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Risk of bias assessment in a meta-analysis investigating the efficacy and safety of intrathecal diamorphine Anaesthesia (IF 7.5) Pub Date : 2024-09-20 Ning Xu, Wei Rong
We read with great interest the article by Grape et al. [1]. The authors conducted a meta-analysis that included meta-regression and trial sequential analysis, providing a comprehensive synthesis of 12 prospective, randomised controlled trials comparing intrathecal diamorphine with controls across various surgical procedures [1]. We identified a concern that may compromise the quality of this meta-analysis
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Neurological sequelae after neuraxial anaesthesia in obstetric patients Anaesthesia (IF 7.5) Pub Date : 2024-09-20 Cathriona Murphy, Tara Banon, Rosemarie Kearsley
We read with interest the article by Shippam et al. analysing the time to motor block regression after neuraxial anaesthesia [1]. The detection of serious complications after central neuraxial blockade is challenging, not only because these complications are rare, but also because in obstetric anaesthesia there is a huge volume of work conducted out of hours [2] and in the postnatal period, distractions
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First-choice videolaryngoscopy for paediatric tracheal intubation: a reply Anaesthesia (IF 7.5) Pub Date : 2024-09-20 Martin Petzoldt, Thorsten Dohrmann, Phillip B. Sasu
We thank Xue et al. [1] for their interest in our study reporting findings from a universal paediatric videolaryngoscopy implementation programme. We systematically mapped the glottic view using a recognised six-stage glottic view grading [2-4] that has been prospectively evaluated specifically for glottic view grading with videolaryngoscopy and comprises the most relevant reported glottic landmarks
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Screening of patients at risk of postoperative delirium using specific neuropsychological testing Anaesthesia (IF 7.5) Pub Date : 2024-09-17 Thomas Bidoul, Mona Momeni, Céline Khalifa
Postoperative delirium (POD) remains one of the most prevalent neurological complications after surgery [1] and pre-existing cognitive impairment is a leading risk factor [1, 2]. Consequently, early identification of high-risk patients through pre-operative cognitive assessment is essential. Usually, the evaluation of cognitive status is performed by trained neuropsychologists, using a standardised
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Usability comparison scoring of video and direct laryngoscopes: a reply Anaesthesia (IF 7.5) Pub Date : 2024-09-17 Amol Lotlikar
I would like to thank to Marshall for their response [1] on the topic of usability between videolaryngoscopy and direct laryngoscopy [2], as well as for an extended analysis of the system usability scale including its limitations when comparing medical devices. However, I would like to clarify that the focus on usability is not intended to question the complexity of the devices themselves. Rather,
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Comparison of opioid‐free and opioid‐inclusive propofol anaesthesia for thyroid and parathyroid surgery: a reply Anaesthesia (IF 7.5) Pub Date : 2024-09-17 Dan Wang, Fu‐hai Ji, Ke Peng
We thank Chen et al. [1] for their interest in our study [2], in which we found that opioid-free versus opioid-inclusive propofol anaesthesia reduced the incidence of postoperative nausea and vomiting (PONV) during the first 48-h postoperatively (5% vs. 24%; odds ratio 0.17, 95%CI 0.08–0.35; number needed to treat 5.3; p < 0.001). Opioid-free anaesthesia was also associated with a reduced need for
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Comparison of opioid‐free and opioid‐inclusive propofol anaesthesia for thyroid and parathyroid surgery Anaesthesia (IF 7.5) Pub Date : 2024-09-17 Fang Chen, Xiaocou Wang, Chuanhui Xie
We read with great interest the article by Wang et al. [1]. They concluded that opioid-free propofol anaesthesia reduced postoperative nausea and vomiting (PONV) in patients undergoing thyroid and parathyroid surgery. However, we have several concerns about this trial. The primary outcome of this study was the incidence of PONV, defined as a composite outcome that encompasses the rates of nausea, retching
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Prognostic clinical prediction models for acute post-surgical pain in adults: a systematic review Anaesthesia (IF 7.5) Pub Date : 2024-09-16 Nicholas Papadomanolakis-Pakis, Philip V. Munch, Nicolai Carlé, Camilla G. Uhrbrand, Simon Haroutounian, Lone Nikolajsen
Acute post-surgical pain is managed inadequately in many patients undergoing surgery. Several prognostic risk prediction models have been developed to identify patients at high risk of developing moderate to severe acute post-surgical pain. The aim of this systematic review was to describe and evaluate the methodological conduct of these prediction models.
