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British Journal of Anaesthesia @bjajournals.bsky.social · 13h

Despite its name, bone cement implantation syndrome (#BCIS) may also be observed in uncemented arthroplasty. Brokke et al. proposes a new name and highlight the need for further research on prevention and treatment strategies #AnSky

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 1d

Do you remember performing your first #neuraxial procedure? Nielsen et al. suggest that proficiency-based training with simulation interventions could be effective educational tools. #spinal #epidural

Training and assessment of skills in neuraxial space access: a scoping review of educational approaches to lumbar puncture, epidural anaesthesia, and spinal anaesthesia

Neuraxial space access, including lumbar puncture, spinal anaesthesia, and epidural anaesthesia, is important in clinical practise for diagnostics and anaesthesia. Despite frequent use, standardised…

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British Journal of Anaesthesia @bjajournals.bsky.social · 2d

What is the best intraoperative maintenance #fluid of choice in infant surgery? Dr Huang highlights several important considerations in light of the recent study by Lindestam et al

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British Journal of Anaesthesia @bjajournals.bsky.social · 3d

Are parasternal blocks effective and safe in cardiac surgery? Do they have an impact on the quality of recovery? This new randomised trial by Demarquette et al. did not show any difference in quality of recovery (QoR-15) compared to standard care.

Impact of superficial and deep parasternal blocks on recovery after cardiac surgery with sternotomy: a randomised controlled trial

Pain is common after cardiac surgery and can impair recovery. Regional anaesthesia has been proposed to limit pain, but its impact on recovery is unknown. This study compared the impact of…

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British Journal of Anaesthesia @bjajournals.bsky.social · 4d

Determining the #ASA status with #AI: while #Deepseek-R1 may be more suitable for outpatient and elective settings, Open-AI's #o3-mini-high may be useful for scenarios requiring speed and consistency

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 5d

Which rapid infusion system does your institution have? The #Belmont® RI-2 emerges as the only device in this new study by Eichinger et al. that can achieve adequate heating at high flow rates..

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 6d

The #QoR-15 is a reliable patient-reported outcome measure for postoperative #recovery, highlighting that greater surgical insult and complications correlate with prolonged recovery and reduced days at home within 30 days

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 7d

Read the latest Perioperative Quality Initiative statement on goal-directed haemodynamic therapy here, including when #GDHT may be beneficial

Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy

Perioperative goal-directed haemodynamic therapy (GDHT) includes a variety of protocolised approaches to the assessment and management of the circulatory system and blood flow for patients undergoing…

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British Journal of Anaesthesia @bjajournals.bsky.social · 8d

In this new study by Gunning et al., #videolaryngoscopy enhances first-attempt success in teaching direct laryngoscopy, with no compromise in overall outcomes. Should #videolaryngoscopy be the preferred training tool? #AnSky #airway

Videolaryngoscopy versus direct laryngoscopy for teaching direct laryngoscopy skills: a systematic review and meta-analysis

It is established that videolaryngoscopy improves intubation success rates and views compared with direct laryngoscopy. However, concerns regarding default adoption of videolaryngoscopy include a…

www.bjanaesthesia.org.uk

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British Journal of Anaesthesia @bjajournals.bsky.social · 9d

#Ketamine may have a beneficial effect on the incidence and/or duration of #perioperative #neurocognitive disorders. Further research is needed to clarify whether the benefits persist in subpopulations of high-risk patients

Effects of ketamine on postoperative cognition: a scoping review

Postoperative delirium and other forms of perioperative neurocognitive deficits occur commonly in older adult patients. Ketamine, administered either before or during general anaesthesia, may have…

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Reposted by British Journal of Anaesthesia

Greg Bryson @glbryson.bsky.social · 12d

New work from our AIMS Research Group and The Canadian Prehabilitation Network.

British Journal of Anaesthesia @bjajournals.bsky.social · 12d

As #prehabilitation becomes standard practice, more research is required to address the barriers to #adherence. Optimising definitions of adherence and improving reporting quality can be the first step

Adherence to prehabilitation in adult surgical patients: a systematic review, meta-analysis, meta-regression, and qualitative synthesis

Prehabilitation is hypothesised to play an important role in optimising postoperative outcomes. However, achieving high adherence can be challenging. Our objectives were to synthesise current…

www.bjanaesthesia.org

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British Journal of Anaesthesia @bjajournals.bsky.social · 11d

Have you ever wondered why some patients need more or less #propofol than others? Genetic polymorphism in the propofol metabolism pathway may provide the answer

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 12d

As #prehabilitation becomes standard practice, more research is required to address the barriers to #adherence. Optimising definitions of adherence and improving reporting quality can be the first step

Adherence to prehabilitation in adult surgical patients: a systematic review, meta-analysis, meta-regression, and qualitative synthesis

Prehabilitation is hypothesised to play an important role in optimising postoperative outcomes. However, achieving high adherence can be challenging. Our objectives were to synthesise current…

www.bjanaesthesia.org

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British Journal of Anaesthesia @bjajournals.bsky.social · 13d

#Perioperative autonomic nervous system imbalance may contribute to adverse outcomes. Addressing this imbalance may represent potential therapeutic targets to improve recovery in the future

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British Journal of Anaesthesia @bjajournals.bsky.social · 14d

While #AI algorithms achieve high accuracy for STEMI identification on clean #ECGs, high noise signals in the perioperative environment limit their clinical use. Prospective real-world data is required to develop a mature algorithm.

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 15d

How well does your #i-gel ® fit? New study shows current smallest i-gel® (size 1.0) is still too large for #neonates under 2200g. Low birth weight #infants may require smaller, tailored supraglottic airway devices #AnSky #anaesthesia

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 16d

#hypotension in #remimazolam and #propofol induction. In this correspondence, Takaki et al. clarifies dosing, monitoring, and analysis details in their study of induction of #anaesthesia.

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 17d

#SNAP-3, the UK’s largest perioperative study of older adults, shows #frailty—not #multimorbidity—is key to poor surgical outcomes. Findings support targeted, frailty-focused care.

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 18d

Chemogenetic PV-cell silencing under 1% isoflurane: burst-suppression or covert spike-and-wave epilepsy? Aksenov et al. explain why wide-band #EEG & anti-absence tests are essential to differentiate between them.

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 19d

#Hydroxocobalamin was associated with a significant reduction in short term #vasopressor requirements up to 24 hours post-cardiopulmonary bypass in vasoplegic patients. Will this translate to improved clinical outcomes?

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 20d

#Cognitive errors in paediatric #airway management increase the risks of complications. Team training and cognitive aids may minimise faulty thought processes and subconscious biases, improving patient #safety.

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 21d

#SNAP-3 demonstrates patients of Clinical #Frailty Scale ≥4 are at higher risks of #delirium & perioperative complications. Future research should focus on identifying interventions that would improve outcomes in this group of patients.

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 22d

How does #ICD-11 help - or hinder - the recognition of chronic postsurgical #pain? This new editorial by Martinez et al. explores the challenges of coding #CPSP and highlights what remains to be improved.

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 25d

Following elimination of #desflurane, #nitrousoxide & high fresh gas flow emerge as the key contributors or anaesthesia-related CO2e emissions in this new study by Seibold et al.

www.bjanaesthesia.org/article/S000...

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British Journal of Anaesthesia @bjajournals.bsky.social · 26d

#Anaemia and #transfusion are associated with an increased mortality and higher incidence of postoperative complications in #paediatric noncardiac surgery patients #AnSky

bjanaesthesia.org.uk/article/S000...

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