Anesthesiology (all articles)
RCT: First-attempt intubation success is increased with the use an endotracheal tube + stylet vs. an endotracheal tube alone.
27 May, 2021 | 08:16h | UTC
Commentary on Twitter
Endotracheal tube + stylet vs tube alone, RCT
➡️999 critically ill adults
➡️significantly higher first-attempt intubation success 78.2% vs 71.5%
➡️related complications 38.7% vs 40.2%
➡️similar rate of serious adverse events (traumatic injuries) 4% vs 3.6%https://t.co/EQ6sqS75hN pic.twitter.com/zF9PguNCSK— Intens Care Med (@yourICM) May 26, 2021
Science, Medicine, And The Anesthesiologist | June 2021: Key Papers from the Most Recent Literature Relevant to Anesthesiologists.
25 May, 2021 | 08:35h | UTCScience, Medicine, And The Anesthesiologist | June 2021 – Anesthesiology
Consensus report: Postoperative acute kidney injury in adult non-cardiac surgery.
25 May, 2021 | 08:34h | UTC
Fluid-induced harm in the hospital: look beyond volume and start considering sodium. From physiology towards recommendations for daily practice in hospitalized adults.
19 May, 2021 | 08:32h | UTC
Guide to enhanced recovery for cancer patients undergoing surgery: ERAS for Patients Undergoing Cytoreductive Surgery with or Without hyperthermic intraperitoneal chemotherapy.
19 May, 2021 | 08:23h | UTCRelated Guidelines:
See also: Enhanced Recovery After Surgery (ERAS) Society Guidelines
Expert consensus on peri-operative myocardial injury screening in noncardiac surgery.
18 May, 2021 | 07:12h | UTCInvited Commentary: Expert consensus on peri-operative myocardial injury screening in noncardiac surgery
Review: The incidence, risk, presentation, pathophysiology, treatment, and effects of perioperative acute kidney injury.
12 May, 2021 | 08:27h | UTC
Science, Medicine, And The Anesthesiologist | May 2021: Key Papers from the Most Recent Literature Relevant to Anesthesiologists
11 May, 2021 | 09:05h | UTCScience, Medicine, And The Anesthesiologist | May 2021 – Anesthesiology
RCT: Perioperative dexamethasone reduces postoperative nausea and vomiting and is not associated with increased risk of surgical-site infections, even among diabetic patients.
6 May, 2021 | 08:54h | UTCDexamethasone and Surgical-Site Infection – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary: Dexamethasone treatment safe in surgery – Monash University
Pathway for enhanced recovery after spinal surgery – a systematic review of evidence for use of individual components
5 May, 2021 | 08:26h | UTCSee also: Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery – Best Practice & Research Clinical Anaesthesiology AND Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS®) Society recommendations – The Spine Journal AND Enhanced Recovery After Surgery (ERAS) Society Guidelines
Commentary on Twitter (thread – click for more)
Enhanced recovery after spine surgery (ERSS) is a multi-modal and trans-disciplinary approach to achieving the best outcomes in our patients. Key components supported by data (1/2) ⬇️ #orthotwitter #neurosurgery #surgery #outcomeshttps://t.co/t4VanByVyA
— Ruwan Ratnayake MD (@ratnayakemd) April 1, 2021
Opinion | Manual in‐line stabilization during tracheal intubation: effective protection or harmful dogma?
5 May, 2021 | 08:18h | UTC
RCT: Tranexamic acid for the prevention of blood loss after cesarean delivery – even though TA resulted in a significantly lower incidence of estimated blood loss, the clinical relevance of the findings was small
30 Apr, 2021 | 08:38h | UTC
Commentaries on Twitter
Another typically "positive" trial for TXA.
"the mean between-group difference was approximately 100 ml …. the clinical relevance of this narrow difference is questionable"
– No difference in RBC transfusions.
