Anesthesiology (all articles)
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
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
Review: Oxygenation strategies after extubation of critically ill and postoperative patients.
13 Aug, 2021 | 08:49h | UTC
Review: Preoperative laboratory testing in elderly patients.
13 Aug, 2021 | 08:50h | UTCPreoperative laboratory testing in elderly patients – Current Opinion in Anesthesiology
BaSICS RCT: Among critically ill patients requiring fluid therapy, there was no difference in mortality with slower (333 mL/h) vs. faster (999 mL/h) intravenous fluid bolus rates.
11 Aug, 2021 | 08:37h | UTCEffect of Slower vs Faster Intravenous Fluid Bolus Rates on Mortality in Critically Ill Patients: The BaSICS Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Does Crystalloid Composition or Rate of Fluid Administration Make a Difference When Resuscitating Patients in the ICU? – JAMA (free for a limited period)
Video: Balanced Solution vs. Saline in Intensive Care Study
BaSICS RCT: Among critically ill patients requiring fluid therapy, treatment with a balanced solution did not lead to reduced mortality compared to a 0.9% saline solution.
11 Aug, 2021 | 08:39h | UTCEffect of Intravenous Fluid Treatment With a Balanced Solution vs 0.9% Saline Solution on Mortality in Critically Ill PatientsThe BaSICS Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Does Crystalloid Composition or Rate of Fluid Administration Make a Difference When Resuscitating Patients in the ICU? – JAMA (free for a limited period)
Video: Balanced Solution vs. Saline in Intensive Care Study
Commentary on Twitter
Among critically ill patients requiring fluid challenges, treatment with a balanced solution compared with saline solution did not significantly reduce 90-day mortality https://t.co/LNDtsxxiwB
— JAMA (@JAMA_current) August 10, 2021
RCT: Computer-assisted individualized hemodynamic management reduces intraoperative hypotension in intermediate- and high-risk surgery – larger trials with patient-relevant outcomes are required.
11 Aug, 2021 | 08:25h | UTCVideo: Computer-assisted individualized hemodynamic management reduces intraoperative hypotension
Science, Medicine, And The Anesthesiologist | August 2021: Key Papers from the Most Recent Literature Relevant to Anesthesiologists.
11 Aug, 2021 | 08:24h | UTCScience, Medicine, and the Anesthesiologist – Anesthesiology
Update on medical management of acute hip fracture.
10 Aug, 2021 | 08:50h | UTCUpdate on medical management of acute hip fracture – Cleveland Clinical Journal of Medicine
Commentary on Twitter
Nice review of Periop mgmt for hip Fx. Uses a modified CCS guideline approach-no stress testing,bypass BNP as pts are high risk,postop co-mgmt +troponin. Also discusses other aspects. Major take home point – AVOID DELAYING SURGERY or mortality increases. https://t.co/5DATCuKuqU
— Steven Cohn, MD (@preopconsult) August 9, 2021
ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”
6 Aug, 2021 | 09:59h | UTCESPEN practical guideline: Clinical nutrition in surgery – Clinical Nutrition