British journal of anaesthesia
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Randomized Controlled Trial
Postoperative impairment of motor function at train-of-four ratio ≥0.9 cannot be improved by sugammadex (1 mg kg-1).
Recovery of train of four ratio to > 0.9 signifies adequate recovery of muscle function after neuromuscular blockade.
pearl -
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.
pearl -
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.
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Multicenter Study
Risk scores to facilitate preoperative prediction of transfusion and large volume blood transfusion associated with adult cardiac surgery†.
The aim of this study was to develop two novel risk prediction scores for transfusion and bleeding that would be used to inform treatment decisions, quality assurance, and clinical trial design in cardiac surgery. ⋯ Two new risk scores for any RBC transfusion or LVBT among cardiac surgery patients have excellent discrimination, and could inform clinical decision making.