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Enhanced recovery after surgery: The road to improve peri-operative care globally
de Boer, Hans D.; Fawcett, William J.; Scott, Michael J.
doi : 10.1097/EJA.0000000000001509
September 2021 - Volume 38 - Issue 9 - p 905-907
Prophylactic fibrinogen concentrate administration in surgical correction of paediatric craniosynostosis: A double-blind placebo-controlled trial
Machotta, Andreas; Huisman, Elise J.; Appel, Inge M.; Luijnenburg, Saskia E.; Lopez-Yurda, Marta; Cnossen, Marjon H.; van Ommen, Cornelia H.
doi : 10.1097/EJA.0000000000001332
September 2021 - Volume 38 - Issue 9 - p 908-915
Surgical craniosynostosis repair in children is associated with massive blood loss and significant transfusion of blood products. Fibrinogen concentrate is claimed to be useful in reducing blood loss and transfusion requirements.
Bleeding and antithrombotic therapy during pregnancy in women with poor aPL-related obstetric outcomes: A survey of 1075 cases from EUROAPS registry?
Alijotas-Reig, Jaume†; Esteve-Valverde, Enrique†; Ferrer-Oliveras, Raquel; S?ez-Comet, Luis; Lefkou, Elmina; Mekinian, Arsène; Belizna, Cristina; Ruffatti, Amelia; Tincani, Angela; Pardos-Gea, Josep; Nalli, Cecilia; Marozio, Luca; Espinosa, Gerard; De Carolis, Sara; Latino, Omar; Sebastian, Udry; LLurba, Elisa; Trespidi, Laura; Chighizola, Cecilia; Pengo, Vittorio; Rovere-Querini, Patrizia; Canti, Valentina; Mayer-Pickel, Karoline; Reshetnyak, Tatiana; Tabacco, Sara; Arnau, Anna; for the EUROAPS Study Group
doi : 10.1097/EJA.0000000000001484
September 2021 - Volume 38 - Issue 9 - p 916-922
The combination of low-dose aspirin (LDA) and low-molecular-weight heparin (LMWH) until the end of gestation are the currently the accepted standard of care for the treatment of antiphospholipid-related obstetric disorders. In refractory cases, hydroxychloroquine (HCQ) can be added to this standard of care.
Does a balanced colloid decrease perioperative blood loss in paediatric cardiac surgery: A double-blinded randomized controlled trial?
Willems, Ariane; De Groote, Françoise; Schmartz, Denis; Fils, Jean-François; Van der Linden, Philippe
doi : 10.1097/EJA.0000000000001526
September 2021 - Volume 38 - Issue 9 - p 923-931
Unbalanced fluid solutions cause metabolic acidosis and could be associated with impaired coagulation and increased blood loss.
Perioperative ADministration of Dexamethasone And blood Glucose concentrations in patients undergoing elective non-cardiac surgery – the randomised controlled PADDAG trial
Corcoran, Tom?s B.; O’Loughlin, Edmond; Chan, Matthew T.V.; Ho, Kwok M.
doi : 10.1097/EJA.0000000000001294
September 2021 - Volume 38 - Issue 9 - p 932-942
The hyperglycaemic effect of dexamethasone in diabetic and nondiabetic patients in the peri-operative period is unknown.
Physostigmine for prevention of postoperative delirium and long-term cognitive dysfunction in liver surgery: A double-blinded randomised controlled trial
Spies, Claudia D.; Knaak, Cornelia; Mertens, Mandy; Brockhaus, Wolf-Rüdiger; Shadenok, Anna; Wiebach, Janine; Kunzmann, Kevin; Feldheiser, Aarne; Pratschke, Johann; Müller, Olga; Kipping, Valesca; Fabian, Maria; Abels, Wiltrud; Borchers, Friedrich; Akyüz, Levent; Ely, E. Wesley; Wernecke, Klaus-Dieter; Menon, David Krishna; Piper, Sophie K.
doi : 10.1097/EJA.0000000000001456
September 2021 - Volume 38 - Issue 9 - p 943-956
Anecdotally, cholinergic stimulation has been used to treat delirium and reduce cognitive dysfunction.
