Anesthesiology (all articles)

Cataract surgery: both eyes on the same day or on different days?

24 Jun, 2022 | 10:55h | UTC

Cataract surgery: both eyes on the same day or on different days? – Evidently Cochrane

Original Study: Immediate sequential bilateral surgery versus delayed sequential bilateral surgery for cataracts – Cochrane Library

 

---

ASA and APSF statement on perioperative testing for the COVID-19 virus.

22 Jun, 2022 | 12:19h | UTC

ASA and APSF Statement on Perioperative Testing for the COVID-19 Virus – American Society of Anesthesiologists

Commentary: ASA, APST Update Perioperative SARS-CoV-2 Testing Recommendations – HealthDay

Related:

Surgical Triage and Timing for Patients with COVID: A Guidance Statement from the Society of Thoracic Surgeons – Annals of Thoracic Surgery

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

 

---

RCT: Spinal anesthesia is associated with more pain and prescription analgesic use after hip surgery compared to general anesthesia.

22 Jun, 2022 | 12:11h | UTC

News Release: Spinal Anesthesia Associated with More Pain, Prescription Analgesic Use After Hip Surgery Compared with General Anesthesia – American College of Physicians

Study: Pain, Analgesic Use, and Patient Satisfaction With Spinal Versus General Anesthesia for Hip Fracture Surgery: A Randomized Clinical Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Original Publication: Spinal Anesthesia or General Anesthesia for Hip Surgery in Older Adults – New England Journal of Medicine

Commentary: Spinal Anesthesia Tied to More Severe Pain After Hip Fracture Surgery – HealthDay

Related:

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

Delirium in Older Patients after Combined Epidural–General Anesthesia or General Anesthesia for Major Surgery: A Randomized Trial – Anesthesiology

Effect of Regional vs General Anesthesia on Incidence of Postoperative Delirium in Older Patients Undergoing Hip Fracture Surgery: The RAGA Randomized Trial – JAMA

 

---

Consensus Recommendations: Early management of patients with aneurysmal subarachnoid hemorrhage in a hospital with neurosurgical/neuroendovascular facilities.

22 Jun, 2022 | 11:25h | UTC

Part 1: Early management of patients with aneurysmal subarachnoid hemorrhage in a hospital with neurosurgical/neuroendovascular facilities: a consensus and clinical recommendations of the Italian Society of Anesthesia and Intensive Care (SIAARTI)–Part 1 – Journal of Anesthesia, Analgesia and Critical Care

Part 2: Early management of patients with aneurysmal subarachnoid hemorrhage in a hospital with neurosurgical/neuroendovascular facilities: a consensus and clinical recommendations of the Italian Society of Anesthesia and Intensive Care (SIAARTI)—part 2 – Journal of Anesthesia, Analgesia and Critical Care

 

---

M-A: Opioid versus opioid-free analgesia after surgical discharge.

21 Jun, 2022 | 11:08h | UTC

Opioid versus opioid-free analgesia after surgical discharge: a systematic review and meta-analysis of randomised trials – The Lancet (link to abstract – $ for full-text)

News Release: Taking opioids at home after surgery: More harms than benefits – McGill University Health Center

 

---

RCT: Routine use of intraoperative urinary catheters does not reduce the risk of postoperative urinary retention after laparoscopic inguinal hernia repair.

17 Jun, 2022 | 11:47h | UTC

Effect of Intraoperative Urinary Catheter Use on Postoperative Urinary Retention After Laparoscopic Inguinal Hernia Repair: A Randomized Clinical Trial – JAMA Surgery (free for a limited period)

Commentaries: Urinary Catheters for Inguinal Hernia Repair—The Challenges of Deimplementation of Routine Procedures – JAMA Surgery (free for a limited period)

Intraoperative Catheter Disappoints for Urinary Retention After Hernia Repair – MedPage Today (free registration required)

Author interview: Intraoperative Urinary Catheter Use and Urinary Retention After Laparoscopic Inguinal Hernia Repair – JAMA

 

Commentary on Twitter

In this study, intraoperative urinary catheters did not reduce the risk of postoperative urinary retention after laparoscopic inguinal hernia repair. https://t.co/6M06HxR51f

— JAMA Surgery (@JAMASurgery) June 15, 2022

 

---

#CCR22 – RCT: Among critically ill patients undergoing tracheal intubation, administering a 500 ml fluid bolus did not decrease the incidence of severely low blood pressure, cardiac arrest, or death.

