Article Notes « metajournal.com

pearl
1

In addition to the disease itself, COVID-19 also challenges doctors to manage an information surge of variable quality and reliability.

Kearsley R Duffy CC. The COVID-19 information pandemic: how have we managed the surge? Anaesthesia. 2020 Aug 1; 75 (8): 993-996.

Daniel Jolley

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Though these findings are in stark contrast to Kheterpal’s (2020) massive 45,000 subject matched cohort study that did show sugammadex reduced postop respiratory complications.

Togioka BM, Yanez D, Aziz MF et al. Randomised controlled trial of sugammadex or neostigmine for reversal of neuromuscular block on the incidence of pulmonary complications in older adults undergoing prolonged surgery. Br J Anaesth. 2020 May 1; 124 (5): 553-561.

Daniel Jolley

pearl
1

Nasolaryngeal distance can be reliably predicted using:

NLD (mm) = 1.1 × body height (cm) – 13.2

Massoth C, Schülke C, Köppe J et al. Nasolaryngeal Distances in the Adult Population and an Evaluation of Commercially Available Nasotracheal Tubes. Anesth. Analg. 2020 Apr 1; 130 (4): 1018-1025.

Daniel Jolley

pearl
1

Deep neuromuscular block for robotic prostatectomy does NOT reduce shoulder pain or speed postoperative recovery.

Williams WH, Cata JP, Lasala JD et al. Effect of reversal of deep neuromuscular block with sugammadex or moderate block by neostigmine on shoulder pain in elderly patients undergoing robotic prostatectomy. Br J Anaesth. 2020 Feb 1; 124 (2): 164-172.

Daniel Jolley

pearl
1

Sugammadex used for NMBD reversal in older adults after prolonged surgery reduced residual blockade but did not reduce pulmonary complications when compared to neostigmine.

Togioka BM, Yanez D, Aziz MF et al. Randomised controlled trial of sugammadex or neostigmine for reversal of neuromuscular block on the incidence of pulmonary complications in older adults undergoing prolonged surgery. Br J Anaesth. 2020 May 1; 124 (5): 553-561.

Daniel Jolley

pearl
1

Deep neuromuscular blockade For laparoscopic bariatric surgery improves surgical conditions but does not shorten surgical duration.

Aceto P, Perilli V, Modesti C et al. Effects of deep neuromuscular block on surgical workspace conditions in laparoscopic bariatric surgery: a systematic review and meta-analysis of randomized controlled trials. Minerva Anestesiol. 2020 Sep 1; 86 (9): 957-964.

Daniel Jolley

pearl
1

Supraglottic airway devices may be a safe choice for managing general anaesthetic Caesarean section in selected populations, however the evidence base is still slim.

Metodiev Y Mushambi M. Supraglottic airway devices for Caesarean delivery under general anaesthesia: for all, for none, or for some? Br J Anaesth. 2020 Jul 1; 125 (1): e7-e11.

Daniel Jolley

pearl
1

Intraperitoneal ropivacaine after ovarian cancer surgery reduces time to begin chemotherapy post-operatively.

Hayden JM, Oras J, Block L et al. Intraperitoneal ropivacaine reduces time interval to initiation of chemotherapy after surgery for advanced ovarian cancer: randomised controlled double-blind pilot study. Br J Anaesth. 2020 May 1; 124 (5): 562-570.

Daniel Jolley

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Also relevant to read is Duggan's 2019 CJA editorial: The MacGyver bias and attraction of homemade devices in healthcare

Leff B Finucane TE. Gizmo idolatry. JAMA. 2008 Apr 16; 299 (15): 1830-2.

Daniel Jolley

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0

Leff & Finucane's (JAMA 2008) 'gizmo idolatry' commentary is also related, and well worth a read. The human love of bells and whistles...