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Anaesthetists should adopt a patient‐centric approach to labour analgesia and embrace the combined spinal‐epidural Anaesthesia (IF 7.5) Pub Date : 2024-11-08 Ronald B. George, Ruth Landau
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Assessing the impact of additional clinical variables on SOFA score predictive accuracy: a retrospective cohort study Anaesthesia (IF 7.5) Pub Date : 2024-11-08 Shunsuke Yawata, Seiya Nishiyama, Shohei Ono, Shinshu Katayama, Junji Shiotsuka
The Sequential Organ Failure Assessment (SOFA) score was developed to describe the morbidity of patients who are critically ill [1] and is still used widely. However, some of the original score constituents no longer align with contemporary critical care clinical practice. Proposals to update the score including the addition and/or update of SOFA score constituents are yet to be evaluated [2]. The
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Combined spinal‐epidural vs. dural puncture epidural techniques for labour analgesia: a randomised controlled trial* Anaesthesia (IF 7.5) Pub Date : 2024-11-08 Hannah Zang, Andrew Padilla, Trung Pham, Samantha M. Rubright, Matthew Fuller, Amanda Craig, Ashraf S. Habib
SummaryBackgroundThe dural puncture epidural technique is a modification of the combined spinal‐epidural technique. Data comparing the two techniques are limited. We performed this randomised study to compare the quality of labour analgesia following initiation of analgesia with the dural puncture epidural vs. the combined spinal‐epidural technique.MethodsTerm parturients requesting labour epidural
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The peri‐operative implications of sodium‐glucose co‐transporter 2 inhibitors: a narrative review Anaesthesia (IF 7.5) Pub Date : 2024-11-07 Paul A. Stewart, Claire C. Nestor, Cillian Clancy, Michael G. Irwin
SummaryIntroductionSodium‐glucose co‐transporter 2 inhibitors are a novel class of antihyperglycaemic drugs used in the management of type 2 diabetes, that improve glycaemic control, cardiovascular outcomes and promote weight loss. They are also approved for the treatment of heart failure and chronic kidney disease in patients with or without diabetes. This narrative review discusses the peri‐operative
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Issue Information – Editorial Board Anaesthesia (IF 7.5) Pub Date : 2024-11-07
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Sterile gowns for spinal anaesthesia – environmental cost without clinical gain: a reply Anaesthesia (IF 7.5) Pub Date : 2024-11-06 Claire Abeysekera, Matthew Peacock
The letter by Waite et al. highlights the need for sterile gowns in spinal anaesthesia [1]. Our local survey of 202 anaesthetists found that 178 (88%) would consider omitting a sterile gown if guidelines allowed. Currently, a number of anaesthetists reported that they do not use sterile gowns for elective and emergency obstetric spinal anaesthetics (20 (10%) and 63 (31%), respectively). The ‘rapid
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Trends and health equity in environmental sustainability publications in major anaesthesia journals Anaesthesia (IF 7.5) Pub Date : 2024-11-04 Marco S. Fabus, Søren Kudsk‐Iversen
Climate hazards are associated with health disparities, creating vicious cycles that disproportionately impact marginalised groups [1]. There is increasing interest in healthcare sustainability, including in anaesthesia, with the National Health Service (NHS) committed to ‘net zero’ carbon emissions by 2040. Peri-operative healthcare sustainability interventions can broadly be divided into four categories
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Erector spinae plane block vs. rectus sheath block Anaesthesia (IF 7.5) Pub Date : 2024-11-04 Guanyu Yang