16 Jun, 2022 | 11:08h | UTC

Effect of Fluid Bolus Administration on Cardiovascular Collapse Among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial – JAMA (free for a limited period)

 

Commentary on Twitter

In this randomized clinical trial, among critically ill adults undergoing tracheal intubation, administration of a fluid bolus did not significantly decrease the incidence of cardiovascular collapse. https://t.co/vPkfgLBF1n #CCR22

— JAMA (@JAMA_current) June 16, 2022

 

---

Editorial: Inhaled anesthesia and analgesia contribute to climate change.

15 Jun, 2022 | 10:50h | UTC

Inhaled anaesthesia and analgesia contribute to climate change – The BMJ

News Release: Set targets to cut inhaled anaesthesia greenhouse gas emissions – BMJ Newsroom

Related:

Carbon Footprint of General, Regional, and Combined Anesthesia for Total Knee Replacements – Anesthesia

Principles of environmentally-sustainable anaesthesia: a global consensus statement from the World Federation of Societies of Anaesthesiologists – Anaesthesia

Environmental and Occupational Considerations of Anesthesia: A Narrative Review and Update – Anesthesia & Analgesia

Working Toward the Triple Bottom Line in Surgery – NEJM Catalyst

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

People, planet and profits: the case for greening operating rooms – Canadian Medical Association Journal

 

Commentary on Twitter

Clear, measurable targets are needed to cut potent greenhouse gas emissions from inhaled anaesthesia and minimise their impact on climate change, argue @GreeningDoc and Brian B Chesebro https://t.co/dxGjVCldtW

— The BMJ (@bmj_latest) June 9, 2022

 

---

BSH guideline for the hematological management of major hemorrhage.

13 Jun, 2022 | 10:53h | UTC

A guideline for the haematological management of major haemorrhage: a British Society for Haematology Guideline – British Journal of Haematology

 

---

[News release – not published yet] Women not being routinely informed that a common anesthetic may lessen contraception effectiveness, doctors warn.

9 Jun, 2022 | 11:31h | UTC

Women not being routinely informed that a common anesthetic may lessen contraception effectiveness, doctors warn – The European Society of Anaesthesiology and Intensive Care (ESAIC)

Commentary: Women in UK ‘seldom’ told drug used in surgery can impede contraception – The Guardian

 

---

Systematic Review: Evidence-based perioperative diagnosis and management of pulmonary embolism.

9 Jun, 2022 | 10:34h | UTC

Evidence-based perioperative diagnosis and management of pulmonary embolism: A systematic review – Annals of Medicine and Surgery

 

---

Recommendations on the anesthetic management of carotid endarterectomy.

8 Jun, 2022 | 11:04h | UTC

Anesthetic management of carotid endarterectomy: an update from Italian guidelines – Journal of Anesthesia, Analgesia and Critical Care

 

---

Unresolved issues in perioperative nutrition: A narrative review.

8 Jun, 2022 | 10:50h | UTC

Unresolved issues in perioperative nutrition: A narrative review – Clinical Nutrition

Related:

Perioperative nutrition: Recommendations from the ESPEN expert group – Clinical Nutrition

Perioperative Nutritional Support: A Review of Current Literature – Nutrients

M-A: The clinical effect and safety of new preoperative fasting time guidelines for elective surgery.

 

---

Prediction of fluid responsiveness. What’s new?

7 Jun, 2022 | 11:35h | UTC

Prediction of fluid responsiveness. What’s new? – Annals of Intensive Care

 

---

Evidence Review: Preparing for an operation with lifestyle changes.

7 Jun, 2022 | 11:33h | UTC

Preparing for an operation with lifestyle changes – Evidently Cochrane

 

---

Review: Anticoagulation management of post-cardiac surgery new-onset atrial fibrillation.

