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Periarticular vasoconstrictor infiltration: a novel technique for chemical vasoconstriction in major orthopaedic surgery Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-13 Vicente Roques Escolar, Pablo Oliver-Fornies, Mario Fajardo Perez
Abstract not available
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Quantitative sensory testing in paediatric patients with chronic pain: a systematic review and meta-analysis Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-13 Daniel E. Schoth, Markus Blankenburg, Julia Wager, Jin Zhang, Philippa Broadbent, Kanmani Radhakrishnan, Oda van Jole, Georgia L. Lyle, Helen Laycock, Boris Zernikow, Christina Liossi
Abstract not available
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Effects of remifentanil on brain responses to noxious stimuli during deep propofol sedation Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-13 Jesus Pujol, Gerard Martínez-Vilavella, Lluís Gallart, Laura Blanco-Hinojo, Susana Pacreu, Vincent Bonhomme, Joan Deus, Víctor Pérez-Sola, Pedro L. Gambús, Juan Fernández-Candil
Background The safety of anaesthesia has improved as a result of better control of anaesthetic depth. However, conventional monitoring does not inform on the nature of nociceptive processes during unconsciousness. A means of inferring the quality of potentially painful experiences could derive from analysis of brain activity using neuroimaging. We have evaluated the dose effects of remifentanil on
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Perioperative cardiovascular pathophysiology in patients undergoing lung resection surgery: a narrative review Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-13 Ben Shelley, Adam Glass, Thomas Keast, James McErlane, Cara Hughes, Brian Lafferty, Nandor Marczin, Philip McCall
Although thoracic surgery is understood to confer a high risk of postoperative respiratory complications, the substantial haemodynamic challenges posed are less well appreciated. This review highlights the influence of cardiovascular comorbidity on outcome, reviews the complex pathophysiological changes inherent in one-lung ventilation and lung resection, and examines their influence on cardiovascular
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Descending projections from the insular cortex to the trigeminal spinal subnucleus caudalis facilitate excitatory outputs to the parabrachial nucleus in rats. Pain (IF 7.926) Pub Date : 2022-08-15 Yuka Nakaya, Kiyofumi Yamamoto, Masayuki Kobayashi
Nociceptive information from the orofacial area projects to the trigeminal spinal subnucleus caudalis (Sp5C) and is then conveyed to several nuclei, including the parabrachial nucleus (PBN). The insular cortex (IC) receives orofacial nociceptive information and sends corticofugal projections to the Sp5C. The Sp5C consists of glutamatergic and GABAergic/glycinergic interneurons that induce EPSCs and
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Unbiased analysis of the dorsal root ganglion after peripheral nerve injury: no neuronal loss, no gliosis, but satellite glial cell plasticity. Pain (IF 7.926) Pub Date : 2022-08-15 Annemarie Schulte, Hannah Lohner, Johannes Degenbeck, Dennis Segebarth, Heike Rittner, Robert Blum, Annemarie Aue
Pain syndromes are often accompanied by complex molecular and cellular changes in dorsal root ganglia (DRG). However, evaluation of cellular plasticity in the DRG is often performed by heuristic, manual analysis of a small number of representative microscopy image fields. Here, we introduce a deep learning (DL)-based strategy for objective and unbiased analysis of neurons and satellite glial cells
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Association between long-term opioid use and cancer risk in patients with chronic pain. Comment on Br J Anaesth 2022; 129: 84–91 Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-12 Wei-Min Chu, Paul S.-B. Huang, James C.-C. Wei
Abstract not available
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Carbon Dioxide, Blood Pressure, and Perioperative Stroke: a Retrospective Case-Control Study. Anesthesiology (IF 8.986) Pub Date : 2022-08-12 Phillip E Vlisides,Graciela Mentz,Aleda M Leis,Douglas Colquhoun,Jonathon McBride,Bhiken I Naik,Lauren K Dunn,Michael F Aziz,Kamila Vagnerova,Clint Christensen,Nathan L Pace,Jeffrey Horn,Kenneth Cummings Iii,Jacek Cywinski,Annemarie Akkermans,Sachin Kheterpal,Laurel E Moore,George A Mashour
