Article Notes

• Hide
  • Pearls
  • Summaries
  • Comments

pearl
1
Prone CPR is an acceptable choice in the setting of COVID-19 where turning a patient supine may create delays or added risk to patient or staff.
Douma MJ, MacKenzie E, Loch T et al. Prone cardiopulmonary resuscitation: A scoping and expanded grey literature review for the COVID-19 pandemic. Resuscitation. 2020 Oct 1; 155: 103-111.
  Daniel Jolley
pearl
1
Although exposure to surgery/anesthesia is associated with a small cognitive decline among the elderly, there is no impact from the presence or absence of nitrous oxide.
Sprung J, ASA Abcejo, Knopman DS et al. Anesthesia With and Without Nitrous Oxide and Long-term Cognitive Trajectories in Older Adults. Anesth. Analg. 2020 Aug 1; 131 (2): 594-604.
  Daniel Jolley
pearl
1
Peri-operative intravenous lidocaine infusion does not appear to offer meaningful clinical benefit in bariatric surgery.
Plass F, Nicolle C, Zamparini M et al. Effect of intra-operative intravenous lidocaine on opioid consumption after bariatric surgery: a prospective, randomised, blinded, placebo-controlled study. Anaesthesia. 2021 Feb 1; 76 (2): 189-198.
  Daniel Jolley
pearl
1
Propofol has a dose-dependent effect on pupillary diameter, which is positively correlated with BIS.
Sabourdin N, Meniolle F, Chemam S et al. Effect of Different Concentrations of Propofol Used as a Sole Anesthetic on Pupillary Diameter: A Randomized Trial. Anesth. Analg. 2020 Aug 1; 131 (2): 510-517.
  Daniel Jolley
pearl
1
Chewing gum pre-operatively for 2 minutes may reduce post-operative sore throat after general anaesthesia with the SLIPA supraglottic airway.
Wang T, Wang Q, Zhou H et al. Effects of Preoperative Gum Chewing on Sore Throat After General Anesthesia With a Supraglottic Airway Device: A Randomized Controlled Trial. Anesth. Analg. 2020 Dec 1; 131 (6): 1864-1871.
  Daniel Jolley
pearl
1
Recovery after total knee arthroplasty was similar for spinal and general anaesthesia across broad post-operative indicators.
Palanne R, Rantasalo M, Vakkuri A et al. Effects of anaesthesia method and tourniquet use on recovery following total knee arthroplasty: a randomised controlled study. Br J Anaesth. 2020 Nov 1; 125 (5): 762-772.
  Daniel Jolley
pearl
1
The McGrath video laryngoscope improves glottis visualisation in the morbidly obese.
Ruetzler K, Rivas E, Cohen B et al. McGrath Video Laryngoscope Versus Macintosh Direct Laryngoscopy for Intubation of Morbidly Obese Patients: A Randomized Trial. Anesth. Analg. 2020 Aug 1; 131 (2): 586-593.
  Daniel Jolley
pearl
1
Intrathecal hydrophilic opioids show an IV morphine sparing effect and likely dose-related respiratory depression.
Koning MV, Klimek M, Rijs K et al. Intrathecal hydrophilic opioids for abdominal surgery: a meta-analysis, meta-regression, and trial sequential analysis. Br J Anaesth. 2020 Sep 1; 125 (3): 358-372.
  Daniel Jolley
pearl
1
Intrathecal morphine 100mcg did not increase obstructive sleep apnea severity in those undergoing hip arthroplasty under spinal anesthesia.
Albrecht E, Bayon V, Hirotsu C et al. Intrathecal morphine and sleep apnoea severity in patients undergoing hip arthroplasty: a randomised, controlled, triple-blinded trial. Br J Anaesth. 2020 Nov 1; 125 (5): 811-817.
  Daniel Jolley
pearl
1
Transversus abdominis plane block with liposomal bupivacaine improved post-caesarean section analgesia when used as part of a multimodal analgesia protocol.
Nedeljkovic SS, Kett A, Vallejo MC et al. Transversus Abdominis Plane Block With Liposomal Bupivacaine for Pain After Cesarean Delivery in a Multicenter, Randomized, Double-Blind, Controlled Trial. Anesth. Analg. 2020 Dec 1; 131 (6): 1830-1839.
  Daniel Jolley