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Artificial intelligence in healthcare: medical technology or technology medical? Anaesthesia (IF 7.5) Pub Date : 2025-02-16 James S. Bowness, Simon Kos, Matthew D. Wiles
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Causes of and risk factors for unplanned readmission in a large cohort of patients undergoing major surgery: a retrospective cohort study Anaesthesia (IF 7.5) Pub Date : 2025-02-16 Kirstie Evans, Tim Makar, Tom Larsen, Rudranil Banerjee, Hai Tran, Lachlan F. Miles
Unplanned hospital readmissions after surgery are substantial drivers of expenditure and bed occupancy within the healthcare system. As a result, any targeted interventions that reduce readmission in this population can have a significant impact on patient well-being and the health budget.
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Toxic leadership: when culture sabotages clinical excellence Anaesthesia (IF 7.5) Pub Date : 2025-02-16 Britta S von Ungern-Sternberg, Karin Becke-Jakob
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Issue Information – Editorial Board Anaesthesia (IF 7.5) Pub Date : 2025-02-14
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Puncturing the dura: a true clinical benefit or a distraction? A reply Anaesthesia (IF 7.5) Pub Date : 2025-02-14 Ashraf S. Habib, Matthew Fuller
We appreciate the opportunity to respond to the comments by Fung and Preston [1] about our study comparing the quality of labour analgesia following initiation with a combined spinal epidural (CSE) vs. a dural puncture epidural (DPE) technique [2]. Their first comment relates to the sample size calculation for the study. At the time of designing our protocol, the only study comparing the two techniques
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Obesity may present challenges during gastric ultrasound Anaesthesia (IF 7.5) Pub Date : 2025-02-14 Rafet Yarımoglu, Betul Basaran, Usame Omer Osmanoglu
We read with interest the article by Nersessian et al., which speculates on the relationship between residual gastric content and peri-operative semaglutide use [1]. As noted by the authors, one mechanism of action of GLP-1 receptor agonists is the delay in gastric emptying. Patients using GLP-1 receptor agonists face a risk of aspiration during the peri-operative period [2]. Nersessian et al. stated
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Outcomes of after‐hours surgeries performed under general anaesthesia: a South Korean nationwide cohort study Anaesthesia (IF 7.5) Pub Date : 2025-02-11 Tak Kyu Oh, In‐Ae Song
SummaryIntroductionThe day of the week or time of day that surgery is performed may influence postoperative mortality or complications. We aimed to examine whether surgery under general anaesthesia performed after‐hours was associated with increased rates of mortality and morbidity, compared with surgery performed in‐hours.MethodsThis population‐based cohort study obtained data for patients who underwent
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Efficacy of different routes of dexamethasone administration for preventing rebound pain following peripheral nerve blocks in adult surgical patients: a systematic review and network meta‐analysis Anaesthesia (IF 7.5) Pub Date : 2025-02-11 Jeetinder K. Makkar, Narinder Pal Singh, Bisman J. K. Khurana, Janeesha K. Chawla, Preet M. Singh
SummaryIntroductionRebound pain, characterised by intense pain or discomfort as the effects of a peripheral nerve block diminish, remains a clinical problem. Peri‐operative dexamethasone administration may reduce the incidence of rebound pain. This systematic and network meta‐analysis aimed to determine the optimal route of dexamethasone administration for the prevention of rebound pain.MethodsWe searched
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High‐flow nasal oxygen in obstetric practice – where do we stand? Anaesthesia (IF 7.5) Pub Date : 2025-02-11 Craig Lyons, Yavor Metodiev
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“Voices from the ground”: reverberations from a community of practice Anaesthesia (IF 7.5) Pub Date : 2025-02-11 Adam I. Mossenson, Karima Khalid, Patricia Livingston
We thank Kaur et al. [1] for their thoughtful reading of our Delphi study [2]. Our findings have contributed to the development of a tool which is now embedded into the learning architecture [3] of the Vital Anaesthesia Simulation Training (VAST) Community of Practice [4]. This a globally distributed group of healthcare practitioners dedicated to offering high-quality simulation in low-resource settings
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The role of anaesthetics in cancer outcomes: do we need more clinical trials? Anaesthesia (IF 7.5) Pub Date : 2025-02-05 Eduardo Nunez‐Rodriguez, Maria F. Ramirez, Juan P. Cata
