European journal of anaesthesiology and intensive care最新文献

{"title":"A case report on pulmonary aspiration of bilious gastric content in patients with previous one anastomosis - mini gastric bypass: a new risk factor to be incorporated in airway management guidelines?","authors":"Jonathan D Mathers, Gjermund Galleberg, Silje Nordrevoll, Marthe Håvardstun, Øyvind Sverre Svendsen, Ib Jammer","doi":"10.1097/EA9.0000000000000117","DOIUrl":"10.1097/EA9.0000000000000117","url":null,"abstract":"<p><p>Mini gastric-bypass or one-anastomosis mini gastric-bypass (OA-MGB) is an emerging surgical technique for weight loss surgery with a single anastomosis and similar weight loss results to a Roux-en-Y gastric bypass (RY-GB). Reflux of bile secretions into the newly formed gastric pouch is a recognised consequence of the OA-MGB. We report a case of severe pulmonary aspiration of bile contents upon induction of anaesthesia for a planned laparoscopic cholecystectomy in a patient with a previous OA-MGB. Airway practice may need to be amended to reflect the specially increased risk of aspiration in patients who have had an OA-MGB.</p>","PeriodicalId":520410,"journal":{"name":"European journal of anaesthesiology and intensive care","volume":"5 3","pages":"e0117"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a brief peri-operative counselling session on parental awareness of passive smoking in paediatric ambulatory surgery: A single-centre observational study.","authors":"Claude Hallet, Adeline Prijs, Loïc Le Jeune, Florian Beck, Vincent L Bonhomme, Michele Carella","doi":"10.1097/EA9.0000000000000121","DOIUrl":"10.1097/EA9.0000000000000121","url":null,"abstract":"<p><strong>Background: </strong>Exposure to second-hand smoke (SHS) from parents increases paediatric peri-operative respiratory risk, yet peri-operative screening and counselling are rarely implemented.</p><p><strong>Objective: </strong>To assess whether a single brief counselling session delivered during the paediatric ambulatory surgery pathway increases parental awareness of SHS harms and influences short-term self-reported behaviour.</p><p><strong>Design: </strong>Prospective observational before-after study with 30-day follow-up.</p><p><strong>Setting: </strong>Single-centre tertiary-level university hospital ambulatory surgery unit, Liège, Belgium; data collected from 7 November 2024 to 27 March 2025.</p><p><strong>Patients: </strong>Parents who self-reported active tobacco use and whose child was scheduled for elective paediatric ambulatory surgery at the University Hospital of Liège, Belgium. Of 43 eligible dyads, 31 parents consented and completed baseline and immediate postintervention questionnaires; 26 completed 30-day follow-up.</p><p><strong>Intervention: </strong>One standardised ~15-min counselling session by a certified tobacco counsellor covering types of smoke exposure, health and anaesthetic risks and practical measures to reduce household exposure.</p><p><strong>Main outcome measures: </strong>Primary outcome was change in a summed awareness score (six items, 0 to 10 each; total 0 to 60) from precounselling to immediate postcounselling. Secondary outcomes included item-level changes, session acceptability and self-reported behavioural change at 30 days.</p><p><strong>Results: </strong>A brief peri-operative counselling session markedly improved parental awareness of SHS. At 30 days, self-reported behavioural change remained modest. The awareness score was exploratory and not formally validated. Randomised studies with objective exposure measures and longer follow-up are needed.</p><p><strong>Conclusion: </strong>A single brief peri-operative counselling session improved parental awareness of SHS harms, with limited short-term impact on self-reported behaviour.</p><p><strong>Trial registration: </strong>NCT07144982. Approved by the Comité d'Ethique Hospitalo-Facultaire Universitaire de Liège; President: Professor D. Ledoux; IRB number: 707 (Belgian ref. B7072024000085; internal ref. 2024/327).</p>","PeriodicalId":520410,"journal":{"name":"European journal of anaesthesiology and intensive care","volume":"5 3","pages":"e0121"},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and determinants of burnout among anaesthetists in Switzerland: A pooled analysis of two multicentre cross-sectional studies.","authors":"Greta Gasciauskaite, Julia Braun, Mélanie Suppan, Christoph B Nöthiger, Georges L Savoldelli, Mia Gisselbaek","doi":"10.1097/EA9.0000000000000119","DOIUrl":"10.1097/EA9.0000000000000119","url":null,"abstract":"<p><strong>Background: </strong>The increasing prevalence of burnout among healthcare professionals has an impact on providers' well being, the quality of patient care and the long-term sustainability of healthcare systems.