We congratulate Urmale Kusse et al. [1] on their recent study that found that the analgesic effect following erector spinae plane block was superior to that of the rectus sheath block in midline abdominal surgeries. However, there are three points that I would like to discuss further with the authors. First, three primary endpoints were established but it was not clearly stated whether their conclusion
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Patient safety incidents in anaesthesia: a qualitative study of trainee experience from a single UK healthcare region* Anaesthesia (IF 7.5) Pub Date : 2024-11-04 Amelia Robinson, Amanda Kelsey, Sara McDouall, Helen Higham
SummaryBackgroundAnaesthetic training has always had patient safety as part of the curriculum. However, there is limited emphasis on what happens when things do not go to plan. Our aims were to understand the impact of involvement in patient safety incidents on anaesthetic trainees in our region, to describe the range of support currently offered and put forward suggestions for improvement.MethodsAn
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Patient‐reported outcomes, postoperative pain and pain relief after day case surgery (POPPY): methodology for a prospective, multicentre observational study* Anaesthesia (IF 7.5) Pub Date : 2024-10-29 William M. Hare, Martha Belete, Adam B. Brayne, Harriet Daykin, Matthew Everson, Anna Ratcliffe, Katie Samuel, Lexy Sorrell, Mark Rockett
SummaryBackgroundIn the UK, approximately 70% of surgical procedures are undertaken as day‐cases. Little information exists about recovery from day‐case surgery, yet international data highlights patients are at risk of developing significant longer‐term health problems including chronic post‐surgical pain and persistent postoperative opioid use. The Patient‐reported Outcomes, Postoperative Pain and
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Sedation for awake tracheal intubation: A systematic review and network meta‐analysis Anaesthesia (IF 7.5) Pub Date : 2024-10-29 Kariem El‐Boghdadly, Neel Desai, Jordan B. Jones, Sally Elghazali, Imran Ahmad, J. Robert Sneyd
SummaryBackgroundDifferent sedation regimens have been used to facilitate awake tracheal intubation, but the evidence has not been synthesised robustly, particularly with respect to clinically important outcomes. We conducted a systematic review and network meta‐analysis to determine the sedation techniques most likely to be associated with successful tracheal intubation, a shorter time to successful
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Relationship between the dual platelet-inhibited ROTEM® Sigma FIBTEM assay and Clauss fibrinogen during postpartum haemorrhage Anaesthesia (IF 7.5) Pub Date : 2024-10-25 Sarah F. Bell, Hazel Taylor, Philip Pallmann, Peter Collins
Fibrinogen is essential for haemostasis and can fall to critically low levels in acute haemorrhage [1]. The long turnaround time for laboratory Clauss fibrinogen has led to interest in point-of-care viscoelastic haemostatic assays to identify hypofibrinogenemia. The ROTEM® Delta and Sigma devices (Werfen, Warrington, UK) offer the FIBTEM assay to assess fibrinogen contribution to clot strength in whole
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Opioid use in the bleeding obstetric patient: a clarification regarding NAP7 Anaesthesia (IF 7.5) Pub Date : 2024-10-22 Tim M. Cook, D. N. Lucas, Jasmeet Soar
Margiotta and Plaat offer an argued rationale on how general anaesthesia should be conducted for the obstetric patient who has bled extensively, suggesting that high-dose opioids may be in regular use and arguing that lower doses should be used [1]. Regarding NAP7, which the authors refer to, we offer some clarification. In NAP7, of the 28 cases of obstetric peri-operative cardiac arrest [2], six involved
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The impact of out‐of‐hours elective surgery: is it worth the risk? Anaesthesia (IF 7.5) Pub Date : 2024-10-22 Emer Scanlon, Hilary Leeson, Nikki Higgins