BACKGROUND The relationship between intraoperative physiology and postoperative stroke is incompletely understood. Preliminary data suggest that either hypo- or hypercapnia coupled with reduced cerebrovascular inflow (e.g., due to hypotension) can lead to ischemia. This study tested the hypothesis that the combination of intraoperative hypotension and either hypo- or hypercarbia is associated with
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Comparison of apnoeic oxygen techniques in term pregnant subjects: a computational modelling study Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-11 Reena Ellis, Marianna Laviola, Daniel Stolady, Rebecca L. Valentine, Arani Pillai, Jonathan G. Hardman
Background Hypoxaemia during general anaesthesia can cause harm. Apnoeic oxygenation extends safe apnoea time, reducing risk during airway management. We hypothesised that low-flow nasal oxygenation (LFNO) would extend safe apnoea time similarly to high-flow nasal oxygenation (HFNO), whilst allowing face-mask preoxygenation and rescue. Methods A high-fidelity, computational, physiological model was
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Augmented reality in paediatric oncology patients undergoing surgery: a feasibility randomised controlled trial Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-11 Juan P. Cata, German Corrales, Clinton Fuller, Jae E. Choi, Nicole M. Rosburg, Lei Feng, Jamie W. Sinton
Abstract not available
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Prevalence of pulmonary embolism and deep venous thrombosis during the COVID-19 pandemic in an intensive care unit cohort: a service evaluation Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-11 Nick Barnett, Donald Leith, Darsha Govind, Varsha Ramnani, Hannah Williamson, James Chung, Anya Drebes
Abstract not available
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Efficacy of Preoperative Oral Midodrine in Preventing Hypotension After Spinal Anesthesia in Young Adults: A Randomized Controlled Trial Anesth. Analg. (IF 6.627) Pub Date : 2022-08-10 Mahmoud Mohammed Alseoudy, Mohamed Osama Nasr, Tamer Ahmed Abdelsalam
BACKGROUND: Midodrine was effectively used for prophylaxis against hypotensive syndromes such as postural hypotension and intradialytic hypotension, and during the recovery phase of septic shock. In our study, we aimed to assess the efficacy of prophylactic administration of midodrine tablets before spinal anesthesia in reducing the occurrence of hypotension. METHODS: This randomized placebo-controlled
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Nationwide Clinical Practice Patterns of Anesthesiology Critical Care Physicians—A Survey to Members of the Society of Critical Care Anesthesiologists Anesth. Analg. (IF 6.627) Pub Date : 2022-08-10 Shahzad Shaefi, Ameeka Pannu, Ariel L. Mueller, Brigid Flynn, Adam Evans, Craig S. Jabaley, Domagoj Mladinov, Michael Wall, Shahla Siddiqui, David J. Douin, M. Dustin Boone, Erika Monteith, Vivian Abalama, Mark E. Nunnally, Miguel Cobas, Matthew A. Warner, Robert D. Stevens
BACKGROUND: Despite the growing contributions of critical care anesthesiologists to clinical practice, research, and administrative leadership of intensive care units (ICUs), relatively little is known about the subspecialty-specific clinical practice environment. An understanding of contemporary clinical practice is essential to recognize the opportunities and challenges facing critical care anesthesia
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Novel wearable and contactless heart rate, respiratory rate, and oxygen saturation monitoring devices: a systematic review and meta-analysis Anaesthesia (IF 12.893) Pub Date : 2022-08-10 P. Y. Chan, N. P. Ryan, D. Chen, J. McNeil, I. Hopper
We performed a systematic review and meta-analysis to identify, classify and evaluate the body of evidence on novel wearable and contactless devices that measure heart rate, respiratory rate and oxygen saturations in the clinical setting. We included any studies of hospital inpatients, including sleep study clinics. Eighty-four studies were included in the final review. There were 56 studies of wearable