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Correction to: Glucagon‐like peptide‐1 receptor agonists: a narrative review of clinical pharmacology and implications for peri‐operative practice Anaesthesia (IF 7.5) Pub Date : 2024-09-12
Milder DA, Milder TY, Liang SS, Kam PCA. Glucagon-like peptide-1 receptor agonists: a narrative review of clinical pharmacology and implications for peri-operative practice. Anaesthesia 2024; 79: 735-47. https://doi.org/10.1111/anae.16306 In the above article, there is an error in Table 3. The withhold time for dulaglutide should read 270 h, not 27 h. The authors apologise for the error.
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Correction to: Effect of ventilation mode on postoperative pulmonary complications following lung resection surgery: a randomised controlled trial Anaesthesia (IF 7.5) Pub Date : 2024-09-12
Li X-F, Jin L, Yang J-M, Luo Q-S, Liu H-M, Yu H. Effect of ventilation mode on postoperative pulmonary complications following lung resection surgery: a randomised controlled trial. Anaesthesia 2022; 77: 1219-27. https://doi.org/10.1111/anae.15848 In the above article, there is an error in the Results on page 1221, which states ‘fifty-eight’ instead of ‘fifty-six’, and should read as follows: “Fifty-six
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Factors affecting UK anaesthetic trainees' wellbeing and stress: a scoping review Anaesthesia (IF 7.5) Pub Date : 2024-09-10 Sophie Winter, Nicola Brennan, Thomas Gale
SummaryBackgroundPoor wellbeing and stress in UK anaesthetic trainees impacts significantly on clinical performance, workforce retention and patient care. This study aimed to provide an overview of the evidence in this field and to explore the factors affecting wellbeing and stress in UK anaesthetic trainees.MethodsMEDLINE, Embase, PsycINFO, and ERIC were searched, in addition to organisational websites
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The central limit theorem: the remarkable theory that explains all of statistics Anaesthesia (IF 7.5) Pub Date : 2024-09-10 David Sidebotham, C. Jake Barlow
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Self-supervised representation learning of metro interior noise based on variational autoencoder and deep embedding clustering Anaesthesia (IF 7.5) Pub Date : 2024-09-09 Yang Wang, Hong Xiao, Zhihai Zhang, Xiaoxuan Guo, Qiang Liu
The noise within train is a paradox; while harmful to passenger health, it is useful to operators as it provides insights into the working status of vehicles and tracks. Recently, methods for identifying defects based on interior noise signals are emerging, among which representation learning is the foundation for deep neural network models to understand the key information and structure of the data
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Depression and delirium: association, prediction, causation, and care Anaesthesia (IF 7.5) Pub Date : 2024-09-04 Hyundeok Joo, Elizabeth L. Whitlock
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Incidence and relative risk of delirium after major surgery for patients with pre‐operative depression: a systematic review and meta‐analysis Anaesthesia (IF 7.5) Pub Date : 2024-09-04 Calvin Diep, Krisha Patel, Jessica Petricca, Julian F. Daza, Sandra Lee, Yuanxin Xue, Luka Kremic, Maggie Z. X. Xiao, Bianca Pivetta, Simone N. Vigod, Duminda N. Wijeysundera, Karim S. Ladha
SummaryBackgroundDelirium is a common and potentially serious complication after major surgery. A previous history of depression is a known risk factor for experiencing delirium in patients admitted to the hospital, but the generalised risk has not been estimated in surgical patients.MethodsWe conducted a systematic review and meta‐analysis of studies reporting the incidence or relative risk (or relative
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Time to treat the bleeding obstetric patient like the trauma patient and lower the dose of opioid Anaesthesia (IF 7.5) Pub Date : 2024-09-04 Georgina Margiotta, Felicity Plaat
The 7th National Audit Project (NAP7) confirmed haemorrhage as a leading cause of maternal cardiac arrest[1]. In this audit of cardiac arrest in patients under the care of an anaesthetist, nearly half of the obstetric cases involved a general anaesthetic, and anaesthetic care was judged to be a key factor in 68% of cases. The specific drugs used for induction of anaesthesia were not recorded [1]. We
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A computer vision–aided methodology for bridge flexibility identification from ambient vibrations Anaesthesia (IF 7.5) Pub Date : 2024-09-03 Yuyao Cheng, Siqi Jia, Jianliang Zhang, Jian Zhang
