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Anesthesiology (all articles)

Study: Frailty May Be a New Screening Criterion for Fitness for an Operation

4 Mar, 2019 | 00:29h | UTC

Preoperative Frailty Correlates with Surgical Outcomes across Diverse Surgical Subspecialties in a Large Health Care System – Journal of the American College of Surgeons (link to abstract – $ for full-text)

Commentary: Frailty may be a new screening criterion for fitness for an operation – American College of Surgeons (free)

 


AGA Clinical Practice Update on Surgical Risk Assessment and Perioperative Management in Cirrhosis

26 Feb, 2019 | 02:31h | UTC

AGA Clinical Practice Update on Surgical Risk Assessment and Perioperative Management in Cirrhosis: Expert Review – Clinical Gastroenterology and Hepatology (free)

 


Cricoid Pressure not Helpful During Endotracheal Intubation in Large Trial

25 Feb, 2019 | 00:58h | UTC

Cricoid pressure no help during endotracheal intubation in large trial – PulmCCM (free)

Original Article: Randomized Trial: Cricoid Pressure vs. Sham Procedure in Elective Intubation (link to abstract)

Related Commentary: The Case of the Inferior Superiority – EMNerd (free)

 


The Difficult Airway Trolley: A Narrative Review and Practical Guide

21 Feb, 2019 | 04:10h | UTC

The Difficult Airway Trolley: A Narrative Review and Practical Guide – Anesthesiology Research and Practice (free)

Related Guidelines: Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults – British Journal of Anaesthesia (free) AND Practice Guidelines for Management of the Difficult Airway: An Updated Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway – Anesthesiology (free)

“Despite several national guidelines on management of the anticipated and unanticipated difficult airway, with separate guidelines for pediatric, obstetric, and intensive care settings, only limited effort has been directed towards developing specific suggestions regarding the contents of a Difficult Airway Trolley”

 


Randomized Trial: General Anesthesia in Infancy Does Not Seem to Impair Neurodevelopmental Outcomes

20 Feb, 2019 | 03:03h | UTC

Neurodevelopmental outcome at 5 years of age after general anaesthesia or awake-regional anaesthesia in infancy (GAS): an international, multicentre, randomised, controlled equivalence trial – The Lancet (link to abstract – $ for full-text)

Commentary: Having Anesthesia Once as a Baby Does Not Cause Learning Disabilities, New Research Shows – The New York Times (10 articles per month are free)

 

Related Commentary on Twitter

 


WHO Guidelines for Peri-Operative Hyperoxia Questioned

18 Feb, 2019 | 22:15h | UTC

Evidence for compromised data integrity in studies of liberal peri‐operative inspired oxygen – Anaesthesia (free)

Commentary: Anaesthetists say patients at risk after flawed oxygen guidelines – The Guardian (free)

 


Randomized Trial: Effects of Paracetamol + Ibuprofen vs Either Alone on Morphine Consumption After Total Hip Arthroplasty

14 Feb, 2019 | 01:50h | UTC

Effect of Combination of Paracetamol (Acetaminophen) and Ibuprofen vs Either Alone on Patient-Controlled Morphine Consumption in the First 24 Hours After Total Hip Arthroplasty: The PANSAID Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

Commentary: Ibuprofen may be a ‘reasonable option’ for analgesia after hip replacement – medwire News (free) AND Acetaminophen Plus Ibuprofen Linked to Less Morphine Use After Hip Arthroplasty – NEJM Journal Watch (free) AND Paracetamol plus ibuprofen significantly reduces post-operative morphine use in total hip arthroplasty patients – 2 Minute Medicine (free)

 


Meta-Analysis: Hypotensive Resuscitation in Patients with Traumatic Hemorrhagic Shock

14 Feb, 2019 | 01:45h | UTC

Risks and benefits of hypotensive resuscitation in patients with traumatic hemorrhagic shock: a meta-analysis – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (free)

Commentary: Permissive hypotensive resuscitation in patients with traumatic hemorrhagic shock – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (free)

 


Study: Heart Failure and Mortality After Elective Noncardiac Surgery

14 Feb, 2019 | 01:21h | UTC

Association of Left Ventricular Ejection Fraction and Symptoms With Mortality After Elective Noncardiac Surgery Among Patients With Heart Failure – JAMA (link to abstract – $ for full-text)

Commentaries: Symptomatic and non-symptomatic heart failure associated with increased postoperative mortality in non-cardiac elective surgery – 2 Minute Medicine (free) AND LVEF, HF Symptoms, and Mortality After Surgery – American College of Cardiology (free)

 


Expert Panel Recommendations: Fluid Administration for Acute Circulatory Dysfunction Using Basic Monitoring

7 Feb, 2019 | 23:26h | UTC

Fluid administration for acute circulatory dysfunction using basic monitoring: narrative review and expert panel recommendations from an ESICM task force – Intensive Care Medicine (free for a limited period)

Note: if the above link is paywalled, try this one

 

Related Commentary on Twitter

 


Guideline: Best Practice Advice on Pre-hospital Emergency Anesthesia & Advanced Airway Management

7 Feb, 2019 | 23:20h | UTC

Best practice advice on pre-hospital emergency anaesthesia & advanced airway management – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (free)

 


Review: Enhanced Recovery After Surgery in Gynecologic Oncology

7 Feb, 2019 | 15:19h | UTC

Enhanced recovery after surgery in gynecologic oncology – International Journal of Gynecology & Obstetrics (free)

Related: Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations — Part I – Gynecologic Oncology (free) AND Guidelines for postoperative care in gynecologic/oncology surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations — Part II – Gynecologic Oncology (free) AND Enhanced recovery after surgery (ERAS®) in gynecologic oncology – Practical considerations for program development – Gynecologic Oncology (free)

 


Guidelines for the Safe Provision of Anesthesia in Magnetic Resonance Units

7 Feb, 2019 | 15:16h | UTC

Guidelines for the safe provision of anaesthesia in magnetic resonance units 2019 – Anaesthesia (free)

Guidelines from the Association of Anaesthetists and the Neuro Anaesthesia and Critical Care Society of Great Britain and Ireland.