7 Jun, 2022 | 11:01h | UTC

Anticoagulation management of post-cardiac surgery new-onset atrial fibrillation – Cleveland Clinic Journal of Medicine

 

---

RCT: Effect of perioperative dexmedetomidine on delayed graft function following a donation-after-cardiac-death kidney transplant.

7 Jun, 2022 | 10:55h | UTC

Effect of Perioperative Dexmedetomidine on Delayed Graft Function Following a Donation-After-Cardiac-Death Kidney Transplant: A Randomized Clinical Trial – JAMA Network Open

 

Commentary on Twitter

In this RCT, 24-hour dexmedetomidine infusion, started immediately after induction of & in addition to standard anesthesia, reduced the incidence of delayed graft function vs placebo, following a donation-after-cardiac-death kidney transplantation. https://t.co/cmX1IEZdVX

— JAMA Network Open (@JAMANetworkOpen) June 3, 2022

 

---

RCT: Effect of intraoperative handovers of anesthesia care on mortality, readmission, or postoperative complications among adults.

6 Jun, 2022 | 11:04h | UTC

Effect of Intraoperative Handovers of Anesthesia Care on Mortality, Readmission, or Postoperative Complications Among Adults: The HandiCAP Randomized Clinical Trial – JAMA (free for a limited period)

Related Study: Association Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing Major Surgery – JAMA

 

Commentary on Twitter

In this RCT, among adults undergoing extended surgical procedures, there was no difference bw handover of anesthesia care compared w no handover of care in the primary outcome of mortality, readmission, & serious postoperative complications within 30 days.https://t.co/FpGFZk47x7

— JAMA (@JAMA_current) June 4, 2022

 

---

Brief Review: Management of antiplatelet therapy in patients with coronary stents undergoing noncardiac surgery.

6 Jun, 2022 | 10:55h | UTC

Management of antiplatelet therapy in patients with coronary stents undergoing noncardiac surgery – American Journal of Medicine

 

---

ERAS Guidelines for perioperative care in elective abdominal and pelvic surgery at primary and secondary hospitals in low–middle-income countries.

1 Jun, 2022 | 12:08h | UTC

Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low–Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation – World Journal of Surgery

Related:

Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines

Top 100 Most-Cited Articles on Enhanced Recovery After Surgery: A Bibliometric Analysis and Visualized Study – Frontiers in Surgery

 

---

Update on perioperative management of patients undergoing surgery for liver cancer.

1 Jun, 2022 | 11:11h | UTC

Update on perioperative management of patients undergoing surgery for liver cancer – Annals of Gastroenterological Surgery

 

---

Cohort Study: Intraoperative hypotension is associated with persistent acute kidney disease after noncardiac surgery.

1 Jun, 2022 | 10:53h | UTC

Intraoperative hypotension is associated with persistent acute kidney disease after noncardiac surgery: a multicentre cohort study – British Journal of Anaesthesia

 

---

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomized controlled trials.

31 May, 2022 | 11:50h | UTC

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials – The Lancet Infectious Diseases

Related Study: Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial – The Lancet AND Commentary: Expensive antiseptics and sutures do not reduce the risk of surgical infections – National Institute for Health and Care Research

 

Commentary from one of the authors on Twitter (thread – click for more)

1. Today: our @TheLancetInfDis meta-analysis based on @FalconRct – triclosan sutures and alcoholic skin prep to reduce surgical site infection.

Link to open access PDF:https://t.co/cj7yFdbNpB pic.twitter.com/VkKRaxCAtm

— Aneel Bhangu (@aneelbhangu) May 27, 2022

 

---

Perioperative hemodynamic optimization of the high-risk surgical patient.

31 May, 2022 | 11:04h | UTC

Perioperative Haemodynamic Optimisation of the High-Risk Surgical Patient – ICU Management & Practice

 

---

Guidelines for clothing in the operating theatre.

30 May, 2022 | 11:52h | UTC

Guidelines for clothing in the operating theatre, 2021 – Anaesthesia Critical Care & Pain Medicine

 

---