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JOURNAL ARTICLE
Sarah K Andersen, Nathan Gamble, Oleksa Rewa
PURPOSE: The COVID-19 pandemic created conditions of scarcity that led many provinces within Canada to develop triage protocols for critical care resources. In this study, we sought to undertake a narrative synthesis and ethical analysis of early provincial pandemic triage protocols. METHODS: We collected provincial triage protocols through personal correspondence with academic and political stakeholders between June and August 2020. Protocol data were extracted independently by two researchers and compared for accuracy and agreement...
April 8, 2024: Canadian Journal of Anaesthesia
#22
JOURNAL ARTICLE
Robyn Tran, Karen Pedersen, Helen Kolawole, Peter Roessler, Richard Scolaro
Perioperative anaphylaxis is a potentially life-threatening emergency that requires prompt recognition and institution of life-saving therapy. The Australian and New Zealand College of Anaesthetists and Australian and New Zealand Anaesthetic Allergy Group have partnered to develop the anaphylaxis management guideline along with crisis management cards that are recommended for use in suspected anaphylaxis in the perioperative setting. This is the third version of these guidelines with the second version having been published in 2016...
April 8, 2024: Anaesthesia and Intensive Care
#23
JOURNAL ARTICLE
Bárbara Sousa, Joana Nunes, Andreia Fiúza Ribeiro
Sickle cell disease is characterised by episodes of vaso-occlusive crisis, a painful complication. Regional anaesthesia has shown promising results in reducing opioid consumption and pain scores. Patients with vaso-occlusive crises who underwent regional anaesthesia in the paediatric intensive care unit were studied. Data regarding pain location, regional analgesia technique, the local anaesthetic used and dose, daily opioid consumption, daily pain scores, use of adjuvants and complications were recorded. The primary outcome was to evaluate the effect of regional anaesthesia on opioid consumption...
April 2024: Indian Journal of Anaesthesia
#24
JOURNAL ARTICLE
Başak Merve Yanmaz, Melike Yüce Aktepe, Ali Erdoğan, Özlem Çakin
OBJECTIVE: The purpose of this study was to investigate the prevalence of depression, anxiety disorder, hopelessness, and suicide among first-degree relatives of patients hospitalised in medical and anaesthesia intensive care units at an academic medical centre. METHODS: In this case-control study conducted in Türkiye, 32 first-degree relatives of 32 patients hospitalised for 14 days or more in intensive care units and 32 healthy volunteers were included for assessment...
April 4, 2024: International Journal of Psychiatry in Medicine
#25
JOURNAL ARTICLE
Piotr Wtorek, Matthew J Weiss, Jeffrey M Singh, Carmen Hrymak, Alecs Chochinov, Brian Grunau, Bojan Paunovic, Sam D Shemie, Jehan Lalani, Bailey Piggott, James Stempien, Patrick Archambault, Parisa Seleseh, Rob Fowler, Murdoch Leeies
PURPOSE: Insufficient evidence-based recommendations to guide care for patients with devastating brain injuries (DBIs) leave patients vulnerable to inconsistent practice at the emergency department (ED) and intensive care unit (ICU) interface. We sought to characterize the beliefs of Canadian emergency medicine (EM) and critical care medicine (CCM) physician site directors regarding current management practices for patients with DBI. METHODS: We conducted a cross-sectional survey of EM and CCM physician directors of adult EDs and ICUs across Canada (December 2022 to March 2023)...
April 3, 2024: Canadian Journal of Anaesthesia
#26
JOURNAL ARTICLE
Jennifer Guevara, Carlos Sánchez, Jessica Organista-Montaño, Benjamin W Domingue, Nan Guo, Pervez Sultan
BACKGROUND: Spanish is the second most spoken language globally with around 475 million native speakers. We aimed to validate a Spanish version of the Obstetric Quality of Recovery-10 item (ObsQoR-10) patient-reported outcome measure. METHODS: ObsQoR-10-Spanish was developed using EuroQoL methodology. ObsQoR-10-Spanish was assessed in 100 Spanish-speaking patients undergoing elective Caesarean or vaginal delivery. Patients <38 weeks, undergoing an intrapartum Caesarean delivery, intrauterine death, or maternal admission to the intensive care unit (ICU) were excluded...
June 2024: BJA Open
#27
JOURNAL ARTICLE
Derk Frank, Eric Durand, Sandra Lauck, Douglas F Muir, Mark Spence, Mariuca Vasa-Nicotera, David Wood, Francesco Saia, Cristóbal A Urbano-Carrillo, Damien Bouchayer, Vlad Anton Iliescu, Christophe Saint Etienne, Florence Leclercq, Vincent Auffret, Lluis Asmarats, Carlo Di Mario, Aurelie Veugeois, Jiri Maly, Andreas Schober, Luis Nombela-Franco, Nikos Werner, Joan Antoni Gómez-Hospital, Julia Mascherbauer, Giuseppe Musumeci, Nicolas Meneveau, Thibaud Meurice, Felix Mahfoud, Federico De Marco, Tim Seidler, Florian Leuschner, Patrick Joly, Jean-Philippe Collet, Ferdinand Vogt, Emilio Di Lorenzo, Elmar Kuhn, Vicente Peral Disdier, Violetta Hachaturyan, Claudia M Lüske, Radka Rakova, Wilbert Wesselink, Jana Kurucova, Peter Bramlage, Gemma McCalmont
BACKGROUND AND AIMS: There is significant potential to streamline the clinical pathway for patients undergoing transcatheter aortic valve implantation (TAVI). The purpose of this study was to evaluate the effect of implementing BENCHMARK best practices on the efficiency and safety of TAVI in 28 sites in 7 European countries. METHODS: This was a study of patients with severe symptomatic aortic stenosis (AS) undergoing TAVI with balloon-expandable valves before and after implementation of BENCHMARK best practices...
