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Vasopressors to treat postoperative hypotension after adult noncardiac, non-obstetric surgery: a systematic review Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-29 Ned Douglas, Kate Leslie, Jai N. Darvall
Background Postoperative hypotension is common after major surgery and is associated with patient harm. Vasopressors are commonly used to treat hypotension without clear evidence of benefit. We conducted a systematic review to better understand the use, impact, and rationale for vasopressor administration after noncardiac, non-obstetric surgery in adults. Methods We conducted a prospectively registered
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Intraoperative blood pressure: could less be more? Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-29 Frederic Michard, Alexandre Joosten, Emmanuel Futier
Retrospective observational studies have reported a significant association between intraoperative hypotension and postoperative morbidity. However, association does not imply causation, and whether preventing intraoperative hypotension can improve patient outcome remains to be demonstrated. In this issue of the British Journal of Anaesthesia, D'Amico and colleagues meta-analysed 10 prospective randomised
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The airway and the British Journal of Anaesthesia: 100 years Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-27 Craig Lyons, Ellen P. O'Sullivan
Airway-related articles have featured heavily in the British Journal of Anaesthesia since it was founded in 1923. In the 100 years thereafter, 1102 airway-related articles have been published in the journal, written by 2955 unique authors from 55 different countries. In this editorial, we highlight some of the major publications in airway management and their impact on the specialty. Summaries of the
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Patient Safety and Quality Improvement in Anesthesiology and Perioperative Medicine, S.E. Rampersad, C.B. Katz (Eds.), 1st edn, 2023Cambridge University Press (2023), 155 pp. Price £24.99 (paperback). ISBN: 9781108125758 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-27 Craig S. Webster
Abstract not available
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Comparative efficacy and safety of non-neuraxial analgesic techniques for midline laparotomy: a systematic review and frequentist network meta-analysis of randomised controlled trials Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-26 Garrett Barry, Herman Sehmbi, Susanne Retter, Jonathan G. Bailey, Rose Tablante, Vishal Uppal
Background Fascial plane blocks provide effective analgesia after midline laparotomy; however, the most efficacious technique has not been determined. We conducted a systematic review and network meta-analysis of randomised controlled trials to synthesise the evidence with respect to pain, opioid consumption, and adverse events. Methods We searched Ovid MEDLINE, Embase, Cochrane Central, and Scopus
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Clinical impact of fascial plane blocks: defining the research agenda Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-26 Xin Huang, Yan Zeng, Bhushan Sandeep, Jing Yang
Abstract not available
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Effects of altering harmonic structure on the recognition of simulated auditory arterial pressure alarms Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-26 Molly A. Bingham, Mabel L. Cummins, Anqy Tong, Palmer Purcell, Ayush Sangari, Aditya Sood, Joseph J. Schlesinger
Abstract not available
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Neuromodulation Techniques for the Spine, Alaa Abd-Elsayed (editor (2023), Published by Elsevier. 235 pp. Price $149.99. ISBN: 978-0-32-387584-4 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-26 Philippe Rigoard
Abstract not available
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Volatile anaesthetic toxicity in the genetic mitochondrial disease Leigh syndrome Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-26 Kira A. Spencer, Michael Mulholland, John Snell, Miranda Howe, Katerina James, Allison R. Hanaford, Philip G. Morgan, Margaret Sedensky, Simon C. Johnson
Background Volatile anaesthetics are widely used in human medicine. Although generally safe, hypersensitivity and toxicity can occur in rare cases, such as in certain genetic disorders. Anaesthesia hypersensitivity is well-documented in a subset of mitochondrial diseases, but whether volatile anaesthetics are toxic in this setting has not been explored. Methods We exposed Ndufs4(−/−) mice, a model
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Therapeutic efficacy of intravenous lidocaine infusion compared with thoracic epidural analgesia in major abdominal surgery: a non-inferiority randomised clinical trial Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-26 Fabian D. Casas-Arroyave, Susana C. Osorno-Upegui, Mario A. Zamudio-Burbano
Background Open major abdominal surgery is one of the most risky surgical procedures for acute postoperative pain. Thoracic epidural analgesia (TEA) has been considered the standard analgesic approach. In different reports, lidocaine i.v. has been shown to have an analgesic efficacy comparable with TEA. We compared the analgesic efficacy of i.v. lidocaine with thoracic epidural analgesia using bupivacaine
