British journal of anaesthesia
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Citation scores (CS) are traditionally used to measure the impact of scientific publications. Altmetric Attention Scores (AAS), in contrast, consider the digital dissemination of articles across social media platforms to track their audience reach. In this cross-sectional study, we aimed to determine the correlation between AAS and CS in 12 high-impact-factor journals in the category of 'Clinical Medicine'. ⋯ Altmetric Attention Scores correlated with citation scores, suggesting that audience engagement via social media can influence the future impact of publications and their citation scores.
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The ability of current depth-of-anaesthesia monitors to differentiate subtle changes in the conscious state has not been well characterised. We examine the variability in bispectral index (BIS) scores associated with disconnected conscious and unconscious states as confirmed by a novel serial awakening paradigm. ⋯ These results agree with previous studies that BIS scores fail to reliably differentiate between states of consciousness, exacerbated by segregating connected, disconnected, and unconscious states. To develop a method that reliably identifies the conscious state of an individual (not an average), work is needed to establish the causal mechanisms of disconnection and unconsciousness.
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Review Meta Analysis
Efficacy of intravenous iron supplementation in reducing transfusion risk following cardiac surgery: an updated meta-analysis of randomised controlled trials.
Previous meta-analyses of intravenous iron supplementation for reducing red blood cell (RBC) transfusion risk after cardiac surgery were inconclusive because of limited data. This updated meta-analysis incorporates recent evidence. ⋯ CRD42024542206 (PROSPERO).
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Editorial Review
Helping clinicians debrief themselves: a simple how-to guide.
The operating theatre is a dynamic and challenging environment where effective teamwork is essential. Routine clinical debriefings, which involve brief reflections on collaboration to identify successes and areas for improvement, have proved to enhance teamwork, particularly in the operating theatre. However, barriers such as time constraints, conflicting priorities, and a lack of standardised debriefing processes hinder their regular use. Implementation of TALK©, a voluntary self-debriefing method, showed significant improvements in debriefing performance and integration of debriefing into routine practice, although long-term consistency remains a challenge.