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Analgesic benefits of the quadratus lumborum block in total hip arthroplasty: a systematic review and meta-analysis Anaesthesia (IF 12.893) Pub Date : 2022-08-10 N. Hussain, R. Brull, J. Speer, L.-Q. Hu, T. Sawyer, C. J. L. McCartney, F. W. Abdallah
The quadratus lumborum block (QLB) is reported to reduce pain and improve function following total hip arthroplasty; however, randomised controlled trials evaluating the benefits of adding this block to general or spinal anaesthesia in this population are conflicting. We performed a systematic review seeking randomised controlled trials investigating QLB benefits for total hip arthroplasty, stratifying
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Wildfire Smoke Exposure is Associated with Adverse Respiratory Events Under General Anesthesia in At-Risk Pediatric Patients. Anesthesiology (IF 8.986) Pub Date : 2022-08-11 Benjamin J Marsh,Kerstin Kolodzie,David Robinowitz,Adam Jacobson,Marla Ferschl
BACKGROUND Increasing wildfire activity worldwide has led to exposure to poor air quality and numerous detrimental health impacts. This study hypothesized an association between exposure to poor air quality from wildfire smoke and adverse respiratory events under general anesthesia in pediatric patients. METHODS This was a single-center retrospective double-cohort study examining two significant wildfire
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"Sedation versus General Anesthesia For Tracheal Intubation In Children With Difficult Airways: A Cohort Study from the Pediatric Difficult Intubation Registry." Anesthesiology (IF 8.986) Pub Date : 2022-08-11 Luis Sequera-Ramos,Elizabeth K Laverriere,Annery G Garcia-Marcinkiewicz,Bingqing Zhang,Pete G Kovatsis,John E Fiadjoe,
BACKGROUND Sedated and awake tracheal intubation approaches are considered safest in adults with difficult airways, but little is known about the outcomes of sedated intubations in children. The primary aim of our study is to compare the first attempt success rate of tracheal intubation during sedated tracheal intubation vs. tracheal intubation under general anesthesia (GA). We hypothesized that sedated
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Prediction of Postoperative Deterioration in Cardiac Surgery Patients using Electronic Health Record and Physiologic Waveform Data. Anesthesiology (IF 8.986) Pub Date : 2022-08-11 Michael R Mathis,Milo C Engoren,Aaron M Williams,Ben E Biesterveld,Alfred J Croteau,Lingrui Cai,Renaid B Kim,Gang Liu,Kevin R Ward,,Kayvan Najarian,Jonathan Gryak
BACKGROUND Postoperative hemodynamic deterioration among cardiac surgical patients can indicate or lead to adverse outcomes. Whereas prediction models for such events using electronic health records or physiologic waveform data are previously described, their combined value remains incompletely defined. The authors hypothesized that models incorporating electronic health record and processed waveform
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Intensive care unit versus high dependency care unit admission after emergency surgery: a nationwide in-patient registry study Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-10 Hiroyuki Ohbe, Hiroki Matsui, Ryosuke Kumazawa, Hideo Yasunaga
Background The appropriate level of postoperative critical care for patients undergoing emergency surgery is unknown. We aimed to assess the outcomes of postoperative patients treated in the intensive care unit (ICU) and high dependency care unit (HDU) after emergency surgery. Methods Analysis of national in-patient registry data in Japan from July 2010 to March 2018, including patients undergoing
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Outcomes of dexmedetomidine versus propofol sedation in critically ill adults requiring mechanical ventilation: a systematic review and meta-analysis of randomised controlled trials Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-10 Kiyan Heybati, Fangwen Zhou, Saif Ali, Jiawen Deng, Divyanshu Mohananey, Pedro Villablanca, Harish Ramakrishna
Background Guidelines have recommended the use of dexmedetomidine or propofol for sedation after cardiac surgery, and propofol monotherapy for other patients. Further outcome data are required for these drugs. Methods This systematic review and meta-analysis was prospectively registered on PROSPERO. The primary outcome was ICU length of stay. Secondary outcomes included duration of mechanical ventilation
