Anesthesiology (all articles)
Study: Optimal Combination of Compression Rate and Depth During CPR for Functionally Favorable Survival
15 Aug, 2019 | 08:22h | UTCOptimal Combination of Compression Rate and Depth During Cardiopulmonary Resuscitation for Functionally Favorable Survival – JAMA Cardiology (free for a limited period)
Commentaries: Push Hard, Push Fast, Do Not Stop—Optimal Chest Compression Rate and Depth – JAMA Cardiology (free for a limited period) AND Study Details Optimal CPR Speed, Depth – NEJM Journal Watch (free)
Related: Performing CPR? Humming the Macarena Could Help (free)
Consensus Statement for Enhanced Recovery: Perioperative Opioid Minimization in Opioid-Naïve Patients
15 Aug, 2019 | 08:37h | UTCRelated Position Statements on Perioperative Opioid Therapy: American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy (free) AND American Society for Enhanced Recovery and Perioperative Quality Initiative-4 Joint Consensus Statement on Persistent Postoperative Opioid Use: Definition, Incidence, Risk Factors, and Health Care System Initiatives (free)
See also: American Society of Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statements (free) AND Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Meta-Analysis: High-flow Nasal Cannula Oxygen Therapy vs. Conventional Oxygen Therapy After Planned Extubation
11 Aug, 2019 | 21:09h | UTC
Post-surgical Pain Management: Time for a Paradigm Shift
9 Aug, 2019 | 07:33h | UTCPost-surgical pain management: time for a paradigm shift – British Journal of Anaesthesia (free)
Cohort Study: Perioperative Management of Patients with Atrial Fibrillation Receiving a Direct Oral Anticoagulant
6 Aug, 2019 | 08:10h | UTCPerioperative Management of Patients With Atrial Fibrillation Receiving a Direct Oral Anticoagulant – JAMA Internal Medicine (free for a limited period)
Commentary: Study Sheds Light on Stopping and Resuming DOACs in Afib Patients Undergoing Surgery – NEJM Journal Watch (free)
“The DOAC regimens were omitted for 1 day before a low–bleeding-risk procedure and 2 days before a high–bleeding-risk procedure. The DOAC regimens were resumed 1 day after a low–bleeding-risk procedure and 2 to 3 days after a high–bleeding-risk procedure.”
Related Commentary on Twitter
PAUSE is the largest trial to date that addresses perioperative DOAC timing and demonstrates safe management with the ability to influence guidelines https://t.co/WDM3yWt9nA
— JAMA Internal Medicine (@JAMAInternalMed) August 5, 2019
Perspective: If You Smoke Pot, Your Anesthesiologist Needs To Know
5 Aug, 2019 | 02:07h | UTCIf You Smoke Pot, Your Anesthesiologist Needs To Know – Kaiser Health News (free)
Related: Perioperative care of cannabis users: A comprehensive review of pharmacological and anesthetic considerations – Journal of Clinical Anesthesia (free)
“One small study of Colorado patients published in May found marijuana users required more than triple the amount of one common sedation medicine, propofol, as did nonusers.”
[Abstract Only] Randomized Trial: Early vs. Late Administration of Rocuronium Before and After Checking Mask Ventilation in Patients With Normal Airways
2 Aug, 2019 | 00:39h | UTCRandomized Trial Comparing Early and Late Administration of Rocuronium Before and After Checking Mask Ventilation in Patients With Normal Airways – Anesthesia & Analgesia (link to abstract – $ for full-text)
Source: EvidenceAlerts
Cohort Study: Among Patients Undergoing Noncardiac Surgery, Most Deaths Occurred After the Procedure
31 Jul, 2019 | 01:22h | UTCCommentaries: In Noncardiac Surgery, the Post-Op Period Is Riskiest – NEJM Journal Watch (free) AND Most deaths related to noncardiac surgery occur after surgery and after discharge from hospital – Canadian Medical Association Journal (free) AND Riskiest time for surgery patients is not in the operating room – Reuters (free)
“Among adults undergoing noncardiac surgery, 99.3% of deaths occurred after the procedure and 44.9% of deaths were associated with 3 complications: major bleeding, myocardial injury and sepsis.”
International Consensus Statement on the Use of Uterotonic Agents During Cesarean Section
30 Jul, 2019 | 01:41h | UTC
Related Commentary on Twitter
🔓International consensus statement on the use of uterotonic agents during caesarean section.
This new #FOAMed paper is essential reading for all anaesthetists and obstetricians!@HeesenMichael @CarvalB @nolanmcdonnell @noolslucas @OAAinfo @RCObsGyn
🔗https://t.co/jr3XflmzdU pic.twitter.com/0Qs6tBNso6
— 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 (@Anaes_Journal) July 29, 2019
Consensus Paper: Management of Severe Bleeding in Patients Treated with Oral Anticoagulants
30 Jul, 2019 | 01:39h | UTCRelated: 2017 ACC Expert Consensus Decision Pathway on Management of Bleeding in Patients on Oral Anticoagulants (free guideline and summary)
[Abstract Only] Consensus Group Recommends Neuraxial Over General Anesthesia for Hip/Knee Arthroplasty
29 Jul, 2019 | 20:35h | UTCAnaesthetic care of patients undergoing primary hip and knee arthroplasty: consensus recommendations from the International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) based on a systematic review and meta-analysis – British Journal of Anaesthesia (link to abstract – $ for full-text)
Related: General anesthesia vs spinal anesthesia for patients undergoing total-hip arthroplasty: A meta-analysis – Medicine (free) AND Enhanced recovery after surgery for primary hip and knee arthroplasty: a review of the evidence – British Journal of Anaesthesia (free) AND Enhanced recovery pathways in orthopedic surgery – Journal of Anesthesiology Clinical Pharmacology (free)
“Based on current evidence, the consensus group recommends neuraxial over general anaesthesia for hip/knee arthroplasty.”
