Anaesthesia最新文献

{"title":"Institutional survey of gastric ultrasound usage in patients receiving glucagon-like peptide-1 receptor agonists.","authors":"Evan Michell, Andrew Lange, Erez Ben-Menachem","doi":"10.1111/anae.70220","DOIUrl":"https://doi.org/10.1111/anae.70220","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":" ","pages":""},"PeriodicalIF":6.9,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence-assisted peri-operative echocardiography: a multicentre observational study.","authors":"Deepak Prakash Borde, Kumar Chidambaram, Amish Jasapara, Samrat Sukumar Madanaik, Shreedhar Joshi, Pooja Joshi, Pramod Apsingkar, Balaji Asegaonkar, Vijay Shetty, Ramya Elumalai, Archana Chandrakumar, Amit Dixit, Madhav Swaminathan","doi":"10.1111/anae.70235","DOIUrl":"https://doi.org/10.1111/anae.70235","url":null,"abstract":"<p><strong>Introduction: </strong>Point-of-care transthoracic echocardiography performed by anaesthetists can influence peri-operative management but is constrained by time, the need for measurements and advanced skill requirements. Artificial intelligence-driven analysis may streamline this assessment and yield benefits to clinicians and patients.</p><p><strong>Methods: </strong>In this prospective multicentre observational study, adult patients who were referred for pre-operative echocardiography were enrolled. Anaesthetists certified in echocardiography acquired a predefined 12-view protocol. The same studies were uploaded to the US2.AI cloud platform, which generated measurements and categorical classifications for 10 key echocardiographic parameters. Manual measurements by clinicians served as the reference standard.</p><p><strong>Results: </strong>Of 206 enrolled patients, 202 (98%) with adequate image quality were analysed. Agreement between artificial intelligence- and clinician-derived continuous measurements was good to excellent for most parameters, with intraclass correlation coefficient values 0.605-0.956 (p < 0.001). Left ventricular ejection fraction was strongly correlated (r = 0.845, p < 0.001) with a mean difference of -1.9%. The US2.AI software classified left ventricular systolic function correctly in 180/201 (91%) patients and left ventricular diastolic dysfunction in 193/201 (96%) patients. Correlations for right ventricular size and function, and right atrial size were strong (r = 0.860, 0.743 and 0.842, all p < 0.001) with small mean differences. The US2.AI software identified all patients with pulmonary hypertension (n = 10) and severe aortic stenosis (n = 6) correctly. Agreement for inferior vena cava collapsibility (r = 0.641) and cardiac output (r = 0.675) was moderate with low mean bias. Cohen's κ for categorical classifications was statistically significant for all parameters (p < 0.001).</p><p><strong>Discussion: </strong>Using a limited predefined image sequence, anaesthetists can obtain most information essential for peri-operative decision-making. Agreement between US2.AI and clinicians was high for 10 echocardiographic parameters. These findings support integrating US2.AI into peri-operative echocardiography workflows, with further studies needed to assess its impact on clinical outcomes.</p>","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":" ","pages":""},"PeriodicalIF":6.9,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of peri-operative peripheral nerve injuries: a reply.","authors":"Tom Luo, Stuart Marshall","doi":"10.1111/anae.70216","DOIUrl":"https://doi.org/10.1111/anae.70216","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":" ","pages":""},"PeriodicalIF":6.9,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One‐lung ventilation and positive end‐expiratory pressure titration","authors":"Ming‐Hui Hung, Shu‐Yueh Cheng","doi":"10.1111/anae.70224","DOIUrl":"https://doi.org/10.1111/anae.70224","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"22 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendations on antihypertensives in the peri‐operative period: a reply","authors":"Alex Wickham, Andrew Hartle, Terry McCormack","doi":"10.1111/anae.70229","DOIUrl":"https://doi.org/10.1111/anae.70229","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"250 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real‐time ultrasound guidance for central venous access: a reply","authors":"Andrew J. Johnston, Matthew Simpson","doi":"10.1111/anae.70228","DOIUrl":"https://doi.org/10.1111/anae.70228","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"3 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound‐guided regional anaesthesia education and dissemination: revisiting the ‘Plan A’ concept","authors":"Michelle Chong, Anahi Perlas, Laura Girón‐Arango","doi":"10.1111/anae.70232","DOIUrl":"https://doi.org/10.1111/anae.70232","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"69 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal blood pressure targets and neonatal outcomes at caesarean birth","authors":"Mathew Lyons","doi":"10.1111/anae.70223","DOIUrl":"https://doi.org/10.1111/anae.70223","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"4 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Framing quality in peri‐operative care","authors":"Gabriele Martelli, Massimiliano Sorbello, Marco Fiore","doi":"10.1111/anae.70225","DOIUrl":"https://doi.org/10.1111/anae.70225","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"32 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Routine pre‐operative modified telephone interview for cognitive status screening: a reply","authors":"Kelly Atkins, David A. Scott","doi":"10.1111/anae.70222","DOIUrl":"https://doi.org/10.1111/anae.70222","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"1 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}