Li Ching Ooi,Bernadette R Findlay,Joshua M Wiesel,Renata Hadzic,Jonathan Penm,Jennifer A Stevens
{"title":"Optimal securement techniques for peripheral nerve catheters: a quality improvement cycle.","authors":"Li Ching Ooi,Bernadette R Findlay,Joshua M Wiesel,Renata Hadzic,Jonathan Penm,Jennifer A Stevens","doi":"10.1016/j.bja.2025.03.016","DOIUrl":"https://doi.org/10.1016/j.bja.2025.03.016","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"7 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871982","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":"Cardiac index-guided therapy to maintain optimised postinduction cardiac index in high-risk patients having major open abdominal surgery. Response to Br J Anaesth 2025; 134: 1550-1","authors":"Bernd Saugel , Alina Bergholz","doi":"10.1016/j.bja.2025.03.013","DOIUrl":"10.1016/j.bja.2025.03.013","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 6","pages":"Pages 1804-1805"},"PeriodicalIF":9.1,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931883","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}
Samarjit Das , Michael J. Devinney , Miles Berger , Charles H. Brown IV
{"title":"Mind the messenger: role of extracellular vesicle signalling in postoperative neurocognitive dysfunction","authors":"Samarjit Das , Michael J. Devinney , Miles Berger , Charles H. Brown IV","doi":"10.1016/j.bja.2025.03.003","DOIUrl":"10.1016/j.bja.2025.03.003","url":null,"abstract":"<div><div>Extracellular vesicles are secreted by virtually every cell and allow the transfer of bioactive molecules including proteins, nucleic acids, and lipids to other cell types across the body. This study of the role of extracellular vesicles and their cargo in postoperative cognitive dysfunction after hip or knee replacement surgery reports differential protein and microRNA expression in patients with postoperative cognitive decline versus improvement. This small study in a select surgical population highlights the potential for extracellular vesicles and their contents to play a signalling role in postoperative neurocognitive disorders.</div></div>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 6","pages":"Pages 1610-1612"},"PeriodicalIF":9.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851066","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}
Sue Copley , Suzanne Carty , Matthew Brown , Sailesh Mishra , Emmy Kato Clarke , Devjit Srivastava , the GAP Analysis Working Group
{"title":"Bridging the GAP: a critical analysis of pain management services in the United Kingdom","authors":"Sue Copley , Suzanne Carty , Matthew Brown , Sailesh Mishra , Emmy Kato Clarke , Devjit Srivastava , the GAP Analysis Working Group","doi":"10.1016/j.bja.2025.03.011","DOIUrl":"10.1016/j.bja.2025.03.011","url":null,"abstract":"<div><div>Chronic pain is one of the most common causes of disability, profoundly impacting quality of life and mental health, and associated with detrimental economic sequelae. The provision of pain services within the UK National Health Service was noted to be inadequate before the COVID-19 pandemic, and services have been further challenged because of its impact. The Faculty of Pain Medicine commissioned a survey to evaluate the state of pain services throughout the UK, and to compare the current service against ‘gold standards’ of care defined by the FPM in its Core Standards for Pain Management Services. We discuss the findings of the survey and offer suggestions to improve service provision and reduce the noted shortfalls.</div></div>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 6","pages":"Pages 1597-1602"},"PeriodicalIF":9.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931473","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 optimal mode of anaesthesia: are we ready for an evidence-based recommendation?","authors":"Jasper M. Kampman , Nicolaas H. Sperna Weiland","doi":"10.1016/j.bja.2025.03.005","DOIUrl":"10.1016/j.bja.2025.03.005","url":null,"abstract":"<div><div>An environmental impact study compared the carbon footprint of three large French hospitals, one that used >99% total intravenous anaesthesia, one that used target-controlled inhalation anaesthesia, and one that used manually optimised fresh gas flow. We consider these results with previously published environmental impact analyses to determine which mode of anaesthesia is most environmentally friendly. Current understanding in the field following the triple bottom line of ‘patient, planet, profit’ informs an evidence-based recommendation around the optimal default mode of anaesthesia.