cough, vomiting, thirst and hunger at 1–2 h and POD1.</div></div><div><h3>Conclusions</h3><div>Inflating the ETT cuff with 2 % alkalinized lignocaine reduced the incidence of sore throat, hoarseness and emergence agitation. Further studies are required to validate the results.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"59 ","pages":"Article 101500"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of postoperative laryngeal edema in patients undergoing craniotomy for elective intracranial tumor excision: A prospective, observational, preliminary study","authors":"Sivakumar R ,&nbsp;Charu Mahajan ,&nbsp;Niraj Kumar ,&nbsp;Rajendra Singh Chouhan ,&nbsp;Bijaya Laxmi","doi":"10.1016/j.tacc.2024.101496","DOIUrl":"10.1016/j.tacc.2024.101496","url":null,"abstract":"<div><h3>Background</h3><div>Intracranial tumor surgeries require different head and surgical positions as well as large fluid administration, which can cause laryngeal edema (LE) and increased morbidity. But there are no studies regarding its incidence in this patient population. As these patients often receive steroids for reducing peri-tumoral edema, which can also reduce LE, we hypothesized that incidence of LE in patients undergoing intracranial tumor resection in various positions might not be high. Thus, this prospective, observational study aimed to find LE incidence, as assessed by cuff leak test (CLT) in these patients.</div></div><div><h3>Methods</h3><div>American Society of Anesthesiologists- Physical Status I/II, patients (18–60 yrs) undergoing elective intracranial tumor resection were included after atraumatic tracheal intubation under standard general anesthetic technique. Cuff leak volume (CLV) was measured in supine position before start of surgery (CLV_b) and completion (CLV_c) of surgery. CLV &lt;110 ml was considered to indicate LE. Important parameters were noted and patients were followed till discharge from the hospital.</div></div><div><h3>Results</h3><div>Seventy-three patients with male preponderance (58.9 %) participated in study. Number of patients operated in supine, lateral, prone and sitting positions were 34, 16, 14 and 09, respectively. CLV decreased significantly in lateral and supine positions (p &lt;0.01). Only, 02(2.74 %) patients had CLVc &lt;110 ml; both were male patients operated in supine position with head rotation. Anesthetic duration and intraoperative fluid administration were comparable across surgical positions. No postextubation stridor was seen in any patient.</div></div><div><h3>Conclusion</h3><div>We found that optimal intraoperative care of patients undergoing excision of intracranial tumors resulted in a low postoperative LE incidence (2.74 %) as detected by CLT at completion of surgery. However larger studies are required to further elaborate this issue.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"58 ","pages":"Article 101496"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges of scientific societies activities: Anesthesia and intensive care medicine. A scoping review","authors":"Luca Marino ,&nbsp;Lucilla Scarpellini ,&nbsp;Else-Marie Ringvold ,&nbsp;Federico Bilotta","doi":"10.1016/j.tacc.2024.101498","DOIUrl":"10.1016/j.tacc.2024.101498","url":null,"abstract":"<div><div>Scientific societies are historically established institutions. Historical duties and future challenges include: Improvement of patient and healthcare providers safety, enhancement of practice sustainability, boost of under-represented-minorities inclusion, promotion of innovation in technology and techniques.</div><div>This review is focused on evidence of tasks and roles of anesthesia and intensive care societies.</div><div>Google, Medline, Pubmed were utilized to find relevant studies.</div><div>The findings from the 39 included studies were categorized into the subsections: Established tasks, expanding roles, methodological hints to promote participation. The analysis of established task enhances the key role of scientific societies in education and research as foundations of high professionality skills. The expanding roles consider a large and heterogeneous list of topics: underrepresented minorities, patient and healthcare providers' safety, sustainability, technology innovation, ethical issues. The methodological hints to promote participation of effective strategies to endorse wider sharing.</div><div>Anesthesia and intensive care scientific societies have recognized functions that can be involved in the future expanding clinical and professional challenges. Both technical and non-technical skills are in the realm of the tasks of the scientific societies and the promotion of a broader participation will offer new opportunities for active collaborations.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"58 ","pages":"Article 101498"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142653273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anesthesia delivery via manual control versus end-tidal control: A scoping review","authors":"John W. Beard ,&nbsp;Stephanie Yacoubian ,&nbsp;Marco Luchetti ,&nbsp;Halit O. Yapici ,&nbsp;R.R. Kennedy","doi":"10.1016/j.tacc.2024.101501","DOIUrl":"10.1016/j.tacc.2024.101501","url":null,"abstract":"<div><div>This scoping review examined available evidence, including usability, efficiency, and accuracy, on the delivery of general inhaled anesthesia with End-tidal Control (EtC) versus manual methods. Data was extracted to identify consistency in measurements used, trends in subsequent outcomes, and areas for further study.</div><div>Twelve studies were identified: six (50.0 %) were randomized controlled trials. Nine studies (75.0 %) evaluated usability outcomes, eight (66.7 %) assessed efficiency-related outcomes, and six (50.0 %) compared the accuracy of target-level maintenance during anesthesia, between EtC and manual control.</div><div>Overall, 66.7 % (n = 6) of studies assessing usability found EtC required less than half as many provider interventions than manual control. The majority of studies found EtC performed as well or better than manual control, rapidly reaching target concentrations of anesthetic agent or oxygen. Four out of five studies evaluating the duration of concentration deviations found that EtC maintained concentrations within 10 % of targets for at least 90 % of the duration of delivery. Studies evaluating clinician feedback favored EtC over manual adjustments.</div><div>The findings of this review can inform anesthesia providers regarding the potential implications of using EtC for automated anesthesia delivery. Future research should provide additional prospective/randomized data from large samples, mimicking existing variables to allow continuity and quantitative synthesis.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"58 ","pages":"Article 101501"},"PeriodicalIF":1.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142707024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}