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Evaluating cognitive aids in hospital management of severe trauma patients: a prospective randomised high-fidelity simulation trial Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-22 Maxime J.J. Fleury, Claire Nicolleau, Guillaume Bouhours, Mathieu Conté, Ludovic Martin, Sigismond Lasocki, Maxime Léger
Abstract not available
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Diversity, inclusion, and equity at the British Journal of Anaesthesia: 100 years of progress Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-25 Kate Leslie, Yize I. Wan, Cynthia A. Wong
The past century, especially the past decade, has seen re-examination and evolution in our views about sex, gender, race, and ethnicity. The British Journal of Anaesthesia is part of an ongoing effort in research and medical publishing, and in health and education more generally, to improve diversity, inclusion, and equity. This editorial highlights the contributions and evolution of the Journal in
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Neonatal Anesthesia, 2nd edn, J. Lerman (Ed.), Published by Springer, New York (2023), 637 pp. Price USD $219.99 hardcover, USD $169.00 ebook. ISBN No: 978-3-031-25357-7 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-25 Susan M. Goobie
Abstract not available
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Utility of raw electroencephalography monitoring for estimating level of sedation in the perioperative setting Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-25 Alessandro Tani, Gennaro Tartarisco, Fiammetta Logi, Gabriella Martino, Sara Tudisco, Angelo Labate, Francesco Tomaiuolo
Abstract not available
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Global anaesthesia-related cardiac arrest rates in children: a systematic review and meta-analysis Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-22 Teofilo Augusto A. Tiradentes, Sharon Einav, Jose R.C. Braz, Vania S. Nunes-Nogueira, Marluci Betini, Jose E. Corrente, Mariana G. Braz, Leandro G. Braz
Background Neonates and infants have a higher perioperative risk of cardiac arrest and mortality than adults. The Human Development Index (HDI) ranges from 0 to 1, representing the lowest and highest levels of development, respectively. The relation between anaesthesia safety and country HDI has been described previously. We examined the relationship among the anaesthesia-related cardiac arrest rate
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Screening for hazardous attitudes among anaesthesiologists: a pilot study Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-22 John P. Rask, Huong-Tram Duran, Josh DeClercq, Michael Andreae, Shilo Anders, Arna Banerjee, Amanda R. Burden, Adam I. Levine, Matthew S. Shotwell, Elizabeth H. Sinz, Laurence C. Torsher, David M. Gaba, Matthew B. Weinger
Abstract not available
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Mediating effect of COVID-19 related negative sentiment on the relationship between COVID-19 infection indicators and burnout among Chinese anaesthesiologists in the post-pandemic era Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-21 Fu Zhang, Hua-Ming Liu, Yi-Fan Wang, Tian-Ying Tang, Hai-Bo Li, Yi-Sheng Huang, Yang-Tian Yan, Ke-Xuan Liu
Abstract not available
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Outcomes following perioperative red blood cell transfusion in patients undergoing elective major abdominal surgery: a systematic review and meta-analysis Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-21 Fraser J.D. Morris, Yoke-Lin Fung, Alison Craswell, Michelle S. Chew
Background Perioperative red blood cell transfusion is a double-edged sword for surgical patients. While transfusion of red cells can increase oxygen delivery by increasing haemoglobin levels, its impact on short- and long-term postoperative outcomes, particularly in patients undergoing elective major abdominal surgery, is unclear. Methods We conducted a systematic review and meta-analysis on the effect
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Superficial versus deep parasternal intercostal plane blocks: cadaveric evaluation of injectate spread Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-21 Rachel N. Douglas, Punnose Kattil, Nirusha Lachman, Rebecca L. Johnson, Adam D. Niesen, David P. Martin, Matthew J. Ritter
Background Deep and superficial parasternal intercostal plane blocks provide anterior chest wall analgesia for both breast and cardiac surgery. Our primary objective of this cadaveric study was to describe the parasternal spread of deep and superficial parasternal intercostal plane blocks. Our secondary objectives were to describe needle proximity to the internal mammary artery when performing deep
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Pharmacokinetics of remimazolam after intravenous infusion in anaesthetised children Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-21 Yu-Qing Gao, Harald Ihmsen, Zhi-Yan Hu, Wei Sun, Yu-Bo Fang, Zhen Wang, Jürgen Schüttler, Christian Jeleazcov, Hua-Cheng Liu
