journal
https://read.qxmd.com/read/32958205/perioperative-genetic-screening-entering-a-new-era
#1
EDITORIAL
Sheila Riazi, Natalia Kraeva, Thierry Girard
No abstract text is available yet for this article.
September 18, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32958204/safeguarding-anaesthesia-research-from-spin
#2
LETTER
Rohan Magoon, Jes Jose
No abstract text is available yet for this article.
September 18, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32958203/comparison-of-vasodilatory-properties-between-desflurane-and-sevoflurane-using-perfusion-index-a-randomised-controlled-trial
#3
Kyoung-Ho Ryu, Sung-Ha Hwang, Jae-Geum Shim, Jin-Hee Ahn, Eun-Ah Cho, Sung-Hyun Lee, Jae-Hoon Byun
BACKGROUND: The perfusion index (PI), calculated from the photoplethysmographic waveform, reflects peripheral vasomotor tone. As such, the PI serves as a surrogate for quantitative measures of drug-induced vasoconstriction or vasodilation. This study aimed to compare the effect on the PI of desflurane and sevoflurane at equi-anaesthetic concentrations in patients undergoing single-agent inhalation anaesthesia, where equi-anaesthetic dose was based on the known minimum alveolar concentration of these agents...
September 18, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32951844/airway-management-in-space-a-novice-skill
#4
LETTER
Eleanor M Tanqueray, Danielle Eusuf, Emma L England, Annie R Pinder, Clifford Shelton
No abstract text is available yet for this article.
September 17, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32951843/a-national-survey-of-anaesthetists-preferences-for-their-own-end-of-life-care
#5
Douglas H Blackwood, Cecilia Vindrola-Padros, Monty G Mythen, Malachy O Columb, David Walker
OBJECTIVES: To describe individual views, wishes, and preferences for end of life care and to report UK anaesthetists' personal perspectives. METHODS: The 'bigconversations' questionnaire was developed by modifying an existing framework for end of life discussions. An online cross-sectional survey of UK anaesthetists was then conducted using the questionnaire in January 2019. RESULTS: The bigconversations questionnaire was validated as measuring the important aspects of end of life care by an expert panel and was found to have moderate test-retest reliability...
September 17, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32951842/the-superficial-femoral-artery-a-novel-site-for-arterial-access
#6
LETTER
John Dolan
No abstract text is available yet for this article.
September 17, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32951841/comparison-of-anaesthetic-and-seizure-induced-states-of-unconsciousness
#7
REVIEW
Benjamin F Gruenbaum
In order to understand general anaesthesia and certain seizures, a fundamental understanding of the neurobiology of unconsciousness is needed. This article explores similarities in neuronal and network changes during general anaesthesia and seizure-induced unconsciousness. Both seizures and anaesthetics cause disruption in similar anatomical structures that presumably lead to impaired consciousness. Despite differences in behaviour and mechanisms, both of these conditions are associated with disruption of the functionality of subcortical structures that mediate neuronal activity in the frontoparietal cortex...
September 17, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32950248/a-comparison-of-videolaryngoscopy-using-standard-blades-or-non-standard-blades-in-children-in-the-paediatric-difficult-intubation-registry
#8
James Peyton, Raymond Park, Steven J Staffa, Stefano Sabato, Thomas W Templeton, Mary Lyn Stein, Annery G Garcia-Marcinkiewicz, Edgar Kiss, John Edem Fiadjoe, Britta von Ungern-Sternberg, Franklin Chiao, Patrick Olomu, David Zurakowski, Pete G Kovatsis
BACKGROUND: The design of a videolaryngoscope blade may affect its efficacy. We classified videolaryngoscope blades as standard and non-standard shapes to compare their efficacy performing tracheal intubation in children enrolled in the Paediatric Difficult Intubation Registry. METHODS: Cases entered in the Registry from March 2017 to January 2020 were analysed. We compared the success rates of initial and eventual tracheal intubation, complications, and technical difficulties between the two groups and by weight stratification...
September 16, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32950247/moving-from-dose-to-concentration-as-easy-as-tci
#9
EDITORIAL
Talmage D Egan, Martin Westphal, Charles F Minto, Thomas W Schnider
No abstract text is available yet for this article.
September 16, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32950246/reduced-postoperative-pain-using-nociception-level-guided-fentanyl-dosing-during-sevoflurane-anaesthesia-a-randomised-controlled-trial
#10
Fleur Meijer, Maarten Honing, Tessa Roor, Samantha Toet, Paul Calis, Erik Olofsen, Chris Martini, Monique van Velzen, Leon Aarts, Marieke Niesters, Martijn Boon, Albert Dahan
BACKGROUND: The majority of postoperative patients report moderate to severe pain, possibly related to opioid underdosing or overdosing during surgery. Objective guidance of opioid dosing using the Nociception Level (NOL) index, a multiparameter artificial intelligence-driven index designed to monitor nociception during surgery, may lead to a more appropriate analgesic regimen, with effects beyond surgery. We tested whether NOL-guided opioid dosing during general anaesthesia results in less postoperative pain...
September 16, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32948297/making-anaesthesiology-more-inclusive-the-time-for-action-is-now
#11
LETTER
Danielle McCullough, Ruth Gotian
No abstract text is available yet for this article.
