Anesthesiology (all articles)
Guideline: Update on perioperative hypersensitivity reactions
14 Jan, 2021 | 01:44h | UTCUpdate on perioperative hypersensitivity reactions: joint document of the Brazilian Society of Anesthesiology (SBA) and Brazilian Association of Allergy and Immunology (ASBAI) – Brazilian Journal of Anesthesiology
Part I: post-crisis guidelines and treatment
Part II: etiology and diagnosis
Meta-analysis of mortality risk in octogenarians undergoing emergency general surgery operations
14 Jan, 2021 | 01:36h | UTCMeta-analysis of mortality risk in octogenarians undergoing emergency general surgery operations – Surgery (link to abstract – $ for full-text)
Randomized trial: Effect of therapeutic suggestions during general anesthesia on postoperative pain and opioid use
13 Jan, 2021 | 01:51h | UTCCommentaries: Can we sooth the subconscious during general anaesthesia? – The BMJ AND Ernil Hansen: Soothing words and music during surgery might reduce postoperative pain – The BMJ Opinion AND Soothing words and music during surgery might reduce postoperative pain – The BMJ
Commentary on Twitter
Therapeutic suggestions played through earphones during general anaesthesia could provide a safe, feasible, inexpensive, and non-drug technique to reduce postoperative pain and opioid use, suggests new research https://t.co/LpTBnBbcT9
— The BMJ (@bmj_latest) December 13, 2020
Cohort study: Concomitant use of gabapentinoids with opioids linked to increased risk of opioid overdose and other opioid-related adverse events
13 Jan, 2021 | 01:42h | UTCCommentaries: Exploring the Combination of Gabapentinoids and Opioids for Postoperative Analgesia – JAMA Network Open AND Gabapentinoids Plus Opioids Up Overdose Risk After Surgery – MedPage Today
Commentary on Twitter
? Postop concomitant use of #gabapentinoids with #opioids was associated with
??⬆️ risk of opioid overdose
??⬆️ opioid-related adverse events
?The absolute risk of adverse events was low.@JAMA_current @JAMASurgery
@amit_pawa @KalagaraHari @Ropivacainehttps://t.co/aw3cig2Rp8— Samer Narouze,MD,PhD (@NarouzeMD) December 30, 2020
Special Issue: Fundamentals and innovations in regional anesthesia
12 Jan, 2021 | 01:28h | UTCEditorial: Advancing towards the next frontier in regional anaesthesia
- The role of regional anaesthesia and multimodal analgesia in the prevention of chronic postoperative pain: a narrative review
- Regional anaesthesia: risk, consent and complications
- Updates in our understanding of local anaesthetic systemic toxicity: a narrative review
- Defining success in regional anaesthesia
- Contemporary training methods in regional anaesthesia: fundamentals and innovations
- The role of peripheral nerve stimulation in the era of ultrasound‐guided regional anaesthesia
- Fundamentals and innovations in regional anaesthesia for infants and children
- Regional anaesthesia quality indicators for adult patients undergoing non‐cardiac surgery: a systematic review
- Local anaesthetic adjuncts for peripheral regional anaesthesia: a narrative review
- Ultrasound‐guided fascial plane blocks of the chest wall: a state‐of‐the‐art review
- Regional anaesthesia in patients with diabetes
- Regional anaesthesia for labour, operative vaginal delivery and caesarean delivery: a narrative review
- The role of regional anaesthesia in the emerging subspecialty of onco‐anaesthesia: a state‐of‐the‐art review
- Novel approaches to needle tracking and visualisation
- The use of artificial intelligence and robotics in regional anaesthesia
Systematic review: Melatonin may have a similar effect to benzodiazepines in reducing preoperative and postoperative anxiety in adults
10 Jan, 2021 | 20:14h | UTCMelatonin for preoperative and postoperative anxiety in adults – Cochrane Library