Background The pharmacokinetic properties of the new benzodiazepine remimazolam have been studied only in adults. We investigated the pharmacokinetics of remimazolam after i.v. infusion in anaesthetised paediatric patients. Methods Twenty-four children (2–6 yr, ASA physical status 1–2, BMI 15–18 kg m−2) undergoing general anaesthesia with sevoflurane were enrolled. During surgery, remimazolam was administered
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Intraoperative hypotension and postoperative outcomes: a meta-analysis of randomised trials Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-20 Filippo D'Amico, Evgeny V. Fominskiy, Stefano Turi, Alessandro Pruna, Stefano Fresilli, Margherita Triulzi, Alberto Zangrillo, Giovanni Landoni
Introduction Intraoperative hypotension is associated with adverse postoperative outcomes; however these findings are supported only by observational studies. The aim of this meta-analysis of randomised trials was to compare the postoperative effects permissive management with targeted management of intraoperative blood pressure. Methods We searched PubMed, Cochrane, and Embase up to June 2023 for
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Opportunities for shared decision-making about major surgery with high-risk patients: the switch from ‘fixing the problem’ to undertaking shared decision-making. Comment on Br J Anaesth 2023; 131: 56–66 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-20 Stuart Connal
Abstract not available
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Depth of anaesthesia monitoring: updated evidence. Comment on Br J Anaesth 2023; 131: 196–9 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-19 Paul S. Myles
Abstract not available
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Healthcare delivery gaps in pain management within the first 3 months after discharge from inpatient noncardiac surgeries: a scoping review Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-15 Janny X.C. Ke, Maya de Vos, Katarina Kojic, Mark Hwang, Jason Park, Heather Stuart, Jill Osborn, Alana Flexman, Lindsay Blake, Daniel I. McIsaac
Background Poor pain control during the postoperative period has negative implications for recovery, and is a critical risk factor for development of persistent postsurgical pain. The aim of this scoping review is to identify gaps in healthcare delivery that patients undergoing inpatient noncardiac surgeries experience in pain management while recovering at home. Methods Searches were conducted by
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Similarities in consciousness occurring during sleep and sedation Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-15 Andrew J.F. Turner, Jordan Wehrman, Robert D. Sanders
The subjective experiences of sedation or anaesthesia are underexplored. A recent study by Valli and colleagues (Br J Anaesth 2023; 131: 348–59) found similar frequency and content of recalled experiences after both non-rapid eye movement sleep and target-controlled infusions of propofol or dexmedetomidine titrated to verbal unresponsiveness. The authors find that the phenomenological similarities
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Consensus guidelines, Delphi methods, and evidence around anaesthetic technique for endoscopic retrograde cholangiopancreatography Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-15 Simon J. Howell, Anthony R. Absalom
Consensus guidelines on the anaesthetic management of endoscopic retrograde cholangiopancreatography (ERCP) have recently been published. The rigorous synthesis of expert opinion is invaluable when there are limited data, and these guidelines are a significant step forward. This review both guides practice and identifies important research questions. We challenge those working in this field to collaborate
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Obstetric management strategies for pregnant patients receiving extracorporeal membrane oxygenation and associated maternal–fetal outcomes: a multicentre cohort study Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-15 Xing Hao, Chenglong Li, Chengcheng Shao, Feng Yang, Haixiu Xie, Xiaoyang Hong, Jinquan Wang, Shuanglei Li, Binfei Li, Dechang Chen, Xiaobo Huang, Jun Li, Xiaojun Liu, Jinsong Zhang, Haibo Qiu, Eddy Fan, Daniel Brodie, Hong Wang, Liangshan Wang, Xiaotong Hou
Abstract not available
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Basic analgesic use in randomised trials assessing local and regional analgesic interventions for mastectomy: a critical appraisal and clinical implications Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-15 Dan Mija, Henrik Kehlet, Girish P. Joshi
Regional analgesia is a core component of an optimal multimodal analgesia technique. Several advanced regional analgesic techniques have been evaluated for mastectomy; however, the optimal choice remains unclear. Many randomised clinical trials (RCTs) evaluating various local/regional analgesic techniques do not include basic analgesics (i.e. paracetamol, non-steroidal anti-inflammatory drugs, cyclooxygenase-2
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A classification system for pulmonary artery catheters Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-14 Matthias Heringlake, Karim Kouz, Bernd Saugel
