journal

British Journal of Anaesthesia

journal
https://read.qxmd.com/read/31932025/gender-inequality-in-research-does-uk-trainee-led-research-herald-an-equal-future
#1
LETTER
Katie Samuel, Helen Ellicott
No abstract text is available yet for this article.
January 10, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/31924347/sex-and-gender-inclusion-analysis-and-reporting-in-anaesthesia-research
#2
EDITORIAL
Kate Leslie, Jessica Kasza
No abstract text is available yet for this article.
January 7, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/31918847/higher-age-and-obesity-limit-atelectasis-formation-during-anaesthesia-an-analysis-of-computed-tomography-data-in-243-subjects
#3
Göran Hedenstierna, Leif Tokics, Henrik Reinius, Hans U Rothen, Erland Östberg, John Öhrvik
BACKGROUND: General anaesthesia is increasingly common in elderly and obese patients. Greater age and body mass index (BMI) worsen gas exchange. We assessed whether this is related to increasing atelectasis during general anaesthesia. METHODS: This primary analysis included pooled data from previously published studies of 243 subjects aged 18-78 yr, with BMI of 18-52 kg m-2 . The subjects had no clinical signs of cardiopulmonary disease, and they underwent computed tomography (CT) awake and during anaesthesia before surgery after preoxygenation with an inspired oxygen fraction (FIO2 ) of >0...
January 6, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/31918846/spaceflight-the-final-frontier-for-airway-management
#4
EDITORIAL
Jochen Hinkelbein
No abstract text is available yet for this article.
January 6, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/31918845/methods-to-express-intraoperative-hypotension-exposure-in-the-anaesthesia-literature
#5
LETTER
Lisette M Vernooij, Wilton A van Klei, Karel G M Moons, Judith A van Waes, Linda M Peelen
No abstract text is available yet for this article.
January 6, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/31916941/tracheal-intubation-in-microgravity-a-simulation-study-comparing-direct-laryngoscopy-and-videolaryngoscopy-%C3%A2
#6
Clément Starck, Séamus Thierry, Cécile Isabelle Bernard, Thierry Morineau, François Jaulin, Pascal Chapelain, Matthieu Komorowski
BACKGROUND: The risk of severe medical and surgical events during long-duration spaceflight is significant. In space, many environmental and psychological factors may make tracheal intubation more difficult than on Earth. We hypothesised that, in microgravity, tracheal intubation may be facilitated by the use of a videolaryngoscope compared with direct laryngoscopy. METHODS: In a non-randomised, controlled, cross-over simulation study, we compared intubation performance of novice operators and experts, using either a direct laryngoscope or a videolaryngoscope, in weightlessness and in normogravity...
January 6, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/31902590/preoperative-intravenous-iron-before-cardiac-surgery-a-prospective-multicentre-feasibility-study
#7
Andrew A Klein, Marisa Chau, James A Yeates, Timothy Collier, Caroline Evans, Seema Agarwal, Toby Richards
BACKGROUND: Preoperative anaemia affects one third of patients undergoing cardiac surgery and is associated with increased mortality and morbidity. Although it is recommended that perioperative teams should identify and treat patients with preoperative anaemia before surgery, introducing new treatment protocols can be challenging in surgical pathways. The aim of this study was to assess the feasibility and effectiveness of introducing a preoperative intravenous iron service as a national initiative in cardiac surgery...
January 2, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/31902589/corrigendum-to-socioeconomic-deprivation-and-mortality-after-emergency-laparotomy-an-observational-epidemiological-study-br-j-anaesth-2020-124-73-83
#8
Thomas E Poulton, S Ramani Moonesinghe, Rosalind Raine, Peter Martin
No abstract text is available yet for this article.
January 2, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/31902588/association-between-propofol-dose-and-1-year-mortality-in-patients-with-and-without-a-diagnosis-of-solid-cancer
#9
Maximilian S Schaefer, Dana Raub, Xinling Xu, Denys Shaydenfish, Bijan Teja, Khushi Chhangani, Stephanie D Grabitz, Brian O'Gara, Peter Kienbaum, Timothy T Houle, Giovanni Landoni, Matthias Eikermann
BACKGROUND: Preclinical data suggest suppression of cancer proliferation by propofol, and retrospective studies suggest improved survival after cancer surgery with propofol-based anaesthesia. METHODS: To determine whether propofol dose administered for anaesthesia is associated with 1-yr mortality in patients with and without a diagnosis of solid cancer, we analysed adult patients undergoing monitored anaesthesia care or general anaesthesia at two academic medical centres in Boston, MA, USA...
January 2, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/31882262/physiologically-difficult-airway-in-critically-ill-patients-winning-the-race-between-haemoglobin-desaturation-and-tracheal-intubation
#10
EDITORIAL
Jarrod M Mosier
No abstract text is available yet for this article.
December 24, 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/31879025/playing-with-dexmedetomidine-pharmacokinetics
#11
EDITORIAL
Gregory Hammer, Steven L Shafer
No abstract text is available yet for this article.
December 23, 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/31866001/cost-effectiveness-of-routine-transoesophageal-echocardiography-during-cardiac-surgery-a-discrete-event-simulation-study
#12
Jan M Dieleman, Paul S Myles, Liliana Bulfone, Sandra Younie, Bas van Zaane, David McGiffin, Marj Moodie, Lan Gao
BACKGROUND: The aim of this study was to simulate and compare the healthcare and economic outcomes associated with routine use of intraoperative transoesophageal echocardiography (TOE) in patients undergoing cardiac surgery with those associated with a scenario where TOE is not routinely used. METHODS: The impact of TOE on surgical decision-making was estimated through a systematic literature review. Individual short-term morbidity and mortality estimates were generated by application of the Society of Thoracic Surgeons risk calculator...