This paper presents the implementation of a novel monitoring system in which video images and conventional sensor network data are simultaneously analyzed to identify the structural flexibility from the ambient vibrations. The magnitude ratio between the flexibility estimated from known/unknown input force are theoretically derived and decomposed into two parts: αir$\alpha _i^r$ and Θk${{\Theta }_k}$
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Comparison between adjusted Montreal Cognitive Assessment and neuropsychological assessment for diagnosing postoperative neurocognitive disorders Anaesthesia (IF 7.5) Pub Date : 2024-09-03 Annerixt Gribnau, Gert J. Geurtsen, Hanna C. Willems, Jeroen Hermanides, Mark L. van Zuylen
The current gold standard neuropsychological assessment for detecting postoperative neurocognitive disorders is too time-consuming, costly and burdensome to use in clinical practice. Brief screening instruments, such as the Montreal Cognitive Assessment (MoCA), are used frequently instead. However, previous research by our team suggested that the original MoCA is not suitable to detect postoperative
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Sterile gowns for spinal anaesthesia – environmental cost without clinical gain? Anaesthesia (IF 7.5) Pub Date : 2024-09-03 Stephen Waite, Charlotte Collison, Ronan Mukherjee
We read with interest the article by Ledda et al. [1], which highlights a drive to change from single-use to reusable gowns to be more environmentally sustainable. While laudable, we feel that it does not consider wider changes to our practice which could have an impact of greater magnitude. Standard practice in many UK centres is to wear a sterile gown for spinal anaesthesia to reduce the incidence
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Gravity dam displacement monitoring using in situ strain and deep learning Anaesthesia (IF 7.5) Pub Date : 2024-09-01 Xin Wu, Dongjian Zheng, Xingqiao Chen, Yongtao Liu, Jianchun Qiu, Haifeng Jiang
Recent studies in dam displacement monitoring primarily focus on single-response monitoring or model updating using advanced techniques. Few studies involve the combination analysis of displacement with other synchronized responses utilizing their monitoring characteristics. In situ strain data provide a strength-safety perspective for dam displacement monitoring. The challenge lies in that estimating
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A convergent cross-mapping approach for unveiling congestion spatial causality in urban traffic networks Anaesthesia (IF 7.5) Pub Date : 2024-08-29 Jiannan Mao, Hao Huang, Yu Gu, Weike Lu, Tianli Tang, Fan Ding
Spatial causality in urban traffic networks explores how events or conditions in one location affect those in another. Unveiling congestion spatial causality is crucial for identifying congestion-inducing bottlenecks in traffic networks and offering valuable insights for traffic network management and control. This study introduces the traffic-convergent-cross-mapping (T-CCM) method, a state-space-reconstruction
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Performance-driven contractor recommendation system using a weighted activity–contractor network Anaesthesia (IF 7.5) Pub Date : 2024-08-29 Fatemeh Mostofi, Onur Behzat Tokdemir, Ümit Bahadır, Vedat Toğan
The reliance of contractor selection for specific construction activities on subjective judgments remains a complex decision-making process with high stakes due to its impact on project success. Existing methods of contractor selection lack a data-driven decision-support approach, leading to suboptimal contractor assignments. Here, an advanced node2vec-based recommendation system is proposed that addresses
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Modeling the chloride transport in concrete from microstructure generation to chloride diffusivity prediction Anaesthesia (IF 7.5) Pub Date : 2024-08-28 Liang-yu Tong, Qing-feng Liu, Qingxiang Xiong, Zhaozheng Meng, Ouali Amiri, Mingzhong Zhang
Pore structure characteristics of cementitious materials play a critical role in the transport properties of concrete structures. This paper develops a novel framework for modeling chloride penetration in concrete, considering the pore structure-dependent model parameters. In the framework, a multi-scale transport model was derived by linking the chloride diffusivities with pore size distributions
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Estimating link flow through link speed with sparse flow data sampling Anaesthesia (IF 7.5) Pub Date : 2024-08-28 Jiandong Qiu, Sicheng Fu, Jushang Ou, Kai Tang, Xinming Qu, Shixiao Liang, Xin Wang, Bin Ran
