Anesthesiology
Guidelines for anesthesiologists on patient blood management in cardiac surgery.
17 Oct, 2021 | 21:22h | UTC
Commentary on Twitter
Please check out editorial on patient #blood management in #cardiacsurgery, a collaboration between Society of Thoracic Surgeons, Society of Cardiovascular Anestheisologists and SABM, AmSECT. https://t.co/HHA8SjxNot pic.twitter.com/DAj2TrGYC3
— Jiapeng Huang (@jiapenghuang) September 24, 2021
Systematic Review: Ultrasound guidance for arterial (other than femoral) catheterization in adults may improve first attempt and overall success rates compared to palpation.
14 Oct, 2021 | 09:41h | UTCUltrasound guidance for arterial (other than femoral) catheterisation in adults – Cochrane Library
RCT: Spinal Anesthesia not Superior to General Anesthesia for Hip Surgery in Older Adults.
12 Oct, 2021 | 00:07h | UTCSpinal Anesthesia or General Anesthesia for Hip Surgery in Older Adults – New England Journal of Medicine (link to abstract – $ for full-text)
News release: Myth busted: General anesthesia just as safe as spinal anesthesia after broken hip surgery – Penn Medicine
Commentary: Study Finds Spinal Anesthesia Not Superior to General Anesthesia for Hip-Fracture Surgery – BreakingMed
Clinical Report | Topical nasal decongestant Oxymetazoline: safety considerations for perioperative pediatric use.
6 Oct, 2021 | 10:01h | UTC
AHA Scientific Statement: Diagnosis and management of patients with myocardial injury after noncardiac surgery.
5 Oct, 2021 | 09:01h | UTCNews Release: 1 in 5 adults has high levels of heart enzymes after any surgery, monitoring advised – American Heart Association
Commentary: AHA: More Screening Needed to Catch Myocardial Injury After Noncardiac Surgery – TCTMD
Clinical practice guideline: evidence, recommendations and algorithm for the preoperative optimization of anemia, hyperglycemia and smoking.
5 Oct, 2021 | 08:59h | UTC
RCT: Vasopressin + Methylprednisolone increase the likelihood of return of spontaneous circulation compared to placebo in patients with in-hospital cardiac arrest.
30 Sep, 2021 | 10:23h | UTCEffect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Vasopressin and Steroids as Adjunctive Treatment for In-Hospital Cardiac Arrest (free for a limited period)
Commentary on Twitter
Randomized trial among patients with in-hospital cardiac arrest found that administration of vasopressin and methylprednisolone, compared with placebo, significantly increased the likelihood of return of spontaneous circulation https://t.co/wfyl56wgpT pic.twitter.com/LjKoxx8Rav
— JAMA (@JAMA_current) September 29, 2021
RCT: Smart glasses for radial arterial catheterization in pediatric patients.
30 Sep, 2021 | 10:17h | UTC
Commentary on Twitter
Via @_Anesthesiology: The use of smart glasses improved the first-attempt success rate of ultrasound-guided radial artery catheterization and reduced first-attempt procedure time and overall complication rates in pediatric patients. https://t.co/DkSXwbbcn1
— ASA® (@ASALifeline) September 28, 2021
RCT: Neurolytic splanchnic nerve block and pain relief, survival, and quality of life in unresectable pancreatic cancer.
30 Sep, 2021 | 10:16h | UTC
Commentary on Twitter
Neurolytic Splanchnic Nerve Block and Pain Relief, Survival, and Quality of Life in Unresectable Pancreatic Cancer: A Randomized Controlled Trial https://t.co/xa9sPAdQu1 pic.twitter.com/gi74fdDSfl
— Anesthesiology journal (@_Anesthesiology) August 30, 2021
Guideline for Perioperative Care for People Living with Frailty Undergoing Elective and Emergency Surgery.
29 Sep, 2021 | 10:10h | UTCNews release and infographic: Perioperative Care of People Living with Frailty – Centre for Perioperative Care
Commentary on Twitter
🆕 Perioperative care for people with frailty: important new guideline
🔶 Note the emphasis on education & training
➡️ Strong presence of need for #delirium assessment & good care
🔗 https://t.co/TwDX7BYr5C@GeriSoc @CPOC_News @APSForg @ASER_hq @AgeAnaesthesia pic.twitter.com/x4YO9fHuQo
— Alasdair MacLullich (@A_MacLullich) September 28, 2021
Environmental and Occupational Considerations of Anesthesia: A Narrative Review and Update.
26 Sep, 2021 | 21:37h | UTCRelated:
Working toward the triple bottom line in surgery to limit the impact of surgery on the environment
Effects Of Surgery On A Warming Planet: Can Anesthesia Go Green? – NPR
Anaesthetic gases, climate change, and sustainable practice – The Lancet Planetary Health
Greenhouse gases: the choice of volatile anesthetic does matter – Canadian Journal of Anesthesiology
The Evolution of Hemodynamic Monitoring and Support.
