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Associate Editorial Board
doi : 10.1016/S0007-0912(21)00591-2
Volume 127, Issue 5, November 2021, Page ii
Capnography use in the critical care setting: why do clinicians fail to implement this safety measure?
VincenzoRussotto1Tim M.Cook23
doi : 10.1016/j.bja.2021.08.010
Volume 127, Issue 5, November 2021, Pages 661-664
The quagmire of postoperative delirium: does dose matter?
AmyGaskellJamieSleigh
doi : 10.1016/j.bja.2021.08.008
Volume 127, Issue 5, November 2021, Pages 664-666
Anaesthetic depth and delirium: a challenging balancing act
Elizabeth L.Whitlock1Eric R.Gross2C. RyanKing3Michael S.Avidan3
doi : 10.1016/j.bja.2021.08.003
Volume 127, Issue 5, November 2021, Pages 667-671
Improving prediction to prevent perioperative morbidity
Jessica K.Goeller12KarstenBartels13
doi : 10.1016/j.bja.2021.08.004
Volume 127, Issue 5, November 2021, Pages 671-674
Continuous ward monitoring: the selection, monitoring, alarms, response, treatment (SMART) road map
MoritzFlick1BerndSaugel12
doi : 10.1016/j.bja.2021.07.016
Volume 127, Issue 5, November 2021, Pages 675-677
Need for a new paradigm in the design of alarms for patient monitors and medical devices
Craig S.Webster1PenelopeSanderson2
doi : 10.1016/j.bja.2021.08.001
Volume 127, Issue 5, November 2021, Pages 677-680
Effect of Hypotension Prediction Index-guided intraoperative haemodynamic care on depth and duration of postoperative hypotension: a sub-study of the Hypotension Prediction trial
JimmySchenk1MarijeWijnberge1Jolanda M.Maaskant3Markus W.Hollmann1LiselotteHol1Rogier V.Immink1Alexander P.Vlaar2Björn J.P.van der Ster1Bart F.Geerts1Denise P.Veelo1
doi : 10.1016/j.bja.2021.05.033
Volume 127, Issue 5, November 2021, Pages 681-688
Intraoperative and postoperative hypotension are associated with morbidity and mortality. The Hypotension Prediction (HYPE) trial showed that the Hypotension Prediction Index (HPI) reduced the depth and duration of intraoperative hypotension (IOH), without excess use of intravenous fluid, vasopressor, and/or inotropic therapies. We hypothesised that intraoperative HPI-guided haemodynamic care would reduce the severity of postoperative hypotension in the PACU.
Key dimensions of innovations in workplace-based assessment for postgraduate medical education: a scoping review
Jennifer M.Weller12TiesCoomber1YanChen1Damian J.Castanelli3
doi : 10.1016/j.bja.2021.06.038
Volume 127, Issue 5, November 2021, Pages 689-703
Specialist training bodies continue to devise innovative methods of gathering information on trainee workplace performance to meet the requirements of competency-based medical education. We reviewed recent innovations in workplace-based assessment (WBA) tools to identify strengths, weaknesses, and trade-offs inherent in their design and use.
Anaesthetic depth and delirium after major surgery: a randomised clinical trial
Lisbeth A.Evered123†Matthew T.V.Chan4RuquanHan5Mandy H.M.Chu4Benny P.Cheng4David A.Scott23Kane O.Pryor1Daniel I.Sessler6RobertVeselis17ChristopherFrampton8MatthewSumner9AdeAyeni9Paul S.Myles10DouglasCampbell911KateLeslie31213Timothy G.Short911
doi : 10.1016/j.bja.2021.07.021
Volume 127, Issue 5, November 2021, Pages 704-712
Postoperative delirium is a serious complication of surgery associated with prolonged hospitalisation, long-term cognitive decline, and mortality. This study aimed to determine whether targeting bispectral index (BIS) readings of 50 (light anaesthesia) was associated with a lower incidence of POD than targeting BIS readings of 35 (deep anaesthesia).