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Do difficult airway alert cards help if practice doesn't change? Anaesthesia (IF 12.893) Pub Date : 2022-08-10 M A Smith,C V Rosenstock
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How to write a Science Letter for Anaesthesia. Anaesthesia (IF 12.893) Pub Date : 2022-08-09 C R Bailey,K El-Boghdadly
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Analysis of a national difficult airway database Anaesthesia (IF 12.893) Pub Date : 2022-08-07 A. Sajayan, A. Nair, A. F. McNarry, F. Mir, I. Ahmad, K. El-Boghdadly
Difficult airway management continues to adversely affect patient care and clinical outcomes and is poorly predicted. Previous difficult airway management is the most accurate predictor of future difficulty. The Difficult Airway Society initiated a national airway database to allow clinicians to access details of previous difficult airway episodes in patients issued with a difficult airway alert card
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The Bupivacaine Story: A Tribute to George A. Albright, MD (1931–2020) Anesth. Analg. (IF 6.627) Pub Date : 2022-08-03 C. Philip Jr Larson, Kevin Youssefzadeh, Jane S. Moon
In 1979, George A. Albright, MD (1931–2020) published a controversial editorial in Anesthesiology that raised the question of bupivacaine cardiotoxicity. In it, he presented several cases of rapid cardiovascular collapse after administration of the highly lipophilic local anesthetic and called for further investigation. Although the scientific community initially resisted Dr Albright’s idea, his editorial
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Tidal Volume and Positive End-Expiratory Pressure and Postoperative Hypoxemia during General Anesthesia: A Single Center Multiple Cross-over Factorial Cluster Trial. Anesthesiology (IF 8.986) Pub Date : 2022-08-08 Alparslan Turan,Wael Ali Sakr Esa,Eva Rivas,Jiayi Wang,Omer Bakal,Samantha Stamper,Ehab Farag,Kamal Maheswari,Guangmei Mao,Kurt Ruetzler,Daniel I Sessler,
BACKGROUND Intraoperative mechanical ventilation is a major component of general anesthesia. The extent to which various intraoperative tidal volumes and positive end-expiratory pressures (PEEP) on postoperative hypoxia and lung injury remains unclear. We hypothesized that adult patients having orthopedic surgery, ventilation using different tidal volumes and PEEP levels affects the oxygenation within
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A thirst for progress Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-06 Rebecca Sands, Robert Wiltshire, Peter Isherwood
Abstract not available
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Interventions for the prevention or treatment of epidural-related maternal fever: a systematic review and meta-analysis Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-05 Anna Cartledge, Daniel Hind, Mike Bradburn, Marrissa Martyn-St James, Sophie Davenport, Wei Shao Tung, Hwu Yung, Jeyinn Wong, Matthew Wilson
Background Epidural-related maternal fever has consequences for the mother and neonate. There has been no systematic review of preventive strategies. Methods RCTs evaluating methods of preventing or treating epidural-related maternal fever in women in active labour were eligible. We searched MEDLINE, EMBASE, CINAHL, Web of Science, CENTRAL, and grey literature sources were searched from inception to
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Screening validity of quantitative infrared pupillometry for predicting neurological outcomes in patients admitted to intensive care. Response to Br J Anaesth 2022 Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-04 Alex Warren, Alastair Proudfoot
Abstract not available
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Pulmonary Aeration and Posterior Collapse Assessed by Electrical Impedance Tomography in Healthy Children: Contribution of Anesthesia and Controlled Mechanical Ventilation. Anesthesiology (IF 8.986) Pub Date : 2022-08-05 Milena Siciliano Nascimento,Celso Moura Rebello,Eduardo Leite Vieira Costa,Felipe de Souza Rossi,Cristiane do Prado,Marcelo Britto Passos Amato