We read with great interest the systematic review by Meewisse et al. on the effect of time of day on outcomes in elective surgery [1]. They postulate that timing of elective surgery could affect clinical outcome due to diurnal rhythms of patient physiology as well as surgical team performance. They found that evening/night-time elective surgery is associated with a higher risk of mortality compared
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Relationship between residual gastric content and peri-operative semaglutide use assessed by gastric ultrasound: a prospective observational study Anaesthesia (IF 7.5) Pub Date : 2024-10-22 Rafael S. F. Nersessian, Leopoldo M. da Silva, Marco Aurélio S. Carvalho, Saullo Q. Silveira, Arthur C. V. Abib, Fernando N. Bellicieri, Helidea O. Lima, Anthony M.-H. Ho, Gabriel S. Anjos, Glenio B. Mizubuti
Semaglutide is a long-acting glucagon-like peptide-1 receptor agonist known to delay gastric emptying. Despite a growing body of evidence, its peri-operative safety profile remains uncertain, particularly with regard to the risk of increased residual gastric content and aspiration of gastric contents during anaesthesia. We hypothesised that semaglutide interruption of ≤ 10 days before elective surgical
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Safety of anaesthesia techniques in patients undergoing carotid endarterectomy: a systematic review with meta‐analysis of randomised clinical trials Anaesthesia (IF 7.5) Pub Date : 2024-10-22 Clístenes C. de Carvalho, Idrys H. L. Guedes, Anna L. S. Holanda, Yuri S. C. Costa
Each year, approximately 3000–3500 patients undergo carotid endarterectomy in the UK, and over 150,000 worldwide [1, 2]. It is thought that the selection of anaesthetic method – whether cervical plexus block, general anaesthesia or a mix of both – can impact haemodynamic parameters differently and the oxygenation and perfusion of the brain and heart. This variability may have an impact on the risk
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Videolaryngoscopy vs. direct laryngoscopy for tracheal intubation by experienced anaesthetists: a meta-analysis and trial sequential analysis of randomised controlled trials Anaesthesia (IF 7.5) Pub Date : 2024-10-21 Clístenes C. de Carvalho, Idrys H. L. Guedes, Maria V. M. Dantas, Kariem El-Boghdadly
There is compelling evidence to support the superiority of videolaryngoscopes over direct laryngoscopes for several adult tracheal intubation outcomes [1-3]. However, questions remain regarding this superiority in certain scenarios [4], including whether the results apply to experienced anaesthetists. We aimed to establish whether videolaryngoscopy increases the likelihood of a successful first tracheal
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Optimising management strategies for intrathecal catheters after accidental dural puncture Anaesthesia (IF 7.5) Pub Date : 2024-10-21 Sharon Orbach‐Zinger, Michael Heesen, Yair Binyamin
We commend Griffiths et al. [1] for their work on managing intrathecal catheters after inadvertent dural puncture in obstetric patients. These evidence-based recommendations complement and enhance previous guidelines published in Anaesthesia [2]. The recommendation for early removal of intrathecal catheters is particularly noteworthy, as it corresponds with recent findings in the field. We previously
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Associations between non-anaemic iron deficiency and outcomes following elective surgery for colorectal cancer: a prospective cohort study* Anaesthesia (IF 7.5) Pub Date : 2024-10-15 Lachlan F. Miles, Sarah Luu, Ian Ong, Vanessa Pac Soo, Sabine Braat, Adele Burgess, Stephane Heritier, Nicole Tan, Anna Parker, Toby Richards, Kate L. Burbury, David A. Story,
Iron deficiency is present in up to 75% of patients presenting for colorectal cancer surgery. It is unclear whether iron deficiency without anaemia is associated with worse postoperative outcomes. We hypothesised that, in adults without anaemia undergoing surgery for colorectal cancer, iron deficiency would be associated with worse postoperative outcomes relative to an iron-replete state.