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Ventilatory efficiency as a predictor of 1‐year mortality after non‐cardiac surgery: showing clinical utility by applying decision curve analysis Anaesthesia (IF 7.5) Pub Date : 2025-02-05 Thomas Vetsch, Markus Huber
The study by Arina et al. represents an innovative and commendable effort to develop a clinical prediction model to predict 1-year mortality (the primary outcome) after major non-cardiac surgery using pre-operative data [1]. We would like to highlight and elaborate on two aspects of their study related to the clinical interpretation and utility of the prediction model for decision-making. First, and
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Ultrasound‐guided neuraxial puncture: translating evidence to practice Anaesthesia (IF 7.5) Pub Date : 2025-02-05 Clístenes Crístian de Carvalho, Kariem El‐Boghdadly
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Balancing efficiency and patient safety: lessons from the trend to outpatient lower joint arthroplasty Anaesthesia (IF 7.5) Pub Date : 2025-02-03 Anjali A. Dixit, Jinlei Li, Seshadri Mudumbai
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Beyond the ‘black box’: choosing interpretable machine learning models for predicting postoperative opioid trends Anaesthesia (IF 7.5) Pub Date : 2025-02-03 Seshadri C. Mudumbai, James Baurley, Caitlin E. Coombes, Randall S. Stafford, Edward R. Mariano
Artificial intelligence encompasses machine learning and is a popular, yet controversial, topic in healthcare. Recent guidelines from national regulatory agencies underscore the critical importance of interpretability in machine learning models used in healthcare [1]. ‘Interpretability’ means that clinicians understand the reasoning behind a model's predictions, fostering trust and enabling informed
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Puncturing the dura: a true clinical benefit or a distraction? Anaesthesia (IF 7.5) Pub Date : 2025-01-30 Annie C. H. Fung, Anna Preston
The comparison of dural puncture epidural (DPE) labour analgesia with other accepted techniques including combined spinal-epidural (CSE) and epidural alone is an interesting and debated topic. The recent paper by Zang et al. attempts to address this and concludes there were no significant differences in the quality of labour analgesia for DPE compared with the CSE technique [1]. We have concerns regarding
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Peri‐operative corticosteroid supplementation guideline adherence Anaesthesia (IF 7.5) Pub Date : 2025-01-30 Lynn A. Miggelbrink, Marije Marsman, Juul van de Wetering, Wilton A. van Klei, Teus H. Kappen
Corticosteroids are prescribed commonly to patients with autoimmune or pulmonary diseases, post-transplant and neurosurgery, as well as to patients with adrenal insufficiency [1, 2]. These patients are at risk of tertiary adrenal gland insufficiency, for which supplementation of corticosteroids during stress, such as surgery, is advised [3, 4]. The Peri-operative Replacement of Exogenous Steroids (PREdS)
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Confounders in anaesthesia‐related depression outcomes Anaesthesia (IF 7.5) Pub Date : 2025-01-30 Chi‐Jen Hsu, Mei Na Fok, James Cheng‐Chung Wei
We read with great interest the study by Ho et al., which provides valuable insights into the long-term effects of anaesthesia choice on postoperative outcomes [1]. However, several potential confounders influencing the link between anaesthetic techniques and postoperative depression were not specifically addressed in the analysis. First, pre-existing mental health conditions, such as a history of
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Burnout in anaesthesia: the UK and beyond Anaesthesia (IF 7.5) Pub Date : 2025-01-29 Hanlie du Plessis
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Incidence of 12-month postoperative cognitive decline following regional vs. general anaesthesia in older patients undergoing hip fracture surgery: follow-up of the RAGA trial Anaesthesia (IF 7.5) Pub Date : 2025-01-23 Ting Li, Jun Li, Chenchen Jiang, Liyong Yuan, Jinze Wu, Ali Mazaheri, Mingcang Wang, Shengwei Jin, Paul S. Myles, Yinguang Yao, Jimin Wu, Junping Chen, Fang G. Smith
Data regarding the incidence of 12-month postoperative cognitive decline following regional or general anaesthesia in older patients undergoing hip fracture surgery remain observational. Compared with general anaesthesia, we hypothesised that regional anaesthesia would decrease the incidence of 12-month postoperative cognitive decline.
