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pearl
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A lower processed-EEG based measure of anaesthetic resistance is associated with greater post-operative delirium risk.
Cooter M, Bunning T, Eleswarpu SS et al. A Processed Electroencephalogram-Based Brain Anesthetic Resistance Index Is Associated With Postoperative Delirium in Older Adults: A Dual Center Study. Anesth. Analg. 2022 Jan 1; 134 (1): 149158149-158.
  Daniel Jolley
pearl
1
Unsuccessful epidural blood patch is associated with higher lumbar levels, shorter time between puncture & patch, and with patients with migraine history.
Gupta A, Van M, Magnuson A et al. Factors associated with failed epidural blood patch after accidental dural puncture in obstetrics: a prospective, multicentre, international cohort study. Br J Anaesth. 2022 Nov 1; 129 (5): 758-766.
  Daniel Jolley
pearl
1
Other than acute kidney injury, there appears no outcome difference between spinal and general anaesthesia in hip fracture surgery.
Kunutsor SK, Hamal PB, Tomassini S et al. Clinical effectiveness and safety of spinal anaesthesia compared with general anaesthesia in patients undergoing hip fracture surgery using a consensus-based core outcome set and patient-and public-informed outcomes: a systematic review and meta-analysis of randomised controlled trials. Br J Anaesth. 2022 Nov 1; 129 (5): 788800788-800.
  Daniel Jolley
pearl
1
Ultrasound-guided parasternal block may be an effective regional technique to reduce pain, ventilation & ICU stay after cardiac surgery.
Li J, Lin L, Peng J et al. Efficacy of ultrasound-guided parasternal block in adult cardiac surgery: a meta-analysis of randomized controlled trials. Minerva Anestesiol. 2022 Sep 1; 88 (9): 719-728.
  Daniel Jolley
pearl
1
ICU patients with COVID have a higher incidence of barotrauma than non-COVID patients, despite similar ventilation management.
Umbrello M, Venco R, Antonucci E et al. Incidence, clinical characteristics and outcome of barotrauma in critically ill patients with COVID-19: a systematic review and meta-analysis. Minerva Anestesiol. 2022 Sep 1; 88 (9): 706-718.
  Daniel Jolley
pearl
1
Road safety interventions addressing speed would save about 350,000 lives globally each year.
Vecino-Ortiz AI, Nagarajan M, Elaraby S et al. Saving lives through road safety risk factor interventions: global and national estimates. Lancet. 2022 Jul 16; 400 (10347): 237-250.
  Daniel Jolley
pearl
1
Patient satisfaction with anaesthesia is unchanged by post-operative anaesthetist visit.
Saal D, Heidegger T, Nuebling M et al. Does a postoperative visit increase patient satisfaction with anaesthesia care? Br J Anaesth. 2011 Nov 1;107(5):703-9.
  Daniel Jolley
comment
1
See the more recent 2022 article, Return to exercise post-COVID-19 infection: A pragmatic approach in mid-2022, which also sets out a graduated return to exercise, though is perhaps even more pragmatic.
Jewson J, McNamara A, Fitzpatrick J. Life after COVID-19: The importance of a safe return to physical activity. Aust J Gen Pract. 2020 Nov 25; 49.
  Daniel Jolley
pearl
1
After recovering from mild COVID infection with minimal or no symptoms, most recreational athletes can gradually increase exercise intensity over six days, returning to normal activity on day 7 if graduation is well tolerated.
Hughes DC, Orchard JW, Partridge EM et al. Return to exercise post-COVID-19 infection: A pragmatic approach in mid-2022. J Sci Med Sport. 2022 Jul 1; 25 (7): 544-547.
  Daniel Jolley
pearl
0
After COVID recovery, most vaccinated elite athletes achieve pre-morbid fitness levels by day 7-14.
Hughes DC, Orchard JW, Partridge EM et al. Return to exercise post-COVID-19 infection: A pragmatic approach in mid-2022. J Sci Med Sport. 2022 Jul 1; 25 (7): 544-547.
  Daniel Jolley