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Anesthesiology

Re-designing the pathway to surgery: better care and added value

3 Jul, 2017 | 17:16h | UTC

Re-designing the pathway to surgery: better care and added value – Perioperative Medicine (free)

Source: Critical Care Reviews Newsletter

 


A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery

26 Jun, 2017 | 17:32h | UTC

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)

Source: EvidenceAlerts (free resource to find articles of interest)

“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”

 


Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery

20 Jun, 2017 | 18:23h | UTC

Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery: Continue, Stop, or Something in Between? – JAMA (free)


Inspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss

20 Jun, 2017 | 12:25h | UTC

Inspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss – The New York Times (10 articles per month are free)

 


Practice Guidelines for Preoperative Fasting

9 Jun, 2017 | 16:03h | UTC

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration – Anesthesiology, via Medscape (free registration required)

 


Predicting the Need for Fluid Therapy

6 Jun, 2017 | 15:00h | UTC

Review: Predicting the Need for Fluid Therapy—Does Fluid Responsiveness Work? – Journal of Intensive Care (free)

Related: Fluid management series – Journal of Intensive Care (all articles are free)

 


Visual recognition memory is impaired in rhesus monkeys repeatedly exposed to sevoflurane in infancy

4 Jun, 2017 | 19:15h | UTC

Visual recognition memory is impaired in rhesus monkeys repeatedly exposed to sevoflurane in infancy – British Journal of Anaesthesia (free)

Source: Visual recognition memory impaired after multiple exposures to anesthesia during infancy – Mount Sinai School of Medicine, via EurekAlert (free)

 


Effect of a Modified Hospital Elder Life Program on Delirium and Length of Hospital Stay in Patients Undergoing Abdominal Surgery

25 May, 2017 | 14:50h | UTC

Effect of a Modified Hospital Elder Life Program on Delirium and Length of Hospital Stay in Patients Undergoing Abdominal Surgery: A Cluster Randomized Clinical Trial – JAMA Surgery (free) (RT @PreetiNMalani see Tweet)

Commentary: Anti-delirium strategy reduces after-surgery confusion in elderly – Reuters Health (free)

Multicomponent nonpharmacologic interventions, including orienting communications, oral and nutritional assistance, and early mobilization reduced postoperative delirium by 56% and length of stay by 2 days.

 


Perioperative management of patients on direct oral anticoagulants

24 May, 2017 | 14:42h | UTC

Review: Perioperative management of patients on direct oral anticoagulants – Thrombosis Journal (free)

 


Cardiopulmonary Resuscitation in Adults and Children With Mechanical Circulatory Support

24 May, 2017 | 14:40h | UTC

Cardiopulmonary Resuscitation in Adults and Children With Mechanical Circulatory Support: A Scientific Statement From the American Heart Association (free PDF)

See also: News release (free) AND Top Ten Things to Know (free PDF)

 


Management of severe perioperative bleeding

6 May, 2017 | 20:31h | UTC

Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology (free)

Source: Critical Care Reviews Newsletter

 


Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

5 May, 2017 | 20:29h | UTC

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery (free) (RT @jankluytmans and @CIDRAP_ASP see Tweet)

Invited commentary: Surgical Site Infection Prevention – What We Know and What We Do Not Know – JAMA Surgery (free)

Commentary: ‘Long-Awaited’ CDC Guidelines on SSI Prevention Released – Medscape (free registration required)

Related: Global guidelines on the prevention of surgical site infection 2016 – World Health Organization (free)

 


Echocardiography and lung ultrasonography for the assessment and management of acute heart failure

2 May, 2017 | 17:18h | UTC

Expert consensus document: Echocardiography and lung ultrasonography for the assessment and management of acute heart failure – Nature Reviews Cardiology (free)

Source: Critical Care Reviews Newsletter

 


Review: Acute Respiratory Distress Syndrome

2 May, 2017 | 17:16h | UTC

Review: Acute Respiratory Distress Syndrome – European Respiratory Review (free)

