Anaesthesia最新文献

{"title":"Effects of ultrasound‐guided ipsilateral internal jugular vein compression on catheter malposition during ultrasound‐guided right infraclavicular subclavian venous catheterisation: a randomised controlled trial","authors":"Seoyoung Ma, Jangwu Kim, Kyung Won Shin, Woo‐Young Jo, Hee‐Pyoung Park, Hyongmin Oh","doi":"10.1111/anae.70419","DOIUrl":"https://doi.org/10.1111/anae.70419","url":null,"abstract":"Summary Introduction Central venous catheter malposition into the ipsilateral internal jugular vein (IJV) is an unresolved concern in ultrasound‐guided right infraclavicular subclavian venous catheterisation. We sought to investigate whether ultrasound‐guided ipsilateral IJV compression during guidewire advancement reduces catheter malposition during this procedure. Methods Adult patients undergoing elective neurosurgical procedures requiring an ultrasound‐guided right infraclavicular subclavian venous catheterisation were included in this study. Patients were assigned randomly to the IJV compression group or control group. In patients assigned to the IJV compression group, external compression was applied with an ultrasound probe to physically collapse the ipsilateral proximal IJV during guidewire advancement. The primary outcome was the incidence of overall catheter malposition. Secondary outcomes included the incidence of other catheterisation‐related complications (e.g. catheter malposition into the ipsilateral internal jugular or contralateral brachiocephalic veins) and catheterisation performance indices (e.g. catheterisation time). Results A total of 157 and 158 patients were assigned randomly to the IJV compression and control groups, respectively. Overall, we found that catheter malposition occurred less frequently in the IJV compression group (9/157 (6%) vs. 20/158 (13%); difference in proportions ‐6.9%, 95%CI ‐13.3% to ‐0.6%; OR 0.42, 95%CI 0.18–0.95; p = 0.034). Except for longer median (IQR [range]) catheterisation times in the IJV compression group (139 (114–172 [48–298]) s vs. 114 (90–150 [50–274]) s; p < 0.001), other between‐group differences in the secondary outcomes were not significant. All instances of catheter malposition into the ipsilateral IJV were corrected successfully by guidewire reinsertion under ultrasound‐guided ipsilateral IJV compression with maximal force. Discussion Ultrasound‐guided ipsilateral IJV compression during guidewire advancement can be an effective intervention to prevent catheter malposition during ultrasound‐guided right infraclavicular subclavian venous catheterisation.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"32 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149033069","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":"Sugammadex vs. neostigmine: the train‐of‐four counts too","authors":"Ashley Lee Ai Si, Evelyn Cheng, Chong Shin Yuet","doi":"10.1111/anae.70423","DOIUrl":"https://doi.org/10.1111/anae.70423","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"269 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027550","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":"Time to ask a different question: setting new goals for oncoanaesthesia","authors":"Suzanne Harrogate, Akshay Shah","doi":"10.1111/anae.70424","DOIUrl":"https://doi.org/10.1111/anae.70424","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"6 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027547","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":"Burden of chronic postsurgical pain after caesarean delivery on maternal quality of life: a systematic review","authors":"Samira Alwahabi, Rebekah Reville Joy, Payton Marshall, Lindsay Blake, Brendan Carvalho, Pervez Sultan, Sarah Ciechanowicz","doi":"10.1111/anae.70362","DOIUrl":"https://doi.org/10.1111/anae.70362","url":null,"abstract":"Summary Introduction Chronic postsurgical pain after caesarean delivery is an important cause of postpartum morbidity, yet its impact on maternal quality of life has not been comprehensively synthesised. The aims of this systematic review were to evaluate the impact of chronic postsurgical pain on quality of life, including possible temporal changes in the impact of pain on physical function, sleep, mood, fatigue and sexual wellbeing. Methods A comprehensive database review was performed to identify studies reporting quality of life outcomes ≥ 3 months after caesarean delivery, in women with persistent pain attributed to, or reported after, surgery. Owing to heterogeneity in chronic postsurgical pain definitions, anatomical pain attribution and quality of life measures, a narrative synthesis was undertaken. Results Thirty studies involving 28,295 women were included. Across studies, chronic postsurgical pain was associated with, or accompanied by, persistent interference in daily activity, sleep, mood and energy. Interference appeared to evolve over time, with activity‐related interference more prominent at 3 months postpartum (54%) and mood‐related interference more prominent at 6 and 12 months (53% and 68%, respectively). Fatigue showed little improvement between 6 and 12 months. Postpartum depression was common in the first year (7–46%) and depressive symptoms and fatigue were frequently associated with chronic postsurgical pain. Discussion Chronic postsurgical pain after caesarean delivery is associated with clinically important impairment across multiple domains of quality of life. Early postpartum disruption appears more strongly characterised by functional limitation, whereas affective and psychosocial interference may become relatively more prominent over time. These findings support a multidimensional understanding of persistent pain and recovery after caesarean delivery, and underscore the limitations of assessing pain intensity alone as an outcome in perioperative research.