British journal of anaesthesia
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Editorial Comment
Can we go too far with empathy? Shifting from empathy to compassion.
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Multicenter Study Comparative Study Observational Study
Comparison of incidence of anaphylaxis between sugammadex and neostigmine: a retrospective multicentre observational study.
In Japan, Sugammadex anaphylaxis occurs in ~1 in 5,000 exposures.
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Short educational programmes are important in building global anaesthesia workforce capacity. The Vital Anaesthesia Simulation Training (VAST) course is a 3-day immersive simulation-based programme concentrating on core clinical challenges and non-technical skills required by anaesthesia providers in low-resource settings. ⋯ VAST offers a simulation-based training to anaesthesia providers working in low-resource settings. Skills retention and self-reported application of learning into the workplace reflect the scope of impact of this training.
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Observational Study
Association between postoperative complications and lingering post-surgical pain: an observational cohort study.
Post-surgical pain that lingers beyond the initial few-week period of tissue healing is a major predictor of pain chronification, which leads to substantial disability and new persistent opioid analgesic use. We investigated whether postoperative medical complications increase the risk of lingering post-surgical pain. ⋯ Medical complications were associated with a two-fold increase in functionally limiting pain 1-3 months after surgery. Understanding the mechanisms that link complications to pathological persistence of pain could help develop future approaches to prevent persistent post-surgical pain.