</p><p><strong>Objectives: </strong>The primary objectives of this study were to assess the prevalence of burnout among anaesthetists in the German-, French- and Italian-speaking regions of Switzerland and to identify key risk factors that could serve as targets for prevention.</p><p><strong>Design: </strong>Cross-sectional survey study.</p><p><strong>Setting: </strong>Thirty-three anaesthesia departments across Switzerland.</p><p><strong>Participants: </strong>Trainees and board-certified anaesthetists.</p><p><strong>Methods: </strong>An online questionnaire was sent to participants. Burnout was assessed with the Maslach Burnout Inventory, and the questionnaire also included items related to workplace and personal risk factors.</p><p><strong>Results: </strong>Across all analysed regions of Switzerland 245/454 (54 (95% confidence interval (CI), 49 to 59)% of respondents were at high risk of burnout, and 69/454 (15 (95% CI, 12 to 19)% met the criteria for burnout syndrome. The prevalence of high burnout risk and burnout syndrome was highest in the German-speaking region, with 190/302 (63 (95% CI, 57 to 68)% of anaesthetists at high risk and 60/302 (20 (95% CI, 16 to 25)% meeting the criteria for burnout syndrome. Logistic regression analysis showed moderate evidence of a sex difference, with male anaesthetists having nearly twice the odds of experiencing burnout syndrome compared with female anaesthetists. The odds of burnout syndrome were significantly lower in regions outside of the German-speaking part of Switzerland.</p><p><strong>Conclusion: </strong>Anaesthetists in Switzerland experience a significant prevalence of burnout, which varies across linguistic-cultural regions, with the highest prevalence in the German-speaking cohort. Males are at greater risk of experiencing burnout.</p>","PeriodicalId":520410,"journal":{"name":"European journal of anaesthesiology and intensive care","volume":"5 3","pages":"e0119"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical practices in general anaesthesia for caesarean section: A nationwide cross-sectional survey.","authors":"Philipp Helmer, Benedikt Siegler, Vanessa Neef, Benedikt Schmid, Florian Rumpf, Sarah Helmer, Daniel Chappell, Norbert Reckefuß, Miriam Röring, Udo Gottschaldt, Andreas Reske, Catharina Bartmann, Susanne Greve, Clemens Eichelsbacher, Patrick Meybohm, Michael Sammeth, Peter Kranke","doi":"10.1097/EA9.0000000000000110","DOIUrl":"10.1097/EA9.0000000000000110","url":null,"abstract":"<p><strong>Background: </strong>Anaesthesia is central to obstetric care, yet contemporary data on clinical practices, particularly concerning general anaesthesia (GA) for caesarean section (CS), remain scarce. Given evolving guidelines and technologies, an updated understanding of real-world anaesthetic management is needed.</p><p><strong>Objective: </strong>Our aim was to evaluate current anaesthetic practices in obstetric care in Germany, focusing on the use of GA for CS, perioperative management, and adherence to guideline recommendations.</p><p><strong>Design: </strong>Nationwide, anonymised, cross-sectional questionnaire survey.</p><p><strong>Setting: </strong>The questionnaire targeted both experienced obstetric anaesthesiologists and other anaesthesiologists regularly working in obstetric anaesthesia in German hospitals.</p><p><strong>Participants: </strong>We analysed 567 completed questionnaires from anaesthesiologists actively involved in obstetric care, representing 171 geographic locations and institutions covering approximately half of all annual births in Germany.</p><p><strong>Main outcome measures: </strong>Contraindications for neuraxial procedures, estimated GA rates, perioperative management strategies, and conformity with guidelines.</p><p><strong>Results: </strong>The survey yielded 29 984 individual responses. Neuraxial anaesthesia was strongly preferred over GA (Likert score 4.8/5), with a median GA rate of 5 [5 to 10]%. Postoperative nausea and vomiting prophylaxis was provided by 89.4% of respondents. Platelet thresholds for neuraxial anaesthesia were more liberal than in previous surveys, with reliance on individual risk-benefit assessment instead of fixed numerical thresholds. For GA induction, propofol has largely replaced thiopental, but suxamethonium remains the favoured neuromuscular blocking agent (71.7%). Balanced anaesthesia with sevoflurane predominated (84%), while nitrous oxide use has declined sharply (2.1%). Gaps in guideline adherence were noted regarding the timing of antibiotic prophylaxis, the use of active warming and intraoperative red blood cell salvage. Compared with international practice, postoperative analgesia was mainly opioid-based, with regional techniques underused (23%).