Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Read This First Before using this template to create your case report, please read our Author Instructions: http://edmgr.ovid.com/aa/accounts/AACR_Author_Instructions.pdf Case Reports make an important teaching point or scientific observation. Case Reports may describe unusual and instructive cases, novel anesthetic techniques, novel use of equipment, or new information on diseases of importance to anesthesiology. Clinical studies involving very few subjects may be submitted as Case Reports. Case Reports are suitable for documenting unusual cases of toxicity. Case Reports are almost never appropriate for describing the efficacy of a drug or a treatment, which should be demonstrated by an adequately powered and wellcontrolled clinical trial. The only exception is efficacy in a population, or a clinical scenario that is so uncommon that a clinical trial cannot be performed. Case Reports include an unstructured Abstract (maximum of 100 words), an Introduction, a Case Description, and a Discussion. The Introduction, Case Description and Discussion should not exceed 1500 words. A Case Report becomes a research study if the authors intend to publish the outcome at the time they are providing treatment for the patient. All case reports must include a written consent for publication statement. Please see page 5 for further details. Before you submit your document, please delete text typed in red. Page 1 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Title 1. Author: Name, Degrees (MD, PhD, etc) Title: Affiliation: (Department, Institution, City, State/Country) Email: Conflicts of Interest: <Relationships between each author and any company or organization with a potential or vested interest in the outcome of the study should be disclosed. If there are no conflicts of interest simply state “None”> 2. Author: Name, Degrees (MD, PhD, etc) Title: Affiliation: (Department, Institution, City, State/Country) Email: Conflicts of Interest: 3. Author: Name, Degrees (MD, PhD, etc) Title: Affiliation: (Department, Institution, City, State/Country) Email: Conflicts of Interest: 4. Author: Name, Degrees (MD, PhD, etc) Title: Affiliation: (Department, Institution, City, State/Country) Email: Conflicts of Interest: Name of Department(s) and Institution(s): Short Title: Funding: <Please indicate if this work was funded by: National Institutes of Health (NIH), Howard Hughes Medical Institute (HHMI), Medical Research Council (MRC), and/or Wellcome Trust> Corresponding Author: Name Department Institution Mailing address Page 2 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Phone Fax Email Page 3 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Abstract Case Reports should have a one-paragraph, unstructured Abstract summarizing the article, including salient observations and conclusions. Number of words: <not to exceed 100 words> Page 4 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Introduction The introduction is a brief background statement of the problem, identifying the specific disease about which the case report is written or a device about which a complication occurred. <Your text here – Introduction, Case Description, and Discussion not to exceed 1500 words> Consent for publication: Case reports about one or more patients must include a statement that the patient and/or the patient’s family reviewed the case report and gave written permission for the authors to publish the report. At least one author must have participated in the care of the patient described in the case report. In cases where neither the patient nor any family member can be contacted due to certain circumstances (e.g., patient death), and the local IRB has determined that review and written approval are unnecessary, a statement by the author explaining this circumstance may be acceptable if: 1. The reported event(s) occurred more 3 years prior to submission of the case report. In this circumstance, the year of the event(s), as well as a detailed explanation regarding why attempts to obtain written consent were unsuccessful, should be included in the cover letter. 2. The patient(s) can be de-identified by removing obvious demographic information without compromising the scientific value of the case report. The editors reserve the right to further delete or request additional information considered essential for complete understanding of the case report. These standards will apply to both adult and minor patients. All requests for such exceptions to written consent will be reviewed by the Editorial Board of A&A Case Reports, and decisions will be made on a case-by-case basis. A case report becomes a research study if the authors intend to publish the outcome at the time they are providing treatment for the patient(s). In this situation, the authors should obtain IRB approval and written informed consent before treating the patient(s). If that is not possible (e.g., because the need for treatment was unanticipated), then the author should obtain patient consent(s) or IRB approval in the manner detailed above before submission of the manuscript to A&A Case Reports. Retain copies of your documentation of written informed consent from each patient and /or the IRB approval and reasons for obtaining it. The editors or reviewers for A&A Case Reports may request copies of these documents at any time. Please include your consent for publication statement at the end of the Introduction section. Page 5 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Case Description <Your text here> Page 6 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Discussion <Your text here> Page 7 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Tables <Your tables here> Page 8 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Figures and Illustrations Please upload your figures in separate TIFF, JPG, EPS, PDF, XLS, DOC or PPT files. Page 9 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Figure Legends <Your legends here> Page 10 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society References Please format your references in the style of our journal (As of April 2006, the journal requires that all authors be listed). No et al. *Example: Dalal PG, Murray D, Cox T, McAllister J, Snider R. Sedation and anesthesia protocols used for magnetic resonance imaging studies in infants: provider and pharmacologic considerations. Anesth Analg 2006;103:863–8 Page 11 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Before you submit your manuscript, remember to: Add page numbers to the Word file Double-space the whole submission, including the References section See complete Checklist for Manuscripts below. Page 12 of 13 Template for Case Report, Anesthesia & Analgesia Case Reports Copyright © 2014 by the International Anesthesia Research Society Checklist for Manuscripts Before submitting your manuscript, ensure that you have completed all of these tasks: Read and followed Author Instructions (http://www.aaeditor.org/GuideforAuthors.pdf) Read and followed specifications in Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org) Downloaded and completed one Copyright Transfer Form for each author (http://edmgr.ovid.com/aa/accounts/ifauth.htm#Copyright) Read Responsible Conduct of Research, as specified in Guide for Authors, and Abided by Declaration of Helsinki (http://ohsr.od.nih.gov/guidelines/helsinki.html). Registered clinical trial, if applicable from www.clinicaltrials.gov. Presented clinical trials in accordance with the CONSORT statement from http://www.consort-statement.org. Double-spaced all text, including references and table/figure legends Formatted submission for printing to “Standard US Paper” or “Letter.” Included each required part, and began it at the top of a page, as follows: Title—with short title and complete author and corresponding author information. Unstructured Abstract Introduction (Include a consent statement at the end of this section) Case Report Discussion Tables Figures Figure Legends References—Observe the correct style for Anesthesia & Analgesia, according to this example: Dalal PG, Murray D, Cox T, McAllister J, Snider R. Sedation and anesthesia protocols used for magnetic resonance imaging studies in infants: provider and pharmacologic considerations. Anesth Analg 2006; 103:863-8 For further examples please see page 27 of our Guide for Authors: http://www.aaeditor.org/GuideforAuthors.pdf Submitting Your Manuscript 1. Go to Editorial Manager at http://www.editorialmanager.com/aa/ or access the same site from either www.iars.org (under Publications -> Journal Links -> Submit an Article) or www.anesthesia-analgesia.org (under For Authors) 2. Submit one completed Copyright Transfer Form for each author upon submission for all new submissions. For more information please visit: http://edmgr.ovid.com/aa/accounts/ifauth.htm#Copyright Page 13 of 13