Ryan R Ling, Ruvini Vithanage, Lucy Modra, David Pilcher, Ashwin Subramaniam
{"title":"Age-related sex differences in intensive care treatment and outcome: a retrospective registry-based study in Australia and New Zealand. Comment on Br J Anaesth 2026; 136: 1217-25.","authors":"Ryan R Ling, Ruvini Vithanage, Lucy Modra, David Pilcher, Ashwin Subramaniam","doi":"10.1016/j.bja.2026.07.041","DOIUrl":"https://doi.org/10.1016/j.bja.2026.07.041","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029714","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":"Onslaught of the silver tsunami: cognitive impairment and frailty in older patients undergoing surgery.","authors":"Eric Cheuk, Frances Chung","doi":"10.1016/j.bja.2026.08.012","DOIUrl":"https://doi.org/10.1016/j.bja.2026.08.012","url":null,"abstract":"<p><p>Cognitive impairment and frailty are common and frequently coexist among older patients undergoing surgery, and each independently predicts adverse postoperative outcomes. Yet, both remain under-recognised and their combined perioperative impact is poorly understood. The retrospective cohort study by Weiss and colleagues used the Mini-Cog and Clinical Frailty Scale to highlight a 24% incidence of postoperative delirium among patients with both cognitive impairment and frailty, compared to 4% among patients with neither condition. Cognitive impairment emerged as a consistent predictor of delirium across the post-anaesthesia care unit and ward settings, whereas frailty was more closely associated with prolonged hospital length of stay, suggesting the two measures capture complementary dimensions of perioperative vulnerability. Screening for both conditions could provide a practical approach to identify patients most likely to benefit from targeted, multimodal interventions. Further research is needed on cognitive frailty in the perioperative setting.</p>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029747","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}
Xiaojian Lu, Hongwei Wang, Chenrong Bao, Ying Wang, Yan Luo
{"title":"Pharmacodynamic interaction between ciprofol and remifentanil for laryngeal mask airway placement without neuromuscular blocking agents: a prespecified secondary analysis.","authors":"Xiaojian Lu, Hongwei Wang, Chenrong Bao, Ying Wang, Yan Luo","doi":"10.1016/j.bja.2026.07.065","DOIUrl":"https://doi.org/10.1016/j.bja.2026.07.065","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029837","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}
Eduardo Yamaguchi, Diogo Da Conceicao, Marina Englesakis, Anahi Perlas
{"title":"Clinical accuracy and reliability of point-of-care ultrasound for perioperative diaphragmatic assessment: a scoping review","authors":"Eduardo Yamaguchi, Diogo Da Conceicao, Marina Englesakis, Anahi Perlas","doi":"10.1016/j.bja.2026.08.054","DOIUrl":"https://doi.org/10.1016/j.bja.2026.08.054","url":null,"abstract":"Diaphragmatic dysfunction contributes to perioperative respiratory morbidity. Point-of-care ultrasound enables non-invasive bedside assessment of diaphragmatic structure and motion and is increasingly used in perioperative practice. However, its diagnostic performance and measurement reliability in this setting have not been systematically evaluated. This scoping review aimed to map the available evidence, with emphasis on reliability, reproducibility, and agreement with reference standards.","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"19 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149085515","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":"The effect of intraoperative dexamethasone on glycaemic responses in people with diabetes mellitus: dose selection and the 8-12 h glycaemic window. Comment on Br J Anaesth 2026; 137: 460-9.","authors":"Huamei Cai, Xiaowen Liu","doi":"10.1016/j.bja.2026.07.050","DOIUrl":"https://doi.org/10.1016/j.bja.2026.07.050","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149023903","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":"The effect of near-infrared spectroscopy (nirs) guided intraoperative care on neurocognitive and functional outcomes of cardiac surgery: a systematic review and meta-analysis of randomised controlled trials","authors":"Talal Abdali MD, Ellen Connelly MD, Emilie Belley-Côté MD PhD, Behnam Sadeghirad PharmD MPH PhD, Vladmir Lomivorotov MD PhD, Rachel Couban MISt, Maia Shen MD, Ali Usman MD MSc, C. Scott Brudney MBChB, Nikesh Chander MD (Candidate), Alain Deschamps MD PhD, Jessica Spence MD PhD","doi":"10.1016/j.bja.2026.09.012","DOIUrl":"https://doi.org/10.1016/j.bja.2026.09.012","url":null,"abstract":"Adverse neurocognitive and functional outcomes are common after cardiac surgery. Cerebral near-infrared spectroscopy (NIRS) monitors regional cerebral oxygen saturation, allowing clinicians to detect and reverse cerebral desaturation. We conducted a systematic review and meta-analysis of randomised controlled trials (RCTs) to evaluate whether intraoperative NIRS monitoring improves neurocognitive outcomes after cardiac surgery.","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"8 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149085489","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":"Sevoflurane anaphylaxis confirmed by drug provocation and intradermal skin testing","authors":"Andrew T. Woolley, Angela L. Temple","doi":"10.1016/j.bja.2026.08.051","DOIUrl":"https://doi.org/10.1016/j.bja.2026.08.051","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"8 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149085492","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}
Asher Dixon, Nicolas A. Sieben, Samuel Smith, Jing Sun
{"title":"Operating-room noise for anaesthetists: a systematic review and meta-analysis","authors":"Asher Dixon, Nicolas A. Sieben, Samuel Smith, Jing Sun","doi":"10.1016/j.bja.2026.08.053","DOIUrl":"https://doi.org/10.1016/j.bja.2026.08.053","url":null,"abstract":"Intraoperative noise is an occupation hazard with potential to compromise anaesthetist performance and patient safety. The World Health Organisation (WHO) recommends hospital sound exposure ≤ 35 dB LAeq, yet noise levels routinely exceed this level. This systematic review and meta-analysis study aimed to determine intraoperative noise levels globally.","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"25 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149085488","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}
Jacqueline Han M.D. Program, Sydney Yu M.D. Program, John E. Rubin MD FMXR, Robert S. White MD, Rohan Jotwani MD MBA
{"title":"Augmented reality in anaesthesia: the emerging role of smart glasses","authors":"Jacqueline Han M.D. Program, Sydney Yu M.D. Program, John E. Rubin MD FMXR, Robert S. White MD, Rohan Jotwani MD MBA","doi":"10.1016/j.bja.2026.09.011","DOIUrl":"https://doi.org/10.1016/j.bja.2026.09.011","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"169 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149085486","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":"Postoperative hypotension in patients recovering from noncardiac surgery. Comment on Br J Anaesth 2026; 137:66-73","authors":"Yu Liu, Li Cai, Chang-ming Wang","doi":"10.1016/j.bja.2026.08.049","DOIUrl":"https://doi.org/10.1016/j.bja.2026.08.049","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"23 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149085487","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}