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"101 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149033070","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":"Pain management after caesarean delivery: beyond analgesia towards holistic maternal recovery","authors":"Neal Patel, Felicity Plaat, Sonali Thakrar","doi":"10.1111/anae.70421","DOIUrl":"https://doi.org/10.1111/anae.70421","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"479 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149033081","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":"Minimal clinically important difference and psychometric properties of the Obstetric Quality of Recovery‐10 measure: a systematic review and network meta‐analysis","authors":"Moe Takenoshita, Satyam Ghimire, Lu Tian, Aleesha Jethwa, Phillip Callihan, Fatine Karkri, Lindsay E. Blake, Pervez Sultan","doi":"10.1111/anae.70363","DOIUrl":"https://doi.org/10.1111/anae.70363","url":null,"abstract":"Summary Introduction The Obstetric Quality of Recovery‐10 (ObsQoR‐10) is a patient‐reported outcome measure for evaluating inpatient postpartum recovery. However, the minimal clinically important difference for ObsQoR‐10 remains unknown, limiting clinical and research interpretability. The primary aim of this study was to determine the minimal clinically important difference of ObsQoR‐10 through systematic review and network meta‐analysis of studies and to evaluate its psychometric properties. Methods We conducted a systematic review and network meta‐analysis of studies and searched relevant databases using keywords relating to ‘obstetric quality of recovery.’ We included observational and interventional studies reporting more than one psychometric property of ObsQoR‐10 at one or more inpatient time‐points. Two reviewers independently screened and evaluated study quality using the COnsensus‐based Standards for the selection of health Measurement INstruments (COSMIN) risk of bias checklist. Minimal clinically important difference was estimated through triangulation of distribution‐based (half of standard deviation of scores) and anchor‐based (differences in scores between vaginal delivery and caesarean delivery, and between planned and unplanned caesarean delivery) methods. Results We included 12 studies with a total of 2017 parturients. Mean (SD) ObsQoR‐10 score ranged from 48 (16.3) (caesarean delivery) to 89 (9.3) (vaginal delivery). Distribution‐based estimates ranged from 6.7 (95%CI 6.0–7.6) to 8.7 (95%CI 7.9–9.6), while anchor‐based estimates ranged from 9.7 (95%CI 2.7–16.5) to 12.4 (95%CI 3.1–21.5). Most studies reported statistically significant differences in scores between delivery modes. Overall, there was moderate evidence for sufficient validity, reliability and responsiveness of ObsQoR‐10 across the postpartum period. Discussion We recommend using a minimal clinically important difference of 7–10 points for ObsQoR‐10, with 7 points as the lower‐bound estimate. This can be used to help interpret ObsQoR‐10 scores in clinical settings and to power future studies using ObsQoR‐10 as a primary outcome measure.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"11 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027548","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":"A web application for estimating the carbon footprint of individual anaesthetics","authors":"James Fullick","doi":"10.1111/anae.70395","DOIUrl":"https://doi.org/10.1111/anae.70395","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"4 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019910","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":"Beyond survival: understanding postoperative disability in peri‐operative care","authors":"Victoria N. Gibbs, Akshay Shah, Antony J. R. Palmer","doi":"10.1111/anae.70420","DOIUrl":"https://doi.org/10.1111/anae.70420","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"97 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019911","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":"Classifying mask ventilation: current evidence supports the MASCAN score, not capnography","authors":"Martin Petzoldt, Vera Schäfersküpper, Viktor A. Wünsch","doi":"10.1111/anae.70402","DOIUrl":"https://doi.org/10.1111/anae.70402","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"27 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993730","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":"Measuring mask ventilation: capnography is better","authors":"James R. Nielsen, Kar‐Soon Lim","doi":"10.1111/anae.70400","DOIUrl":"https://doi.org/10.1111/anae.70400","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"10 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993731","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}