</div></div>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 6","pages":"Pages 1606-1609"},"PeriodicalIF":9.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931475","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 promise of precision: exploring the role of remimazolam in paediatric anaesthesia","authors":"Tom Giedsing Hansen , Thomas Engelhardt","doi":"10.1016/j.bja.2025.03.010","DOIUrl":"10.1016/j.bja.2025.03.010","url":null,"abstract":"<div><div>Remimazolam represents a breakthrough in paediatric anaesthesia, with predictable pharmacokinetics and safety profile. A recent study provides key dosing data for children while noting the need for comparative trials, pharmacogenetic studies, and long-term safety evaluations. We highlight its potential for broad clinical use, but call for further research to optimise its integration into paediatric anaesthesia practice.</div></div>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 6","pages":"Pages 1613-1615"},"PeriodicalIF":9.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931476","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}
Max Ebensperger , Tadzio R. Roche , Arend Rahrisch , Craig S. Webster , David W. Tscholl
{"title":"The future of sound in patient monitoring: a call to action to embrace the evidence and move forward","authors":"Max Ebensperger , Tadzio R. Roche , Arend Rahrisch , Craig S. Webster , David W. Tscholl","doi":"10.1016/j.bja.2025.03.012","DOIUrl":"10.1016/j.bja.2025.03.012","url":null,"abstract":"<div><div>Patient monitoring systems have relied on beeping alarm sounds for the past 70 years, yet evidence suggests that these conventional tones limit alarm effectiveness, informativeness, and user situation awareness. More advanced alarm modalities, such as auditory icons and voice alerts, offer more intuitive approaches, and were found to improve alarm detection and reduce caregiver workload. Made possible by adoptions of international standards, and supported by evidence, the future of patient monitoring alarm sounds might incorporate conventional alarm tones with auditory icons, voice alerts, and advanced visualisations to better support caregivers and reduce alarm fatigue in patients and caregivers. Sound examples for advanced alarm modalities, comparisons with conventional alarm sounds, and alarm sound examples from aviation are provided in an online supplementary video.</div></div>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 6","pages":"Pages 1616-1619"},"PeriodicalIF":9.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931477","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}
Baththirange Malaka Munasinghe,Jayasuriya N J A Sahan Sachitra,Martin F Mayall
{"title":"Global synergy in anaesthesia training: the crucial role of international collaborations for trainees from low-resource countries.","authors":"Baththirange Malaka Munasinghe,Jayasuriya N J A Sahan Sachitra,Martin F Mayall","doi":"10.1016/j.bja.2025.03.020","DOIUrl":"https://doi.org/10.1016/j.bja.2025.03.020","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"47 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851065","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":"Patient experience of postoperative pain: a paradigm shift to a holistic approach","authors":"Dan Benhamou , Patrice Forget","doi":"10.1016/j.bja.2025.03.009","DOIUrl":"10.1016/j.bja.2025.03.009","url":null,"abstract":"<div><div>Postoperative pain has many unwanted consequences as it delays immediate recovery and may be a factor leading to chronification of pain. Although many studies have shown a link between acute postoperative pain and persistent pain, many other factors may play a role. Maurice-Szamburski and colleagues have shown that acute postoperative pain is not directly associated with the occurrence of chronic pain, but that the pain component of the Evaluation du Vécu de l’Anesthésie Générale (EVAN-G) questionnaire is associated with this outcome. As EVAN-G is a questionnaire that focuses on the patient experience after surgery, this is in line with the suggestion that unidimensional pain scores are not sufficient to assess the quality of recovery, and that both clinical studies and practice should move towards a more holistic approach after surgery.</div></div>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 6","pages":"Pages 1603-1605"},"PeriodicalIF":9.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931474","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}