22 Sep, 2021 | 09:58h | UTCHemodynamic Monitoring and Support – Critical Care Medicine
Commentary on Twitter
Evolution of hemodynamic monitoring for #CriticalCare#TBT for #SCCM50Years #SCCMSoMe from @jlvincen @BerndSaugel in @CritCareMedhttps://t.co/T4lr1ltGoW pic.twitter.com/mOQ2LhdXLx
— Greg Martin, MD, MSc, FCCM (@SCCMPresident) July 22, 2021
Review: Transfusion-related acute lung injury in the perioperative patient.
21 Sep, 2021 | 08:56h | UTCTransfusion-related Acute Lung Injury in the Perioperative Patient – Anesthesiology
RCT: Prophylactic steroids prevent hypocalcemia and voice dysfunction in patients undergoing thyroidectomy.
15 Sep, 2021 | 08:44h | UTCUse of Prophylactic Steroids to Prevent Hypocalcemia and Voice Dysfunction in Patients Undergoing Thyroidectomy: A Randomized Clinical Trial – JAMA Otolaryngology – Head & Neck Surgery (link to abstract – $ for full-text)
Author interview: Prophylactic Steroids for Postthyroidectomy Hypocalcemia and Voice Dysfunction
Commentary: IV Steroid Before Thyroidectomy Prevents Complications — One dose of dexamethasone reduced hypocalcemia, voice issues – MedPage Today (free registration required)
Commentary on Twitter
This RCT with 192 patients found that pre-op dexamethasone resulted in a reduction in hypocalcemia at 24 hrs post-op by 24% and reduction in voice dysfunction at 24 hrs by 25%. Strong evidence in supporting a pre-op 8mg dose of dexamethasone @JAMAOto https://t.co/UIt18DXclN
— Jay Piccirillo, MD (@PiccirilloJay) September 5, 2021
RCT: In patients undergoing major surgery, targeting light anesthesia reduced the risk of postoperative delirium and cognitive impairment at one year.
10 Sep, 2021 | 05:19h | UTCAnaesthetic depth and delirium after major surgery: a randomised clinical trial – British Journal of Anaesthesia (link to abstract – $ for full-text)
Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.
3 Sep, 2021 | 09:55h | UTC
RCT: Among critically ill patients, targeting oxygenation to a low-normal range vs. high-normal range did not result in a reduction in organ dysfunction.
2 Sep, 2021 | 08:23h | UTCEffect of Low-Normal vs High-Normal Oxygenation Targets on Organ Dysfunction in Critically Ill Patients: A Randomized Clinical Trial – JAMA (free for a limited period)
Related:
M-A of randomized trials: Conservative oxygen therapy for critically ill patients.
Oxygen administration for patients with ARDS – Journal of Intensive Care
Commentary on Twitter
Multicenter RCT found, among critically ill patients, targeting oxygenation to a low-normal range compared with a high-normal range did not result in a statistically significant reduction in organ dysfunction https://t.co/lEq28bqmM4 #ISICEM21
— JAMA (@JAMA_current) August 31, 2021
COVID-19 patients at higher risk of blood clots after surgery, study shows.
1 Sep, 2021 | 09:54h | UTCCOVID-19 patients at higher risk of blood clots after surgery, study shows – CIDRAP
Original study: SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study – Anaesthesia
Related:
ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.
Position statement: Perioperative management of post-COVID-19 surgical patients.
Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery
Recommendations for standards of monitoring during anaesthesia and recovery 2021.
1 Sep, 2021 | 09:44h | UTCRecommendations for standards of monitoring during anaesthesia and recovery 2021 – Anaesthesia
In a large cohort study including 807,413 surgeries, many noncardiac surgeries, previously categorized as elevated cardiac risk, were found to be low cardiac risk.
27 Aug, 2021 | 08:29h | UTC
Commentary on Twitter
Nothing really new here. Confirmed increasing MACE with interm/high risk surgery vs low risk (all <1% MI/death). Argues for reassessing risk category for various procedures, usually to a lower category (laparoscopic, GU,Gyn,ortho other than TJR/hip Fx). https://t.co/x0DXaiCHuL
— Steven Cohn, MD (@preopconsult) August 21, 2021
M-A: The clinical efficacy and safety of enhanced recovery after surgery for cesarean section.
26 Aug, 2021 | 08:28h | UTCRelated:
Pre-post study: Improved outcomes with an enhanced recovery approach to cesarean delivery
Enhanced Recovery After Surgery (ERAS) Guidelines for Perioperative Care in Cesarean Delivery
Enhanced Recovery After Surgery (ERAS) Society Guidelines
Review: The role of regional analgesia in personalized postoperative pain management.
26 Aug, 2021 | 08:24h | UTC
Editorial | Enhanced recovery after surgery: The road to improve peri-operative care globally.
24 Aug, 2021 | 08:54h | UTCSee also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines
M-A: Patient–ventilator asynchrony, impact on clinical outcomes and effectiveness of interventions.
24 Aug, 2021 | 08:51h | UTC
Systematic review: Pain management after complex spine surgery.
24 Aug, 2021 | 08:50h | UTCPain management after complex spine surgery – European Journal of Anaesthesiology