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Wellbeing: paved with good intentions, but the road needs fixing first Anaesthesia (IF 7.5) Pub Date : 2024-10-17 Mayur Murali, Seema Agarwal
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Issue Information – Editorial Board Anaesthesia (IF 7.5) Pub Date : 2024-10-15
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Eighteen‐year trends in the rates of intra‐operative cardiac arrest and associated mortality at a public university hospital in Brazil* Anaesthesia (IF 7.5) Pub Date : 2024-10-14 Arthur C. Morais, Jose R. C. Braz, Joao Vitor A. Soares, Jessica G. J. Pessoto, Matheus R. Tanabe, Wangles Pignaton, Lidia R. de Carvalho, Mariana G. Braz, Leandro G. Braz
SummaryBackgroundIntra‐operative cardiac arrest is a rare but life‐threatening event. Over the past two decades, various initiatives have improved the care of patients undergoing surgery at our quaternary teaching hospital in Brazil. We aimed to evaluate the epidemiology of intra‐operative cardiac arrest and associated 30‐day mortality over an 18‐year period. A secondary aim was to identify associated
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Too good to be true? Erector spinae block in low-resource settings: navigate with caution Anaesthesia (IF 7.5) Pub Date : 2024-10-11 Steve Coppens, Aisling Ni Eochagain, Danny Feike Hoogma
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Postoperative analgesic effectiveness of ultrasound-guided bilateral erector spinae plane block vs. rectus sheath block for midline abdominal surgery in a low- and middle-income country: a randomised controlled trial Anaesthesia (IF 7.5) Pub Date : 2024-10-10 Alemu Urmale Kusse, Mebratu Legesse, Andualem Assefa, Mebratu Tila, Ashagrie Sintayhu, Addisu Mequanint, Mekdes Markos, Wendafrash Kussia, Getahun Dendir, Tsegaye Demeke Gebremedhin, Temesgen Sidamo, Mohammed Suleiman Obsa
The use of erector spinae plane block and rectus sheath block for postoperative analgesia in midline abdominal procedures is becoming more common. However, the most effective and appropriate method remains unclear. We aimed to compare the postoperative analgesic effecacy of ultrasound-guided bilateral erector spinae plane blocks with rectus sheath blocks for midline abdominal surgery in a low- and
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Time critical diagnoses and transfers of patients with acute type A aortic dissection in the UK: national audit of current practice* Anaesthesia (IF 7.5) Pub Date : 2024-10-07 Tom Gilbey, Benjamin Milne, Seema Agarwal, Siu-Wai Choi, Simon Kendall, Joseph E. Arrowsmith, Gudrun Kunst
Type A aortic dissection repair is one of the most common emergency cardiac surgical procedures undertaken in the UK and has a high mortality. Early diagnosis and prompt surgery by an expert cardiac surgical team is crucial. Little is known about the patient's journey from first symptoms until surgery.
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From bending to standing upright: augmented reality technology: a new trend in laryngoscopy? Anaesthesia (IF 7.5) Pub Date : 2024-10-07 Zhendong Ding, Chaojin Chen, Heying Zhong, Xiaojuan Zhu, Ning Shen
Tracheal intubation is performed frequently by medical professionals in the fields of anaesthesia, intensive care and emergency medicine. However, existing laryngoscopes are neither ideal nor ergonomically designed [1]; intubating the trachea with a direct laryngoscope, such as Macintosh and Miller laryngoscopes, requires the operator to bend the waist to nearly 40° and position their face near the
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Ultrasonographic evaluation of gastric content and volume after oral ingestion of water or jelly in volunteers: a randomised controlled non‐inferiority clinical trial Anaesthesia (IF 7.5) Pub Date : 2024-10-07 Paulo Correia, Nelson Gomes, Catarina Costa, Caroline Dahlem, Firmino Machado
The American Society of Anesthesiologists advises clear fluid intake for elective patients up to 2 h before surgery. Jelly, although a solid food, is primarily composed of water, and the precise fasting time for this substance is not clearly defined [1, 2]. The aim of this study was to investigate the effect of water and jelly ingestion on cross-sectional area of the gastric antrum, when assessed by
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A competency framework for simulation facilitation in low-resource settings: a modified Delphi study Anaesthesia (IF 7.5) Pub Date : 2024-10-04 Adam I. Mossenson, Patricia Livingston, Janie A. Brown, Karima Khalid, Rodrigo Rubio Martinez
Skilled facilitators are essential to drive effective simulation training in healthcare. Competency-based frameworks support the development of facilitation skills but, to our knowledge, there are no frameworks that specifically address context-sensitive priorities developed with practitioners working in low-resource settings.
