Anesthesiology (all articles)
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)
Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery
16 Jul, 2017 | 12:41h | UTCSee other Enhanced Recovery After Surgery (ERAS) Guidelines and Reviews in our collection and in the ERAS Society Website.
The use of high-frequency ventilation during general anaesthesia
7 Jul, 2017 | 13:40h | UTCReview: The use of high-frequency ventilation during general anaesthesia: an update – F1000 research (free)
Peri-operative blood management
7 Jul, 2017 | 13:43h | UTCReview: Peri-operative blood management – Indian Journal of Anesthesia (free)
Iatrogenic bleeding during flexible bronchoscopy
7 Jul, 2017 | 13:18h | UTCReview: Iatrogenic bleeding during flexible bronchoscopy: risk factors, prophylactic measures and management – ERJ Open Research (free)
Optimal Perioperative Care in Breast Reconstruction: ERAS Society Recommendations
5 Jul, 2017 | 16:38h | UTCSee also other Enhanced Recovery After Surgery (ERAS) Guidelines and Reviews in our collection and the ERAS Society Website.
Perioperative Management of Neurological Conditions
3 Jul, 2017 | 17:33h | UTCPerioperative Management of Neurological Conditions – Health Services Insights (free)
Re-designing the pathway to surgery: better care and added value
3 Jul, 2017 | 17:16h | UTCRe-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 | UTCA 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 | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss
20 Jun, 2017 | 12:25h | UTCInspired 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 | UTCPractice 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 | UTCReview: 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
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 | UTCEffect 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.