{"title":"Unrecognised oesophageal intubation: checklist for capnography and two-person verbal check of sustained exhaled carbon dioxide","authors":"David K. Whitaker , Ellen P. O'Sullivan","doi":"10.1016/j.bja.2025.01.018","DOIUrl":"10.1016/j.bja.2025.01.018","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 4","pages":"Pages 1223-1224"},"PeriodicalIF":9.1,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457089","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}
Kelly Michaelsen , Meghana Bharadwaj , Zain Wedemeyer , Srdjan Jelacic , Wil Van Cleve , Jon Mueller , Andrew Bowdle
{"title":"A near miss from unintended free flow administration of propofol caused by infusion pump malfunction","authors":"Kelly Michaelsen , Meghana Bharadwaj , Zain Wedemeyer , Srdjan Jelacic , Wil Van Cleve , Jon Mueller , Andrew Bowdle","doi":"10.1016/j.bja.2025.01.021","DOIUrl":"10.1016/j.bja.2025.01.021","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 4","pages":"Pages 1264-1266"},"PeriodicalIF":9.1,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457084","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}
Alexander Wahba , Gudrun Kunst , Filip De Somer , Henrik Agerup Kildahl , Benjamin Milne , Gunilla Kjellberg , Adrian Bauer , Friedhelm Beyersdorf , Hanne Berg Ravn , Gerdy Debeuckelaere , Gabor Erdoes , Renard Gerhardus Haumann , Tomas Gudbjartsson , Frank Merkle , Davide Pacini , Gianluca Paternoster , Francesco Onorati , Marco Ranucci , Nemanja Ristic , Marc Vives , Fabio Zanella
{"title":"2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery","authors":"Alexander Wahba , Gudrun Kunst , Filip De Somer , Henrik Agerup Kildahl , Benjamin Milne , Gunilla Kjellberg , Adrian Bauer , Friedhelm Beyersdorf , Hanne Berg Ravn , Gerdy Debeuckelaere , Gabor Erdoes , Renard Gerhardus Haumann , Tomas Gudbjartsson , Frank Merkle , Davide Pacini , Gianluca Paternoster , Francesco Onorati , Marco Ranucci , Nemanja Ristic , Marc Vives , Fabio Zanella","doi":"10.1016/j.bja.2025.01.015","DOIUrl":"10.1016/j.bja.2025.01.015","url":null,"abstract":"<div><div>Clinical practice guidelines consolidate and evaluate all pertinent evidence on a specific topic available at the time of their formulation. The goal is to assist physicians in determining the most effective management strategies for patients with a particular condition. These guidelines assess the impact on patient outcomes and weigh the risk–benefit ratio of various diagnostic or therapeutic approaches. While not a replacement for textbooks, they provide supplementary information on topics relevant to current clinical practice and become an essential tool to support the decisions made by specialists in daily practice. Nonetheless, it is crucial to understand that these recommendations are intended to guide, not dictate, clinical practice, and should be adapted to each patient's unique needs. Clinical situations vary, presenting a diverse array of variables and circumstances. Thus, the guidelines are meant to inform, not replace, the clinical judgement of healthcare professionals, grounded in their professional knowledge, experience and comprehension of each patient's specific context. Moreover, these guidelines are not considered legally binding; the legal duties of healthcare professionals are defined by prevailing laws and regulations, and adherence to these guidelines does not modify such responsibilities.</div><div>The European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) and the European Board of Cardiovascular Perfusion (EBCP) constituted a task force of professionals specializing in cardiopulmonary bypass (CPB) management. To ensure transparency and integrity, all task force members involved in the development and review of these guidelines submitted conflict of interest declarations, which were compiled into a single document available on the EACTS website (<span><span>https://www.eacts.org/resources/clinical-guidelines</span><svg><path></path></svg></span>). Any alterations to these declarations during the development process were promptly reported to the EACTS, EACTAIC and EBCP. Funding for this task force was provided exclusively by the EACTS, EACTAIC and EBCP, without involvement from the healthcare industry or other entities.</div><div>Following this collaborative endeavour, the governing bodies of EACTS, EACTAIC and EBCP oversaw the formulation, refinement, and endorsement of these extensively revised guidelines. An external panel of experts thoroughly reviewed the initial draft, and their input guided subsequent amendments. After this detailed revision process, the final document was ratified by all task force experts and the leadership of the EACTS, EACTAIC and EBCP, enabling its publication in the European Journal of Cardio-Thoracic Surgery, the British Journal of Anaesthesia and Interdisciplinary CardioVascular and Thoracic Surgery.</div><div>Endorsed by the EACTS, EACTAIC and EBCP, these guidelines represent the official stan","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 4","pages":"Pages 917-1008"},"PeriodicalIF":9.1,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Theodora E. Wingert , Tristan Grogan , Lisa K. Lee