Development and external validation of a prognostic model for ischaemic stroke after surgery
KatharinaPlatzbecker12†Stephanie D.Grabitz12†DanaRaub12Maíra I.Rudolph1SabineFriedrich12NathanVinzant23TobiasKurth4ChristianWeimar56Deepak L.Bhatt7AlaNozari8Timothy T.Houle1XinlingXu2MatthiasEikermann2910
doi : 10.1016/j.bja.2021.05.035
Volume 127, Issue 5, November 2021, Pages 713-721
There is an under-recognised patient cohort at elevated risk of postoperative ischaemic stroke. We aimed to develop and validate a prognostic model for the identification of such patients at high risk of ischaemic stroke within 1 yr after noncardiac surgery.
Moderators of the association between attention-deficit/hyperactivity disorder and exposure to anaesthesia and surgery in children
YuShi1Hayley J.Dykhoff2Lindsay R.H.Guevara1Lindsey R.Sangaralingham23Darrell R.Schroeder2Randall P.Flick1Michael J.Zaccariello4David O.Warner1
doi : 10.1016/j.bja.2021.07.025
Volume 127, Issue 5, November 2021, Pages 722-728
Children's exposure to anaesthesia has been associated with risk of developing attention-deficit/hyperactivity disorder (ADHD). The goal of this study was to determine if selected patient characteristics moderate the association between exposure to anaesthesia and ADHD.
Morbidity, mortality, and systems safety in non-operating room anaesthesia: a narrative review
Abigail D.Herman1Candace B.Jaruzel2SamLawton3Catherine D.Tobin3Joseph G.Reves3Kenneth R.Catchpole3Myrtede C.Alfred3
doi : 10.1016/j.bja.2021.07.007
Volume 127, Issue 5, November 2021, Pages 729-744
Outcome measures in solid organ donor management research: a systematic review
Kasia D.Bera12AkshayShah34M. RexEnglish5RutgerPloeg1
doi : 10.1016/j.bja.2021.07.008
Volume 127, Issue 5, November 2021, Pages 745-759
We systematically reviewed published outcome measures across randomised controlled trials (RCTs) of donor management interventions.
Failure to detect ward hypoxaemia and hypotension: contributions of insufficient assessment frequency and patient arousal during nursing assessments
RemieSaab1Bernie P.Wu12EvaRivas13AndrewChiu1SofiaLozovoskiy1ChaoMa14DongshengYang14AlparslanTuran15Daniel I.Sessler1
doi : 10.1016/j.bja.2021.06.014
Volume 127, Issue 5, November 2021, Pages 760-768
Postoperative hypotension and hypoxaemia are common and often unrecognised. With intermittent nursing vital signs, hypotensive or hypoxaemic episodes might be missed because they occur between scheduled measurements, or because the process of taking vital signs arouses patients and temporarily improves arterial blood pressure and ventilation. We therefore estimated the fraction of desaturation and hypotension episodes that did not overlap nursing assessments and would therefore usually be missed. We also evaluated the effect of taking vital signs on blood pressure and oxygen saturation.
Voice alerting as a medical alarm modality for next-generation patient monitoring: a randomised international multicentre trial
Tadzio R.Roche1JuliaBraun2Michael T.Ganter3PatrickMeybohm4JohannesHerrmann4KaiZacharowski5Florian J.Raimann5FlorianPiekarski5Donat R.Spahn1Christoph B.Nöthiger1David W.Tscholl1SadiqSaid1
doi : 10.1016/j.bja.2021.07.015
Volume 127, Issue 5, November 2021, Pages 769-777
Acoustic alarms in medical devices are vital for patient safety. State-of-the-art patient monitoring alarms are indistinguishable and contribute to alarm fatigue. There are two promising new sound modalities for vital sign alarms. Auditory icons convey alarms as brief metaphorical sounds, and voice alerts transmit information using a clear-spoken language. We compared how reliably healthcare professionals identified alarms using these two modalities.
Understanding the performance of a pan-African intervention to reduce postoperative mortality: a mixed-methods process evaluation of the ASOS-2 trial
NicolaVickeryabTimothyStephensbcLeondu ToitadDawidvan StraatengRupertPearsebAlexandraTorborgefLucyRoltfMariechenPuchertaGrahamMartinhBruceBiccardaiASOS-2 Investigators†
doi : 10.1016/j.bja.2021.07.001
Volume 127, Issue 5, November 2021, Pages 778-788
The African Surgical OutcomeS-2 (ASOS-2) trial tested an enhanced postoperative surveillance intervention to reduce postoperative mortality in Africa. We undertook a concurrent evaluation to understand the process of intervention delivery.