March 30, 2024: European Heart Journal
#28
JOURNAL ARTICLE
Ross Prager, Robert Arntfield, Michelle Y S Wong, Ian Ball, Kimberley Lewis, Bram Rochwerg, John Basmaji
PURPOSE: Venous congestion is a pathophysiologic state that can result in organ dysfunction, particularly acute kidney injury (AKI). We sought to evaluate the feasibility of performing a definitive observational study to determine the impact of venous congestion quantified using point-of-care ultrasound (POCUS) in patients with septic shock. METHODS: We conducted a prospective observational feasibility study at two intensive care units (ICUs). We recruited adult patients with septic shock within 12 hr of ICU admission...
March 28, 2024: Canadian Journal of Anaesthesia
#29
JOURNAL ARTICLE
Andrew Mb Heard, David A Lacquiere, Helen L Gordon, Scott G Douglas, Hans J Avis
At the Royal Perth Hospital, we have been developing and teaching a can't intubate, can't oxygenate (CICO) rescue algorithm for over 19 years, based on live animal simulation. The algorithm involves a 'cannula-first' approach, with jet oxygenation and progression to scalpel techniques if required in a stepwise fashion. There is little reported experience of this approach to the CICO scenario in humans. We present eight cases in which a cannula-first Royal Perth Hospital approach was successfully implemented during an airway crisis...
March 28, 2024: Anaesthesia and Intensive Care
#30
REVIEW
Joseph Larvin, Mark Edwards, Daniel S Martin, Martin Feelisch, Michael P W Grocott, Andrew F Cumpstey
Oxygen is the most used drug in anaesthesia. Despite such widespread use, optimal perioperative oxygen administration remains highly controversial because of concerns about the competing harms of both hyperoxia and hypoxia. Notwithstanding a Cochrane review concluding that routinely administering a fractional inspired oxygen concentration (FiO2 ) >0.6 intraoperatively might increase postoperative morbidity and mortality, the World Health Organization (WHO) currently recommends all anaesthetised patients receive 0...
June 2024: BJA Open
#31
JOURNAL ARTICLE
O D Gustafson, E B King, M M Schlussel, A Arnold, C Wade, P S Nicol, M J Rowland, H Dawes, M A Williams
Physical disability is a common component of post-intensive care syndrome, but the importance of musculoskeletal health in this population is currently unknown. We aimed to determine the musculoskeletal health state of intensive care unit survivors and assess its relationship with health-related quality of life; employment; and psychological and physical function. We conducted a multicentre prospective cohort study of adults admitted to intensive care for > 48 h without musculoskeletal trauma or neurological insult...
March 27, 2024: Anaesthesia
#32
REVIEW
Thomas Wiesmann, Thorsten Steinfeldt, Ann-Kristin Schubert
This review article provides an overview of current developments in peripheral regional anaesthesia (RA). The authors present a subjective compilation based on discussions at professional events and inquiries to the Working Group on Regional Anaesthesia of the German Society for Anaesthesiology and Intensive Care Medicine (DGAI). The article addresses several relevant topics, including the handling of antithrombotic medication in peripheral blockades with reference to European guidelines, the debate on the discharge timing after plexus anaesthesia, and the consideration of rebound pain as an independent pain entity following RA...
March 2024: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
#33
REVIEW
Sathish Muthu, Vibhu Krishnan Viswanathan, Saravanan Annamalai, Mohammed Thabrez
STUDY DESIGN: Systematic review. OBJECTIVE: Erector spinae plane block (ESPB) is growing in popularity over the recent past as an adjuvant modality in multimodal analgesic management following lumbar spine surgery (LSS). The current updated meta-analysis was performed to analyze the efficacy of ESPB for postoperative analgesia in patients undergoing LSS. METHODS: We conducted independent and duplicate electronic database searches including PubMed, Embase and Cochrane Library till June 2023 for randomized controlled trials (RCTs) analyzing the efficacy of bilateral ESPB for postoperative pain relief in lumbar spine surgeries...