Summary: Melatonin for preoperative and postoperative anxiety in adults – Cochrane Library
Randomized trial: In small infants, orotracheal intubation assisted with video laryngoscopy improves first-attempt success rate and reduces complications
17 Dec, 2020 | 08:56h | UTCFirst-attempt success rate of video laryngoscopy in small infants (VISI): a multicentre, randomised controlled trial – The Lancet (link to abstract – $ for full-text)
Commentary on Twitter
Fascinating paediatric VL study
VL
-improved FPS (esp <6.5kg)
& reduced
-attempts
-failures
-manipulations
-complications
-severe complicationsThe evidence grows that VL is simply better
Everywherehttps://t.co/f9nj6l2zk3— Tim Cook (@doctimcook) December 11, 2020
Randomized trial: In surgical patients at moderate or high risk of venous thromboembolism, pharmaco-thromboprophylaxis alone is as good as the combination of pharmaco-thromboprophylaxis and graduated compression stockings
16 Dec, 2020 | 10:00h | UTC
Systematic review: Tourniquet use for knee replacement surgery is probably associated with an increased risk of serious adverse events
13 Dec, 2020 | 23:17h | UTCTourniquet use for knee replacement surgery – Cochrane Library
Commentary: Featured Review: Tourniquet in knee replacement surgery
Meta-analysis: Oxytocin used as first‐line treatment of postpartum hemorrhage probably is more effective than misoprostol with less side‐effects. The evidence for most other uterotonic agents is limited.
3 Dec, 2020 | 08:31h | UTCSummary: Which drug is best for treating excessive bleeding after childbirth? – Cochrane Library
Guideline for the perioperative management of hip fractures 2020
3 Dec, 2020 | 08:30h | UTCGuideline for the management of hip fractures 2020 – Anaesthesia
Commentary on Twitter
?This new @Assoc_Anaes guideline for the management of hip fractures from @IainMoppett and colleagues contains more specific recommendations about controversial areas of patient management than were made in 2011.
Available now and #FOAMed forever!
?https://t.co/B5cdxSx2mU pic.twitter.com/8nQiUNpdS2
— ??????????? (@Anaes_Journal) December 2, 2020
Review: Perioperative venous thromboembolism prophylaxis
3 Dec, 2020 | 08:28h | UTCPerioperative Venous Thromboembolism Prophylaxis – Mayo Clinic Proceedings
Systematic review: Peripheral nerve blocks for hip fractures reduce pain on movement, risk of acute confusional state, risk of chest infection, and time to first mobilization
27 Nov, 2020 | 08:37h | UTCPeripheral nerve blocks for hip fractures in adults – Cochrane Library
Observational study: Neuraxial anesthesia for lower limb revascularization surgery was associated with decreased 30-day mortality and hospital length of stay compared with general anesthesia
26 Nov, 2020 | 08:53h | UTC
Commentary from the author on Twitter (thread – Click for more)
1/New in @bmj_latest our observational study demonstrating association of spinal anesthesia with ⬇️mortality & ⬇️complications in lower limb revascularization https://t.co/kqHLbRxju5
-OR mortality 0.68 (0.57-0.83)
ARR 0.7% (NNT 139)
-OR complications 0.73 (0.63-0.85) pic.twitter.com/jMEYaiMYPP— Dan McIsaac (@mcisaac_d) November 25, 2020
Perspective: More people can access surgery. That’s great for them, awful for the planet
19 Nov, 2020 | 09:18h | UTCMore People Can Access Surgery. That’s Great For Them, Awful For The Planet – NPR
Original article: Climate change: challenges and opportunities to scale up surgical, obstetric, and anaesthesia care globally – The Lancet Planetary Health
Related: Effects of Surgery on A Warming Planet: Can Anesthesia Go Green? (commentaries and articles on the subject)