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Incomplete Optiflow™ switching and the potential for confusion Anaesthesia (IF 7.5) Pub Date : 2025-01-24 Rosalyn Boyd, James E. Dinsmore
As the evidence base supporting the use of peri-intubation high-flow nasal oxygen (HFNO) continues to expand [1], there have been advances in the design of the latest generation of systems for use in operating theatres. We would like to highlight several practice point considerations relating to use of such systems. A limitation of previous designs is that applying a tight-fitting anaesthetic facemask
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Pre‐operative subjective functional capacity and postoperative outcomes in adult non‐cardiac surgery: a systematic review and meta‐analysis Anaesthesia (IF 7.5) Pub Date : 2025-01-24 Kyosuke Takahashi, Kyoko Chiba, Ayano Honda, Yusuke Iizuka, Koichi Yoshinaga, Alka Sachin Deo, Tokujiro Uchida
SummaryIntroductionAssessment of functional capacity is an essential part of peri‐operative risk stratification. Subjective functional capacity is easier to examine than objective tests of patient fitness. However, the association between subjective functional capacity and postoperative outcomes has not been established.MethodsFour databases were searched for studies describing the associations between
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Similarities and differences between maternal and major traumatic haemorrhage – what can we learn? Anaesthesia (IF 7.5) Pub Date : 2025-01-23 Benjamin Stretch, Paola Eiben, James O'Carroll
We read the correspondence from Margiotta and Plaat with interest [1]. There could be much gained by comparing major obstetric and traumatic haemorrhage. Three areas that we believe are particularly relevant are identification of hypovolaemia and coagulopathy, and the impact of human factors. The 7th National Audit Project (NAP7) authors identified that hypovolaemia was under-recognised and inadequately
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Persistent pain six months after breast cancer surgery: a multicentre follow‐up study Anaesthesia (IF 7.5) Pub Date : 2025-01-23 Chin Wen Tan, Rehena Sultana, Mary C. Wright, Ban Leong Sng, Ashraf S. Habib
Persistent postoperative pain, defined as surgical site pain lasting beyond 3 months with other causes of pain excluded, can have adverse physical and psychological consequences [1]. We developed a multivariable model for persistent pain at 4 months after breast cancer surgery based on baseline and peri-operative factors [2]. A significant number of women who develop persistent pain 4 months after
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Mandatory training for rare anaesthetic events – a philosophical view Anaesthesia (IF 7.5) Pub Date : 2025-01-23 Christopher Frerk, Genevieve Evans
Murphy's letter opposing the call for mandatory training for rare anaesthetic events [1] challenges issues inferred, but not contained, in the editorial by Nathanson et al. [2]. For example, Nathanson et al. did not suggest that training would make individual humans less error prone. They proposed that we should be training staff to work in multidisciplinary teams, as teamwork can help us identify
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Instrumental variable analyses – an alternative to regression? Anaesthesia (IF 7.5) Pub Date : 2025-01-16 Siu-Wai Choi
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Gastric point‐of‐care ultrasound in the GLP‐1 receptor agonist era: clinical impact and competency Anaesthesia (IF 7.5) Pub Date : 2025-01-16 Dáire N. Kelly, Sai Pentyala, Stephen C. Haskins
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Association of ventilation volumes, pressures and rates with the mechanical power of ventilation in patients without acute respiratory distress syndrome: exploring the impact of rate reduction Anaesthesia (IF 7.5) Pub Date : 2025-01-13 Laura A. Buiteman-Kruizinga, David M. P. van Meenen, Ary Serpa Neto, Guido Mazzinari, Lieuwe D. J. Bos, Pim L. J. van der Heiden, Frederique Paulus, Marcus J. Schultz, , ,
High mechanical power is associated with mortality in patients who are critically ill and require invasive ventilation. It remains uncertain which components of mechanical power – volume, pressure or rate – increase mechanical power the most.