Association between opioid-related deaths and prescribed opioid dose and psychotropic medicines in England: a case-crossover study
Teng-ChouChen12Roger D.Knaggs243Li-ChiaChen1
doi : 10.1016/j.bja.2021.06.049
Volume 127, Issue 5, November 2021, Pages 789-797
Opioid-overdose deaths are associated with poisoning with prescription and illicit opioids in the USA. In contrast, opioid-related deaths (ORDs) in the UK often involve drugs and substances of misuse, and may not be associated with a high dose of prescribed opioids. This study aimed to investigate the association between prescribed opioid dose and ORDs in UK primary care.
Optimisation of airway management strategies: a prospective before-and-after study on events related to airway management†
Tina H.Pedersen1FlorianUeltschi1TobiasHornshaw1RobertGreif12LorenzTheiler3MarkusHuber4MarenKleine-Brueggeney5
doi : 10.1016/j.bja.2021.07.030
Volume 127, Issue 5, November 2021, Pages 798-806
Poor medical outcomes often result from series of minor events. The present study assessed events related to airway management to determine whether targeted changes to departmental strategies for airway management can reduce the incidence.
Effect of positive end-expiratory pressure on lung injury and haemodynamics during experimental acute respiratory distress syndrome treated with extracorporeal membrane oxygenation and near-apnoeic ventilation
JoaquinAraos12LeylaAlegria1AlineGarcia1PabloCruces345DagobertoSoto1BenjamínErranz6TatianaSalomon7TaniaMedina5PatricioGarcia8SebastiánDubó9María C.Bachmann1RoqueBasoalto1Emilio D.Valenzuela1MaximilianoRovegno1MagdalenaVera1JaimeRetamal13RodrigoCornejo103GuillermoBugedo13AlejandroBruhn13
doi : 10.1016/j.bja.2021.07.031
Volume 127, Issue 5, November 2021, Pages 807-814
Lung rest has been recommended during extracorporeal membrane oxygenation (ECMO) for severe acute respiratory distress syndrome (ARDS). Whether positive end-expiratory pressure (PEEP) confers lung protection during ECMO for severe ARDS is unclear. We compared the effects of three different PEEP levels whilst applying near-apnoeic ventilation in a model of severe ARDS treated with ECMO.
Ipsilateral and contralateral validation of continuous noninvasive finger blood pressure: does side matter?
Ward H.van der Ven1Sam P.C.Kleinsteuber1Lotte E.Terwindt1JimmySchenk1Björn J.P.van der Ster1Alexander P.J.Vlaar23Markus W.Hollmann13Denise P.Veelo1Rogier V.Immink1
doi : 10.1016/j.bja.2021.07.032
Volume 127, Issue 5, November 2021, Pages e149-e151
Anaesthetist-administered wrong-side eye blocks: need to reinforce clearer guidelines and site marking
AlyssaChiewCherylSawEdwinSeetChandra M.Kumar
doi : 10.1016/j.bja.2021.07.014
Volume 127, Issue 5, November 2021, Pages e151-e154
Influence of preterm labour epidural analgesia on neonatal and maternal outcomes: a single-centre retrospective study
YumikoMori1SatoshiToyama23MasakiSato3YokoYamashita3YasuyukiSuzuki3HaruhikoSago4
doi : 10.1016/j.bja.2021.07.017
Volume 127, Issue 5, November 2021, Pages e154-e156
Impact of parenteral iron within a perioperative pathway on anaemia in patients with oesophagogastric cancer
TaraHughes1†TobiasMacCarthy1†PaulTraynor2FamilaAlagarsamy3John RobertO'Neill2
doi : 10.1016/j.bja.2021.07.022
Volume 127, Issue 5, November 2021, Pages e156-e158
Micro-research: opening the innovation door to anaesthesiologists and anaesthesia nurses in China
ChaojinChenNingShenXiaoyueLiWeifengYaoZiqingHei
doi : 10.1016/j.bja.2021.08.002