Mechanical ventilation in patients with acute brain injury: recommendations of the European Society of Intensive Care Medicine consensus
13 Nov, 2020 | 09:19h | UTC
Perioperative evaluation and management of patients with diabetes, thyroid disease, and adrenal insufficiency. Use of insulin and noninsulin diabetic medications, management of hyper and hypothyroidism, and use of stress-dose corticosteroids are some of the subjects reviewed
10 Nov, 2020 | 09:24h | UTCPerioperative Evaluation and Management of Endocrine Disorders – Mayo Clinic Proceedings
Safe surgery: A cluster randomized trial showed that the implementation of control charts with feedback on indicators to surgical teams was associated with concomitant reductions in major adverse events in patients
9 Nov, 2020 | 01:23h | UTC
Randomized trial: Similar outcomes with goal-directed hemodynamic therapy vs. restrictive normovolemic therapy in major open abdominal surgery
6 Nov, 2020 | 09:34h | UTC
Commentary on Twitter
Goal-directed hemodynamic therapy versus restrictive normovolemic therapy in major open abdominal surgery: A randomized controlled trial #openaccess @SurgJournal @ELSSurgery #SoMe4Surgery https://t.co/pdOk0Z9iMC pic.twitter.com/orRmTnc6l5
— SURGERY Journal (@SurgJournal) November 1, 2020
Review: Management of common postoperative complications
4 Nov, 2020 | 09:26h | UTCManagement of Common Postoperative Complications – Mayo Clinic Proceedings
Videos in clinical medicine: Percutaneous Tracheostomy
30 Oct, 2020 | 01:05h | UTCPercutaneous Tracheostomy – New England Journal of Medicine
Randomized trial: Validation of an enhanced recovery after surgery protocol in gynecologic surgery
29 Oct, 2020 | 09:07h | UTCRelated Systematic Review: Multicomponent hospital-led interventions to reduce hospital stay for older adults following elective surgery: a systematic review – Health Services and Delivery Research AND Summary: People leave hospital after surgery sooner if hospitals follow ‘enhanced recovery protocols’ – NIHR
See also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Commentary on Twitter
Validation of an enhanced recovery after surgery protocol in gynecologic surgery: an Italian randomized study- https://t.co/VRZ1LKzEvJ pic.twitter.com/2G1InEcIEZ
— AJOG (@AJOG_thegray) October 27, 2020
[Abstract Only] Meta-analysis: Complication of vasopressor infusion through peripheral venous catheter
28 Oct, 2020 | 08:49h | UTCComplication of vasopressor infusion through peripheral venous catheter: A systematic review and meta-analysis – The American Journal of Emergency Medicine (link to abstract – $ for full-text)
Commentary on Twitter
Evidence is mounting that vasopressors administered through peripheral IVs are associated w/ minimal complications, especially if safety guidelines are implemented. Check out this recent meta-analysis: https://t.co/2Z0xzGDfRG
Does your ED have a policy on vasopressor PIV admin?
— ASHP Emergency Medicine (@ASHP_EMPharm) October 25, 2020
Observational study on the effectiveness of deep sedation for patients with intractable electrical storm refractory to antiarrhythmic drugs
27 Oct, 2020 | 09:34h | UTC
Commentary on Twitter
Effectiveness of deep sedation for patients with intractable electrical storm refractory to anti-arrhythmic drugs https://t.co/sY7R3rtdvF #AHAJournals @MartinsRaphae15 @EloiMarijon pic.twitter.com/7SD3epIUUi
— Circulation (@CircAHA) October 23, 2020
Guideline: Airway management in adult trauma patients
27 Oct, 2020 | 09:30h | UTC
Commentary on Twitter
New WTA Algorithm on Airway Management – both prehospital and in-hospital algorithms. Now published and free open access in @TSACO_AAST ! Download full paper: https://t.co/MFxaWJzfdS pic.twitter.com/eZCdEC5Ys1
— WesternTrauma (@WesternTrauma) October 9, 2020