In modern transportation systems, network-wide traffic flow estimation is crucial for informed decision making, strategic infrastructure planning, and effective traffic management. While the limited availability of observed road-segment traffic flow data presents a significant challenge, the emerging collection of Global Navigation Satellite System (GNSS) speed data across the entire network provides
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Monitoring failure and awareness hazard during prolonged surgery Anaesthesia (IF 7.5) Pub Date : 2024-08-27 Y Girgis, I. J. Broome
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A persistent problem with glass ampoules: A reply Anaesthesia (IF 7.5) Pub Date : 2024-08-27 R. Albanese
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Uptake of desflurane: A reply Anaesthesia (IF 7.5) Pub Date : 2024-08-27 T. J. Walker, G. C. Lockwood
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Identifying the caudal space – if it doesn't itch don't scratch Anaesthesia (IF 7.5) Pub Date : 2024-08-27 A.J. Ball
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Damage to a laryngeal mask during tonsillectomy Anaesthesia (IF 7.5) Pub Date : 2024-08-27 J. A. Short, E. P. Melillo
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Apnoea testing in children Anaesthesia (IF 7.5) Pub Date : 2024-08-27 A. Sharples, O. R. Dearlove, R. Yates, D. Stewart
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Sensory loss of the distal phalanx caused by pulse oximeter probe Anaesthesia (IF 7.5) Pub Date : 2024-08-27 M. Clark, N. G. Lavies
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Mortality predicted by APACHE II. The effect of changes in physiological values on predicted hospital mortality Anaesthesia (IF 7.5) Pub Date : 2024-08-27 R. D. Tunnell, A. W. Miller, G. B. Smith
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Anaesthesia for simple exodontia in the dental chair Anaesthesia (IF 7.5) Pub Date : 2024-08-27 S. R. W. Bricker
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Autonomous post-disaster indoor navigation and survivor detection using low-cost micro aerial vehicles Anaesthesia (IF 7.5) Pub Date : 2024-08-27 Sina Tavasoli, Sina Poorghasem, Xiao Pan, T. Y. Yang, Y. Bao
This paper introduces an innovative autonomous survivor detection pipeline tailored for low-cost micro aerial vehicles (MAVs) operating in post-disaster indoor environments. This consists of three main components: (1) a novel pipeline for survivor geotagging, which includes autonomous navigation, mapping, and detection of survivors using thermal images; (2) a navigation strategy to ensure complete
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NAP7 – what's the point? Anaesthesia (IF 7.5) Pub Date : 2024-08-27 Jasmeet Soar, Tim M. Cook, Richard A. Armstrong, Emira Kursumovic, Fiona C. Oglesby, Andrew D. Kane
Ward and Illif ask whether there have been too many papers on the 7th UK National Audit Project (NAP7) and whether the “primary purpose” of the project has been lost [1]. NAP7 was a massive project during a pandemic. It is unsurprising that peri-operative cardiac arrest and its contributing factors have generated a large amount of information given this is the final common pathway for serious complications
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Cardiac arrest in adult cardiology patients receiving anaesthetic care: analysis from the 7th National Audit Project (NAP7) of the Royal College of Anaesthetists Anaesthesia (IF 7.5) Pub Date : 2024-08-22 Seema Agarwal, Richard A. Armstrong, Emira Kursumovic, Andrew D. Kane, Tim M. Cook, Jasmeet Soar, Simon J. Finney, Gudrun Kunst
The 7th National Audit Project of the Royal College of Anaesthetists studied peri-operative cardiac arrest because of existing knowledge gaps in this important topic. This applies in particular to cardiology patients receiving anaesthetic care, because numbers, types and complexity of minimally invasive interventional procedures requiring planned and unplanned anaesthesia in the cardiac intervention
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A hierarchical progressive recognition network for building change detection in high-resolution remote sensing images Anaesthesia (IF 7.5) Pub Date : 2024-08-25 Zhihuan Liu, Zaichun Yang, Tingting Ren, Zhenzhen Wang, JinSheng Deng, Chenxi Deng, Hongmin Zhao, Guoxiong Zhou, Aibin Chen, Liujun Li
Building change detection (BCD) plays a crucial role in urban planning and development. However, several pressing issues remain unresolved in this field, including false detections of buildings in complex backgrounds, the occurrence of jagged edges in segmentation results, and detection blind spots in densely built-up areas. To address these challenges, this study innovatively proposes a Hierarchical
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Multi-view street view image fusion for city-scale assessment of wind damage to building clusters Anaesthesia (IF 7.5) Pub Date : 2024-08-23 D. L. Gu, Q. W. Shuai, N. Zhang, N. Jin, Z. X. Zheng, Z. Xu, Y. J. Xu
