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pearl
1
Volatile anaesthesia is associated with both lower long-term mortality and less myocardial infarction compared to propofol anaesthesia for cardiac surgery under cardiopulmonary bypass.
Bonanni A, Signori A, Alicino C et al. Volatile Anesthetics versus Propofol for Cardiac Surgery with Cardiopulmonary Bypass: Meta-analysis of Randomized Trials. Anesthesiology. 2020 Jun 1; 132 (6): 1429-1446.
  Daniel Jolley
pearl
1
Rodent models suggest that there are sex-differences in anaesthesia-induced development neurotoxicity.
Cabrera OH, Gulvezan T, Symmes B et al. Sex differences in neurodevelopmental abnormalities caused by early-life anaesthesia exposure: a review. Br J Anaesth. 2020 Mar 1; 124 (3): e81-e91.
  Daniel Jolley
pearl
1
Although there is some statistically significant improvement in very early post-operative physiology for sugammadex vs neostigmine, it is not clinically significant, persistent nor occurs in other recovery domains.
Kim NY, Koh JC, Lee KY et al. Influence of reversal of neuromuscular blockade with sugammadex or neostigmine on postoperative quality of recovery following a single bolus dose of rocuronium: A prospective, randomized, double-blinded, controlled study. J Clin Anesth. 2019 Nov 1; 57: 97-102.
  Daniel Jolley
summary
0
Figure 2 from the study shows overall recovery and for each domain between neostigmine (N) and sugammadex (S) at each time point (15 min, 40 min and Post-Op Day 1).
A significant difference was observed in physiological recovery at 15  min after surgery, but not for overall recovery or any other domain.

Kim NY, Koh JC, Lee KY et al. Influence of reversal of neuromuscular blockade with sugammadex or neostigmine on postoperative quality of recovery following a single bolus dose of rocuronium: A prospective, randomized, double-blinded, controlled study. J Clin Anesth. 2019 Nov 1; 57: 97-102.
  Daniel Jolley
pearl
1
For patients with an unstable cervical spine the Optiscope may produce less cervical spine movement than the McGrath videolaryngoscope.
Nam K, Lee Y, Park HP et al. Cervical Spine Motion During Tracheal Intubation Using an Optiscope Versus the McGrath Videolaryngoscope in Patients With Simulated Cervical Immobilization: A Prospective Randomized Crossover Study. Anesth. Analg. 2019 Dec 1; 129 (6): 166616721666-1672.
  Daniel Jolley
pearl
1
Within 30 days of their first COVID intubation, 10% of anaesthetists reported positive COVID infection.
El-Boghdadly K, WongD J NDJNDepartment of Anaesthesia Perioperative Medicine, Guy's St Thomas' NHS Foundation Trust, London, UK., Owen R et al. Risks to healthcare workers following tracheal intubation of patients with COVID-19: a prospective international multicentre cohort study. Anaesthesia. 2020 Nov 1; 75 (11): 1437-1447.
  Daniel Jolley
pearl
1
Direct impact by tear gas cannisters may result in traumatic brain injury, in addition to other chemical, thermal and mechanical trauma.
Alhillo HT, Arnaout MM, Radhi HS et al. Direct head injury caused by a tear gas cartridge. Questions on safety: A case report from Iraq and review of the literature. J Clin Neurosci. 2018 Oct 1; 56: 179-182.
  Daniel Jolley
comment
0
Relevant from the same research group:
Death, injury and disability from kinetic impact projectiles in crowd-control settings: a systematic review (BMJ Open 2017).
Haar RJ, Iacopino V, Ranadive N et al. Health impacts of chemical irritants used for crowd control: a systematic review of the injuries and deaths caused by tear gas and pepper spray. Bmc Public Health. 2017 Oct 19; 17 (1): 831.
  Daniel Jolley
comment
0
Relevant from the same research group:
Health impacts of chemical irritants used for crowd control: a systematic review of the injuries and deaths caused by tear gas and pepper spray (BMC Public Health 2017).
Haar RJ, Iacopino V, Ranadive N et al. Death, injury and disability from kinetic impact projectiles in crowd-control settings: a systematic review. BMJ Open. 2017 Dec 5; 7 (12): e018154.
  Daniel Jolley
comment
0
The WHO changed it's advice regarding the general public wearing face-masks in response to the conclusions of this study.
The WHO now recommends the public wear face-masks when unable to physically distance.
Chu DK, Akl EA, Duda S et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet. 2020 Jun 27; 395 (10242): 197319871973-1987.
  Daniel Jolley