AnaesthesiaPub Date : 2024-12-18DOI: 10.1111/anae.16524
Glenio B. Mizubuti, Rafael S. F. Nersessian, Leopoldo M. da Silva, Anthony M.‐H. Ho
{"title":"Considerations on peri‐operative management of GLP‐1 receptor agonists","authors":"Glenio B. Mizubuti, Rafael S. F. Nersessian, Leopoldo M. da Silva, Anthony M.‐H. Ho","doi":"10.1111/anae.16524","DOIUrl":"https://doi.org/10.1111/anae.16524","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"10 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142841072","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}
AnaesthesiaPub Date : 2024-12-16DOI: 10.1111/anae.16495
Anna Enlund, Maziar Nikberg, Anders Berglund, Erland Östberg, Mats Enlund
{"title":"Total intravenous or inhalational volatile anaesthesia and survival after colorectal cancer surgery: a Swedish national registry study","authors":"Anna Enlund, Maziar Nikberg, Anders Berglund, Erland Östberg, Mats Enlund","doi":"10.1111/anae.16495","DOIUrl":"https://doi.org/10.1111/anae.16495","url":null,"abstract":"Retrospective studies suggest that inhalational volatile anaesthetic agents may contribute to an increased risk of metastasis and reduction in survival rates when used during cancer surgery. This relationship may vary between cancer types due to different tumour biology and differences in surgical procedures. This study aimed to investigate the relationship between the type of anaesthetic used for maintenance of anaesthesia (propofol or inhalational volatile anaesthetic agent) and survival in patients with stage 1–3 colorectal cancer who underwent resection surgery under general anaesthesia in Sweden between 2014 and 2019.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"39 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142825468","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}
AnaesthesiaPub Date : 2024-12-16DOI: 10.1111/anae.16523
Navniel Kaur, Andre Vercueil, Melissa Taylor
{"title":"Voices from the ground: transformative health research in low- and middle-income countries","authors":"Navniel Kaur, Andre Vercueil, Melissa Taylor","doi":"10.1111/anae.16523","DOIUrl":"https://doi.org/10.1111/anae.16523","url":null,"abstract":"Click on the article title to read more.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"49 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142832770","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":"Impact of general vs. regional anaesthesia on one-year clinical outcomes and healthcare utilisation after lower limb arthroplasty: a retrospective study","authors":"Chun-Ning Ho, Wei-Ting Wang, Kuo-Chuan Hung, Wei-Cheng Liu, Shu-Wei Liao, Jen-Yin Chen, Kuo-Mao Lan","doi":"10.1111/anae.16511","DOIUrl":"https://doi.org/10.1111/anae.16511","url":null,"abstract":"General anaesthesia and regional anaesthesia are used for hip and knee arthroplasty but their impact on long-term outcomes remains unclear. This study aimed to compare one-year clinical outcomes and healthcare utilisation in patients receiving general or regional anaesthesia for hip or knee arthroplasty.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"42 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142816262","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}
AnaesthesiaPub Date : 2024-12-12DOI: 10.1111/anae.16494
Mark Andonovic, Holly Morrison, William Allingham, Robert Adam, Martin Shaw, Tara Quasim, Joanne McPeake, Terence Quinn
{"title":"Mechanisms underlying neurocognitive dysfunction following critical illness: a systematic review","authors":"Mark Andonovic, Holly Morrison, William Allingham, Robert Adam, Martin Shaw, Tara Quasim, Joanne McPeake, Terence Quinn","doi":"10.1111/anae.16494","DOIUrl":"https://doi.org/10.1111/anae.16494","url":null,"abstract":"Cognitive impairment is a significant healthcare problem globally and its prevalence is projected to affect over 150 million people worldwide. Survivors of critical illness are impacted frequently by long-term neurocognitive dysfunction regardless of presenting illness, but the mechanisms are poorly understood. The goal of this review was to synthesise the existing evidence regarding potential mechanisms underlying neurocognitive dysfunction following critical illness in order to guide potential avenues for future research.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"22 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142816261","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":"Associations between pre-operative iron deficiency and postoperative infection in patients undergoing major surgery (CARIPO): a prospective observational study","authors":"Maëva Campfort, Tristan Perrault, Aymeric Blanchard-Daguet, Emmanuel Rineau, Sigismond Lasocki","doi":"10.1111/anae.16498","DOIUrl":"https://doi.org/10.1111/anae.16498","url":null,"abstract":"Iron deficiency, with or without anaemia, is common during the peri-operative period. It has been hypothesised that pre-operative iron deficiency is associated with an increased incidence of postoperative infection. We designed the CARIPO prospective observational study to assess the incidence of postoperative infection in patients with and without iron deficiency undergoing a variety of major surgeries.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"65 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142816260","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}