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The effect of the type of anaesthesia on long-term outcomes after cancer resection surgery: a narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Lucillia Bezu, Lua S. Rahmani, Donal J. Buggy
The peri-operative period may create a biological environment conducive to cancer cell survival and dissemination. Microscopic residual tumours (micrometastases) can be dislodged even with excellent surgical technique. At the same time, the stress response from surgery can temporarily impair immune function and activate inflammatory processes, increasing the risk of tumour proliferation.
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Issue Information – Editorial Board Anaesthesia (IF 7.5) Pub Date : 2025-01-13
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Emergency and postoperative access to critical and enhanced care: a multicentre prospective observational study* Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Andy Georgiou, David Cain, Martin Schuster Bruce, Denise Axelsen, Tom Woodward, Tom Baumer, Katie Preston, James Ward, Jack Ingham, Alun Roberts
The ability to admit patients to enhanced or critical care may be limited by bed availability. In a network with low provision of critical and enhanced care beds, we aimed to assess the proportion of patients having surgery with moderate (1%–< 5%) or high (≥ 5%) predicted risk of 30-day postoperative mortality and their postoperative care location. We also aimed to study referral and admission outcomes
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Elective peri‐operative management of adults taking glucagon‐like peptide‐1 receptor agonists, glucose‐dependent insulinotropic peptide agonists and sodium‐glucose cotransporter‐2 inhibitors: a multidisciplinary consensus statement Anaesthesia (IF 7.5) Pub Date : 2025-01-09 Kariem El‐Boghdadly, Jugdeep Dhesi, Philippa Fabb, Nicholas Levy, Dileep N. Lobo, Andrew McKechnie, Omar Mustafa, Philip Newland‐Jones, Anil Patel, Dimitri J. Pournaras, Ken Clare, Ketan Dhatariya
SummaryIntroductionGlucagon‐like peptide‐1 receptor agonists, dual glucose‐dependent insulinotropic peptide receptor agonists and sodium‐glucose cotransporter‐2 inhibitors are used increasingly in patients receiving peri‐operative care. These drugs may be associated with risks of peri‐operative pulmonary aspiration or euglycaemic ketoacidosis. We produced a consensus statement for the peri‐operative
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Association of Anaesthetists guidelines: the use of blood components and their alternatives 2024 Anaesthesia (IF 7.5) Pub Date : 2025-01-09 Akshay Shah, Andrew A. Klein, Seema Agarwal, Andrew Lindley, Aamer Ahmed, Kerry Dowling, Emma Jackson, Sumit Das, Divya Raviraj, Rachel Collis, Anna Sharrock, Simon J. Stanworth, Paul Moor
SummaryBackgroundThe administration of blood components and their alternatives can be lifesaving. Anaemia, bleeding and transfusion are all associated with poor peri‐operative outcomes. Considerable changes in the approaches to optimal use of blood components and their alternatives, driven by the findings of large randomised controlled trials and improved haemovigilance, have become apparent over the
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Peri-operative identification and management of patients with unhealthy alcohol intake Anaesthesia (IF 7.5) Pub Date : 2025-01-09 Matthew J. A. Jenkins, Stephen M. Kinsella, Matthew D. Wiles, Brijesh Srivastava, Catherine Griffiths, Jacquelyn Lewin, Stephen Usher, Gautam Mehta, Abi Berger, Dereck Gondongwe, Isra Hassan
This consensus statement gives practical advice for the safe management of patients with harmful alcohol intake undergoing elective and emergency surgery. The wide spectrum of alcohol-related organ dysfunction observed in this cohort of patients may have a profound impact on care, and the additional effects of alcohol withdrawal may further exacerbate postoperative morbidity and mortality.
