Anesthesiology | Links Medicus Free Medical News & Perspectives

Review: The routes of administration for acute postoperative pain medication.

22 Jul, 2021 | 10:46h | UTC

The Routes of Administration for Acute Postoperative Pain Medication – Pain and Therapy

FDA Safety Alert: hydroxyethyl starch products should not be used unless adequate alternative treatment is unavailable.

14 Jul, 2021 | 10:48h | UTC

Labeling Changes on mortality, kidney injury, and excess bleeding with hydroxyethyl starch products – U.S. Food and Drug Administration

Commentary: FDA Piles on New Warnings for Blood Volume Expanders – MedPage Today (free registration required)

Systematic Review: Pre‐emptive and preventive NSAIDs for postoperative pain in adults undergoing all types of surgery.

9 Jul, 2021 | 09:50h | UTC

Pre‐emptive and preventive NSAIDs for postoperative pain in adults undergoing all types of surgery – Cochrane Library

Summary: Ibuprofen-like painkillers given before cutting the skin in surgery compared with given after cutting the skin in adults undergoing all types of surgery – Cochrane Library

Guideline on the peri-operative management of patients with sickle cell disease.

8 Jul, 2021 | 08:46h | UTC

Guideline on the peri-operative management of patients with sickle cell disease – Anaesthesia

RCT: Pectoral nerve blocks for breast augmentation surgery.

7 Jul, 2021 | 08:41h | UTC

Pectoral Nerve Blocks for Breast Augmentation Surgery: A Randomized, Double-blind, Dual-centered Controlled Trial – Anesthesiology (link to abstract – $ for full-text)

Commentary on Twitter

Better pain relief using PECS blocks in breast augmentation surgery. https://t.co/T0SIyR7zFn pic.twitter.com/4rrbj6eTFk

— Anesthesiology journal (@_Anesthesiology) June 29, 2021

RCT: Similar long-term survival after combined epidural–general anesthesia vs. general anesthesia alone.

7 Jul, 2021 | 08:39h | UTC

Long-term Survival after Combined Epidural–General Anesthesia or General Anesthesia Alone: Follow-up of a Randomized Trial – Anesthesiology

Commentary on Twitter

In elderly patients having major thoracic and abdominal surgery, combined epidural–general anesthesia with epidural analgesia did not improve overall or cancer-specific long-term mortality. https://t.co/rFyvUYO2LX

— Anesthesiology journal (@_Anesthesiology) June 21, 2021

M-A of observational studies: the association between surgical fixation of hip fractures within 24 hours and mortality.

6 Jul, 2021 | 10:01h | UTC

The association between surgical fixation of hip fractures within 24 hours and mortality: a systematic review and meta-analysis – The Bone & Joint Journal (link to abstract – $ for full-text)

Review | Perioperative cardiac risk reduction in noncardiac surgery.

5 Jul, 2021 | 01:45h | UTC

Perioperative Cardiac Risk Reduction in Noncardiac Surgery – Mayo Clinic Proceedings

Systematic review: the evidence behind robot-assisted abdominopelvic surgery – “there is currently no clear advantage with existing robotic platforms, which are costly and increase operative duration”.

29 Jun, 2021 | 09:55h | UTC

The Evidence Behind Robot-Assisted Abdominopelvic Surgery: A Systematic Review – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentary: Robotic Platforms Not Superior for Abdominopelvic Surgery – HealthDay

EBM Analysis | Does tranexamic acid work for everything? For anything?

29 Jun, 2021 | 09:53h | UTC

Does TXA work for everything? For anything? – First10EM

Consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient.

21 Jun, 2021 | 08:33h | UTC

Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient – Canadian Journal of Anesthesia

Randomized, sham-controlled pilot study: percutaneous peripheral nerve stimulation (neuromodulation) for postoperative pain.

16 Jun, 2021 | 08:17h | UTC

Percutaneous Peripheral Nerve Stimulation (Neuromodulation) for Postoperative Pain: A Randomized, Sham-controlled Pilot Study – Anesthesiology

Commentary: Peripheral Nerve Stimulation May Cut Pain After Orthopedic Surgery – HealthDay

M-A: No difference in major postoperative complications or mortality with perioperative liberal vs. restrictive fluid strategies in major abdominal elective surgery.

14 Jun, 2021 | 08:30h | UTC

Perioperative liberal versus restrictive fluid strategies and postoperative outcomes: a systematic review and metanalysis on randomised-controlled trials in major abdominal elective surgery – Critical Care

Difficult airway management in neonates and infants: knowledge of devices and a device-oriented strategy.

9 Jun, 2021 | 08:08h | UTC

Difficult Airway Management in Neonates and Infants: Knowledge of Devices and a Device-Oriented Strategy – Frontiers in Pediatrics

RCT: Low tidal volume ventilation is not superior to no ventilation during cardiopulmonary bypass in heart surgery.

8 Jun, 2021 | 09:16h | UTC

Low Tidal Volume Mechanical Ventilation Against No Ventilation During Cardiopulmonary Bypass in Heart Surgery (MECANO): A Randomized Controlled Trial – CHEST (link to abstract – $ for full-text)

RCT: No benefit from posterior quadratus lumborum block in total hip arthroplasty.

6 Jun, 2021 | 23:35h | UTC

Posterior Quadratus Lumborum Block in Total Hip Arthroplasty: A Randomized Controlled Trial – Anesthesiology

Commentary on Twitter

In the context of a multimodal postoperative analgesic strategy, providing a quadratus lumborum block using ropivacaine resulted in no less morphine consumption or pain in the first 24 postoperative hours compared to saline injection #visualabstract https://t.co/cvxuQ9AQPQ pic.twitter.com/HP5EwrKagx

— Anesthesiology journal (@_Anesthesiology) April 20, 2021

RCT: First-attempt intubation success is increased with the use an endotracheal tube + stylet vs. an endotracheal tube alone.

27 May, 2021 | 08:16h | UTC

Effect of the use of an endotracheal tube and stylet versus an endotracheal tube alone on first-attempt intubation success: a multicentre, randomised clinical trial in 999 patients – Intensive Care Medicine

Commentary on Twitter

Endotracheal tube + stylet vs tube alone, RCT
➡️999 critically ill adults
➡️significantly higher first-attempt intubation success 78.2% vs 71.5%
➡️related complications 38.7% vs 40.2%
➡️similar rate of serious adverse events (traumatic injuries) 4% vs 3.6%https://t.co/EQ6sqS75hN pic.twitter.com/zF9PguNCSK

— Intens Care Med (@yourICM) May 26, 2021