[Abstract Only] Randomized Trial: Music vs. Midazolam During Preoperative Nerve Block Placements
23 Jul, 2019 | 01:42h | UTCMusic versus midazolam during preoperative nerve block placements: a prospective randomized controlled study – Regional Anesthesia & Pain Medicine (link to abstract – $ for full-text)
Commentaries: Music may offer alternative to preoperative drug routinely used to calm nerves – BMJ (free) AND Music ‘calms nerves before surgery’ as well as sedative – BBC (free) AND Music could offer alternative to sedatives – OnMedica (free)
Meta-analysis: Hemodynamic Goal-directed Therapy and Postoperative Kidney Injury
16 Jul, 2019 | 09:21h | UTC
Pediatric Transfusion Algorithms: Coming to a Cardiac Operating Room Near You
14 Jul, 2019 | 19:05h | UTC
Recommendations for the Use of Opioids in Children During the Perioperative Period
8 Jul, 2019 | 10:05h | UTC
Survey: Suicide Amongst Anesthetists
4 Jul, 2019 | 10:47h | UTCSuicide amongst anaesthetists – an Association of Anaesthetists survey – Anaesthesia (free)
News Release: Survey highlights need for improved mental health guidance & support for anaesthetists – Association of Anaesthetists (free)
Related Commentary on Twitter
🔐This new @AAGBI survey highlights the experiences of ~1,400 anaesthetists who have lost a colleague through suicide.
Most respondents were unaware of their Trust’s policies on mental illness, addiction or suicide.
@AAGBI_President @AAGBI_GAT
🔗https://t.co/7UzxNCOw5M pic.twitter.com/O2d0vFQqHH
— 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 (@Anaes_Journal) July 3, 2019
Pediatric Post-anesthesia Care Unit Challenges Update
2 Jul, 2019 | 01:14h | UTCPediatric Post-anesthesia Care Unit Challenges Update – Current Anesthesiology Reports (free)
Perioperative Care of Patients With Obstructive Sleep Apnea
30 Jun, 2019 | 17:26h | UTCPerioperative Care of Patients With Obstructive Sleep Apnea Undergoing Upper Airway Surgery: A Review and Consensus Recommendations – JAMA Otolaryngology-Head & Neck Surgery (free for a limited period)
Randomized Trial: Amisulpride for the Rescue Treatment of Postoperative Nausea or Vomiting
27 Jun, 2019 | 09:25h | UTCRelated Study: Randomized, Double-Blind, Placebo-Controlled Study of Intravenous Amisulpride as Treatment of Established Postoperative Nausea and Vomiting in Patients Who Have Had No Prior Prophylaxis (link to abstract)
The Geriatric Patient: Special Aspects of Peri-operative Management
25 Jun, 2019 | 05:59h | UTCThe geriatric patient: special aspects of peri-operative management – Effort Open Reviews (free)
Related: Optimal Perioperative Management of the Geriatric Patient: A Best Practices Guideline from the American College of Surgeons NSQIP and the American Geriatrics Society (free) AND The Perioperative Care of Older Patients: Time for a New, Interdisciplinary Approach – Deutsches Ärzteblatt international (free) AND Peri‐operative optimisation of elderly and frail patients: a narrative review – Anaesthesia (free) AND Surgical Guidelines for Perioperative Management of Older Adults: What Geriatricians Need to Know – Journal of The American Geriatrics Society (free) AND Peri-operative care of the elderly 2014: Association of Anaesthetists of Great Britain and Ireland (free)
[Abstract Only] Randomized Trial: In Patients Undergoing Cardiac Surgery, A Restrictive Transfusion Approach Does Not Increase the Risk of Acute Kidney Injury
21 Jun, 2019 | 08:15h | UTCSafety of a Restrictive versus Liberal Approach to Red Blood Cell Transfusion on the Outcome of AKI in Patients Undergoing Cardiac Surgery: A Randomized Clinical Trial – Journal of the American Society of Nephrology (link to abstract – $ for full-text)
Commentary: Restrictive Approach to Blood Cell Transfusions Safe for Heart Surgery Patients – American Society of Nephrology (free)
Related: Effects of restrictive red blood cell transfusion on the prognoses of adult patients undergoing cardiac surgery: a meta-analysis of randomized controlled trials – Critical Care (free) AND Research: Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery (free study and commentaries) AND Transfusion Requirements After Cardiac Surgery: The TRACS Randomized Controlled Trial – JAMA (free)
Consensus Statement: Enhanced Recovery After Surgery in Bariatric Surgery
20 Jun, 2019 | 09:27h | UTCRelated: Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Consensus Recommendations: Management of Suspected Immediate Perioperative Allergic Reactions
19 Jun, 2019 | 08:20h | UTCRelated Report: Anesthesia, Surgery and Life-Threatening Allergic Reactions (free)
Source: Critical Care Reviews Newsletter
Consensus Clinical Scoring for Suspected Perioperative Immediate Hypersensitivity Reactions
19 Jun, 2019 | 08:18h | UTCSource: Critical Care Reviews Newsletter
Consensus Recommendations: Management of a Surgical Patient with a Label of Penicillin Allergy
19 Jun, 2019 | 08:19h | UTCSource: Critical Care Reviews Newsletter