Volume 127, Issue 5, November 2021, Pages e159-e161
Validation of a translated Quality of Recovery-15 questionnaire in German patients undergoing elective noncardiac surgery
UrsulaKahl1NeringaGebhardt1KatrinBrodersen1ElenaKainz1LeahSchirren1YuanyuanYu1LindaKrause2RegineKlinger1ChristianZöllner1MarleneFischer13
doi : 10.1016/j.bja.2021.07.026
Volume 127, Issue 5, November 2021, Pages e161-e163
Topical analgesic BENGAY® reduces myocardial infarct size in rodents
Candida L.Goodnough1YunWu12Eric R.Gross1
doi : 10.1016/j.bja.2021.07.029
Volume 127, Issue 5, November 2021, Pages e163-e166
Intravenous lidocaine attenuates response to cervical dilation for hysteroscopy: a randomised controlled trial
LiliXu1†ChunWang1†ShaobingDai1JianjunShen2XiaopingChen1Warwick D.Ngan Kee3XinzhongChen1
doi : 10.1016/j.bja.2021.07.020
Volume 127, Issue 5, November 2021, Pages e166-e168
Meta-analysis of randomised controlled trials of perioperative dexmedetomidine to reduce delirium and mortality after cardiac surgery
Robert D.Sanders123JordanWehrman1JoanneIrons12JanDieleman4DavidScott56YahyaShehabi78
doi : 10.1016/j.bja.2021.08.009
Volume 127, Issue 5, November 2021, Pages e168-e170
Perioperative dexmedetomidine and 5-year survival in patients undergoing cardiac surgery. Reply to Br J Anaesth 2021; 127: e127–8
KePeng12Yue-pingShen3Richard L.ApplegateII2David A.Lubarsky2HongLiu2Fu-HaiJi1
doi : 10.1016/j.bja.2021.07.018
Volume 127, Issue 5, November 2021, Pages e170-e171
Comparing standard and non-standard videolaryngoscopes in children: methodological issues. Response to Br J Anaesth 2021; 127: e52–e4
JamesPeyton12JohnFiadjoe12Mary L.Stein12RaymondPark12StevenStaffa1DavidZurakowski12PeteKovatsis12
doi : 10.1016/j.bja.2021.08.013
Volume 127, Issue 5, November 2021, Pages e172-e173
Contralateral sensitisation is not specific for complex regional pain syndrome. Comment on Br J Anaesth 2021; 127: e1–3
Elena K.Enax-Krumova1RalfBaron2Rolf-DetlefTreede3JanVollert234
doi : 10.1016/j.bja.2021.07.019
Volume 127, Issue 5, November 2021, Pages e173-e176
Crowdsourcing anaesthesia care. Comment on Br J Anaesth 2016; 117: 276–279
The-HungNguyen1Chester G.Chambers2MaqboolDada2
doi : 10.1016/j.bja.2021.07.012
Volume 127, Issue 5, November 2021, Pages e176-e177
Quantifying the effect of personal protective equipment on speech understanding
AlexanderMalinAndrewDooleyGrainneGarvey
doi : 10.1016/j.bja.2021.08.005
Volume 127, Issue 5, November 2021, Pages e178-e180
In-hospital mortality rates of critically ill COVID-19 patients in France: a nationwide cross-sectional study of 45 409 ICU patients
AntoineGuillon1EmelineLaurent23LucileGodillon2AntoineKimmoun4LeslieGrammatico-Guillon25
doi : 10.1016/j.bja.2021.08.006
Volume 127, Issue 5, November 2021, Pages e180-e182
Sepsis in severe COVID-19 is rarely septic shock: a retrospective single-centre cohort study
PietroArina1ValeriaMoro1BeatriceBaso1ChristopherBaxter-Derrington2MervynSinger1
doi : 10.1016/j.bja.2021.08.007
Volume 127, Issue 5, November 2021, Pages e182-e185
COVID-19: a boost for intensive care authorship?
FilippoSanfilippo1ValeriaDrago2GiovannaBonelli2StefanoTigano2LuigiLa Via12MarinellaAstuto123
doi : 10.1016/j.bja.2021.07.013
Volume 127, Issue 5, November 2021, Pages e185-e187
An Extraordinary Journey: What Matters at the End of Life, Teik Oh, Elsevier (2021), pp. 236. £19.99. ISBN 978-0-72-954374-3
PaulMyles
doi : 10.1016/j.bja.2021.07.010
Volume 127, Issue 5, November 2021, Pages 815-816