AnaesthesiaPub Date : 2024-12-12DOI: 10.1111/anae.16508
Chaojin Chen, Jiaming Ji, Zhendong Ding, Ning Shen
{"title":"Expanding clinical applications of augmented reality laryngoscopy: a need for further exploration and validation","authors":"Chaojin Chen, Jiaming Ji, Zhendong Ding, Ning Shen","doi":"10.1111/anae.16508","DOIUrl":"https://doi.org/10.1111/anae.16508","url":null,"abstract":"<p>We write in to response to the comments provided by Orrock and Ward [<span>1</span>] and Inoue et al. [<span>2</span>] on our article [<span>3</span>].</p>\u0000<p>In our preliminary research, we did not conduct a strict randomised controlled trial. Instead, we recruited 15 volunteers to evaluate the comfort, visual satisfaction and overall satisfaction of using different laryngoscopes for tracheal intubation. We acknowledge the difficulty of blinding operators in such studies and the limitations of using models in airway studies, particularly their lack of tissue plasticity. This can affect blade lifting and require the operator to be closer to the model for an appropriate glottic view. Currently, we are conducting a randomised controlled trial to assess the clinical usability and efficacy of the augmented reality laryngoscope.</p>\u0000<p>Regarding the concerns about image bias and non-standard tracheal intubation techniques, the positions depicted in our article, although different from those preferred by Orrock and Ward, are used commonly in our clinical practice. A review of relevant recent tracheal intubation videos on the internet revealed similar techniques, suggesting that these variations may be due to individual practice habits [<span>4, 5</span>]. We agree that musculoskeletal strain related to laryngoscopy is a common issue in anaesthesia, and propose a multifaceted approach to mitigate this [<span>6</span>]. This includes standardised training; adopting the head-up (semi-Fowler's) position; using pillows/neck supports for optimal cervical flexion/extension; adjusting the operating table height; and designing novel laryngoscopes and tracheal intubation protocols using artificial intelligence [<span>7, 8</span>].</p>\u0000<p>Inoue et al. have also rightly pointed out the potential influence of practitioner experience on the ergonomics and effectiveness of augmented reality laryngoscopes, a factor our initial study did not address. Novice practitioners tend to exhibit greater forward flexion and head movement during tracheal intubation compared to experts, regardless of the laryngoscope used. This difference is particularly evident when comparing Macintosh and videolaryngoscopes, with novices often requiring more substantial adjustments to achieve an adequate glottic view. However, experienced anaesthetists also exhibit variations in their tracheal intubation techniques due to factors including habit and vision issues. We appreciate the insights and agree that failing to account for operator experience could limit the applicability of our findings. Augmented reality technology may offer greater benefits to less experienced practitioners by providing a more intuitive and visual representation of the laryngeal anatomy. Viewing an enlarged, three-dimensional image of the larynx without adjusting posture could facilitate learning and improve technique among novice anaesthetists.</p>\u0000<p>The use of videolaryngoscopes with articulable and rotatable scree","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"22 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142816265","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}
AnaesthesiaPub Date : 2024-12-12DOI: 10.1111/anae.16517
Edward Montgomery, Mike Charlesworth, Catherine Fowler
{"title":"Patient and public perspectives on acute type A aortic dissection","authors":"Edward Montgomery, Mike Charlesworth, Catherine Fowler","doi":"10.1111/anae.16517","DOIUrl":"https://doi.org/10.1111/anae.16517","url":null,"abstract":"Click on the article title to read more.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"20 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142816263","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}