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Single‐use vs. reusable flexible bronchoscopes for airway management and in critical care: a narrative review Anaesthesia (IF 7.5) Pub Date : 2024-09-30 Sean Boyd, Ciara J. Murphy, Lindi Snyman
SummaryIntroductionFlexible bronchoscopes have become essential in the operating theatre environment and in critical care. This narrative review compared single‐use and reusable flexible bronchoscopes with a focus on safety, efficacy, cost‐effectiveness and environmental impact.MethodsWe searched MEDLINE, Embase and PubMed databases for studies related to flexible bronchoscopes for airway management
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Neurological sequelae after neuraxial anaesthesia in obstetric patients: a reply Anaesthesia (IF 7.5) Pub Date : 2024-09-30 William Shippam, Simon Massey, Kathryn Clark, Luc Saulnier, Anthony Chau
We thank Murphy et al. [1] for their interest in our study [2] and for furthering the discussion on timely assessment for prolonged motor blockade after neuraxial anaesthesia. Their concerns about the potential unintended consequence of delaying anaesthetic review from the guideline recommendation of 4–6 h are valid, and we would like to take this opportunity to clarify this matter and our stance on
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Large language models and artificial intelligence: the coming storm for academia Anaesthesia (IF 7.5) Pub Date : 2024-09-24 Mayur Murali, Matthew D. Wiles
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Intrathecal catheter placement after inadvertent dural puncture in the obstetric population: management for labour and operative delivery. Guidelines from the Obstetric Anaesthetists' Association Anaesthesia (IF 7.5) Pub Date : 2024-09-27 Sarah K. Griffiths, Robin Russell, Malcolm A. Broom, Sarah Devroe, Marc Van de Velde, D. N. Lucas
Anaesthetists of all grades who work on a labour ward are likely to be involved in the insertion or management of an intrathecal catheter after inadvertent dural puncture at some point in their careers. Although the use of intrathecal catheters after inadvertent dural puncture in labour has increased in popularity over recent decades, robust evidence on best practice has been lacking.
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Protocolised care pathways: a double-edged sword? Anaesthesia (IF 7.5) Pub Date : 2024-09-27 Edward Rintoul, S. Ramani Moonesinghe, Tom Bashford
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Critical care unit bed availability and postoperative outcomes: a multinational cohort study Anaesthesia (IF 7.5) Pub Date : 2024-09-26 Ruaraidh A. S. Campbell, Tharusan Thevathasan, Danny J. N. Wong, Andrew M. Wilson, Helen A. Lindsay, Douglas Campbell, Scott Popham, Lisa M. Barneto, Paul S. Myles, S. Ramani Moonesinghe, , Steve K. Harris
Critical care beds are a limited resource, yet research indicates that recommendations for postoperative critical care admission based on patient-level risk stratification are not followed. It is unclear how prioritisation decisions are made in real-world settings and the effect of this prioritisation on outcomes.
