Anaesthesia最新文献_第6页

Context is king: reinterpreting the efficacy of intranasal dexmedetomidine for emergence agitation. 背景为王：重新解释鼻内右美托咪定治疗突发性激动的疗效。

IF 10.7 1区医学

Anaesthesia Pub Date : 2025-09-14 DOI: 10.1111/anae.16784

Po-Ni Hsiao,Hsing-Hao Huang,Ming-Hui Hung

引用次数: 0

Global anaesthesia practice using inguinal hernia surgery as a tracer condition: a secondary analysis of an international prospective cohort study. 使用腹股沟疝手术作为示踪条件的全球麻醉实践：一项国际前瞻性队列研究的二次分析。

IF 10.7 1区医学

Anaesthesia Pub Date : 2025-09-09 DOI: 10.1111/anae.16686

{"title":"Global anaesthesia practice using inguinal hernia surgery as a tracer condition: a secondary analysis of an international prospective cohort study.","authors":" ","doi":"10.1111/anae.16686","DOIUrl":"https://doi.org/10.1111/anae.16686","url":null,"abstract":"INTRODUCTIONRestoration of surgical capacity is essential to post-COVID-19 recovery. This study explored the use and safety of anaesthesia options for inguinal hernia surgery, a common tracer condition, to describe current global practice and highlight opportunities to build the capacity of health systems.METHODSThis is a secondary analysis of an international prospective cohort study of consecutive patients who underwent elective inguinal hernia surgery. We used a consensus process to define generalisable outcomes to measure patient selection, utilisation of hospital capacity and peri-operative safety in patients who received locoregional, spinal or general anaesthesia for their surgery.RESULTSIn total, 16,554 patients from 83 countries were included. Locoregional anaesthesia was performed in 1536 (9.2%) of patients, compared with 9165 (55.4%) who had general and 55,853 (35.4%) who had spinal anaesthesia. Patient selection outcomes were comparable across anaesthesia groups. As a measure of hospital capacity, adjusted day-case rates were higher for locoregional anaesthesia (OR 6.62, 95%CI 5.13-8.54, p < 0.001) but not for spinal anaesthesia (OR 0.97, 95%CI 0.84-1.12, p = 0.68) compared with general anaesthesia. Complications were lower in patients who underwent locoregional anaesthesia (OR = 0.67, 95%CI 0.52-0.87, p = 0.001) but not for spinal anaesthesia (OR = 0.90, 95%CI 0.77-1.05, p = 0.167) compared with general anaesthesia after risk adjustment.DISCUSSIONThis study has filled knowledge gaps of anaesthesia practice in common surgeries across the world. Locoregional and spinal anaesthesia could be adopted as safe options to increase surgical volume when there is limited access to general anaesthesia.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"56 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017956","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}

引用次数: 0

Does low-dose ketamine really protect against delirium? 低剂量氯胺酮真的能预防谵妄吗？

IF 10.7 1区医学

Anaesthesia Pub Date : 2025-09-04 DOI: 10.1111/anae.16772

Shenglong Li,Longfei You

引用次数: 0

Interpreting statistical evidence with S values. 用S值解释统计证据。

IF 10.7 1区医学

Anaesthesia Pub Date : 2025-09-04 DOI: 10.1111/anae.16759

Alessandro Rovetta,Pavlos Msaouel,Mohammad Ali Mansournia

引用次数: 0

The fewer the better or the more the merrier? The challenges of large research collaborations. 越少越好还是越多越好？大型研究合作的挑战。