Comparison of the ‘4-item assessment test’ and ‘nursing delirium screening scale’ delirium screening tools on non-intensive care unit wards: A prospective mixed-method approach
Zastrow, Inke; Tohsche, Peter; Loewen, Theresa; Vogt, Birgit; Feige, Melanie; Behnke, Martina; Wolff, Antje; Kiefmann, Rainer; Olotu, Cynthia
doi : 10.1097/EJA.0000000000001470
September 2021 - Volume 38 - Issue 9 - p 957-965
In elderly patients following surgery, postoperative delirium (POD) is the most frequent complication and is associated with negative outcomes. The 2017 European Society of Anaesthesiology guideline on POD aims to improve patient care by implementing structured delirium prevention, diagnosis and treatment. However, these recommendations, especially systematic delirium screening, are still incompletely adopted in clinical practice. The aim of this study was to evaluate the feasibility and acceptance of validated delirium screening tools and to identify barriers to their implementation on nonintensive care unit wards.
Prolonged postoperative cerebral oxygen desaturation after cardiac surgery: A prospective observational study
Cioccari, Luca?; Bitker, Laurent?; Toh, Lisa; Hacking, Douglas; Cutuli, Salvatore L.; Osawa, Eduardo A.; Yanase, Fumitaka; Naorungroj, Thummaporn; Luethi, Nora; Michalopoulos, Adrian; Woo, Shanan; Wang, Judy; Eastwood, Glenn M.; Weinberg, Laurence; Bellomo, Rinaldo
doi : 10.1097/EJA.0000000000001391
September 2021 - Volume 38 - Issue 9 - p 966-974
Near-infrared spectroscopy (NIRS) is used routinely to monitor cerebral tissue oxygen saturation (SctO2) during cardiopulmonary bypass (CPB) but is rarely employed outside the operating room. Previous studies indicate that patients are at risk of postoperative cerebral oxygen desaturation after cardiac surgery.
Effects of pupillary reflex dilation-guided opioid administration on remifentanil and morphine consumption during laparoscopic surgery: A randomised controlled trial
Guerci, Philippe; Jay, Guillaume; Arnout, Chloé; Herbain, Delphine; Baka, Noureddine; Poirel, Olivier; Novy, Emmanuel; Bouaziz, Hervé; Vial, Florence
doi : 10.1097/EJA.0000000000001491
September 2021 - Volume 38 - Issue 9 - p 975-984
Analysis of pupillary reflex dilation (PRD) assesses the balance of nociception--antinociception. Laparoscopic surgery induces haemodynamic variations that are misleading. During laparoscopy, PRD guidance helps differentiate haemodynamic changes because of excess nociception from secondary changes related to the reflex release of endocrine factors.
Pain management after complex spine surgery: A systematic review and procedure-specific postoperative pain management recommendations
Waelkens, Piet; Alsabbagh, Emissia; Sauter, Axel; Joshi, Girish P.; Beloeil, Hélène; on behalf of the PROSPECT Working group?? of the European Society of Regional Anaesthesia and Pain therapy (ESRA)
doi : 10.1097/EJA.0000000000001448
September 2021 - Volume 38 - Issue 9 - p 985-994
Complex spinal procedures are associated with intense pain in the postoperative period. Adequate peri-operative pain management has been shown to correlate with improved outcomes including early ambulation and early discharge.
Tapentadol versus oxycodone analgesia and side effects after laparoscopic hysterectomy: A randomised controlled trial
Comelon, Marlin; Raeder, Johan; Dr?gni, Tomas; Lieng, Marit; Lenz, Harald
doi : 10.1097/EJA.0000000000001425
September 2021 - Volume 38 - Issue 9 - p 995-1002
Tapentadol is an opioid, which acts as a ?-opioid receptor agonist and inhibits noradrenaline reuptake in the central nervous system. This dual mechanism of action results in synergistic analgesic effects and potentially less side effects. This has been shown in treatment of chronic pain but postoperative studies are sparse.
Short-term administration of nonsteroidal anti-inflammatory drugs in older patients with hip fracture: A cohort study
Thietart, Sara; Baque, Margaux; Cohen-Bittan, Judith; Raux, Mathieu; Riou, Bruno; Khiami, Frederic; Meziere, Anthony; Verny, Marc; Vallet, Hélène; Zerah, Lorène; Boddaert, Jacques; Villain, Cédric
doi : 10.1097/EJA.0000000000001482
September 2021 - Volume 38 - Issue 9 - p 1003-1005
Kidney dysfunction has a major impact on the effect of idarucizumab for dabigatran reversal
Athavale, Akshay; Jamshidi, Nazila; Roberts, Darren M.
doi : 10.1097/EJA.0000000000001428
September 2021 - Volume 38 - Issue 9 - p 1005-1006
More notable names in anaesthesia
doi : 10.1097/EJA.0000000000001573
September 2021 - Volume 38 - Issue 9 - p 1007