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Peri-operative pain management in adults: a multidisciplinary consensus statement from the Association of Anaesthetists and the British Pain Society Anaesthesia (IF 7.5) Pub Date : 2024-09-25 Kariem El-Boghdadly, Nicholas A. Levy, William J. Fawcett, Roger D. Knaggs, Helen Laycock, Emma Baird, Felicia J. Cox, Will Eardley, Harriet Kemp, Zoey Malpus, Andrea Partridge, Judith Partridge, Anjna Patel, Cathy Price, Joyce Robinson, Kim Russon, Jackie Walumbe, Dileep N. Lobo
Nearly half of adult patients undergoing surgery experience moderate or severe postoperative pain. Inadequate pain management hampers postoperative recovery and function and may be associated with adverse outcomes. This multidisciplinary consensus statement provides principles that might aid postoperative recovery, and which should be applied throughout the entire peri-operative pathway by healthcare
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Risk of bias assessment in a meta‐analysis investigating the efficacy and safety of intrathecal diamorphine Anaesthesia (IF 7.5) Pub Date : 2024-09-20 Ning Xu, Wei Rong
We read with great interest the article by Grape et al. [1]. The authors conducted a meta-analysis that included meta-regression and trial sequential analysis, providing a comprehensive synthesis of 12 prospective, randomised controlled trials comparing intrathecal diamorphine with controls across various surgical procedures [1]. We identified a concern that may compromise the quality of this meta-analysis
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Neurological sequelae after neuraxial anaesthesia in obstetric patients Anaesthesia (IF 7.5) Pub Date : 2024-09-20 Cathriona Murphy, Tara Banon, Rosemarie Kearsley
We read with interest the article by Shippam et al. analysing the time to motor block regression after neuraxial anaesthesia [1]. The detection of serious complications after central neuraxial blockade is challenging, not only because these complications are rare, but also because in obstetric anaesthesia there is a huge volume of work conducted out of hours [2] and in the postnatal period, distractions
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First-choice videolaryngoscopy for paediatric tracheal intubation: a reply Anaesthesia (IF 7.5) Pub Date : 2024-09-20 Martin Petzoldt, Thorsten Dohrmann, Phillip B. Sasu
We thank Xue et al. [1] for their interest in our study reporting findings from a universal paediatric videolaryngoscopy implementation programme. We systematically mapped the glottic view using a recognised six-stage glottic view grading [2-4] that has been prospectively evaluated specifically for glottic view grading with videolaryngoscopy and comprises the most relevant reported glottic landmarks
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Screening of patients at risk of postoperative delirium using specific neuropsychological testing Anaesthesia (IF 7.5) Pub Date : 2024-09-17 Thomas Bidoul, Mona Momeni, Céline Khalifa
Postoperative delirium (POD) remains one of the most prevalent neurological complications after surgery [1] and pre-existing cognitive impairment is a leading risk factor [1, 2]. Consequently, early identification of high-risk patients through pre-operative cognitive assessment is essential. Usually, the evaluation of cognitive status is performed by trained neuropsychologists, using a standardised
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Usability comparison scoring of video and direct laryngoscopes: a reply Anaesthesia (IF 7.5) Pub Date : 2024-09-17 Amol Lotlikar
I would like to thank to Marshall for their response [1] on the topic of usability between videolaryngoscopy and direct laryngoscopy [2], as well as for an extended analysis of the system usability scale including its limitations when comparing medical devices. However, I would like to clarify that the focus on usability is not intended to question the complexity of the devices themselves. Rather,
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Comparison of opioid‐free and opioid‐inclusive propofol anaesthesia for thyroid and parathyroid surgery: a reply Anaesthesia (IF 7.5) Pub Date : 2024-09-17 Dan Wang, Fu‐hai Ji, Ke Peng
We thank Chen et al. [1] for their interest in our study [2], in which we found that opioid-free versus opioid-inclusive propofol anaesthesia reduced the incidence of postoperative nausea and vomiting (PONV) during the first 48-h postoperatively (5% vs. 24%; odds ratio 0.17, 95%CI 0.08–0.35; number needed to treat 5.3; p < 0.001). Opioid-free anaesthesia was also associated with a reduced need for
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Comparison of opioid‐free and opioid‐inclusive propofol anaesthesia for thyroid and parathyroid surgery Anaesthesia (IF 7.5) Pub Date : 2024-09-17 Fang Chen, Xiaocou Wang, Chuanhui Xie
We read with great interest the article by Wang et al. [1]. They concluded that opioid-free propofol anaesthesia reduced postoperative nausea and vomiting (PONV) in patients undergoing thyroid and parathyroid surgery. However, we have several concerns about this trial. The primary outcome of this study was the incidence of PONV, defined as a composite outcome that encompasses the rates of nausea, retching
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Prognostic clinical prediction models for acute post-surgical pain in adults: a systematic review Anaesthesia (IF 7.5) Pub Date : 2024-09-16 Nicholas Papadomanolakis-Pakis, Philip V. Munch, Nicolai Carlé, Camilla G. Uhrbrand, Simon Haroutounian, Lone Nikolajsen
Acute post-surgical pain is managed inadequately in many patients undergoing surgery. Several prognostic risk prediction models have been developed to identify patients at high risk of developing moderate to severe acute post-surgical pain. The aim of this systematic review was to describe and evaluate the methodological conduct of these prediction models.