Global warming amplifies the risk of wind-induced building damage in coastal cities worldwide. Existing numerical methods for predicting building damage under winds have been limited to virtual environments, given the prohibitive costs associated with establishing city-scale window inventories. Hence, this study introduces a cost-effective workflow for wind damage prediction of real built environments
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Hidden structural information reconstruction and seismic response analysis of high-rise residential shear wall buildings with limited structural data Anaesthesia (IF 7.5) Pub Date : 2024-08-22 Chenyu Zhang, Weiping Wen, Changhai Zhai, Yuqiu Wei, Penghao Ruan
The high-rise residential shear wall structure is a crucial component of urban building clusters, while the limited availability of detailed structural information becomes a critical bottleneck in improving the accuracy of seismic performance assessment for high-rise residential shear wall buildings in urban areas. Based on easily obtainable yet limited structural data at the urban scale, this paper
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Gradient boosting decision trees to study laboratory and field performance in pavement management Anaesthesia (IF 7.5) Pub Date : 2024-08-17 Mohammadjavad Berangi, Bernardo Mota Lontra, Kumar Anupam, Sandra Erkens, Dave Van Vliet, Almar Snippe, Mahesh Moenielal
Inconsistencies between performance data from laboratory-prepared and field samples have been widely reported. These inconsistencies often result in inaccurate condition prediction, which leads to inefficient maintenance planning. Traditional pavement management systems (PMS) do not have the appropriate means (e.g., mechanistic solutions, extensive data handling facilities, etc.) to consider these
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Prediction of stratified ground consolidation via a physics-informed neural network utilizing short-term excess pore water pressure monitoring data Anaesthesia (IF 7.5) Pub Date : 2024-08-17 Weibing Gong, Linlong Zuo, Lin Li, Hui Wang
Predicting stratified ground consolidation effectively remains a challenge in geotechnical engineering, especially when it comes to quickly and dependably determining the coefficient of consolidation (cv${c}_{\mathrm{v}}$) for each soil layer. This difficulty primarily stems from the time-intensive nature of the consolidation process and the challenges in efficiently simulating this process in laboratory
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Asphalt property prediction through high-throughput molecular dynamics simulation Anaesthesia (IF 7.5) Pub Date : 2024-08-16 Meng Wu, Miaomiao Li, Zhanping You
The relationship between saturate, aromatic, resin, and asphaltene (SARA) contents and asphalt properties remains unclear. This study aimed to propose a high-throughput molecular dynamics simulation framework and demonstrate its application in rapidly building asphalt molecular models of various SARA ratios and predicting their properties, using density as an example. Based on the framework, 400 models
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A multi-phase mechanical model of biochar–cement composites at the mesoscale Anaesthesia (IF 7.5) Pub Date : 2024-08-16 Muduo Li, Xiaohong Zhu, Yuying Zhang, Daniel C. W. Tsang
This study presents a five-phase mesoscale modeling framework specifically developed to investigate crack propagation and mechanical properties of biochar–cement composites. The multi-phase model includes porous biochar particles with precise geometric construction, sand aggregates, cement matrix, and interfacial transition zone adjunct to both the biochar particles and sand aggregates. The 3D porous
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The controversy of pre‐operative opioid tapering and an opportunity to advance personalised, patient‐centred pain medicine Anaesthesia (IF 7.5) Pub Date : 2024-08-15 Dáire N. Kelly, Edward R. Mariano, Kellie M. Jaremko
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Risk of bias and problematic trials: characterising the research integrity of trials submitted to Anaesthesia Anaesthesia (IF 7.5) Pub Date : 2024-08-15 Paul Bramley, Joshua Hulman, Helen Wanstall
SummaryBackgroundThere is some evidence for systematic biases and failures of research integrity in the anaesthesia literature. However, the features of problematic trials and effect of editorial selection on these issues have not been well quantified.MethodsWe analysed 209 randomised controlled trials submitted to Anaesthesia between 8 March 2019 and 31 March 2020. We evaluated the submitted manuscript