Anaesthesia

How do you determine the value of a nerve block?
• ease of performance
• safety
• versatility
• ease of learning
• efficacy
• resource requirement

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doi.org/10.1111/anae...

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Plan A blocks in regional anaesthesia

Key components to increase patient access to regional anaesthesia:
• select high value blocks
• widespread competence
• ⬆️ patient access
• pathway implementation

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doi.org/10.1111/anae...

Core Topics: Plan A blocks in regional anaesthesia

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doi.org/10.1111/anae...

Identifying postoperative pain trajectories and pre-operative risk factors may support preventative measures and enhance pain management in children.

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doi.org/10.1111/anae...

The link is working for me..?

Anyone else having an issue? :)

If we’re doing a C/S in a labouring patient do we use the BP during labour or the last pre labour BP which is frequently not available to us.

Blood pressure targets in caesarean section under spinal anaesthesia - what systolic BPs should you aim for?

⭐️ The incidence of maternal hypotension, severe maternal hypotension and nausea and vomiting were lower in patients allocated to the SBP-90% group.

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doi.org/10.1111/anae...

What systolic blood pressure should you defend with noradrenaline boluses in people who have had a spinal anaesthetic for caesarean delivery?

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doi.org/10.1111/anae...

Trajectories of postoperative outcomes from growth mixture modelling, divided into three groups with patterns of good (dark green), intermediate (blue) and poor (dark red) outcomes: (a) average pain score (total n = 424; low, n = 159, 37.5%; medium, n = 112, 26.4%; high, n = 153, 36.1%); (b) worst pain score (total n = 424; low, n = 137, 32.3%; medium, n = 274, 64.6%; high, n = 13, 3.1%); (c) pain interference (total n = 258; low, n = 77, 29.8%; medium, n = 153, 59.3%; high, n = 28, 10.9%); (d) mobility (total n = 424; good, n = 191, 45.1%; intermediate, n = 174, 41.0%; poor, n = 59, 13.9%). For (a), (b) and (c), lower scores are better; for (d), higher scores are better. Pain scores were reported using a sliding scale that was converted to an 11-point (0–10) numeric score.

Samantha Pang explored the use of peri-operative patient- and parent-reported experience and outcome measures to identify paediatric postsurgical recovery trajectories. See doi.org/10.1111/anae... @anaesjournal.bsky.social @ubcmedicine.bsky.social @part-bcch.bsky.social @bcchresearch.bsky.social

Giving a small dose of dexmedetomidine (between 0.25 and 0.35 micrograms per kilogram of body weight) during surgery may help reduce confusion afterwards but giving more than this does not seem to help.

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doi.org/10.1111/anae...

Methodological considerations when studying ethnic disparities in epidural access: a reply

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Transfusion after traumatic brain injury: seeking a target for a magic bullet?

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doi.org/10.1111/anae...

Peri-operative fasting in adults and assumed milk composition

Do small amounts of milk added to tea matter?

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A survey of capnography displays across UK hospitals revealed:
• 36 distinct waveform configurations
• individual hospitals displayed up to 13 different variants
• in 32% of clinical areas, monitors displayed other waveforms with identical morphology to capnography

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doi.org/10.1111/anae...

The need for capnography standardisation

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doi.org/10.1111/anae...

Pre-oxygenation in patients living with obesity: a reply

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doi.org/10.1111/anae...

Decision thresholds for machine learning pre-operative risk assessment

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They counted every drug & item used in 16 day-case laparoscopic cholecystectomies.

They documented actions in the anaesthetic room, OT, recovery & gas flows.

They calculated life cycle emission analysis across 169 drugs & equipment.

What did they find?

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doi.org/10.1111/anae...

Time of day of cardiac surgery and postoperative outcomes: exploratory findings require caution

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doi.org/10.1111/anae...

Target controlled infusions for rapid sequence induction: a national survey of practice

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doi.org/10.1111/anae...

Pre-operative anaemia and mortality: a reply

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doi.org/10.1111/anae...

Interpectoral and serratus anterior plane blocks in mastectomy: a reply

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doi.org/10.1111/anae...

Balancing analgesia and function with patient preference and readiness

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doi.org/10.1111/anae...

Here is a minor amendment to the wording of the first decision point in the schematic revised to read: ‘Is early mobilisation feasible? (including patient preference and readiness)’

This also reflects patient engagement and preparedness.

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doi.org/10.1111/anae...

Balancing analgesia and function with patient preference and expectation

"The discussion could go further by highlighting the central role of patient engagement & shared decision-making in maximising the intended benefits of regional anaesthetic techniques."

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Time of day of cardiac surgery and postoperative outcomes: a reply

"We recognise that the reciprocal relationship between anticipated postoperative risk and timing of surgery is central to interpretation."

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doi.org/10.1111/anae...

Methodological considerations when studying ethnic disparities in epidural access

"Ensuring equitable access requires understanding where barriers operate and how epidural timing intersects with ethnicity and outcomes."

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doi.org/10.1111/anae...

Research has shown that patients with diabetes who have surgery face higher risks of complications during & after their procedures.

Medical experts developed these guidelines to help healthcare teams care for patients with diabetes who need surgery.

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doi.org/10.1111/anae...

Recommendations for the peri-operative use of hybrid closed-loop technology

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doi.org/10.1111/anae...