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Mortality prediction after major surgery in a mixed population through machine learning: a multi‐objective symbolic regression approach Anaesthesia (IF 7.5) Pub Date : 2025-01-09 Pietro Arina, Davide Ferrari, Nicholas Tetlow, Amy Dewar, Robert Stephens, Daniel Martin, Ramani Moonesinghe, Vasa Curcin, Mervyn Singer, John Whittle, Evangelos B. Mazomenos
SummaryIntroductionUnderstanding 1‐year mortality following major surgery offers valuable insights into patient outcomes and the quality of peri‐operative care. Few models exist that predict 1‐year mortality accurately. This study aimed to develop a predictive model for 1‐year mortality in patients undergoing complex non‐cardiac surgery using a novel machine‐learning technique called multi‐objective
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The increasing global burden of cancer: implications for anaesthesia and peri‐operative medicine Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Carlos E. Guerra‐Londono, Santiago Uribe‐Marquez, Rupen Shah, Vijaya Gottumukkala
SummaryIntroductionMost patients with cancer will require surgery at some point in their lifetime. As the global burden of cancer continues to increase, changes and challenges in cancer epidemiology and care are also borne peri‐operatively.MethodsDue to its broad scope, a formal systematic electronic literature search was not performed. This narrative review examines how an increasing global burden
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Return to intended oncological therapy following advanced ovarian cancer surgery: a narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Ka Yu Tse, Mandy Man Yee Chu, Jessie Wan Kam Chiu, Shuk Tak Kwok, Michael G. Irwin, Aaron Hey Yin Chan, Polly Ho, Calvin Pak Wing Cheng, Siew Fei Ngu, Karen Kar Loen Chan
SummaryIntroductionPatients with advanced ovarian cancer often require radical cytoreductive surgery and chemotherapy, with or without targeted therapy. Return to intended oncological therapy after surgery is a crucial metric, as delay can worsen survival. The concept of return to intended oncological therapy is important because it highlights the need for not just successful surgical outcomes, but
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Anaesthetic management of oncological disease in pregnancy: a narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Ben Sharif, Melanie Nana, Rachel Kearns, Queenie Lo, Yavor Metodiev
SummaryIntroductionCancer complicates approximately 1 in 2000 pregnancies, with increasing incidence due to factors such as increased maternal age, obesity and advancements in antenatal testing. Anaesthetists play a crucial role in managing pregnant patients with cancer, both during delivery and in providing anaesthesia for oncological treatments. This review explores the challenges in anaesthetic
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Recurrence‐free survival after hepatectomy using propofol‐based total intravenous anaesthesia and sevoflurane‐based inhalational anaesthesia: a randomised controlled study Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Ji‐Hye Kwon, Jeayoun Kim, Hyean Yeo, Keoungah Kim, Jinsoo Rhu, Gyu‐Seong Choi, Jongman Kim, Jae‐Won Joh, Kyunga Kim, Min‐Ji Kim, Ji Seon Jeong, Jong‐Hwan Lee, Sangbin Han, Justin S. Ko, Mi Sook Gwak, Gaab Soo Kim
SummaryBackgroundWhile evidence from preclinical and observational cohort studies have suggested potential disparities in tumour behaviour associated with the choice of intra‐operative anaesthetics, clinical evidence of tumour recurrence and metastasis remains inconclusive. We aimed to compare the impact of intra‐operative anaesthesia on oncologic outcomes following hepatectomy for hepatocellular carcinoma
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Systemic anti‐cancer therapy and anaesthesia: a narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Jamie M. J. Weaver, Susannah J. Patey
SummaryIntroductionCancer research has revolutionised the treatment, quality of life and life expectancy of people living with cancer. Systemic anti‐cancer treatments have expanded to involve not only cytotoxic drugs, but targeted drugs and immunotherapy. Although highly effective in many patients, these drugs can cause serious and sometimes life‐threatening adverse reactions. As part of their treatment
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Cardiotoxicity and peri‐operative considerations in immune checkpoint inhibitor and chimeric antigen receptor T‐cell therapy: a narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Aishwarya Malode, Bhargav Makwana, Vahin Patel, Sumanth Khadke, Aneri Parikh, Arindam Bagga, Sourbha Dani, Sarju Ganatra
SummaryIntroductionImmunotherapy has transformed cancer treatment, particularly with immune checkpoint inhibitors and chimeric antigen receptor T‐cell therapy. Despite their efficacy, these therapies can induce cardiotoxicity, presenting significant clinical challenges. Immune checkpoint inhibitors can cause myocarditis; pericarditis; arrhythmias; and myocardial infarction through immune‐mediated inflammation
