Article Notes « metajournal.com

pearl
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A relational coordination framework can be readily applied to both simulation research and application.

Brazil V, Purdy E, Alexander C et al. Improving the relational aspects of trauma care through translational simulation. Adv Simul (Lond). 2019 Jan 1; 4: 10.

Daniel Jolley

pearl
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Hospitals more actively using in situ cardiac arrest drills show significantly higher survival to discharge after in-hospital cardiac arrest.

Josey K, Smith ML, Kayani AS et al. Hospitals with More-active Participation in Conducting Standardized In-situ Mock Codes have Improved Survival After In-hospital Cardiopulmonary Arrest. Resuscitation. 2018 Dec 1; 133: 47-52.

Daniel Jolley

pearl
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A significant proportion of women do not recall intrapartum information before labour analgesia (38%) or anaesthesia for cesarean section (72%). Verbally-provided information was best recalled.

Brinkler R, Edwards Z, Abid S et al. A survey of antenatal and peripartum provision of information on analgesia and anaesthesia. Anaesthesia. 2019 Sep 1; 74 (9): 1101-1111.

Daniel Jolley

pearl
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Regional anesthesia appears to reduce persistent post-surgical pain in adults after thoracotomy, breast cancer surgery and cesarean section, although evidence is of modest quality.

Levene JL, Weinstein EJ, Cohen MS et al. Local anesthetics and regional anesthesia versus conventional analgesia for preventing persistent postoperative pain in adults and children: A Cochrane systematic review and meta-analysis update. J Clin Anesth. 2019 Aug 1; 55: 116-127.

Daniel Jolley

pearl
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Intravenous lidocaine infusions for 48 hours perioperatively do not reduce postoperative cognitive decline up to 1 year after cardiac surgery.

Klinger RY, Cooter M, Bisanar T et al. Intravenous Lidocaine Does Not Improve Neurologic Outcomes after Cardiac Surgery: A Randomized Controlled Trial. Anesthesiology. 2019 Jun 1; 130 (6): 958-970.

Daniel Jolley

pearl
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Remote ischemic preconditioning reduced renal injury and mechanical ventilation duration, after open total aortic arch replacement.

Zhou H, Yang L, Wang G et al. Remote Ischemic Preconditioning Prevents Postoperative Acute Kidney Injury After Open Total Aortic Arch Replacement: A Double-Blind, Randomized, Sham-Controlled Trial. Anesth. Analg. 2019 Jul 1; 129 (1): 287-293.

Daniel Jolley

pearl
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Taking oral antihypertensive agents at bedtime rather than the morning, improves BP control and reduces the incidence of cardiac death, myocardial infarct, revascularization, heart failure and stroke.

Hermida RC, Crespo JJ, Domínguez-Sardiña M et al. Bedtime hypertension treatment improves cardiovascular risk reduction: the Hygia Chronotherapy Trial. Eur. Heart J. 2020 Dec 21; 41 (48): 4565-4576.

Daniel Jolley

pearl
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Intravenous dexamethasone reduces the incidence and severity of sore throat after endotracheal intubation.

Kuriyama A Maeda H. Preoperative intravenous dexamethasone prevents tracheal intubation-related sore throat in adult surgical patients: a systematic review and meta-analysis. Can J Anaesth. 2019 May 1; 66 (5): 562-575.

Daniel Jolley

pearl
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Low dose ketamine reduces pain and opioid requirements in the first 24 hours after major joint surgery.

Riddell JM, Trummel JM, Onakpoya IJ. Low-dose ketamine in painful orthopaedic surgery: a systematic review and meta-analysis. Br J Anaesth. 2019 Sep 1; 123 (3): 325-334.

Daniel Jolley

pearl
1

Women are more satisfied with pain relief with labour epidural analgesia than with remifentanil PCA.