July 2024: World neurosurgery: X
#34
JOURNAL ARTICLE
Elise K Kristensen, Kay Müller, Tor Ingebrigtsen, Haakon Lindekleiv, Roar Kloster, Jørgen G Isaksen
INTRODUCTION: Studies report rates of treatment-requiring postoperative intracranial haemorrhage after craniotomy around 1-2%, but do not distinguish between supratentorial and posterior fossa operations. Reports about intracranial haemorrhages' temporal occurrence show conflicting results. Recommendations for duration of postoperative monitoring vary. RESEARCH QUESTION: To determine the rate, temporal pattern and clinical presentation of reoperation-requiring postoperative intracranial posterior fossa haemorrhage...
2024: Brain Spine
#35
REVIEW
C Docherty, C Page, J Wilson, P Ross, K Garrity, T Quasim, M Shaw, J McPeake
Post-intensive care syndrome describes the physical, cognitive and emotional symptoms which persist following critical illness. At present there is limited understanding of the pathological mechanisms contributing to the development of post-intensive care syndrome. The aim of this systematic review was to synthesise current evidence exploring the association between inflammation and features of post-intensive care syndrome in survivors of critical illness. Relevant databases were systematically searched for studies of human participants exposed to critical illness...
March 20, 2024: Anaesthesia
#36
JOURNAL ARTICLE
Molly J Ryan, Laurie Lee, Sara Drisdelle, Daniel Garros, Jamie A Seabrook, Janet Curran, Jacqueline Bretzler, Corey Slumkoski, Martha Walls, Laura Betts, Stacy Burgess, Jennifer R Foster
PURPOSE: Pediatric intensive care units (PICUs) worldwide restricted family presence in response to the COVID-19 pandemic. We aimed to explore the experiences and impact of restricted family presence policies on Canadian PICU clinicians. METHODS: We conducted a qualitative study that followed an interpretive phenomenological design. Participants were PICU clinicians providing direct patient care in Canada during periods of COVID-19-related restricted family presence...
March 20, 2024: Canadian Journal of Anaesthesia
#37
REVIEW
Andrea Cortegiani, Denise Battaglini, Giovanna Amato, Astrid Ursula Behr, Katia Donadello, Sharon Einav, Maria Grazia Frigo, Giorgio Fullin, Alberto Giannini, Mariachiara Ippolito, Franco Marozzi, Roberta Monzani, Gianpaola Monti, Marcus J Schultz, Vito Torrano, Gianluca Villa, Antonino Giarratano
BACKGROUND: Dissemination of medical practice and scientific information through social media (SoMe) by clinicians and researchers is increasing. Broad exposure of information can promote connectivity within the scientific community, overcome barriers to access to sources, increase debate, and reveal layperson perspectives and preferences. On the other hand, practices lacking scientific evidence may also be promoted, laypeople may misunderstand the professional message, and clinician may suffer erosion of professional status...
March 19, 2024: J Anesth Analg Crit Care
#38
JOURNAL ARTICLE
M Omair Rahman, Emannuel Charbonney, Ryan Vaisler, Abubaker Khalifa, Waleed Alhazzani, Kiera Gossack-Keenan, Allan Garland, Timothy Karachi, Erick Duan, Sean M Bagshaw, Maureen O Meade, Chris Hillis, Peter Kavsak, Karen Born, Lawrence Mbuagbaw, Deborah Siegal, Tina Millen, Damon Scales, Andre Amaral, Shane English, Victoria A McCredie, Peter Dodek, Deborah J Cook, Bram Rochwerg
PURPOSE: The ordering of routine blood test panels in advance is common in intensive care units (ICUs), with limited consideration of the pretest probability of finding abnormalities. This practice contributes to anemia, false positive results, and health care costs. We sought to understand practices and attitudes of Canadian adult intensivists regarding ordering of blood tests in critically ill patients. METHODS: We conducted a nationwide Canadian cross-sectional survey consisting of 15 questions assessing three domains (global perceptions, test ordering, daily practice), plus 11 demographic questions...
March 19, 2024: Canadian Journal of Anaesthesia
#39
JOURNAL ARTICLE
Ursula Kahl, Alena Boehm, Linda Krause, Regine Klinger, Kaloyan Stoimenov, Christian Zöllner, Lili Plümer, Marlene Fischer
BACKGROUND: To date, there is no instrument to adequately assess self-reported quality of recovery (QoR) in the post-anesthesia care unit (PACU). We previously developed the QoR-PACU, a 13-item questionnaire specifically applicable to the PACU. The feasibility, acceptance, and validity of the QoR-PACU were promising. However, measures of reliability were slightly lower than expected. METHODS: We modified the QoR-PACU and evaluated its psychometric properties in a cohort of adult patients scheduled for non-cardiac surgery with general anesthesia...
March 16, 2024: Anaesthesia, Critical Care & Pain Medicine
#40
JOURNAL ARTICLE
Sumbal Shahbaz, Natasha Howard
Literature on anaesthesia systems in low and lower middle-income countries is limited, focused on the Africa region, and provides minimal data on anaesthesia or associated disciplines within intensive care, pain management and emergency medicine. We thus conducted a scoping review of primary and secondary research literature on capacity and effectiveness of anaesthesia delivery in low and lower middle-income countries in the Asia region from 2000-2021, to clarify existing knowledge, important gaps, and possible subsequent steps...
2024: PLOS Glob Public Health
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