{"title":"The road to reliable paediatric perioperative risk prediction: challenges and the need for robust validation. Comment on Br J Anaesth 2024;133:1222–33","authors":"Theodora E. Wingert , Tristan Grogan , Lisa K. Lee","doi":"10.1016/j.bja.2025.01.019","DOIUrl":"10.1016/j.bja.2025.01.019","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 4","pages":"Pages 1235-1237"},"PeriodicalIF":9.1,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425037","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}
Alfredo Abad Gurumeta , Andrew Davidson , Ruthi Landau , Jaideep J. Pandit , James P. Rathmell , André Schmidt , Stephan K.W. Schwarz , Brian D. Sites , BobbieJean Sweitzer , Matt Wiles
{"title":"Comments on alleged editor misconduct from editors-in-chief of anaesthesia journals","authors":"Alfredo Abad Gurumeta , Andrew Davidson , Ruthi Landau , Jaideep J. Pandit , James P. Rathmell , André Schmidt , Stephan K.W. Schwarz , Brian D. Sites , BobbieJean Sweitzer , Matt Wiles","doi":"10.1016/j.bja.2024.12.017","DOIUrl":"10.1016/j.bja.2024.12.017","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 4","pages":"Pages 1181-1182"},"PeriodicalIF":9.1,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425030","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}
Eliana C. Goldstein , Mark D. Neuman , Viktoria Vonder Haar , Aaron C. Li , Carlos E. Guerra-Londono , Glyn Elwyn , Stacie G. Deiner , Adnan Hussain , Joshua W. Sappenfield , Christopher J. Edwards , Sabry Ayad , James H. Baraldi , Karah Whatley , Mary C. Politi
{"title":"Preparing to implement shared decision making in anaesthesia for hip fracture surgery: a qualitative interview study","authors":"Eliana C. Goldstein , Mark D. Neuman , Viktoria Vonder Haar , Aaron C. Li , Carlos E. Guerra-Londono , Glyn Elwyn , Stacie G. Deiner , Adnan Hussain , Joshua W. Sappenfield , Christopher J. Edwards , Sabry Ayad , James H. Baraldi , Karah Whatley , Mary C. Politi","doi":"10.1016/j.bja.2025.01.012","DOIUrl":"10.1016/j.bja.2025.01.012","url":null,"abstract":"<div><h3>Background</h3><div>Shared decision making is rarely used in anaesthesia consultations. Because either spinal or general anaesthesia can be appropriate for many patients undergoing surgery to repair a hip fracture, this is an appropriate context to implement and test shared decision making and associated resources for anaesthesia decisions. Conversation aids can facilitate shared decision making between clinicians, patients, and caregivers about treatment choices.</div></div><div><h3>Methods</h3><div>We conducted semi-structured qualitative interviews at seven sites from April to September 2024 to prepare for implementation of a conversation aid about anaesthesia choices for hip fracture surgery. Interviews elicited feedback on shared decision making and a proposed conversation aid comparing spinal and general anaesthesia.</div></div><div><h3>Results</h3><div>We interviewed 12 clinicians and 12 patients and caregivers. The analysis identified four themes, which we mapped to the Practical, Robust Implementation and Sustainability Model. We found (1) broad support for shared decision making in anaesthesia choices before hip fracture surgery, although it is not typically incorporated in current practice; (2) barriers to shared decision making, including institutional culture, preexisting clinician assumptions about patient preferences, and time; (3) features of a resource (i.e. the conversation aid) that can help overcome these barriers; and (4) the importance of engaging in shared decision making with an appropriate clinician. Suggestions from interviews were incorporated into the conversation aid.</div></div><div><h3>Conclusions</h3><div>Reasonable shared decision-making strategies such as conversation aids were seen by most participants as helpful to support shared decision making about anaesthesia options for hip fracture surgery. Engaging end users at the local level can address key implementation barriers.</div></div>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 4","pages":"Pages 1058-1067"},"PeriodicalIF":9.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143398290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}