</p><p><strong>Conclusions: </strong>Despite progress towards guideline adherence, substantial gaps persist between recommendations and clinical practice in German obstetric anaesthesia. Improvement opportunities include better implementation of evidence-based perioperative strategies and greater use of regional analgesic techniques postoperatively.</p>","PeriodicalId":520410,"journal":{"name":"European journal of anaesthesiology and intensive care","volume":"5 3","pages":"e0110"},"PeriodicalIF":0.0,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of postoperative enhanced recovery program care compared to conventional care following aortic valve replacement: A retrospective analysis.","authors":"Thomas Van Bos, Charlotte Erskine, Peter Verbrugghe, Steffen Rex, Danny Feike Hoogma","doi":"10.1097/EA9.0000000000000118","DOIUrl":"10.1097/EA9.0000000000000118","url":null,"abstract":"<p><strong>Background: </strong>An enhanced recovery program (ERP) after cardiac surgery is a multidisciplinary care program aimed at reducing postoperative stress response, accelerating organ function recovery, and decreasing hospital length of stay (LOS). While ERP in cardiac surgery has shown promise, high-quality evidence remains limited.</p><p><strong>Objective: </strong>This study evaluates the impact of a postanaesthesia care unit (PACU) care (including postoperative ERP interventions) vs. conventional intensive care unit (ICU) care in patients undergoing aortic valve replacement (AVR) on hospital LOS.</p><p><strong>Design: </strong>Retrospective cohort study with a Cox proportional hazards regression analysis, adjusting for BMI, EuroSCORE II and surgical access.</p><p><strong>Setting: </strong>Single academic medical centre.</p><p><strong>Participants: </strong>Patients undergoing AVR with EuroSCORE II =3 and BMI <40, admitted postoperatively to either the PACU or ICU between 2011 and 2020.</p><p><strong>Intervention: </strong>While pre-operative and intra-operative management were identical, postoperative care was protocolised in the PACU based on the Enhanced Recovery after Cardiac Surgery (ERAS Cardiac) pathway.</p><p><strong>Measurements and main results: </strong>A total of 751 patients were included (345 receiving PACU care and 406 ICU care). The median hospital LOS (95% CI) was significantly shorter in the PACU care group (7 [6 to 9] vs. 9 [7 to 11] days, <i>P</i> < 0.0001) compared to ICU patients. PACU patients had a higher likelihood of early discharge [hazard ratio (HR) 1.68, 95% confidence interval (CI) 1.46 to 1.92; <i>P</i> < 0.0001] and earlier removal of catheters, tube and drains, with similar reintervention (PACU vs. ICU: 4% vs. 5%, <i>P</i> = 0.39) and mortality rates (1% in both, <i>P</i> = 0.51).</p><p><strong>Conclusion: </strong>Compared with conventional ICU, PACU-ERP care was associated with a significant reduction in hospital LOS in low-risk patients undergoing AVR. These findings suggest integrating the postoperative elements of ERAS Cardiac as a standard of care. Nevertheless, further prospective studies are needed for validation.</p>","PeriodicalId":520410,"journal":{"name":"European journal of anaesthesiology and intensive care","volume":"5 3","pages":"e0118"},"PeriodicalIF":0.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An unusual case of burst suppression electrographic pattern following intrathecal baclofen overdose in critical care: a case report.","authors":"Nory Elhadjene, Hugo Soulier","doi":"10.1097/EA9.0000000000000115","DOIUrl":"10.1097/EA9.0000000000000115","url":null,"abstract":"<p><p>Baclofen is a gamma-aminobutyric acid (GABA)-B receptor agonist used to treat neurological spasticity. Several cases of baclofen intoxication have been reported with neurological symptoms. While numerous reports describe oral baclofen toxicity, the neurological consequence of intrathecal overdose remain poorly characterised. We describe an electroencephalogram (EEG) post-anoxic encephalopathy pattern following intrathecal BACLOFEN injection to treat spasticity in an intensive care unit in September 2024.</p>","PeriodicalId":520410,"journal":{"name":"European journal of anaesthesiology and intensive care","volume":"5 3","pages":"e0115"},"PeriodicalIF":0.