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Intraoperative Management of a Severely Kinked Endotracheal Tube and Difficult Airway. Anesthesiology (IF 8.986) Pub Date : 2022-08-05 Piper Nash,Graeme Segal,Michael Collins
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Preoperative Ultrasound-Guided Percutaneous Cryoneurolysis for the Treatment of Pain following Mastectomy: A Randomized, Participant- and Observer-Masked, Sham-Controlled Study. Anesthesiology (IF 8.986) Pub Date : 2022-08-05 Brian M Ilfeld,John J Finneran,Matthew W Swisher,Engy T Said,Rodney A Gabriel,Jacklynn F Sztain,Bahareh Khatibi,Ava Armani,Andrea Trescot,Michael C Donohue,Adam Schaar,Anne M Wallace
BACKGROUND. Ultrasound-guided percutaneous cryoneurolysis is an analgesic technique in which a percutaneous probe is used to reversibly ablate a peripheral nerve(s) using exceptionally low temperature, and has yet to be evaluated with randomized, controlled trials. Pain following mastectomy can be difficult to treat, and we hypothesized that the severity of surgically-related pain would be lower on
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Brain Complexities and Anesthesia: Their Meaning and Measurement. Anesthesiology (IF 8.986) Pub Date : 2022-08-04 Duan Li,Marco S Fabus,Jamie W Sleigh
A complex system is often associated with emergence of new phenomena from the interactions between the system's components. General anesthesia reduces brain complexity and so inhibits the emergence of consciousness. An understanding of complexity is necessary for the interpretation of brain monitoring algorithms. Complexity indices capture the "difficulty" of understanding brain activity over time
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Effect of acute pain on the association between preoperative cognitive impairment and postoperative delirium: a secondary analysis of three trials Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-03 Jia-Hui Ma, Ya-Fei Liu, Hong Hong, Chun-Jing Li, Fan Cui, Dong-Liang Mu, Dong-Xin Wang
Background The association between preoperative cognitive impairment, postoperative pain, and postoperative delirium in older patients after noncardiac surgery is not known. Methods This was a secondary analysis of datasets from three previous studies. Patients aged ≥55 yr who underwent elective noncardiac surgery were enrolled. Preoperative cognitive impairment was defined as Mini-Mental State Examination
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Wearable transcutaneous electrical acupoint stimulation bracelet for prevention of postoperative nausea and vomiting in patients undergoing hysteroscopic surgery: a randomised controlled trial Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-03 Na Wang, Peng Ding, Dong-Yu Zheng, Jun Pu, Li-Ye Yang, Yang-Yang Zhou, Dong-Jie Li, Wei Chen, Yong-Hua Li
Abstract not available
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Tracheostomy outcomes in critically ill COVID-19 patients: a systematic review, meta-analysis, and meta-regression Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-03 Denise Battaglini, Lavienraj Premraj, Nicole White, Anna-Liisa Sutt, Chiara Robba, Sung-Min Cho, Ida Di Giacinto, Filippo Bressan, Massimiliano Sorbello, Brian Cuthbertson, Gianluigi Li Bassi, Jacky Suen, John Fraser, Paolo Pelosi
Introduction We performed a systematic review in COVID-19 mechanically ventilated (MV) patients which analysed the effect of tracheostomy timing and technique (surgical vs. percutaneous) on mortality. Secondary outcomes included intensive care unit (ICU)-and hospital-length-of-stay (LOS), decannulation from tracheostomy, duration of MV, and complications. Methods Four databases were screened between
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Translating evidence into practice: still a way to go Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-02 David R. McIlroy
Chiu and colleagues report a retrospective analysis describing the 5-yr trend in both intraoperative fluid and vasopressor administration in 32 250 patients undergoing elective abdominal surgery within the Multicenter Perioperative Outcomes Group (MPOG) database from 2015 to 2019, and exploring the association between these two factors and acute kidney injury. Modelling predicted the lowest risk for
