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Anesthesiology (all articles)

Review: Perioperative opioids, the opioid crisis, and the anesthesiologist.

12 Apr, 2022 | 08:17h | UTC

Perioperative Opioids, the Opioid Crisis, and the Anesthesiologist – Anesthesiology

 


RCT: Prophylactic Penehyclidine inhalation for prevention of postoperative pulmonary complications in high-risk patients.

12 Apr, 2022 | 08:18h | UTC

Prophylactic Penehyclidine Inhalation for Prevention of Postoperative Pulmonary Complications in High-risk Patients: A Double-blind Randomized Trial – Anesthesiology

 


M-A: Oxygen targets during mechanical ventilation in the ICU.

11 Apr, 2022 | 01:26h | UTC

Oxygen Targets During Mechanical Ventilation in the ICU: A Systematic Review and Meta-Analysis – Critical Care Explorations

 


M-A: Enhanced recovery care vs. traditional care in laparoscopic hepatectomy.

11 Apr, 2022 | 00:43h | UTC

Enhanced Recovery Care vs. Traditional Care in Laparoscopic Hepatectomy: A Systematic Review and Meta-Analysis – Frontiers in Surgery

Related:

Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations – World Journal of Surgery

Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (some guidelines are free)

 


Study Commentary | To Bougie or not to Bougie: Bougie vs. Stylet for first-pass intubation success.

8 Apr, 2022 | 10:07h | UTC

To Bougie or Not to Bougie: Bougie versus Stylet for First-Pass Intubation Success – Annals of Emergency Medicine

Original Study: RCT: In critically ill adults undergoing tracheal intubation, use of a bougie did not significantly increase the incidence of successful first attempt intubation vs. with use of an endotracheal tube with stylet.

 


RCT: The analgesic efficacy of ultrasound-guided bilateral transversus thoracic muscle plane block after open-heart surgeries.

8 Apr, 2022 | 09:45h | UTC

The Analgesic Efficacy of Ultrasound-Guided Bilateral Transversus Thoracic Muscle Plane Block After Open-Heart Surgeries: A Randomized Controlled Study – Journal of Pain Research

 


M-A: Efficacy of dezocine on preventing opioid-induced cough during general anesthesia induction.

7 Apr, 2022 | 08:15h | UTC

Efficacy of dezocine on preventing opioid-induced cough during general anaesthesia induction: a PRISMA-compliant systematic review and meta-analysis – BMJ Open

 


RCT: In patients undergoing intraarterial treatment for stroke, functional outcomes after 3 months were similar with general anesthesia vs. sedation.

7 Apr, 2022 | 08:00h | UTC

General Anesthesia versus Sedation, Both with Hemodynamic Control, during Intraarterial Treatment for Stroke: The GASS Randomized Trial – Anesthesia

 

Commentary on Twitter

 


Major burns: part 2. Anesthesia, intensive care and pain management.

7 Apr, 2022 | 07:59h | UTC

Major burns: part 2. Anaesthesia, intensive care and pain management – BJA Education

See also: Major burns: Part 1. Epidemiology, pathophysiology and initial management.

 


Systematic Review: Gases for establishing pneumoperitoneum during laparoscopic abdominal surgery.

7 Apr, 2022 | 07:49h | UTC

Gases for establishing pneumoperitoneum during laparoscopic abdominal surgery – Cochrane Library

Summary: Different gases for insufflation of the abdominal cavity during keyhole abdominal surgery – Cochrane Library

 


Review: Understanding pediatric ventilation in the operative setting.

6 Apr, 2022 | 08:42h | UTC

Part I: Physical principles of monitoring in the modern anesthesia workstation – Pediatric Anesthesia

Part II: Setting perioperative ventilation – Pediatric Anesthesia

 


Systematic Review: Videolaryngoscopy vs. direct laryngoscopy for adults undergoing tracheal intubation.

5 Apr, 2022 | 09:52h | UTC

Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation – Cochrane Library

 

Commentary from the author on Twitter (thread – click for more)

https://twitter.com/VirtueOfNothing/status/1511007812100390916

 


Review: Novel ventilation techniques in children.

6 Apr, 2022 | 08:38h | UTC

Novel ventilation techniques in children – Pediatric Anesthesia

 


#ACC22 – RCT: In patients undergoing non-cardiac surgery, a strategy of aggressive intraoperative warming (target core temperature of 37°C) did not reduce major complications compared to routine thermal management (target of 35·5°C).

5 Apr, 2022 | 09:57h | UTC

Aggressive intraoperative warming versus routine thermal management during non-cardiac surgery (PROTECT): a multicentre, parallel group, superiority trial – The Lancet (free registration required)

Commentary: PROTECT: Aggressive Warming During Surgery Does Not Reduce Major Complications – American College of Cardiology

 


EHRA consensus on prevention and management of interference due to medical procedures in patients with cardiac implantable electronic devices.

