Article Notes

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It’s a sad indictment on a minority in the medical community that this kind of technology is now necessary...

  Daniel Jolley

Chewing gum for one hour does not change gastric fluid volume.

  Daniel Jolley

Pre-operative single-shot paravertebral blocks reduce post-operative pain for up to 24 hours after nephrectomy.

  Daniel Jolley

Continuous paravertebral block is an effective alternative to thoracic epidural for managing post-operative pain after open nephrectomy, with a better side-effect profile.

  Daniel Jolley

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

A higher rate of hospital neuraxial labor analgesia is associated with a lower rate of unnecessary general anesthetic cesarean section.

  Daniel Jolley

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’...

  Daniel Jolley

Articulating positive expectations of analgesia efficacy preoperatively improves postoperative pain scores and analgesia satisfaction.

  Daniel Jolley

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.

  Daniel Jolley

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.

  Daniel Jolley