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Screening validity of quantitative infrared pupillometry for predicting neurological outcomes in patients admitted to intensive care. Comment on Br J Anaesth 2022; 128: 849–56 Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-02 Tomoyuki Kawada
Abstract not available
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When will we call time on desflurane? Comment on Br J Anaesth 2022 Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-02 Peter Brooks, Anthony R. Absalom
Abstract not available
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Alfentanil-based TIVA during remifentanil shortages: a need for guidance. Anaesthesia (IF 12.893) Pub Date : 2022-08-03 S Ford
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How to write a retrospective observational study. Anaesthesia (IF 12.893) Pub Date : 2022-08-02 A L Gardner,M Charlesworth
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A randomised controlled trial in patients undergoing arthroscopic shoulder surgery comparing interscalene block with either 10 ml or 20 ml levobupivacaine 0.25% Anaesthesia (IF 12.893) Pub Date : 2022-08-02 P. Oliver-Fornies, R. Gomez Gomez, J. P. Ortega Lahuerta, I. Carbonel Bueno, I. Gonzalo Pellicer, J. Ripalda Marin, C. E. Orellana Melgar, M. Fajardo Perez
The interscalene brachial plexus block is recommended for analgesia after shoulder surgery but it may cause hemidiaphragmatic dysfunction. We tested whether ipsilateral hemidiaphragmatic contraction was better after a smaller dose of local anaesthetic without impairing analgesic effect. We randomly allocated 48 adults to 10 ml or 20 ml levobupivacaine 0.25% before arthroscopic shoulder surgery. The
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Nocebo language in anaesthetic patient written information Anaesthesia (IF 12.893) Pub Date : 2022-08-02 L. B. Guscoth, A. M. Cyna
Recent evidence suggests that how anaesthesia information is presented may influence patient treatment outcomes. We conducted an observational study of anaesthetic-based patient information leaflets across NHS Trusts in England for their nocebo terms vs. therapeutic terms, and how adverse effects were presented. In this study, ‘nocebo’ is wording that may predispose the patient to expect adverse events
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Practice Guidelines for Difficult Airway Management: Comment. Anesthesiology (IF 8.986) Pub Date : 2022-08-02 Mary Lyn Stein,Elizabeth Bunten,Carolyn G Butler,Chinyere Egbuta,Stephen Flynn,Peter G Kovatsis,Charles D Nargozian,Raymond S Park,James M Peyton
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Practice Guidelines for Difficult Airway Management: Reply. Anesthesiology (IF 8.986) Pub Date : 2022-08-02 Jeffrey L Apfelbaum,Richard T Connis,Carin A Hagberg
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Practice Guidelines for Difficult Airway Management: Comment. Anesthesiology (IF 8.986) Pub Date : 2022-08-02 James R Nielsen,Kar-Soon Lim
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Parallels between our response to COVID-19 and patient safety Br. J. Anaesth. (IF 11.719) Pub Date : 2022-08-01 Jonathan B. Cohen, Sephalie Y. Patel
The response to the COVID-19 pandemic and the approach to patient safety share three important concepts: the challenges of preventing rare events, use of rules, and tolerance for uncertainty. We discuss how each of these ideas can be utilised in perioperative safety to create a high reliability system.
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A double-blind randomised feasibility trial of angiotensin-2 in cardiac surgery* Anaesthesia (IF 12.893) Pub Date : 2022-08-01 T. G. Coulson, L. F. Miles, A. Serpa Neto, D. Pilcher, L. Weinberg, G. Landoni, A. Zarbock, R. Bellomo
Acute kidney injury is common after cardiac surgery. Vasoplegic hypotension may contribute to kidney injury, and different vasopressors may have variable effects on kidney function. We conducted a double-blind, randomised feasibility trial comparing peri-operative angiotensin-2 with noradrenaline. We randomly allocated 60 patients at two centres to a blinded equipotent angiotensin-2 or noradrenaline
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Reply to dos Santos Ferreira and Velly. Pain (IF 7.926) Pub Date : 2022-08-01 Daniel Ciampi de Andrade,Marcos Daniel Cabral Saraiva
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Reply to dos Santos Ferreira and Velly. Pain (IF 7.926) Pub Date : 2022-08-01 Isabelle Rouch,Arlette Edjolo,Bernard Laurent,Hélène Amieva