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Correction to: Glucagon‐like peptide‐1 receptor agonists: a narrative review of clinical pharmacology and implications for peri‐operative practice Anaesthesia (IF 7.5) Pub Date : 2024-09-12
Milder DA, Milder TY, Liang SS, Kam PCA. Glucagon-like peptide-1 receptor agonists: a narrative review of clinical pharmacology and implications for peri-operative practice. Anaesthesia 2024; 79: 735-47. https://doi.org/10.1111/anae.16306 In the above article, there is an error in Table 3. The withhold time for dulaglutide should read 270 h, not 27 h. The authors apologise for the error.
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Correction to: Effect of ventilation mode on postoperative pulmonary complications following lung resection surgery: a randomised controlled trial Anaesthesia (IF 7.5) Pub Date : 2024-09-12
Li X-F, Jin L, Yang J-M, Luo Q-S, Liu H-M, Yu H. Effect of ventilation mode on postoperative pulmonary complications following lung resection surgery: a randomised controlled trial. Anaesthesia 2022; 77: 1219-27. https://doi.org/10.1111/anae.15848 In the above article, there is an error in the Results on page 1221, which states ‘fifty-eight’ instead of ‘fifty-six’, and should read as follows: “Fifty-six
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Issue Information – Editorial Board Anaesthesia (IF 7.5) Pub Date : 2024-09-11
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Factors affecting UK anaesthetic trainees' wellbeing and stress: a scoping review Anaesthesia (IF 7.5) Pub Date : 2024-09-10 Sophie Winter, Nicola Brennan, Thomas Gale
SummaryBackgroundPoor wellbeing and stress in UK anaesthetic trainees impacts significantly on clinical performance, workforce retention and patient care. This study aimed to provide an overview of the evidence in this field and to explore the factors affecting wellbeing and stress in UK anaesthetic trainees.MethodsMEDLINE, Embase, PsycINFO, and ERIC were searched, in addition to organisational websites
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The central limit theorem: the remarkable theory that explains all of statistics Anaesthesia (IF 7.5) Pub Date : 2024-09-10 David Sidebotham, C. Jake Barlow
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Self-supervised representation learning of metro interior noise based on variational autoencoder and deep embedding clustering Anaesthesia (IF 7.5) Pub Date : 2024-09-09 Yang Wang, Hong Xiao, Zhihai Zhang, Xiaoxuan Guo, Qiang Liu
The noise within train is a paradox; while harmful to passenger health, it is useful to operators as it provides insights into the working status of vehicles and tracks. Recently, methods for identifying defects based on interior noise signals are emerging, among which representation learning is the foundation for deep neural network models to understand the key information and structure of the data
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Depression and delirium: association, prediction, causation, and care Anaesthesia (IF 7.5) Pub Date : 2024-09-04 Hyundeok Joo, Elizabeth L. Whitlock
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Incidence and relative risk of delirium after major surgery for patients with pre-operative depression: a systematic review and meta-analysis Anaesthesia (IF 7.5) Pub Date : 2024-09-04 Calvin Diep, Krisha Patel, Jessica Petricca, Julian F. Daza, Sandra Lee, Yuanxin Xue, Luka Kremic, Maggie Z. X. Xiao, Bianca Pivetta, Simone N. Vigod, Duminda N. Wijeysundera, Karim S. Ladha
Delirium is a common and potentially serious complication after major surgery. A previous history of depression is a known risk factor for experiencing delirium in patients admitted to the hospital, but the generalised risk has not been estimated in surgical patients.