Flow-directed, balloon-tipped pulmonary artery catheters allow measuring cardiac output and other haemodynamic variables including intracardiac pressures. We propose classifying pulmonary artery catheters by generations and specifying additional measurement modalities. Based on the method used to measure cardiac output, pulmonary artery catheters can be classified into three generations: first-generation
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Lessons from aviation safety: pilot monitoring, the sterile flight deck rule, and aviation-style computerised checklists in the operating room Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-14 Srdjan Jelacic, Andrew Bowdle, Bala G. Nair, Akira A. Nair, Mark Edwards, Daniel J. Boorman
Commercial aviation practices including the role of the pilot monitoring, the sterile flight deck rule, and computerised checklists have direct applicability to anaesthesia care. The pilot monitoring performs specific tasks that complement the pilot flying who is directly controlling the aircraft flight path. The anaesthesia care team, with two providers, can be organised in a manner that is analogous
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Quality of recovery after pericapsular nerve group (PENG) block for primary total hip arthroplasty under spinal anaesthesia. Comment on Br J Anaesth 2023; 130: 773–9 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-14 Anders H. Springborg, Niklas I. Nielsen, Nicolai B. Foss
Abstract not available
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Global practices in desflurane use Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-14 Elizabeth P. Hu, Andrea Yap, Jessica F. Davies, Toru Goyagi, Forbes McGain
Abstract not available
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Both patients and the public should be involved in setting the pain research agenda Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-14 Ketan Bhatt, Dalia M. Aljohani, Patrice Forget
Abstract not available
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Critical care and pandemic preparedness and response Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-14 William RN. Thomson, Zudin A. Puthucheary, Yize I. Wan
Critical care was established partially in response to a polio epidemic in the 1950s. In the intervening 70 yr, several epidemics and pandemics have placed critical care and allied services under extreme pressure. Pandemics cause wholesale changes to accepted standards of practice, require reallocation and retargeting of resources and goals of care. In addition to clinical acumen, mounting an effective
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Early-in-life isoflurane exposure alters resting-state functional connectivity in juvenile non-human primates Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-14 Viola Neudecker, Jose F. Perez-Zoghbi, Oscar Miranda-Domínguez, Katie J. Schenning, Julian SB. Ramirez, A.J. Mitchell, Anders Perrone, Eric Earl, Sam Carpenter, Lauren D. Martin, Kristine Coleman, Martha Neuringer, Christopher D. Kroenke, Gregory A. Dissen, Damien A. Fair, Ansgar M. Brambrink
Background Clinical studies suggest that anaesthesia exposure early in life affects neurobehavioural development. We designed a non-human primate (NHP) study to evaluate cognitive, behavioural, and brain functional and structural alterations after isoflurane exposure during infancy. These NHPs displayed decreased close social behaviour and increased astrogliosis in specific brain regions, most notably
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Inhibitory effects of lidocaine on colon carcinoma progression in a rat model: a pilot study Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-13 Sergiu D. Habago, Valentin Ordodi, Florina Bojin, Stefan C. Vesa, Valentin Moldovan, Virgil Paunescu, Daniela Ionescu
Abstract not available
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Tranexamic acid for reduction of blood loss after Caesarean delivery: a cost-effectiveness analysis of the TRAAP2 trial Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-09 Loïc Sentilhes, Antoine Bénard, Hugo Madar, Alizée Froeliger, Solène Petit, Catherine Deneux-Tharaux
Background Prophylactic administration of tranexamic acid is associated with a reduction of blood loss after Caesarean delivery, but cost-effectiveness for this indication has not been assessed. Methods We used data from the TRAAP2 trial, a multicentre, double-blinded, RCT aimed at estimating the efficacy of tranexamic acid for preventing postpartum haemorrhage among women undergoing Caesarean delivery
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Serratus anterior and pectoralis plane blocks for robotically assisted mitral valve repair. Response to Br J Anaesth 2023 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-09 Andrej Alfirevic, Daniel I. Sessler, Xuan Pu, Alparslan Turan
Abstract not available
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Combination of pectoralis nerve block II and serratus anterior plane blocks in minimally invasive cardiac surgery. Comment on Br J Anaesth 2023; 130: 786–94 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-09 Raghuraman M. Sethuraman, Arun Natarajan
Abstract not available