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The inequalities and challenges of prehabilitation before cancer surgery: a narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Hilary Stewart, Sophie Stanley, Xiubin Zhang, Lisa Ashmore, Christopher Gaffney, Jo Rycroft‐Malone, Andrew F. Smith, Laura Wareing, Cliff Shelton
SummaryIntroductionPrehabilitation seeks to enhance functional capacity and preparedness before surgery with the aim of improving outcomes; it is generally based on exercise, diet and psychological interventions. While there is obvious appeal to this approach in terms of patient experience and resource use, the interventions are complex and the evidence base for prehabilitation before cancer surgery
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Association between peri‐operative red blood cell transfusion and cancer recurrence in patients undergoing major cancer surgery: an umbrella review* Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Joshua Etheridge, Panth Shah, Simon J. Stanworth, Ewen Harrison, Michael Gillies, Timothy S. Walsh, Akshay Shah
SummaryIntroductionPeri‐operative allogeneic red blood cell transfusion is hypothesised to increase the risk of cancer recurrence following cancer surgery. However, previous data supporting this association are limited by residual confounding. We conducted an umbrella review (i.e. a systematic review of systematic reviews) to synthesise and evaluate the evidence between red blood cell transfusion and
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The evolution and key components of onco‐anaesthesia: a narrative review* Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Raghav Gupta, Sushma Bhatnagar
SummaryIntroductionOnco‐anaesthesia is a specialised branch of anaesthesia dedicated to enhancing outcomes, prioritising patient safety and improving the overall care of patients with cancer during surgery. We outline the global epidemiology of cancer, emphasising the necessity for this subspecialty, and discuss the criteria supporting its establishment.MethodsWe performed searches of electronic databases
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Immunotherapy on ICU: a narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Sef Carter, Timothy Wigmore
Patients with cancer account for 15% of all admissions to critical care and so an understanding of the pathophysiology and anticipated complications of specialist treatment is essential for the intensive care clinician. The development of chimeric antigen receptor T-cell therapy for haematological malignancies and immune checkpoint inhibitors for solid organ tumours has led to significant improvements
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Peri‐operative mental health interventions for surgical oncology patients: a narrative synthesis and meta‐analysis Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Joanna Abraham, Katherine J. Holzer, Lavanya Pedamallu, Benjamin D. Kozower, Michael S. Avidan, Eric J. Lenze
SummaryIntroductionOncologic surgeries are common and rates of depression and anxiety are high in the peri‐operative period, potentially interfering with successful recovery.MethodsWe conducted a narrative review and meta‐analysis focusing on randomised controlled trials evaluating the effect of peri‐operative mental health interventions on anxiety and/or depression in adult patients having oncological
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Anaesthesia for paediatric radiotherapy: A narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Lauren Oswald, Sam Al‐Kadhimi, Nicola Thorp
SummaryIntroductionRadiotherapy is currently used in approximately one‐third of children with cancer. Treatments are typically received as weekday outpatient appointments over 3–6 weeks. The treatment is painless but requires a still, co‐operative patient who can lie alone in set positions, facilitated by the use of immobilisation devices, for up to 1 h.MethodsWe conducted a literature search to identify
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Optimisation of the patient having oncological surgical through prehabilitation: a narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 John Moore, Alec Beaney, Liam Humphreys, Zoe Merchant, Krishna Kholia Parmar, Denny Levett
SummaryIntroductionPrehabilitation aims to improve physiological reserve and psychological resilience, enabling patients to better tolerate the physiological stress of major surgery, thereby reducing the risk of complications and improving surgical outcomes. In this review, we provide an update of the development of prehabilitation in patients having cancer surgery.MethodsWe searched databases of peer‐reviewed
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Patient‐centred outcome measures for oncological surgery: a narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Rachel Blackman‐Mack, George Chater, Geeta Aggarwal
