{"title":"Medication errors related to neuromuscular blocking agents: analysis of the French National Pharmacovigilance Database.","authors":"Lucie Vettoretti,Francis Berthier,Guillaume Besch,Marie-B Valnet-Rabier","doi":"10.1016/j.bja.2025.03.032","DOIUrl":"https://doi.org/10.1016/j.bja.2025.03.032","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"111 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932815","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":"Preoperative estimated glomerular filtration rate to predict cardiac events in major noncardiac surgery: the benefit of a decision curve analysis for evaluating the added value of a biomarker for decision-making. Comment on Br J Anaesth 2025; 134: 297-307.","authors":"Markus Huber,Patrick Y Wuethrich,Thomas Vetsch","doi":"10.1016/j.bja.2025.03.029","DOIUrl":"https://doi.org/10.1016/j.bja.2025.03.029","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"37 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932814","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":"Association of neuromuscular reversal drug with postoperative pulmonary complications in bronchoscopy: definitional challenges.","authors":"Douglas A Colquhoun,Ana Fernandez-Bustamante","doi":"10.1016/j.bja.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.bja.2025.04.005","url":null,"abstract":"A recent retrospective study examined a composite of postoperative pulmonary complications after neostigmine or sugammadex for reversal of neuromuscular block in patients undergoing interventional pulmonology and bronchoscopic procedures. This study reviewed the electronic medical records of 8557 patients across hospitals within a single health system, finding an increased risk of a composite of postoperative pulmonary complications in those receiving sugammadex (odds ratio 1.44; 95% confidence interval: 1.02-2.05). We discuss the challenge of interpreting conflicting findings in the contemporary perioperative literature arising from heterogeneous definitions of postoperative pulmonary complications.","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"50 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932810","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":"Can the incidence of voluntarily reported side effects support the argument for a clinically relevant GLP-1RA tachyphylaxis? Comment on Br J Anaesth 2025; 134:1486-1496.","authors":"Ion A Hobai","doi":"10.1016/j.bja.2025.03.015","DOIUrl":"https://doi.org/10.1016/j.bja.2025.03.015","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"60 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932811","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":"Single-use synthetic plastic and natural fibre anaesthetic drug trays. Comment on Br J Anaesth 2024; 133: 1465-77.","authors":"Gladness D Nethathe","doi":"10.1016/j.bja.2025.04.009","DOIUrl":"https://doi.org/10.1016/j.bja.2025.04.009","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"15 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932813","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":"Preoperative fasting in paediatric anaesthesia: a movie with a predicable ending.","authors":"Nicola Disma,Walid Habre","doi":"10.1016/j.bja.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.bja.2025.04.006","url":null,"abstract":"A large international prospective pragmatic study (EUROFAST), analysing more than 306 900 anaesthetic procedures across 31 centres, compared the incidence of pulmonary aspiration in children after three different clear fluid fasting regimens: traditional fasting (≥2 h before induction of anaesthesia), ≥1 h fasting before induction and sip-til-send. EUROFAST provided further evidence supporting the safety of liberal fasting times by demonstrating that the incidence of confirmed pulmonary aspiration with fasting durations of ≥1 h is not higher than that observed with a ≥2 h fasting period. EUROFAST provided additional evidence to support changes in practice for institutions that still adhere to the outdated 6-4-2 fasting regimen by adopting a more modern approach of ≥1 h fasting or sip-til-send.","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"12 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932900","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":"Using intraoperative physiological data to predict postoperative cognitive decline and cardiovascular events: results from a 30-month prospective study.","authors":"Kanssaa El Ayeb,Cyril Touchard,Valentin Iovene,Karim Guessous,Raphaelle Galy,Charlotte Leve,Joaquim Mateo,Alex Hong,Jona Joachim,Jérôme Cartailler,Fabrice Vallée","doi":"10.1016/j.bja.2025.03.036","DOIUrl":"https://doi.org/10.1016/j.bja.2025.03.036","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"25 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932812","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":"Effects of departmental green anaesthesia interventions on carbon dioxide equivalent emissions: a systematic review.","authors":"Sascha Hammer,Michael Eichlseder,Christoph Klivinyi,Kordula Lang-Illievich,Angelika Moser,Alexander Pichler,Nikolaus Schreiber,Philipp Zoidl,Helmar Bornemann-Cimenti","doi":"10.1016/j.bja.2025.03.038","DOIUrl":"https://doi.org/10.1016/j.bja.2025.03.038","url":null,"abstract":"BACKGROUNDAnaesthesia contributes to greenhouse gas emissions and can play a crucial role in reducing the carbon footprint of the global healthcare sector. The aim of this systematic review is to identify which departmental interventions influence estimated carbon dioxide (CO2) equivalent emissions of anaesthesia and to quantify their reductions.METHODSA systematic literature search was conducted through four major electronic databases (Cochrane Library, Embase, MEDLINE, and PubMed) for studies investigating the changes in CO2 equivalent emissions per anaesthetic before and after departmental green anaesthesia interventions. Data were extracted by two independent reviewers. The primary outcomes were mean decrease of CO2 equivalents in kilograms per anaesthetic and total decrease in CO2 equivalents in tonnes. The mean effect was calculated as percentage change per patient and in total.RESULTSOf 3987 screened studies, 13 met the criteria for quantitative synthesis and showed low to moderate risk of bias. The following types of departmental sustainability interventions were found: education of staff, decreased use of desflurane and sevoflurane, promotion of TIVA, use of low fresh gas flows, proper waste management, and formation of green teams. The postinterventional total mean decrease of CO2 equivalents in kilograms per anaesthetic was 68.2% (18.6%) and in total tonnes was 75.2% (16.3%).CONCLUSIONSOur analysis demonstrates the substantial CO2 reduction potential inherent in sustainable anaesthesia programmes. Currently available literature supports staff education on avoidance of desflurane, reduction of volatile anaesthesia, lower fresh gas flow, increased utilisation of TIVA, and implementation of proper waste management protocols in operating rooms as potentially effective interventions.","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"5 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932818","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}