Anaesthesia最新文献

{"title":"Erector spinae plane block and N‐rays","authors":"Axel R. Sauter, Rebecca Heinen, Thomas Wiesmann","doi":"10.1111/anae.70226","DOIUrl":"https://doi.org/10.1111/anae.70226","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"133 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752679","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":"Efficacy and safety of vasopressor infusions during caesarean delivery","authors":"Kashmala Mushtaq","doi":"10.1111/anae.70227","DOIUrl":"https://doi.org/10.1111/anae.70227","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":"147752685","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":"Sustainable anaesthesia: beyond carbon and towards system‐level change","authors":"Aditya Krishnan, Cliff Shelton","doi":"10.1111/anae.70231","DOIUrl":"https://doi.org/10.1111/anae.70231","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"26 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752688","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":"Evaluation of a nitrous oxide mobile destruction unit to reduce occupational exposure in a burns department","authors":"Christelle Machon, Anthony Chaverot, Amélie Massardier‐Pilonchery, Vincent Reneric, François Parant","doi":"10.1111/anae.70221","DOIUrl":"https://doi.org/10.1111/anae.70221","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"26 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752678","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":"Hypotension prediction in elective caesarean section: are we comparing with the right standard?","authors":"Eanna O'Sullivan, Rachel Bartlett","doi":"10.1111/anae.70219","DOIUrl":"https://doi.org/10.1111/anae.70219","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"152 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752684","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: a reply","authors":"Yi Chen, Xinli Ni","doi":"10.1111/anae.70230","DOIUrl":"https://doi.org/10.1111/anae.70230","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"27 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752686","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":"Hypotension prediction in elective caesarean section: a reply","authors":"Po‐Yuan Shih, Chun‐Yu Wu","doi":"10.1111/anae.70217","DOIUrl":"https://doi.org/10.1111/anae.70217","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"117 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752683","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","authors":"Andrew Wood, Cosmo Scurr","doi":"10.1111/anae.70218","DOIUrl":"https://doi.org/10.1111/anae.70218","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"29 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147752690","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":"Best practice in obstetric general anaesthesia: an umbrella review of pharmacological strategies for induction of general anaesthesia.","authors":"Robert Craig,Amelia Carnachan,Kay A Mak,Olivia Beesley,Lauren Borg Xuereb,James E O'Carroll,Sohail Bampoe,Nuala Lucas,Peter M Odor","doi":"10.1111/anae.70214","DOIUrl":"https://doi.org/10.1111/anae.70214","url":null,"abstract":"INTRODUCTIONGeneral anaesthesia for caesarean delivery carries specific maternal and neonatal risks. Drug choice, dose and timing during induction of general anaesthesia may influence maternal and neonatal physiology and outcomes. The objective of this umbrella review was to systematically identify, summarise and appraise evidence for pharmacological techniques for induction of general anaesthesia for caesarean delivery.METHODSDatabases were searched for eligible studies, including meta-analyses, systematic reviews, randomised controlled trials not previously synthesised and relevant observational studies. Data extraction, methodological quality assessment and evaluation of evidence certainty were conducted. Interventions were grouped into four categories: induction opioids; induction hypnotics; drugs to obtund the pressor response to laryngoscopy; and neuromuscular blocking drugs.RESULTSSeven meta-analyses, two systematic reviews, 26 randomised controlled trials and 15 observational studies were included. Moderate quality evidence indicated short-acting opioids offered maternal haemodynamic benefit without negative neonatal consequences. Low quality evidence indicated propofol was associated with equivalent early neonatal resuscitation requirements compared with thiopental, but with lower risk of maternal accidental awareness during general anaesthesia. Labetalol, dexmedetomidine, lidocaine and remifentanil attenuated maternal haemodynamic response to laryngoscopy, with minimal neonatal adverse effects. Rocuronium at dose of ≥ 1 mg.kg-1 provided comparable tracheal intubation conditions to suxamethonium without affecting neonatal outcomes, based on moderate quality evidence.DISCUSSIONCurrent evidence supports the safety of short-acting opioids, propofol as the preferred induction drug and rocuronium as a suitable alternative to suxamethonium during induction of anaesthesia for caesarean delivery. Overall, the evidence base is constrained by exclusion of high-risk pregnancies and emergency cases, thus limiting generalisability.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"441 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147684866","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":"Use of sterile gowns for single-shot spinal anaesthesia: consensus guidelines from the Association of Anaesthetists, Royal College of Anaesthetists, Obstetric Anaesthetists' Association, Regional Anaesthesia UK, College of Anaesthesiologists of Ireland and Australian and New Zealand College of Anaesthetists.","authors":"Caroline Phillips,Manpreet Bahra,Yavor Metodiev,James H Bamber,Dónall Ó Cróinín,Li Fang,Lucy Brooks,Helgi Jóhannsson,Nat Haslam,Archana Shrivathsa,Paul Southall,Cliff Shelton, ","doi":"10.1111/anae.70212","DOIUrl":"https://doi.org/10.1111/anae.70212","url":null,"abstract":"INTRODUCTIONInternational guideline recommendations vary on the use of sterile gowns during spinal anaesthesia. There is limited evidence of benefit for their routine use and debate about environmental, financial and clinical costs and benefits. Updated, evidence-informed, consensus-based recommendations on the essential infection prevention measures for single-shot spinal anaesthesia are required to balance the need to maintain high standards of infection prevention with proportionate and sustainable practice.METHODSA comprehensive literature review was undertaken to explore: the risk of infective sequelae; time to establish anaesthesia; infection prevention recommendations for the clinician performing the procedure and the assistant; and attitudes to infection prevention. This formed the basis for the development of statements and recommendations, which were considered in a modified three-round Delphi process.RESULTSIn total, 239 academic articles were identified, with 39 selected for full-text review. The review informed the development of 10 statements and 11 recommendations. Thirty-two professional experts and one patient representative completed all three rounds of the Delphi process. Consensus was reached on eight statements and 11 recommendations, including that the routine use of a sterile gown when performing single-shot spinal anaesthesia for uncomplicated adult patients (i.e. immunocompetent and/or for whom the procedure is expected to be neither difficult nor prolonged), should not be considered mandatory; two statements did not reach consensus.DISCUSSIONThis consensus statement defines the essential aseptic measures for single-shot spinal anaesthesia in uncomplicated adult patients. While the routine use of sterile gowns should not be considered mandatory, core aseptic practices such as effective hand hygiene and facemask use are essential. These recommendations support a proportionate, sustainable approach to infection prevention. Clinicians may use this guidance to inform safe, evidence-aligned and environmentally responsible anaesthetic practice.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"280 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147695202","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}