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Cognitive decline over time in patients with chronic pain and headache: how can different outcomes be explained? Pain (IF 7.926) Pub Date : 2022-08-01 Karen Dos Santos Ferreira,Ana Miriam Velly
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Not being able to measure what is important, does not make things we can measure important. Pain (IF 7.926) Pub Date : 2022-08-01 Morten Hoegh,Annina B Schmid,Per Hansson,Nanna Brix Finnerup
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Effectiveness of Cricoid and Paratracheal Pressures in Occluding the Upper Esophagus Through Induction of Anesthesia and Videolaryngoscopy: A Randomized, Crossover Study Anesth. Analg. (IF 6.627) Pub Date : 2022-08-01 Hyerim Kim, Jee-Eun Chang, Dongwook Won, Jung-Man Lee, Tae Kyong Kim, Min Jong Kim, Seong-Won Min, Jin-Young Hwang
BACKGROUND: Maneuvers for preventing passive regurgitation of gastric contents are applied to effectively occlude the esophagus throughout rapid sequence induction and intubation. The aim of this randomized, crossover study was to investigate the effectiveness of cricoid and paratracheal pressures in occluding the esophagus through induction of anesthesia and videolaryngoscopy. METHODS: After the
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Single-Shot Lumbar Erector Spinae Plane Block in Total Hip Replacement: A Randomized Clinical Trial Anesth. Analg. (IF 6.627) Pub Date : 2022-08-01 Anyon Chan, Tony K. T. Ng, Bruce Y. H. Tang
BACKGROUND: Lumbar erector spinae plane block (ESPB) has been proposed to relieve pain after total hip replacement (THR), but high-quality evidence is scarce. METHODS: This double-blinded (patient and assessor) randomized clinical trial, performed in 2 tertiary centers in Hong Kong, recruited patients undergoing primary unilateral THR under general anesthesia (GA) who received either single-shot
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Outcomes and Disposition of Patients After Case Cancellation on Day of Surgery for Reasons Attributed to Medical or Anesthetic Care: A Retrospective Cohort Analysis Anesth. Analg. (IF 6.627) Pub Date : 2022-08-01 George L. Tewfik, Carlos Rodriguez-Aponte, Kathy Zhang, Bishoy Ezzat, Pooja Suri, Faraz Chaudhry
BACKGROUND: Many day-of-surgery cancellations are avoidable, and different strategies are used to prevent these costly adverse events. Despite these past analyses and evaluations of positive interventions, studies have not examined the final disposition of patients whose cases were canceled in this late manner. This study sought to determine whether surgical procedures canceled for medical or anesthetic
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The accuracy of ventilator logbooks in calculating environmental burden of inhalational agents. Anaesthesia (IF 12.893) Pub Date : 2022-07-28 J Gandhi,I Baxter
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Peri-operative management of transgender patients: time for some guidance? Anaesthesia (IF 12.893) Pub Date : 2022-07-28 L Flower,S Edwardson
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Videolaryngoscopy, oesophageal intubation and uncertainty: lessons from Cochrane. Anaesthesia (IF 12.893) Pub Date : 2022-07-27 A M Rogers,J Hansel,T M Cook
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Ultrasound Assessment of Gastric Fluid Volume in Children Scheduled for Elective Surgery After Clear Fluid Fasting for 1 Versus 2 Hours: A Randomized Controlled Trial Anesth. Analg. (IF 6.627) Pub Date : 2022-07-26 Khaled Abdelfattah Sarhan, Hossam Hasaneen, Ahmed Hasanin, Hany Mohammed, Reham Saleh, Atef Kamel
Export BACKGROUND: This study aimed to compare the gastric fluid volume (GFV) in children who fasted 1 versus 2 hours using ultrasound, after ingestion of a defined volume of clear fluid. METHODS: Children scheduled for elective surgery were enrolled in this randomized, double-blinded, controlled trial. After receiving 3 mL kg–1 clear fluid, participants were randomized to have a gastric ultrasound
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Coagulated Cryoprecipitate in an Intravenous Line. Anesthesiology (IF 8.986) Pub Date : 2022-07-26 Alexander B Shulman,Yusi H Kase,Robert T Arrigo,Aaron S Hess