 


Guidelines on Analgesia and Sedation in Newborn Infants Undergoing Assisted Ventilation and Endotracheal Intubation

3 Feb, 2019 | 16:39h | UTC

Evidence‐based clinical guidelines on analgesia and sedation in newborn infants undergoing assisted ventilation and endotracheal intubation – Acta Paediatrica (free)

 


Position Statement: Clear Fluids Fasting for Elective Pediatric Anesthesia

3 Feb, 2019 | 13:44h | UTC

 

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology (free)

Related Guidelines: Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration (free) AND Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology (free)

Related Systematic Review: Practice Guideline Recommendations on Perioperative Fasting – Journal of Parenteral and Enteral Nutrition (free)

Related Narrative Review: Nothing by Mouth at Midnight: Saving or Starving? A Literature Review – Gastroenterology Nursing (free)

“‘It is safe and recommended for all children able to take clear fluids, to be allowed and encouraged to have them up to 1 h before elective general anaesthesia’.”

 


French Guidelines of Intubation and Extubation of the ICU Patient

27 Jan, 2019 | 20:43h | UTC

Experts’ guidelines of intubation and extubation of the ICU patient of French Society of Anaesthesia and Intensive Care Medicine (SFAR) and French-speaking Intensive Care Society (SRLF) – Annals of Intensive Care (free)

 


Review: Blood Management in Total Knee Arthroplasty

27 Jan, 2019 | 19:02h | UTC

Blood management in total knee arthroplasty: state-of-the-art review – Journal of ISAKOS (free)

 


Systematic Review: Adrenaline and Vasopressin for Cardiac Arrest

20 Jan, 2019 | 17:52h | UTC

Adrenaline and vasopressin for cardiac arrest – Cochrane Library (free)

Summary: Adrenaline and vasopressin for cardiac arrest – Cochrane Library (free)

Related: Randomized Trial: Epinephrine in Out-of-Hospital Cardiac Arrest (link to abstract and commentaries) AND Opinion: Epinephrine Harms/Helps in Out of Hospital Cardiac Arrest (free commentaries) AND Review: The Role of Adrenaline in Cardiopulmonary Resuscitation (free)

 


Review: Regional Anesthesia Induced Peripheral Nerve Injury

20 Jan, 2019 | 14:13h | UTC

Regional anaesthesia induced peripheral nerve injury – Anaesthesiology Intensive Therapy (free PDF)

 


Podcast: Perioperative Medicine

15 Jan, 2019 | 00:35h | UTC

#135 Perioperative Medicine: Assess & Optimize Risk – The Curbsiders Internal Medicine Podcast (free audio)

 


Perioperative Thrombocytopenia: Evidence, Evaluation, and Emerging Therapies

15 Jan, 2019 | 00:19h | UTC

Perioperative thrombocytopenia: evidence, evaluation, and emerging therapies – British Journal of Anaesthesia (free)

 


Guidelines for the Peri‐operative Care of People with Dementia

13 Jan, 2019 | 23:21h | UTC

Guidelines for the peri‐operative care of people with dementia – Anaesthesia (free)

 


Guideline: Early Management of Severe Pelvic Injury

13 Jan, 2019 | 21:31h | UTC

Early management of severe pelvic injury (first 24 hours) – Anaesthesia Critical Care & Pain Medicine (free)

 


Systematic Review: Routine Preoperative Medical Testing for Cataract Surgery

8 Jan, 2019 | 13:40h | UTC

Routine preoperative medical testing for cataract surgery – Cochrane Library (free)

Summary: Routine preoperative medical testing for cataract surgery – Cochrane Library (free)

Related Perspective: A Preoperative Medical History and Physical Should Not Be a Requirement for All Cataract Patients – Journal of General Internal Medicine (free)

Related Research: Preoperative Medical Testing in Medicare Patients Undergoing Cataract Surgery – New England Journal of Medicine (free)

“This review has shown that routine preoperative testing does not increase the safety of cataract surgery.”

 


Supplement: Patient Optimization Before Surgery

7 Jan, 2019 | 22:00h | UTC

Special Issue: Patient Optimization Before Surgery – Anaesthesia (free supplement)

Editorial: Patient optimisation before surgery: a clear and present challenge in peri‐operative care

– Risk prediction models for major surgery: composing a new tune

– Shared decision‐making in peri‐operative medicine: a narrative review

– Multi‐modal prehabilitation: addressing the why, when, what, how, who and where next?

– Pre‐operative nutrition and the elective surgical patient: why, how and what?

– Pre‐operative respiratory optimisation: an expert review

– Optimisation of pre‐operative anaemia in patients before elective major surgery – why, who, when and how?

– Pre‐operative optimisation of the surgical patient with diagnosed and undiagnosed diabetes: a practical review

– Pre‐operative cardiac optimisation: a directed review

– Peri‐operative optimisation of elderly and frail patients: a narrative review

– Peri‐operative care pathways: re‐engineering care to achieve the ‘triple aim’

– Pre‐optimisation of patients undergoing emergency laparotomy: a review of best practice

 


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