Anesthesiology (all articles)
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
M-A: Pharmacotherapy for the prevention of chronic pain after surgery in adults.
6 Aug, 2021 | 09:51h | UTC
Commentary on Twitter
Pharmacotherapy for the Prevention of Chronic Pain after Surgery in Adults: An Updated Systematic Review and Meta-analysis https://t.co/DzILWovtGG #visualabstract pic.twitter.com/A8JIxKl942
— Anesthesiology (@_Anesthesiology) August 5, 2021
ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.
5 Aug, 2021 | 08:55h | UTCSee guidance: ASA and APSF Statement on Perioperative Testing for the COVID-19 Virus
Related:
Position statement: Perioperative management of post-COVID-19 surgical patients.
Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery
AAOS Guideline: Pharmacologic, physical, and cognitive pain alleviation for musculoskeletal extremity/pelvis surgery.
5 Aug, 2021 | 08:49h | UTCEvidence summary: Pharmacologic, Physical, and Cognitive Pain Alleviation for Musculoskeletal Extremity/Pelvis Surgery
Pulmonary aspiration of gastric contents: a closed claims analysis.
5 Aug, 2021 | 08:34h | UTCPulmonary Aspiration of Gastric Contents: A Closed Claims Analysis – Anesthesiology
Position statement: Perioperative management of post-COVID-19 surgical patients.
4 Aug, 2021 | 10:00h | UTCRelated:
Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery
Commentary on Twitter
Interesting position statement (from India) for perioperative management of post-COVID-19 surgical patients. Highlights important points to consider but appears overly cautious, recommending a lot of preop testing. #COVID19 https://t.co/oOR1ik21ha
— Steven Cohn, MD (@preopconsult) August 3, 2021
Clinical practice recommendations on the management of perioperative cardiac arrest.
4 Aug, 2021 | 09:03h | UTC
Prevalence, costs, and consequences of low-value preprocedural urinalyses in the US.
3 Aug, 2021 | 02:13h | UTCEditorial: Moving Beyond Guidelines—Use of Value-Based Preoperative Testing (free for a limited period)
Commentary: Preoperative screening urinalysis is widely used—but usually unnecessary, study finds – MedicalXpress
2021 Update in the diagnosis and management of acute coronary syndromes for the perioperative clinician.
3 Aug, 2021 | 02:22h | UTC
Commentary on Twitter
https://twitter.com/AlejandroLemor/status/1418925354870349826
Observational study: Positive Fluid balance linked to worse outcomes in critically ill patients with traumatic brain injury.
1 Aug, 2021 | 23:57h | UTCFluid balance and outcome in critically ill patients with traumatic brain injury (CENTER-TBI and OzENTER-TBI): a prospective, multicentre, comparative effectiveness study – The Lancet Neurology (link to abstract – $ for full-text)
Commentary: Traumatic Brain Injury: Fluid Overload Tied to Higher Mortality in ICU Patients – Physician’s Weekly
Commentary on Twitter
Happy with our paper in @TheLancetNeuro on comparative effectiveness of fluid management strategies in TBI patients in the ICU. Successful example of treatment effect estimation in observational data. @CenterTBI @Menon_Cambridge @Dr_Cit @ESteyerberghttps://t.co/TMzhkd1SZz
— Hester Lingsma (@hesterlingsma) July 23, 2021
Review: The routes of administration for acute postoperative pain medication.
22 Jul, 2021 | 10:46h | UTCThe 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 | UTCCommentary: FDA Piles on New Warnings for Blood Volume Expanders – MedPage Today (free registration required)
Related: Hydroxyethyl-starch Solutions (HES) Should no Longer be Used – European Medicines Agency AND Randomized Trial: Hydroxyethyl Starch vs. Saline for Volume Replacement Therapy in High-Risk Patients Undergoing Major Abdominal Surgery AND Systematic Review: Colloids vs Crystalloids for Fluid Resuscitation in Critically Ill People
Systematic Review: Pre‐emptive and preventive NSAIDs for postoperative pain in adults undergoing all types of surgery.
9 Jul, 2021 | 09:50h | UTC
Guideline on the peri-operative management of patients with sickle cell disease.
8 Jul, 2021 | 08:46h | UTCGuideline 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 | UTCPectoral 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 (@_Anesthesiology) June 29, 2021