Article Notes

• Hide
  • Pearls
  • Summaries
  • Comments

pearl
1
In laparoscopic nephrectomy patients, early post-operative pain is associated with 30-day infectious complications.
Albers KI, van EV, Dahan A et al. Early postoperative pain after laparoscopic donor nephrectomy predicts 30-day postoperative infectious complications: a pooled analysis of randomized controlled trials. Pain. 2020 Jul 1; 161 (7): 156515701565-1570.
  Daniel Jolley
pearl
1
Ultrasound-guided peripheral nerve blocks may yield better sensory and motor block, reduce supplementation & minor complications. Use of ultrasound alone is faster than when using with nerve stimulation.
Lewis SR, Price A, Walker KJ et al. Ultrasound guidance for upper and lower limb blocks. Cochrane Db Syst Rev. 2015 Sep 11; 2015 (9): CD006459CD006459.
  Daniel Jolley
pearl
1
Compared to direct laryngoscopy, videolaryngoscopy is associated with fewer failed intubations, improved glottic view and less trauma, but no consistent improvement in first-pass success, attempts, or respiratory complications.
Lewis SR, Butler AR, Parker J et al. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Db Syst Rev. 2016 Nov 15; 11 (11): CD011136CD011136.
  Daniel Jolley
pearl
1
For non-mastectomy breast surgery the PECS II block is no better than surgical local infiltration.
Barrington MJ, Seah GJ, Gotmaker R et al. Quality of Recovery After Breast Surgery: A Multicenter Randomized Clinical Trial Comparing Pectoral Nerves Interfascial Plane (Pectoral Nerves II) Block With Surgical Infiltration. Anesth. Analg. 2020 Jun 1; 130 (6): 1559-1567.
  Daniel Jolley
pearl
1
Using a flexible reinforced laryngeal mask is non-inferior to endotracheal intubation for thyroid surgery when considering only peak airway pressure and end-tidal CO_2.
Gong Y, Wang J, Xu X et al. Performance of Air Seal of Flexible Reinforced Laryngeal Mask Airway in Thyroid Surgery Compared With Endotracheal Tube: A Randomized Controlled Trial. Anesth. Analg. 2020 Jan 1; 130 (1): 217-223.
  Daniel Jolley
pearl
1
Current evidence is too limited to conclude any significant difference between phenylephrine and noradrenaline for managing CS hypotension due to spinal anaesthesia.
Heesen M, Hilber N, Rijs K et al. A systematic review of phenylephrine vs. noradrenaline for the management of hypotension associated with neuraxial anaesthesia in women undergoing caesarean section. Anaesthesia. 2020 Jun 1; 75 (6): 800-808.
  Daniel Jolley
pearl
1
Automated robotic intubation of the trachea is feasible.
Biro P, Hofmann P, Gage D et al. Automated tracheal intubation in an airway manikin using a robotic endoscope: a proof of concept study. Anaesthesia. 2020 Jul 1; 75 (7): 881-886.
  Daniel Jolley
pearl
1
Pre-operative anaemia is associated with increased mortality, prolonged hospital stay and return to theatre in patients having emergency laparotomy.
Boyd-Carson H, Shah A, Sugavanam A et al. The association of pre-operative anaemia with morbidity and mortality after emergency laparotomy. Anaesthesia. 2020 Jul 1; 75 (7): 904-912.
  Daniel Jolley
pearl
1
Intraoperative intravenous lidocaine infusion reduces early catheter-related bladder pain and 24 hour opioid requirements in patients having transurethral resection of bladder tumours.
Kim DH, Park JY, Yu J et al. Intravenous Lidocaine for the Prevention of Postoperative Catheter-Related Bladder Discomfort in Male Patients Undergoing Transurethral Resection of Bladder Tumors: A Randomized, Double-Blind, Controlled Trial. Anesth. Analg. 2020 Jul 1; 131 (1): 220-227.
  Daniel Jolley
pearl
1
Ketamine, propofol and volatile anaesthetic agents appear to have antidepressant effects.
Tadler SC Mickey BJ. Emerging evidence for antidepressant actions of anesthetic agents. Curr Opin Anaesthesiol. 2018 Aug 1; 31 (4): 439-445.
  Daniel Jolley