 


After Knee or Hip Replacement, No Place Like Home

27 Apr, 2017 | 16:28h | UTC

After Knee or Hip Replacement, No Place Like Home – The New York Times (10 articles per month are free)

See also: Time to Rethink Inpatient Rehab After Knee Replacement? – The Rheumatologist (free)

Original article abstract ($ for full-text): Effect of Inpatient Rehabilitation vs a Monitored Home-Based Program on Mobility in Patients With Total Knee Arthroplasty: The HIHO Randomized Clinical Trial – JAMA (free)

The NYT commentary talks about the futility of some interventions currently used to postpone surgery and about the benefits of outpatient rehabilitation.

 


Mortality Trends After Surgical Safety Checklist

20 Apr, 2017 | 14:31h | UTC

Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative – Annals of Surgery (link to abstract – free PDF available)

Sources: Global Health NOW Newsletter (free) AND South Carolina Hospitals Saw Surgery Deaths Drop After Implementing WHO Checklist – AJMC News (free) AND A simple checklist prevents deaths after surgery, a large new study suggests – The Washington Post (a few articles per month are free)

See also: WHO Surgical Safety Checklist – World Health Organization (free) AND A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population – New England Journal of Medicine (free)

 


Dexamethasone versus for postoperative nausea and vomiting in GI surgery

19 Apr, 2017 | 14:15h | UTC

Dexamethasone versus standard treatment for postoperative nausea and vomiting in gastrointestinal surgery: randomised controlled trial (DREAMS Trial) – The BMJ (free)

A single dose of 8 mg intravenous dexamethasone at induction of anesthesia reduced postoperative nausea and vomiting with no increase in adverse events.

 


European Association of Urology releases its 1st thromboprophylaxis guideline

14 Apr, 2017 | 16:10h | UTC

European Association of Urology releases its 1st thromboprophylaxis guideline (free)

 

Procedure-specific Risks of Thrombosis and Bleeding in Urological Cancer Surgery: Systematic Review and Meta-analysis – European Urology (free)

“Extended thromboprophylaxis is warranted in some procedures (eg, open and robotic cystectomy) but not others (eg, robotic prostatectomy without pelvic lymph node dissection in low-risk patients)

 

Procedure-specific Risks of Thrombosis and Bleeding in Urological Non-cancer Surgery: Systematic Review and Meta-analysis – European Urology (free)

“Extended prophylaxis is warranted for some procedures (eg, kidney transplantation procedures in high-risk patients) but not others (transurethral resection of the prostate and reconstructive female pelvic surgery in low-risk patients)”

 


American College of Radiology (ACR) Appropriateness Criteria Adds Topics

4 Apr, 2017 | 21:19h | UTC

ACR Appropriateness Criteria Adds Topics, Covers More Clinical Variants Than Ever Before (free)

Browse Appropriateness Criteria Topics (free)

Source: Newswise

This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.

 


Enhanced recovery after surgery

28 Mar, 2017 | 16:43h | UTC

Enhanced recovery after surgery: Current research insights and future direction – World Journal of Gastrointestinal Surgery (free)

 


Surgeries are being performed with the patient awake

27 Mar, 2017 | 00:59h | UTC

Going Under the Knife, With Eyes and Ears Wide Open – New York Times (free access to 10 articles per month)

“More and more surgeries are being performed with the patient awake and looking on, for financial and medical reasons”.

 


Pregabalin for Acute and Chronic Sciatica

23 Mar, 2017 | 17:15h | UTC

Trial of Pregabalin for Acute and Chronic Sciatica – New England Journal of Medicine (link to abstract – $ required for full-text)

Pregabalin did not reduce pain and was associated with higher incidence of adverse events.

 


Mechanical ventilation in obese ICU patients

23 Mar, 2017 | 17:05h | UTC

Review: Mechanical ventilation in obese ICU patients: from intubation to extubation – Critical Care (free)

 


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