Article Notes

• Hide
  • Pearls
  • Summaries
  • Comments

comment
1
Metajournal now automatically tracks and can filter for retracted articles – simply hit search in your article view and filter by article type. Easily check if there are any retracted articles among those you’ve favourited or read previously.
It’s a sad indictment on a minority in the medical community that this kind of technology is now necessary...
Collection: Retracted anesthesia & perioperative medicine publications
  Daniel Jolley
pearl
1
Chewing gum for one hour does not change gastric fluid volume.
Valencia JA, Cubillos J, Romero D et al. Chewing gum for 1 h does not change gastric volume in healthy fasting subjects. A prospective observational study. J Clin Anesth. 2019 Sep 1; 56: 100-105.
  Daniel Jolley
pearl
0
Pre-operative single-shot paravertebral blocks reduce post-operative pain for up to 24 hours after nephrectomy.
Collection: Paravertebral block for post-operative nephrectomy analgesia
  Daniel Jolley
pearl
1
Continuous paravertebral block is an effective alternative to thoracic epidural for managing post-operative pain after open nephrectomy, with a better side-effect profile.
Collection: Paravertebral block for post-operative nephrectomy analgesia
  Daniel Jolley
summary
1
Collection: What are Calabadions? Can they replace sugammadex?
Calabadions are heterocyclics molecule that offers rapid and complete reversal of both aminosteroids, such as rocuronium and vecuronium, and benzylisoquinoline NMBDS, such as atracurium and cisatracurium.
Notably, calabadion 2 binds rocuronium 89 times stronger than sugammadex. Additionally it also binds etomidate and ketamine.
Calabadions are still undergoing pre-human animal testing, and so are some time away from entering clinical practice.
  Daniel Jolley
pearl
1
A higher rate of hospital neuraxial labor analgesia is associated with a lower rate of unnecessary general anesthetic cesarean section.
Guglielminotti J, Landau R, Li G. Adverse Events and Factors Associated with Potentially Avoidable Use of General Anesthesia in Cesarean Deliveries. Anesthesiology. 2019 Jun 1; 130 (6): 912922912-922.
  Daniel Jolley
comment
0
We’re still doing too many unnecessary general anaesthetic cesarean sections. It is not enough to be confident that we can conduct a ‘safe’ GA CS (ie. misperceived as meaning a low mortality risk), when avoidable GA CS are still associated with a spectrum of morbidity.
Definitely falls into the category of ‘just because we can, doesn’t mean we should’...
Guglielminotti J, Landau R, Li G. Adverse Events and Factors Associated with Potentially Avoidable Use of General Anesthesia in Cesarean Deliveries. Anesthesiology. 2019 Jun 1; 130 (6): 912922912-922.
  Daniel Jolley
pearl
1
Articulating positive expectations of analgesia efficacy preoperatively improves postoperative pain scores and analgesia satisfaction.
Benson S, Hagen S, Hoffmann O et al. Can a brief psychological expectancy intervention improve postoperative pain? A randomized, controlled trial in patients with breast cancer. Pain. 2019 Jul 1; 160 (7): 1562-1571.
  Daniel Jolley
pearl
1
Checklists for managing crises during cesarean section are practical to implement in low and middle-income countries, and significantly improve task completion in simulated emergencies.
Alexander LA, Newton MW, McEvoy KG et al. Development and Pilot Testing of a Context-Relevant Safe Anesthesia Checklist for Cesarean Delivery in East Africa. Anesth. Analg. 2019 May 1; 128 (5): 993-998.
  Daniel Jolley
pearl
1
Although routine videolaryngoscopy does not improve overall success rate of adult nasal intubation, it does improve first pass success, laryngeal visualization and shortens intubation time.
Jiang J, Ma DX, Li B et al. Videolaryngoscopy versus direct laryngoscopy for nasotracheal intubation: A systematic review and meta-analysis of randomised controlled trials. J Clin Anesth. 2019 Feb 1; 52: 6-16.
  Daniel Jolley