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dexmedetomidine versus usual care in adult patients with septic shock receiving vasopressors: A systematic review and meta-analysis of randomised controlled trials.","authors":"Isaac B Wolfkind, Luke T Geftos, William K Mitchell, Ronan J McOsker, Jose L Puglisi, Baljit S Gill","doi":"10.1097/EA9.0000000000000113","DOIUrl":"10.1097/EA9.0000000000000113","url":null,"abstract":"<p><strong>Background: </strong>Septic shock is characterised by sepsis-induced hypotension refractory to fluid resuscitation efforts. Further treatment often requires mechanical ventilation, typically requiring the use of sedatives to provide analgesia, sedation and anxiolysis. One sedative, dexmedetomidine, is an α2 agonist that has demonstrated potential in improving haemodynamic and clinical outcomes in recent randomised controlled trials. However, support for these claims has been inconsistent across individual studies.</p><p><strong>Objective: </strong>This meta-analysis aimed to assess the efficacy of dexmedetomidine in comparison to other sedatives.</p><p><strong>Design: </strong>Systematic review of randomised controlled trials with meta-analyses.</p><p><strong>Data sources: </strong>The search was performed across five electronic databases (Embase, PubMed, Scopus, MEDLINE and clinicaltrials.gov) from inception up to June 2025.</p><p><strong>Eligibility criteria: </strong>We included randomised controlled studies that utilised adult patients diagnosed with septic shock and receiving sedation with dexmedetomidine or any other. Excluded types of studies included non-RCTs, animal studies, paediatric cases, procedural sedation, trials without reported outcomes and studies that do not report desired outcomes.</p><p><strong>Results: </strong>Our meta-analysis included eight randomised controlled trials (<i>n</i> = 702 patients), which revealed that dexmedetomidine significantly decreased the day-2 Sequential Organ Failure Assessment (SOFA) score (<i>P</i> = 0.009) and the incidence of acute kidney injury (AKI) (<i>P</i> = 0.004). Importantly, dexmedetomidine significantly increased the duration of hospital stay (<i>P</i> = 0.01) and the incidence of hypotension (<i>P</i> = 0.04). There were non-significant decreases in 28-day mortality (<i>P</i> = 0.08), duration of mechanical ventilation (<i>P</i> = 0.28), duration of intensive care unit (ICU) stay (<i>P</i> = 0.74), delirium incidence (<i>P</i> = 0.60), bradycardia incidence (<i>P</i> = 0.14), 24-h serum IL-6 levels (<i>P</i> = 0.18), 24-h serum CRP levels (<i>P</i> = 0.44) and 24-h serum lactate levels (<i>P</i> = 0.93).</p><p><strong>Conclusion: </strong>Dexmedetomidine may improve early organ dysfunction; however, evidence for long-term clinical benefits remains limited.</p>","PeriodicalId":520410,"journal":{"name":"European journal of anaesthesiology and intensive care","volume":"5 3","pages":"e0113"},"PeriodicalIF":0.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Refining multiple artificial intelligence strategies for automatic pain assessment investigations (RUGGI Study): A study protocol.","authors":"Marco Cascella, Alfonso Maria Ponsiglione, Vittorio Santoriello, Maria Romano, Francesco Amato, Francesco Sabbatino, Stefano Pepe, Ornella Piazza","doi":"10.1097/EA9.0000000000000111","DOIUrl":"10.1097/EA9.0000000000000111","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain is a complex, multidimensional condition that severely impairs patients' quality of life. As conventional techniques for evaluating pain are based on subjective self-reporting, these approaches have crucial drawbacks, especially for individuals with communication difficulties. Artificial intelligence (AI) provides the opportunity to complement subjective self-reports through multimodal, data-informed analysis to enhance real-time pain assessment and care.</p><p><strong>Objective: </strong>To develop, calibrate and validate AI models for automatic pain assessment (APA) in adult patients by merging physiological, behavioural and clinical data and, consequently, complement patient-reported information and support more personalised and effective pain management.</p><p><strong>Design: </strong>Prospective, single-centre, noninterventional study.</p><p><strong>Setting: </strong>University of Salerno Hospital, Italy.</p><p><strong>Patients and participants: </strong>Adult patients (>18 years) with chronic primary or secondary pain (oncologic and nononcologic), able to provide their informed consent. The main exclusion criteria are severe psychiatric or cognitive disorders and treatment with psychotropic medications.