Anesthesiology (all articles)
Comprehensive geriatric assessment may reduce risk of delirium after hip fracture
6 Sep, 2017 | 18:34h | UTCComprehensive assessment may reduce risk of delirium after hip fracture – NIHR Signal (free)
Original article: Comprehensive Geriatric Assessment for Prevention of Delirium After Hip Fracture: A Systematic Review of Randomized Controlled Trials – Journal of The American Geriatrics society (link to abstract – $ for full-text)
“Comprehensive geriatric assessment reduced the risk of delirium by 20% in patients having hip fracture surgery” (RT @NIHR_DC see Tweet)
Study: Intra-articular versus Intravenous Application of Tranexamic Acid in Total Knee Arthroplasty
4 Sep, 2017 | 13:48h | UTCIntra-articular Application is More Effective Than Intravenous Application of Tranexamic Acid in Total Knee Arthroplasty: A Prospective Randomized Controlled Trial – Journal of Arthroplasty (link to abstract – $ for full-text)
Source: EvidenceAlerts
Meta-analysis: Drug-Free Interventions to Reduce Pain After Total Knee Arthroplasty
31 Aug, 2017 | 15:43h | UTCCommentaries: Acupuncture, Electrotherapy after Knee Replacement Associated with Reduced and Delayed Opioid Use – The JAMA Network (free) AND Electrotherapy, Acupuncture Tied to Less Opioid Use After Knee Arthroscopy – Medscape (free registration required) AND Meta-Analysis: Electrotherapy, Acupuncture May Help Reduce Opioid Use After Knee Arthroplasty – Physician’s First Watch (free)
Systematic Review: Benefits and harms of sugammadex versus neostigmine in reversing induced paralysis
29 Aug, 2017 | 14:59h | UTCFull review: Efficacy and safety of sugammadex versus neostigmine in reversing neuromuscular blockade in adults – Cochrane Library (link to abstract – $ for full-text)
“sugammadex may work more rapidly than neostigmine to reverse neuromuscular block in adults” (RT @CochraneUK see Tweet)
Review: Postoperative pulmonary complications
21 Aug, 2017 | 01:36h | UTCPostoperative pulmonary complications – British Journal of Anaesthesia (free)
Source: Critical Care Reviews Topic of The Week
Anesthesia for ambulatory surgery
17 Aug, 2017 | 18:19h | UTCReview: Anesthesia for ambulatory surgery – Korean Journal of Anesthesiology (free)
Source: Critical Care Reviews Newsletter
Facing Surgery Without An Anesthesiologist On Hand
16 Aug, 2017 | 18:13h | UTCGlobal Health: Imagine: Facing Surgery Without An Anesthesiologist On Hand – NPR Goats and Soda (free)
Dexamethasone before bowel surgery reduces postoperative nausea and vomiting
15 Aug, 2017 | 19:25h | UTCDexamethasone before bowel surgery reduces postoperative nausea and vomiting – NIHR Signal (free)
Original article: Dexamethasone versus standard treatment for postoperative nausea and vomiting in gastrointestinal surgery: randomised controlled trial (DREAMS Trial) – The BMJ (free)
Surgical Guidelines for Perioperative Management of Older Adults
10 Aug, 2017 | 20:48h | UTC
Antibiotic prophylaxis is not indicated prior to dental procedures for prevention of periprosthetic joint infections
10 Aug, 2017 | 21:20h | UTCSource: EvidenceAlerts (free resource to find articles of interest)
Frailty and cancer: Implications for oncology surgery, medical oncology, and radiation oncology
5 Aug, 2017 | 17:43h | UTCReview: Frailty and cancer: Implications for oncology surgery, medical oncology, and radiation oncology – CA: A Cancer Journal for Clinicians (free)
Peri-operative myocardial injury and infarction in patients undergoing coronary artery bypass graft surgery
3 Aug, 2017 | 14:09h | UTCSummary with 10 key points to remember: Perioperative Myocardial Injury and Infarction After CABG – American College of Cardiology, Latest in Cardiology (free)
Medication errors in anesthesia: unacceptable or unavoidable?
3 Aug, 2017 | 13:25h | UTCReview: Medication errors in anesthesia: unacceptable or unavoidable? – Brazilian Journal of Anesthesiology (free)
Update in Management of Severe Hypoxemic Respiratory Failure – Chest
27 Jul, 2017 | 01:17h | UTC
Guideline: Damage control resuscitation in patients with severe traumatic hemorrhage
25 Jul, 2017 | 00:58h | UTCSee also: Guideline Summary: National Guideline Clearinghouse (free)
Updates in Management of Hyperkalemia
25 Jul, 2017 | 00:43h | UTCPractical Review: Updates in Management of Hyperkalemia – emDocs Cases (free)
Reducing Smoking Rates for Patients Facing Surgery
25 Jul, 2017 | 00:35h | UTC2017 ACS Quality and Safety Conference: “Strong for Surgery” Shows Promise in Reducing Smoking Rates for Patients Facing Surgery – American College of Surgeons, via NewsWise (free)
“Study suggests big drop in smoking rates when surgeons help patients quit before their operations”.
