Anesthesiology (all articles)
AHA Scientific Statement | Anesthetic care of the pregnant patient with cardiovascular disease
20 Feb, 2023 | 12:29h | UTCSummary: The AHA emphasizes the need for specialized cardio-obstetric anesthesiology care for pregnant patients with cardiovascular disease, involving a multidisciplinary team of obstetricians, cardiologists, anesthesiologists, and other specialists as needed. The approach includes preoperative evaluation, intraoperative management, and postoperative care to maintain maternal hemodynamic stability, optimize oxygen delivery to the fetus, and avoid factors that exacerbate cardiovascular disease. Vaginal delivery with effective neuraxial analgesia is the preferred mode of delivery, with cesarean delivery used for obstetrical indications or high-risk patients. Specific recommendations are also provided for the management of patients with different types of cardiovascular disease, including congenital heart disease, valvular heart disease, pulmonary hypertension, and hypertrophic cardiomyopathy.
Top Things to Know: Statement on the anesthetic care of the pregnant patient with cardiovascular disease – American Heart Association
M-A | General Anesthesia vs. to Non-GA in endovascular thrombectomy for ischemic stroke
20 Feb, 2023 | 12:20h | UTCSummary: The study analyzed randomized controlled trials comparing the use of general anesthesia (GA) versus non-GA techniques, such as conscious sedation or local anesthesia for endovascular thrombectomy (EVT) in patients with ischemic stroke. The meta-analysis included seven trials with a total of 980 participants, showing that GA is associated with a 9% improvement in recanalization rates and an 8.4% improvement in functional recovery compared to non-GA techniques. There was no difference in hemorrhagic complications or 3-month mortality. The study recommends that GA be the first choice for most EVT procedures in acute ischemic stroke.
Article: General Anesthesia Compared to Non-GA in Endovascular Thrombectomy for Ischemic Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials – Neurology (link to abstract – $ for full-text)
Review | Integrating geriatric assessment and prehabilitation into surgical practice can improve outcomes for GI cancer patients with frailty
17 Feb, 2023 | 12:37h | UTC
RCT | Intraoperative intravenous infusion of esmketamine in patients undergoing thoracic surgery
16 Feb, 2023 | 14:56h | UTC
Review | Preoperative frailty screening, assessment and management
16 Feb, 2023 | 14:37h | UTCPreoperative frailty screening, assessment and management – Current Opinion in Anaesthesiology
Review | Postoperative atrial fibrillation: from mechanisms to treatment
15 Feb, 2023 | 15:54h | UTCPostoperative atrial fibrillation: from mechanisms to treatment – European Journal of Cardiology
Commentary on Twitter
Postoperative atrial fibrillation: from mechanisms to treatment https://t.co/Alpb9eFRGb @escardio #EHJ #ESCYoung #cardiotwitter @ehj_ed @rladeiraslopes pic.twitter.com/s27PGkS49X
— European Society of Cardiology Journals (@ESC_Journals) February 14, 2023
Brief Review | Double sequential external defibrillation for refractory ventricular fibrillation
13 Feb, 2023 | 12:35h | UTC
Commentary on Twitter
?Refractory Vfib
⚡️ vector change defibrillation
⚡️ double sequential external defibrillation
exciting & innovative strategies that can improve survival for patients presenting with refractory VF: time will tell if will be broadly implemented/embraced
?️ https://t.co/uUktOHdGEl pic.twitter.com/aiOtMMX2nT— Intensive Care Medicine (@yourICM) February 9, 2023
SR | Spin and fragility in randomized controlled trials in the anesthesia literature
13 Feb, 2023 | 12:33h | UTCSpin and fragility in randomised controlled trials in the anaesthesia literature: a systematic review – British Journal of Anaesthesiology (free for a limited period)
Review | Advanced point-of-care bedside monitoring for acute respiratory failure
13 Feb, 2023 | 12:32h | UTCAdvanced Point-of-care Bedside Monitoring for Acute Respiratory Failure – Anesthesiology
Commentary on Twitter
Advanced respiratory monitoring involves several mini- or noninvasive tools, applicable at bedside, that have the potential to support clinicians in the management of acute respiratory failure. Learn more about the personalization of ventilatory strategy: https://t.co/RP4LAsdQHM pic.twitter.com/KFlwxDthe9
— Anesthesiology (@_Anesthesiology) February 10, 2023
Consensus Statement | Development of an Enhanced Recovery After Surgery (ERAS) surgical safety checklist
10 Feb, 2023 | 14:03h | UTC
Commentary from the author on Twitter (thread – click for more)
The @WHO Surgical Safety Checklist and the @ErasSociety guidelines come together.?