September 15, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32948296/beyond-outcomes-applying-cost-effectiveness-analysis-to-policy-making
#12
EDITORIAL
Tiffany E Chao
No abstract text is available yet for this article.
September 15, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32943193/abnormal-preoperative-cognitive-screening-in-aged-surgical-patients-a-retrospective-cohort-analysis
#13
Stephen H Gregory, Christopher R King, Arbi Ben Abdallah, Alex Kronzer, Troy S Wildes
BACKGROUND: Preoperative cognitive dysfunction has been associated with adverse postoperative outcomes. There are limited data characterising the epidemiology of preoperative cognitive dysfunction in older surgical patients. METHODS: This retrospective cohort included all patients ≥65 yr old seen at the Washington University preoperative clinic between January 2013 and June 2018. Cognitive screening was performed using the Short-Blessed Test (SBT) and Eight-Item Interview to Differentiate Aging and Dementia (AD8) screen...
September 14, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32943192/sevoflurane-prevents-vulnerable-plaque-disruption-in-apolipoprotein-e-knockout-mice-by-increasing-collagen-deposition-and-inhibiting-inflammation
#14
Yonghao Hou, Xiaowen Lin, Zhen Lei, Meng Zhao, Shengqiang Li, Meng Zhang, Cheng Zhang, Jingui Yu, Tao Meng
BACKGROUND: Sevoflurane may reduce the occurrence of major adverse cardiovascular events (MACCEs) in surgical patients, although the mechanisms are poorly understood. We hypothesised that sevoflurane stabilises atherosclerotic plaques by inhibiting inflammation and enhancing prolyl-4-hydroxylase α1 (P4Hα1), the rate-limiting subunit for the P4H enzyme essential for collagen synthesis. METHODS: We established a vulnerable arterial plaque model in apolipoprotein E-knockout mice (ApoE-/- ) fed a high-fat diet that underwent daily restraint/noise stress, with/without a single prior exposure to sevoflurane for 6 h (1-3%; n=30 per group)...
September 14, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32943191/the-flip-side-of-speaking-up-a-new-model-to-facilitate-positive-responses-to-speaking-up-in-the-operating-theatre
#15
Jennifer Long, Tanisha Jowsey, Alexander Garden, Kaylene Henderson, Jennifer Weller
BACKGROUND: Speaking up is important for patient safety, but only if the concern raised is acknowledged and responded to appropriately. While the power to change the course of events rests with those in charge, research has focussed on supporting those in subordinate positions to speak up. We propose responsibility also rests with senior clinical staff to respond appropriately. We explored the perceptions of senior staff on being spoken up to in the operating theatre (OT), and factors moderating their response...
September 14, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32943190/pain-free-day-surgery-evaluating-pain-and-pain-assessment-during-hysteroscopy
#16
LETTER
Richard Harrison, William Kuteesa, Atul Kapila, Mark Little, Wiebke Gandhi, Deepak Ravindran, Carien M van Reekum, Tim V Salomons
No abstract text is available yet for this article.
September 14, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32928517/epidemiology-and-outcome-of-patients-admitted-to-intensive-care-after-anaphylaxis-in-france-a-retrospective-multicentre-study
#17
Philippe Guerci, Charles Tacquard, Laura Chenard, David Millard, Lila Soufir, Jean-Marc Malinovsky, Matthias Garot, Jean-Marc Lalot, Guillaume Besch, Guillaume Louis, Laurie-Anne Thion, Claire Charpentier, Antoine Kimmoun, Marc Danguy Des Déserts, Serge Carreira, Gaetan Plantefeve, Emmanuel Novy, Paul Abraham, Paul-Michel Mertes
BACKGROUND: Few data are available on patients who have experienced anaphylaxis and were admitted to ICUs. The purpose of this observational study was to describe the epidemiology and management of these patients. METHODS: This was a multicentre retrospective study carried out in 23 French ICUs between 2012 and 2017. All patients who suffered anaphylaxis and were transferred to an ICU were included. Data were collected using an electronic database after approval by an ethics committee...
September 11, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32921400/serum-fluoride-levels-following-commencement-of-methoxyflurane-for-patient-analgesia-in-an-ambulance-service
#18
LETTER
Serah J Allison, Paul D Docherty, Dirk Pons, James G Chase
No abstract text is available yet for this article.
September 10, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32921399/erratum-to-myocardial-infarction-after-noncardiac-surgery-in-sweden-a-national-retrospective-observational-cohort-study-br-j-anaesth-2020-125-47-54
#19
Linn Hallqvist, Fredrik Granath, Max Bell
No abstract text is available yet for this article.
September 10, 2020: British Journal of Anaesthesia
https://read.qxmd.com/read/32917377/patient-maintained-propofol-sedation-for-adult-patients-undergoing-surgical-or-medical-procedures-a-scoping-review-of-current-evidence-and-technology
#20
REVIEW
David W Hewson, Jonathan G Hardman, Nigel M Bedforth
Patient-maintained propofol sedation (PMPS) is the delivery of procedural propofol sedation by target-controlled infusion with the patient exerting an element of control over their target-site propofol concentration. This scoping review aims to establish the extent and nature of current knowledge regarding PMPS from both a clinical and technological perspective, thereby identifying knowledge gaps to guide future research. We searched MEDLINE, EMBASE, and OpenGrey databases, identifying 17 clinical studies for analysis...
September 8, 2020: British Journal of Anaesthesia
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