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Effect of driving pressure-guided positive end-expiratory pressure on postoperative pulmonary complications in patients undergoing laparoscopic or robotic surgery: a randomised controlled trial Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-09 Yoon Jung Kim, Bo Rim Kim, Hee Won Kim, Ji-Yoon Jung, Hye-Yeon Cho, Jeoung-Hwa Seo, Won Ho Kim, Hee-Soo Kim, Suhyun Hwangbo, Hyun-Kyu Yoon
Background Individualised positive end-expiratory pressure (PEEP) improves respiratory mechanics. However, whether PEEP reduces postoperative pulmonary complications (PPCs) remains unclear. We investigated whether driving pressure-guided PEEP reduces PPCs after laparoscopic/robotic abdominal surgery. Methods This single-centre, randomised controlled trial enrolled patients at risk for PPCs undergoing
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TRPV1 and TRPA1 channels interact to mediate cold hyperalgesia in mice Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-09 Changming Wang, Xiang Jin, Qing Zhang, Hanwen Wang, Haiwang Ji, Yuan Zhou, Chan Zhu, Yan Yang, Guang Yu, Zongxiang Tang
Abstract not available
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Tumour excisional surgery, anaesthetic-analgesic techniques, and oncologic outcomes: a narrative review Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-09 Orla Murphy, Patrice Forget, Daqing Ma, Donal J. Buggy
Cancer is a growing global burden; there were an estimated 18 million new cancer diagnoses worldwide in 2020. Excisional surgery remains one of the main treatments for solid organ tumours in cancer patients and is potentially curative. Cancer- and surgery-induced inflammatory processes can facilitate residual tumour cell survival, growth, and subsequent recurrence. However, it has been hypothesised
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Association of magnesium sulfate use with mortality in critically ill patients with sepsis: a retrospective propensity score-matched cohort study Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-07 Wan-Jie Gu, Xiang-Jie Duan, Xiao-Zhu Liu, Yun Cen, Li-Yuan Tao, Jun Lyu, Hai-Yan Yin
Background Trials have demonstrated lower rates of acute kidney injury in critically ill patients receiving magnesium supplementation, but they have yielded conflicting results regarding mortality. Methods This is a retrospective cohort study based on the MIMIC-IV (Medical Information Mart in Intensive Care-IV) database. Adult critically ill patients with sepsis were included in the analysis. The exposure
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Academic anaesthesiology: a global perspective on training, support, and future development of early career researchers Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-07 Ottokar Stundner, Meredith C.B. Adams, Jakub Fronczek, Vikas Kaura, Li Li, Megan L. Allen, Emily A. Vail
As anaesthesiologists face increasing clinical demands and a limited and competitive funding environment for academic work, the sustainability of academic anaesthesiologists has never been more tenuous. Yet, the speciality needs academic anaesthesiologists in many roles, extending beyond routine clinical duties. Anaesthesiologist educators, researchers, and administrators are required not only to train
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Improvements in cuirass ventilation for airway surgery: origins in Copenhagen on the 70th anniversary of the first intensive care unit Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-04 Michael S. Kristensen, Rasmus Hesselfeldt, Jakob F. Schmidt
The first modern intensive care unit was established in Copenhagen 70 yr ago. This cornerstone of anaesthesia was largely based on experience gained using positive pressure ventilation to save hundreds of patients during the polio epidemic in 1952. Ventilation approaches, monitoring techniques, and pharmacological innovations have developed to such an extent that cuirass ventilation, which proved inadequate
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Achieving a preoperative haemoglobin above 130 g L−1 may be more important in female than in male patients before cardiac surgery Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-04 Alexander Kaserer, C. David Mazer, Julia Braun, Donat R. Spahn
Sex-specific preoperative haemoglobin levels and the need for perioperative red cell transfusion in men and women are still debated. Cavalli and colleagues examined the appropriateness of World Health Organization (WHO) anaemia thresholds (haemoglobin <130 g L−1 for males and <120 g L−1 for females) in a retrospective cohort analysis of >6000 adult patients undergoing cardiac surgery with cardiopulmonary
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The art of chasing numbers in titration of anaesthetic dose Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-04 Jamie Sleigh, Nicola Whittle
There is no difference in between-patient variability of concentrations when comparing propofol and sevoflurane titrated to a bispectral index of 40–60. There is about a 300% variation in hypnotic concentration between the bottom 5% and top 5% of the population. Anaesthesia titration cannot be based solely on measured or estimated drug concentrations.