December 19, 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/31864720/katharine-georgina-lloyd-williams-cbe-1896-1973-an-inspirational-anaesthesia-role-model
#13
EDITORIAL
David J Wilkinson
No abstract text is available yet for this article.
December 19, 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/31864721/performance-of-modern-syringe-infusion-pump-assemblies-at-low-infusion-rates-in-the-perioperative-setting
#14
Martina Baeckert, Martin Batliner, Beate Grass, Philipp K Buehler, Marianne Schmid Daners, Mirko Meboldt, Markus Weiss
BACKGROUND: Syringe infusion pumps are used for the precise continuous administration of intravenous drugs. Their compliance and mechanical deficiencies have been found to cause considerable start-up delays, flow irregularities during vertical displacement, as well extensive delays of occlusion alarms at low infusion rates. The aim of this study was to evaluate the performance of several modern syringe infusion pumps at low infusion rates and the impact on drug concentration. METHODS: Seven currently marketed syringe infusion pump assemblies were assessed in an in vitro study during start-up, vertical displacement manoeuvres, and infusion line occlusion at a set flow rate of 1 ml h-1 ...
December 18, 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/31864719/integration-of-the-duke-activity-status-index-into-preoperative-risk-evaluation-a-multicentre-prospective-cohort-study
#15
Duminda N Wijeysundera, W Scott Beattie, Graham S Hillis, Tom E F Abbott, Mark A Shulman, Gareth L Ackland, C David Mazer, Paul S Myles, Rupert M Pearse, Brian H Cuthbertson
BACKGROUND: The Duke Activity Status Index (DASI) questionnaire might help incorporate self-reported functional capacity into preoperative risk assessment. Nonetheless, prognostically important thresholds in DASI scores remain unclear. We conducted a nested cohort analysis of the Measurement of Exercise Tolerance before Surgery (METS) study to characterise the association of preoperative DASI scores with postoperative death or complications. METHODS: The analysis included 1546 participants (≥40 yr of age) at an elevated cardiac risk who had inpatient noncardiac surgery...
December 18, 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/31864718/anaesthesia-workload-implications-of-a-24-7-national-stroke-thrombectomy-service
#16
LETTER
Rizwan Barkat, Emma Griffin, Jack Alderson, Sarah Power, John Thornton, Alan O'Hare, Paul Brennan, Caroline M Larkin
No abstract text is available yet for this article.
December 18, 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/31862161/training-anaesthetists-in-cricothyrotomy-techniques-using-video-demonstrations-and-a-hands-on-practice-session-a-shift-towards-preferred-surgical-approaches
#17
LETTER
Laurent Fradet, Christian Iorio-Morin, Maxime Tissot-Therrien, Pierre-Hugues Fortier, Marie-José Colas
No abstract text is available yet for this article.
December 17, 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/31862160/association-between-postoperative-delirium-and-postoperative-cerebral-oxygen-desaturation-in-older-patients-after-cardiac-surgery
#18
Ward Eertmans, Cathy De Deyne, Cornelia Genbrugge, Berend Marcus, Sofian Bouneb, Maud Beran, Tom Fret, Herbert Gutermann, Willem Boer, Margot Vander Laenen, René Heylen, Dieter Mesotten, Pascal Vanelderen, Frank Jans
BACKGROUND: Near-infrared spectroscopy non-invasively measures regional cerebral oxygen saturation. Intraoperative cerebral desaturations have been associated with worse neurological outcomes. We investigated whether perioperative cerebral desaturations are associated with postoperative delirium in older patients after cardiac surgery. METHODS: Patients aged 70 yr and older scheduled for on-pump cardiac surgery were included between 2015 and 2017 in a single-centre, prospective, observational study...
December 17, 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/31862159/hypnosis-and-communication-reduce-pain-and-anxiety-in-peripheral-intravenous-cannulation-effect-of-language-and-confusion-on-pain-during-peripheral-intravenous-catheterization-kthype-a-multicentre-randomised-trial
#19
Nicolas Fusco, Franck Bernard, Fabienne Roelants, Christine Watremez, Hervé Musellec, Bruno Laviolle, Helene Beloeil
BACKGROUND: Clinicians traditionally warn patients of pain before peripheral i.v. cannulation (PIVC). However, using words related to pain or undesirable experiences can result in greater pain and anxiety. The use of positive words can improve pain perception and subjective patient experience. We aimed to compare the effects of three types of communication, including hypnotic communication, on pain, comfort, and anxiety in patients during PIVC. METHODS: The Effect of Language and Confusion on Pain During Peripheral Intravenous Catheterization (KTHYPE) trial is a randomised, parallel, single-blind, multicentre study of patients undergoing PIVC on the dorsal face of the hand before surgery...
December 17, 2019: British Journal of Anaesthesia
https://read.qxmd.com/read/31839255/promoting-anaesthetisia-providers-non-technical-skills-through-the-vital-anaesthesia-simulation-training-vast-course-in-a-low-resource-setting
#20
Adam I Mossenson, Eugene Tuyishime, David Rawson, Christian Mukwesi, Sara Whynot, Sean P Mackinnon, Patricia Livingston
BACKGROUND: Short educational programmes are important in building global anaesthesia workforce capacity. The Vital Anaesthesia Simulation Training (VAST) course is a 3-day immersive simulation-based programme concentrating on core clinical challenges and non-technical skills required by anaesthesia providers in low-resource settings. METHODS: This mixed methods study prospectively evaluated the impact of VAST in Rwanda. Anaesthetists' Non-Technical Skills (ANTS) scores were quantitatively assessed for 30 course participants at three time points (pre-, post-, and 4 months after VAST)...
December 12, 2019: British Journal of Anaesthesia
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