#ERAS teams can leverage 2 tools in 1 to improve care in critical perioperative communication moments https://t.co/EaXYyj7b56
via @JAMANetworkOpen part of @JAMANetwork pic.twitter.com/WHJMjThubO— Mary Brindle (@MaryEBrindle) February 8, 2023
SR | Cognitive aids in the management of clinical emergencies
10 Feb, 2023 | 13:44h | UTCCognitive aids in the management of clinical emergencies: a systematic review – Anaesthesia
Review | Postoperative systemic inflammatory dysregulation and corticosteroids
10 Feb, 2023 | 13:44h | UTC
M-A | Needle-free pharmacological sedation techniques in pediatric patients for imaging procedures
8 Feb, 2023 | 12:26h | UTC
M-A | Intranasal midazolam vs. intranasal ketamine as sedative premedication in pediatric patients
8 Feb, 2023 | 12:24h | UTC
Review | Perioperative cardiovascular pathophysiology in patients undergoing lung resection surgery
8 Feb, 2023 | 12:19h | UTC
Review | Advanced diagnostic and therapeutic techniques for anesthetists in thoracic trauma
8 Feb, 2023 | 12:18h | UTC
Complications of diagnostic upper gastrointestinal endoscopy: recognition, assessment and management
7 Feb, 2023 | 13:41h | UTC
RCT | Postoperative delirium after Dexmedetomidine vs. Propofol sedation in older adults undergoing orthopedic lower limb surgery
6 Feb, 2023 | 13:07h | UTC
RCT | Routine postsurgical anesthesia visit did not improve 30-day morbidity and mortality
6 Feb, 2023 | 12:58h | UTC
Special Issue | Recent advances in anesthesia
3 Feb, 2023 | 14:21h | UTCRecent advances in anaesthesia for intrauterine and foetal surgery
Recent advances in obstetric anaesthesia and critical care
Recent advances in paediatric anaesthesia
Recent advances in anaesthesia for abdominal solid organ transplantation
Update on preoperative evaluation and optimisation
Recent advances in airway management
Recent advancements in total intravenous anaesthesia and anaesthetic pharmacology
Recent advancements in regional anaesthesia
Newer frontiers in onco-anaesthesia and palliative medicine
Recent advances in cardiac anaesthesia
Recent advancements in the practice of neuroanaesthesia and neurocritical care: An update
Recent advancements in critical care: Part I
Recent advances in critical care: Part II
Anaesthetic management of robot-assisted laparoscopic surgery
Recent trends in chronic pain medicine
Recent advances in perioperative blood management
Recent advances in research, training and teaching in anaesthesia and critical care
Recent advances in geriatric anaesthesia
RCT | Remifentanil vs. neuromuscular blockers during rapid sequence intubation in patients at risk of aspiration
2 Feb, 2023 | 15:01h | UTCEffect of Remifentanil vs Neuromuscular Blockers During Rapid Sequence Intubation on Successful Intubation Without Major Complications Among Patients at Risk of Aspiration: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)
Commentary on Twitter
Among adults at risk of aspiration during rapid sequence intubation in the operating room, remifentanil, vs neuromuscular blockers, did not meet the criterion for noninferiority w regard to successful intubation on first attempt w/o major complications. https://t.co/ENvKxI7Oef
— JAMA (@JAMA_current) January 3, 2023
Review | Perioperative evaluation and management of patients on glucocorticoids
2 Feb, 2023 | 14:35h | UTCRelated: Perioperative Evaluation and Management of Endocrine Disorders – Mayo Clinic Proceedings
M-A | Effects of opioids administered via intravenous or epidural patient-controlled analgesia after cesarean section
1 Feb, 2023 | 12:55h | UTC
SR | Perioperative clinical practice guidelines for care of older adults living with frailty
30 Jan, 2023 | 00:34h | UTC
Review | Impact of fatigue on anesthesia providers
30 Jan, 2023 | 00:33h | UTCImpact of fatigue on anaesthesia providers: a scoping review – British Journal of Anaesthesia