– 0.4% vs 0.1% VTE at 3 mos.— Ryan Radecki, MD MS (@emlitofnote) April 28, 2021
NEJM-Prevention of Blood Loss after Cesarean Delivery | tranexamic acid ➡️ significantly lower incidence of EBL greater than 1000 ml or RBC transfusion by day 2 than placebo, but did not result in a ⬇️ incidence of hemorrhage-related secondary outcomes https://t.co/ydF5HgHM0N
— Skeptical Scalpel (@Skepticscalpel) April 28, 2021
Safety of tranexamic acid in hip and knee arthroplasty in high-risk patients – this large observational study did not show an increased risk for venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or transient ischemic attacks, irrespective of patient high-risk status at baseline
28 Apr, 2021 | 07:59h | UTCSafety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients – Anesthesiology (link to abstract – $ for full-text)
Commentaries on Twitter
Our study online @_Anesthesiology today: safety of TXA in high-risk pts ➡️data from 500 hospitals shows no increased risks of VTE, MI, seizures, ischemic stroke or TIA. @HipKneeDoc @MountSinaiOrtho ? https://t.co/za7SH8C7rj pic.twitter.com/J8hoW6stNm
— Jashvant Poeran (@jashvant_p) April 16, 2021
Safety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients @_Anesthesiology
?TXA in high risk pts is not associated w/ venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or TIAshttps://t.co/DwZe0brJ9L pic.twitter.com/KGcRCftcOl
— Emily Sharpe, MD (@emilysharpe) April 22, 2021
Appropriate Clinical Use of Lactate Measurements
27 Apr, 2021 | 09:15h | UTCAppropriate Clinical Use of Lactate Measurements – Anesthesiology
Commentary on Twitter
Elevated lactate can result from many pathophysiologic processes. Understanding the mechanism of lactate production, metabolism, and the basics of lactic acidosis will enable the appropriate use of laboratory tests and interpretation. https://t.co/aoA2aLl3mg pic.twitter.com/t4WLxAXe5k
— Anesthesiology journal (@_Anesthesiology) March 12, 2021
M-A: Comparative Efficacy of 6 Topical Pharmacological Agents for Preventive Interventions of Postoperative Sore Throat After Tracheal Intubation
27 Apr, 2021 | 09:13h | UTC
Perioperative Opioid Administration: A Critical Review of Opioid-free vs. Opioid-sparing Approaches
27 Apr, 2021 | 09:17h | UTC
Commentary on Twitter
An article published in @_Anesthesiology reviews perioperative #opioid use, especially in view of opioid-sparing versus opioid-free strategies. https://t.co/esQTr3Jd4X#anesthesiology #PainManagement pic.twitter.com/6bLwW6q1bT
— ASA® (@ASALifeline) April 15, 2021
Guideline: Prevention of Positioning Injuries During Gynecologic Surgery
25 Apr, 2021 | 20:50h | UTC
Guide to Enhanced Recovery for Cancer Patients Undergoing Liver Surgery
25 Apr, 2021 | 20:53h | UTCSee also: Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations – World Journal of Surgery AND Enhanced Recovery After Surgery (ERAS) Society Guidelines
Perioperative hemodynamic optimization: from guidelines to implementation—an experts’ opinion paper
23 Apr, 2021 | 08:21h | UTC
General anesthesia in end‐of‐life care: extending the indications for anesthesia beyond surgery
22 Apr, 2021 | 08:26h | UTC
Commentary on Twitter
?"Our redefinition of the scope and reach of general anaesthesia through end‐of‐life care, radical though it is, would recognise that anaesthetists have skills that can help alleviate suffering for the dying patient."@TaklaAntony @Assoc_Anaes #FOAMed
?https://t.co/51Ja7lFIBU pic.twitter.com/vnpvf484my
— ??????????? (@Anaes_Journal) April 21, 2021
Opportunities and Challenges for the Next Phase of Enhanced Recovery After Surgery
22 Apr, 2021 | 08:28h | UTCOpportunities and Challenges for the Next Phase of Enhanced Recovery After Surgery: A Review – JAMA Surgery (free for a limited period)
See also: Enhanced Recovery After Surgery (ERAS) Society Guidelines
Review: Perioperative Management of the Patient With Obstructive Sleep Apnea
21 Apr, 2021 | 06:18h | UTC
M-A: Intravenous tranexamic acid in surgical patients is not associated with increased risk of thromboembolic events and mortality
20 Apr, 2021 | 05:28h | UTCAssociation of Intravenous Tranexamic Acid With Thromboembolic Events and Mortality: A Systematic Review, Meta-analysis, and Meta-regression – JAMA Surgery (free for a limited period)
Invited commentary: Tranexamic Acid and Safety in the Right Patient – JAMA Surgery (free for a limited period)
Commentary on Twitter
Systematic review and meta-analysis of 216 RCTs (N=125,550 patients) finds no excess risk of thromboembolic events among surgical patients who received intravenous tranexamic acid (TXA) compared with placebo or no treatment.https://t.co/C18EJjpR7p
— Lucas Morin (@lucasmorin_eolc) April 18, 2021
RCT: An Enhanced Recovery After Surgery (ERAS) program in laparoscopic distal gastrectomy provided a faster recovery, a shorter postoperative hospitalization length, and lower medical costs without increasing complication and readmission rates
16 Apr, 2021 | 06:16h | UTCRelated: Consensus guidelines for enhanced recovery after gastrectomy – British Journal of Surgery AND Current status of the “enhanced recovery after surgery” program in gastric cancer surgery – Annals of Gastroenterological Surgery
See also: Enhanced Recovery After Surgery (ERAS) Society Guidelines
AHA/ASA Scientific Statement: Perioperative Neurological Evaluation and Management to Lower the Risk of Acute Stroke in Patients Undergoing Noncardiac, Nonneurological Surgery
12 Apr, 2021 | 00:50h | UTC
Commentary on Twitter
NEW GUIDELINE – now codifies what has been discussed for a while "If history of stroke exists, consider delaying elective surgery at least 6 mo
and preferably 9 mo from time of incident stroke." @SPAQIedu @LeeAFleisher @preopconsult @afedwardMD https://t.co/0ewdlPGVlj— Kurt Pfeifer (@KurtPfeifer) April 9, 2021