</p><p><strong>Primary outcome measures: </strong>Predictive performance of AI models (sensitivity, specificity, area under the receiver operating characteristic curve, AUC-ROC) for automatic pain assessment based on collected multimodal data.</p><p><strong>Secondary outcomes: </strong>Quality-of-life evaluation, analgesic treatment monitoring, development and analysis of a multidimensional dataset for APA and identification of correlations between clinical and physiological variables.</p><p><strong>Results: </strong>N/A (study ongoing).</p><p><strong>Conclusions: </strong>This study will provide essential data for developing and validating integrated AI tools for objective, multidimensional pain assessment, with potential future clinical and therapeutic applications.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT07038434.</p>","PeriodicalId":520410,"journal":{"name":"European journal of anaesthesiology and intensive care","volume":"5 3","pages":"e0111"},"PeriodicalIF":0.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eyes wide open in the ICU: A scoping review of tools and strategies for situational awareness.","authors":"Iulia Crisan, Joana Berger-Estilita, Sarah Saxena, Igor Abramovich, Federico Bilotta","doi":"10.1097/EA9.0000000000000109","DOIUrl":"10.1097/EA9.0000000000000109","url":null,"abstract":"<p><strong>Background: </strong>Situational awareness (SA) is a critical nontechnical skill for intensive care unit (ICU) physicians, underpinning safe decision-making and patient safety. Despite its importance, evidence regarding how SA is assessed and improved in ICU practice remains fragmented.</p><p><strong>Objectives: </strong>To map the existing evidence on interventions and assessment methods for SA among physicians in adult ICUs, and to evaluate their reported effectiveness.</p><p><strong>Design: </strong>Scoping review of randomised controlled trials, quasi-experimental studies, cross-sectional studies, and qualitative studies, conducted in accordance with PRISMA-Scr guidelines.</p><p><strong>Data sources: </strong>MEDLINE, Web of Science, Scopus, and PsycINFO were searched from inception to July 2024. Reference lists and supplementary searches were performed.</p><p><strong>Eligibility criteria: </strong>We included studies involving ICU physicians, residents and medical students working in adult ICUs that assessed or intervened on SA. Exclusions included studies limited to paediatric/neonatal ICUs, non-ICU staff, inter-unit handovers, reviews, opinion pieces and nonpeer-reviewed literature.</p><p><strong>Results: </strong>From 991 records, 11 studies were included. Simulation-based training consistently improved SA and team co-ordination, while lecture-based training alone was largely ineffective. Crew resource management (CRM) courses increased self-reported awareness but had mixed effects on outcomes. Technological tools (e.g. dashboards, 3D visualisations) showed promise in enhancing early recognition of clinical deterioration and supporting decision-making. SA assessment was most frequently performed using the Situation Awareness Global Assessment Technique (SAGAT), though this remains impractical for real-time ICU use. Methodological quality was generally moderate, with small sample sizes and heterogeneity limiting quantitative synthesis.</p><p><strong>Conclusions: </strong>Simulation-based interventions and novel technological tools appear most effective in enhancing SA among ICU physicians, whereas CRM and didactic methods yield mixed results. The lack of validated, ICU-specific SA assessment tools represents a critical gap. Future research should focus on scalable, team-based training models, context-appropriate assessment instruments, and integration of technological decision-support to strengthen SA and improve patient safety.</p>","PeriodicalId":520410,"journal":{"name":"European journal of anaesthesiology and intensive care","volume":"5 3","pages":"e0109"},"PeriodicalIF":0.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Vie Scope with the STORZ CMAC Miller videolaryngoscope in a Pierre Robin manikin. A randomised crossover trial.","authors":"Arnim Vlatten, Valancy Cole, David Vlatten, Sally Bird","doi":"10.1097/EA9.0000000000000106","DOIUrl":"10.1097/EA9.0000000000000106","url":null,"abstract":"","PeriodicalId":520410,"journal":{"name":"European journal of anaesthesiology and intensive care","volume":"5 3","pages":"e0106"},"PeriodicalIF":0.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}