SummaryIntroductionPeri‐operative medicine is becoming increasingly relevant in the context of managing frail patients with cancer. This paper outlines how demographic shifts in populations are affecting cancer incidence and frailty rates, the relevance this holds to the management of cancer care, and the outcome measures that should be used to gauge best clinical practice to ensure patient‐centred
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Causes and management of acute oncological pain: a narrative review Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Helen Laycock, Candice Ramdin, Justin Grayer, Matthew R. D. Brown
SummaryIntroductionAcute pain in cancer is an important but often overlooked feature of many patients' oncological journey. Cancer‐related pain is associated commonly with more persistent pain states caused by both the disease and its treatment, but there are numerous causes of acute pain which can develop in patients with cancer. This pain is frequently severe, can be challenging to manage and its
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Prevalence and outcomes of patients taking oral corticosteroids for over 1 month undergoing major surgery in England 2010–2020 Anaesthesia (IF 7.5) Pub Date : 2025-01-08 Jessica Harris, Georgina Russell, Barnaby Reeves, Ben Gibbison
SummaryIntroductionApproximately 1% of the UK population is prescribed oral corticosteroids at any one time. It is not known how many of these patients present for major surgery. We aimed to establish the prevalence, characteristics and outcomes of patients taking oral corticosteroids.MethodsWe identified patients aged > 18 y undergoing major surgery between 1 April 2010 and 31 March 2020 from Hospital
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Accurate prediction of postoperative complications in older patients: a long way to go Anaesthesia (IF 7.5) Pub Date : 2025-01-07 Zhendong Ding, Qin Liao, Yongzhong Tang
We read with interest the Science Letter by Dubowitz et al. [1]. The application of biological instead of chronological age for the prediction of postoperative complications in patients is a promising advance, and we concur with the authors' perspective on the potential association between biological ageing and postoperative complications after cancer surgery. This study helps prompt surgeons and anaesthetists
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Diagnostic accuracy of qualitative gastric ultrasound assessment for detecting high gastric fluid volume in children: a prospective randomised study Anaesthesia (IF 7.5) Pub Date : 2025-01-07 Eloïse Cercueil, Anaïs Henriet, Corwyn Barbe, Guinter Santos Machado, Lionel Bouvet
SummaryIntroductionThe diagnostic accuracy of gastric ultrasound in children has not been assessed thoroughly. We aimed to determine the sensitivity and specificity in children of a qualitative ultrasound examination of the gastric antrum in the supine 45° semi‐recumbent position and a clinical algorithm for detecting a gastric fluid volume > 1.25 ml.kg‐1, reported to represent an ‘at‐risk stomach’
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Instructional design features in ultrasound‐guided regional anaesthesia simulation‐based training: a systematic review Anaesthesia (IF 7.5) Pub Date : 2025-01-07 Pooyan Sekhavati, Tristan Wild, Ingrid D. P. C. Martinez, Pierre‐Marc Dion, Michael Woo, Reva Ramlogan, Sylvain Boet, Risa Shorr, Yuqi Gu
SummaryIntroductionUltrasound‐guided regional anaesthesia enhances pain control, patient outcomes and lowers healthcare costs. However, teaching this skill effectively presents challenges with current training methods. Simulation‐based medical education offers advantages over traditional methods. However, the use of instructional design features in ultrasound‐guided regional anaesthesia simulation
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Prevalence of smoking and postoperative outcomes in people undergoing coronary artery bypass grafting: a UK registry analysis Anaesthesia (IF 7.5) Pub Date : 2025-01-06 Emma Sewart, Alexander Isted, Kitty H. F. Wong, Gudrun Kunst, Ronelle Mouton
Tobacco smoking is the leading behavioural risk factor for cardiovascular disease and may double the risk of long-term mortality after coronary artery bypass grafting (CABG) [1, 2]. Smoking cessation interventions, which combine pharmacological treatment and behavioural support, are effective at supporting abstinence at the time of surgery and at 12 months postoperatively [3]. However, smoking remains
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Trends in comorbidities and complications among patients undergoing elective total hip and knee arthroplasty in the USA Anaesthesia (IF 7.5) Pub Date : 2025-01-06 Lisa Reisinger, Crispiana Cozowicz, Jashvant Poeran, Haoyan Zhong, Alex Illescas, Periklis Giannakis, Jiabin Liu, Stavros G. Memtsoudis
SummaryBackgroundDemand for total hip and knee arthroplasty procedures continues to rise. Ongoing changes in surgical care and patient populations require continued monitoring of outcome trends. Using nationwide data from the USA, we aimed to describe updated trends in patient and peri‐operative care characteristics as well as complications among total hip and knee arthroplasty recipients.MethodsWe