5 Apr, 2022 | 08:39h | UTC

EHRA consensus on prevention and management of interference due to medical procedures in patients with cardiac implantable electronic devices – EP Europace

News Release: Advice to prevent consequences of interference in cardiac device patients published today – European Society of Cardiology

 


#ACC22 – RCT: Tranexamic acid reduces the risk of bleeding in patients undergoing noncardiac surgery.

4 Apr, 2022 | 01:37h | UTC

Tranexamic Acid in Patients Undergoing Noncardiac Surgery – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries:

POISE-3: Tranexamic Acid Reduces Severe Bleeding Risk in Patients Undergoing Noncardiac Surgery – American College of Cardiology

POISE-3: Tranexamic Acid Stems Bleeding During Noncardiac Surgery – TCTMD

 

Commentaries on Twitter

 


M-A: Impact of enhanced recovery pathways on safety and efficacy of hip and knee arthroplasty.

1 Apr, 2022 | 08:31h | UTC

Impact of enhanced recovery pathways on safety and efficacy of hip and knee arthroplasty: A systematic review and meta-analysis – World Journal of Orthopedics

Related:

Review: Enhanced recovery after surgery for major orthopedic surgery.

Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (some guidelines are free)

 


The harms of postoperative antibiotic prophylaxis: a teachable moment.

30 Mar, 2022 | 10:36h | UTC

The Harms of Postoperative Antibiotic Prophylaxis: A Teachable Moment – JAMA Internal Medicine (free for a limited period)

 


Review: Surgical risk assessment in patients with chronic liver diseases.

25 Mar, 2022 | 08:46h | UTC

Surgical Risk Assessment in Patients With Chronic Liver Diseases – Journal of Clinical and Experimental Hepatology

 

Commentary on Twitter

 


Single-center RCT: Postoperative analgesic efficacy and safety of ropivacaine plus diprospan for preemptive scalp infiltration in patients undergoing craniotomy.

25 Mar, 2022 | 08:42h | UTC

Postoperative Analgesic Efficacy and Safety of Ropivacaine Plus Diprospan for Preemptive Scalp Infiltration in Patients Undergoing Craniotomy: A Prospective Randomized Controlled Trial – Anesthesia & Analgesia

 


Review: When to operate after SARS-CoV-2 infection?

22 Mar, 2022 | 09:44h | UTC

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

Related:

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

 


Study shows low risk of acute myocardial infarction after ophthalmologic procedures, confirming previous knowledge that preoperative evaluation may be unnecessary for most patients.

22 Mar, 2022 | 08:47h | UTC

Risk for Acute Myocardial Infarction After Ophthalmologic Procedures – Annals of Internal Medicine (link to abstract – $ for full-text)

Summary for patients: Summary for Patients: Risk for Heart Attack After Eye Procedures

Editorial: Preoperative Evaluation Can Delay Ophthalmologic Surgery Without Improving Outcomes ($)

Commentary: Ophthalmologic Procedures Not Tied to Increased AMI Risk – HealthDay

Related:

Position Statement: Preoperative Care for Cataract Surgery – “In spite of evidence debunking the utility of testing before cataract surgery, studies suggest that medical testing and the use of medical consultations before cataract surgery continue to increase”.

Study: Prevalence and Cost of Care Cascades After Low-Value Preoperative Electrocardiogram for Cataract Surgery

Evaluation of an Intervention to Reduce Low-Value Preoperative Care for Patients Undergoing Cataract Surgery

Systematic Review: Routine Preoperative Medical Testing for Cataract Surgery

Preoperative Medical Testing in Medicare Patients Undergoing Cataract Surgery – New England Journal of Medicine

 

Commentary on Twitter

 


M-A: Hydroxyethyl starch for fluid management in patients undergoing major abdominal surgery.

21 Mar, 2022 | 08:35h | UTC

Hydroxyethyl Starch for Fluid Management in Patients Undergoing Major Abdominal Surgery: A Systematic Review With Meta-analysis and Trial Sequential Analysis – Anesthesia & Analgesia

 


M-A: Airway ultrasound as predictor of difficult direct laryngoscopy.

21 Mar, 2022 | 08:36h | UTC

Airway Ultrasound as Predictor of Difficult Direct Laryngoscopy: A Systematic Review and Meta-analysis – Anesthesia & Analgesia

 


Pro-Con Debate: Prehospital blood transfusion—should it be adopted for civilian trauma?

21 Mar, 2022 | 08:38h | UTC

Pro-Con Debate: Prehospital Blood Transfusion—Should It Be Adopted for Civilian Trauma? – Anesthesia & Analgesia

Infographic: Pre-Hospital Blood Transfusion: A Pro-Con Debate – Anesthesia & Analgesia

Related: RCT: In patients with trauma-related hemorrhagic shock receiving prehospital care, there was no benefit from resuscitation with blood products compared to 0.9% sodium chloride.

 


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