British journal of anaesthesia
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Randomized Controlled Trial
Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice.
Learning in a simulated anesthesia crisis is better when the simulation is of independent practice than supervised practice.
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Review Meta Analysis
A Bayesian network meta-analysis on the effect of inodilatory agents on mortality.
Inodilators are commonly used in critically ill patients, but their effect on survival has not been properly studied to date. The objective of this work was to conduct a network meta-analysis on the effects of inodilators on survival in adult cardiac surgery patients, and to compare and rank drugs that have not been adequately compared in head-to-head trials. ⋯ Levosimendan seems to be the most efficacious inodilator to improve survival in cardiac surgery.
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Multicenter Study
Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system.
Although wrong-site surgery has garnered extensive scrutiny, the incidence of wrong-site blocks remains unknown. Our study thus sought to quantify the incidence of wrong-site blocks and examine some of their associated risk factors in our multihospital health-care system. ⋯ Our study provides the first incidence data on wrong-site block in a large patient population and can help hospitals to develop policies based on these data. It is yet to be determined whether active intervention can eliminate this adverse event.