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Time to treat the bleeding obstetric patient like the trauma patient and lower the dose of opioid Anaesthesia (IF 7.5) Pub Date : 2024-09-04 Georgina Margiotta, Felicity Plaat
The 7th National Audit Project (NAP7) confirmed haemorrhage as a leading cause of maternal cardiac arrest[1]. In this audit of cardiac arrest in patients under the care of an anaesthetist, nearly half of the obstetric cases involved a general anaesthetic, and anaesthetic care was judged to be a key factor in 68% of cases. The specific drugs used for induction of anaesthesia were not recorded [1]. We
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A computer vision–aided methodology for bridge flexibility identification from ambient vibrations Anaesthesia (IF 7.5) Pub Date : 2024-09-03 Yuyao Cheng, Siqi Jia, Jianliang Zhang, Jian Zhang
This paper presents the implementation of a novel monitoring system in which video images and conventional sensor network data are simultaneously analyzed to identify the structural flexibility from the ambient vibrations. The magnitude ratio between the flexibility estimated from known/unknown input force are theoretically derived and decomposed into two parts: αir$\alpha _i^r$ and Θk${{\Theta }_k}$
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Comparison between adjusted Montreal Cognitive Assessment and neuropsychological assessment for diagnosing postoperative neurocognitive disorders Anaesthesia (IF 7.5) Pub Date : 2024-09-03 Annerixt Gribnau, Gert J. Geurtsen, Hanna C. Willems, Jeroen Hermanides, Mark L. van Zuylen
The current gold standard neuropsychological assessment for detecting postoperative neurocognitive disorders is too time-consuming, costly and burdensome to use in clinical practice. Brief screening instruments, such as the Montreal Cognitive Assessment (MoCA), are used frequently instead. However, previous research by our team suggested that the original MoCA is not suitable to detect postoperative
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Sterile gowns for spinal anaesthesia – environmental cost without clinical gain? Anaesthesia (IF 7.5) Pub Date : 2024-09-03 Stephen Waite, Charlotte Collison, Ronan Mukherjee
We read with interest the article by Ledda et al. [1], which highlights a drive to change from single-use to reusable gowns to be more environmentally sustainable. While laudable, we feel that it does not consider wider changes to our practice which could have an impact of greater magnitude. Standard practice in many UK centres is to wear a sterile gown for spinal anaesthesia to reduce the incidence
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Gravity dam displacement monitoring using in situ strain and deep learning Anaesthesia (IF 7.5) Pub Date : 2024-09-01 Xin Wu, Dongjian Zheng, Xingqiao Chen, Yongtao Liu, Jianchun Qiu, Haifeng Jiang
Recent studies in dam displacement monitoring primarily focus on single-response monitoring or model updating using advanced techniques. Few studies involve the combination analysis of displacement with other synchronized responses utilizing their monitoring characteristics. In situ strain data provide a strength-safety perspective for dam displacement monitoring. The challenge lies in that estimating
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A convergent cross-mapping approach for unveiling congestion spatial causality in urban traffic networks Anaesthesia (IF 7.5) Pub Date : 2024-08-29 Jiannan Mao, Hao Huang, Yu Gu, Weike Lu, Tianli Tang, Fan Ding
Spatial causality in urban traffic networks explores how events or conditions in one location affect those in another. Unveiling congestion spatial causality is crucial for identifying congestion-inducing bottlenecks in traffic networks and offering valuable insights for traffic network management and control. This study introduces the traffic-convergent-cross-mapping (T-CCM) method, a state-space-reconstruction