Enhanced recovery pathway for colorectal surgical patients improves outcomes, reduces cost
25 Jul, 2017 | 00:10h | UTCAmerican College of Surgeons (ACS) 2017 Quality and Patient Safety Conference: Enhanced recovery pathway for colorectal surgical patients improves outcomes, reduces cost – ACS, via EurekAlert (free)
Related guideline: Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons (free)
See other Enhanced Recovery After Surgery (ERAS) Guidelines and Reviews in our collection and in the ERAS Society Website.
“Successful protocol shortens hospital stays, reduces patients’ risk of complications, and cuts costs up to $11,000 per procedure”
Effectiveness of Lateral Decubitus Position for Preventing Post-Dural Puncture Headache
23 Jul, 2017 | 23:17h | UTCSource: Hospital Medicine Virtual Journal Club (free resource to find articles of interest)
Evidence suggests lateral decubitus position is associated with reduced incidence of post-dural puncture headache.
Implant Survival After Minimally Invasive Anterior or Anterolateral Vs. Conventional Posterior or Direct Lateral Approach
23 Jul, 2017 | 13:01h | UTCImplant Survival After Minimally Invasive Anterior or Anterolateral Vs. Conventional Posterior or Direct Lateral Approach: An Analysis of 21,860 Total Hip Arthroplasties from the Norwegian Arthroplasty Register (2008 to 2013) – The Journal of Bone and Joint Surgery (link to abstract – $ for full-text)
Commentary: Implant survival for minimally invasive vs. open hip surgery: 4 key notes – Spine Review (free)
Source: EvidenceAlerts (free resource to find articles of interest in all specialties)
“There were no significant differences among the surgical approaches with regard to the 2 and 5-year survival rates or RR of revision due to any cause”
The Evolving Story of Overlapping Surgery
23 Jul, 2017 | 14:09h | UTCViewpoint: The Evolving Story of Overlapping Surgery – JAMA (free) (RT @pash22 see Tweet)
Commentary: 3 steps to restore patient trust in overlapping surgeries – FierceHealthcare (free)
This interesting viewpoint discusses the practice of scheduling overlapping surgeries, in which a qualified practitioner finishes noncritical parts of the first operation while the primary surgeon moves to the next surgery.
Video Laryngoscopy for Endotracheal Intubation of Critically Ill Adults
23 Jul, 2017 | 12:53h | UTCSource: Video Laryngoscopy Does Not Improve First-Pass Success in ICU Patients – Journal Watch ($)
“The VL technique did not increase the first-attempt success rate during EI in ICU patients compared with DL. These findings do not support routine use of VL in ICU patients”.
Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update
22 Jul, 2017 | 14:08h | UTCVenous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update. Comparative Effectiveness Review – Agency for Healthcare Research and Quality (free report and summary)
See also: Executive summary (free PDF)
Source: ACP Journal Wise ($ resource to find articles of interest)
Comprehensive review on the evidence regarding thromboembolism prophylaxis in major orthopedic surgery.
Comprehensive geriatric assessment and optimization in vascular surgery
20 Jul, 2017 | 00:02h | UTCRandomized clinical trial of comprehensive geriatric assessment and optimization in vascular surgery – British Journal of Surgery (link to abstract – $ for full-text)
Source: ACP Journal Club ($ resource to find articles of interest)
In this RCT, a comprehensive preoperative geriatric assessment and optimization before vascular surgery was associated with shorter length of hospital stay, lower incidence of complications, and patients were less likely to be discharged to a higher level of dependency.
Studies suggest apneic oxygenation reduces hypoxemia during emergency intubation
17 Jul, 2017 | 01:34h | UTCStudies suggest apneic oxygenation reduces hypoxemia during emergency intubation:
Meta-analysis 1: Apneic oxygenation during intubation in the emergency department and during retrieval: A systematic review and meta-analysis – The American Journal of Emergency Medicine (link to abstract – $ for full-text)
Meta-analysis 2: Apneic oxygenation reduces the incidence of hypoxemia during emergency intubation: A systematic review and meta-analysis – The American Journal of Emergency Medicine (link to abstract – $ for full text)
Source: Apneic Oxygenation Prevents Desaturation During Intubation – Journal Watch ($ resource to find articles of interest)