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Association of preoperative anaesthesia consultation prior to elective noncardiac surgery with patient and health system outcomes: a population-based study Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-02 Jake S. Engel, Weiwei Beckerleg, Duminda N. Wijeysundera, Sylvie Aucoin, Julien Leblanc, Sylvain Gagne, Gregory L. Bryson, Manoj M. Lalu, Anna Wyand, Daniel I. McIsaac
Background Surgical volumes and use of preoperative anaesthesia consultations are increasing. However, contemporary data estimating the association between preoperative anaesthesia consultation and patient (days alive and at home [DAH30], mortality) and system (costs, length of stay, and readmissions) outcomes are not available. Methods We conducted a population-based comparative effectiveness study
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Assistive artificial intelligence for enhanced patient access to ultrasound-guided regional anaesthesia Br. J. Anaesth. (IF 9.8) Pub Date : 2023-09-01 James S. Bowness, Kathryn James, Luke Yarlett, Marmar Htyn, Eluned Fisher, Simon Cassidy, Megan Morecroft, Tom Rees, J. Alison Noble, Helen Higham
Abstract not available
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Carbon footprint of inhalation and total intravenous anaesthesia for paediatric anaesthesia: a modelling study. Response to Br J Anaesth 2023; 130: e443–4 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-08-31 Hrishi Narayanan, J M Tom Pierce, Clifford Shelton
Abstract not available
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Relatives’ influence on the treatment of acutely critically ill patients in prehospital emergency medicine: a qualitative study of health care professionals’ experiences and attitudes Br. J. Anaesth. (IF 9.8) Pub Date : 2023-08-31 Ingeborg R. Grønlund, Christoffer Gydesen, Thordis Thomsen, Ann M. Møller
Background Family presence during resuscitation is a growing topic in the field of prehospital emergency medicine. Emergency medicine service (EMS) providers interact with the relatives of acutely critically ill patients daily. Previous studies have found varying preferences towards family presence during resuscitation. Some EMS providers experience family presence affects patient treatment. The study
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Determining sex-specific preoperative haemoglobin levels associated with intraoperative red blood cell transfusion in cardiac surgery: a retrospective cohort study Br. J. Anaesth. (IF 9.8) Pub Date : 2023-08-29 Leonardo B. Cavalli, Bronwyn L. Pearse, Alison Craswell, Christopher M. Anstey, Rishendran Naidoo, Ivan L. Rapchuk, Joanne Perel, Kylie Hobson, Mingzhong Wang, Yoke-Lin Fung
Background Anaemic cardiac surgery patients are at greater risk of intraoperative red blood cell transfusion. This study questions the application of the World Health Organization population-based anaemia thresholds (haemoglobin <120 g L−1 in non-pregnant females and <130 g L−1 in males) as appropriate preoperative optimisation targets for cardiac surgery. Methods A retrospective cohort study was conducted
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Intraoperative use of balanced crystalloids versus 0.9% saline. Comment on Br J Anaesth 2023; 131: 463–71 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-08-26 Fan Zhang, Yifei Zhong
Abstract not available
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ChatGPT risk of fabrication in literature searches. Comment on Br J Anaesth 2023; 131: e29–e30 Br. J. Anaesth. (IF 9.8) Pub Date : 2023-08-23 Lionel Arrivé, Lise Minssen, Amal Ali
Abstract not available
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