British journal of anaesthesia
The most recent articles from:
Br J Anaesth
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Letter Meta Analysis Comparative Study
Comparison between ultrasound-guided and digital palpation techniques for identification of the cricothyroid membrane: a meta-analysis.
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Observational Study
Abnormal preoperative cognitive screening in aged surgical patients: a retrospective cohort analysis.
Preoperative cognitive dysfunction has been associated with adverse postoperative outcomes. There are limited data characterising the epidemiology of preoperative cognitive dysfunction in older surgical patients. ⋯ Routine preoperative cognitive screening of unselected aged surgical patients often revealed deficits consistent with cognitive impairment or dementia. Such deficits were associated with increased age, decreased function, decreased BMI, and several common medical comorbidities. Further research is necessary to characterise the clinical implications of preoperative cognitive dysfunction and identify interventions that may reduce related postoperative complications.
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Editorial Comment
Occam's razor at the sharp end: simplified preoperative risk assessment.