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Impact of grit levels on surgical patients’ quality of postoperative recovery 砂砾水平对手术患者术后恢复质量的影响。
IF 9.1 1区 医学
British journal of anaesthesia Pub Date : 2025-04-23 DOI: 10.1016/j.bja.2025.02.033
Joshua G. Kovoor , Daksh Tyagi , Brandon Stretton , Aashray K. Gupta , Matthew Marshall-Webb , Stephen Bacchi , Christopher Dobbins , Thomas J. Hugh , Robert T. Padbury , Markus I. Trochsler , Guy J. Maddern
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引用次数: 0
Hospital length of stay, 30-day emergency readmissions and the role of the DrEaMing enhanced recovery pathways in colonic and rectal surgery in England 住院时间、30天急诊再入院和做梦增强恢复途径在英国结肠直肠手术中的作用
IF 9.1 1区 医学
British journal of anaesthesia Pub Date : 2025-04-22 DOI: 10.1016/j.bja.2025.02.034
Mindy Dawes , Zoë Packman , Ruth A. McDonald , Mark J. Cheetham , Nannette M.T. Gallagher-Ball , Eleanor Warwick , Maria Oyston , Emma McCone , Chris Snowden , Michael Swart , Tim W.R. Briggs , William K. Gray
{"title":"Hospital length of stay, 30-day emergency readmissions and the role of the DrEaMing enhanced recovery pathways in colonic and rectal surgery in England","authors":"Mindy Dawes ,&nbsp;Zoë Packman ,&nbsp;Ruth A. McDonald ,&nbsp;Mark J. Cheetham ,&nbsp;Nannette M.T. Gallagher-Ball ,&nbsp;Eleanor Warwick ,&nbsp;Maria Oyston ,&nbsp;Emma McCone ,&nbsp;Chris Snowden ,&nbsp;Michael Swart ,&nbsp;Tim W.R. Briggs ,&nbsp;William K. Gray","doi":"10.1016/j.bja.2025.02.034","DOIUrl":"10.1016/j.bja.2025.02.034","url":null,"abstract":"<div><h3>Background</h3><div>Enhanced recovery pathways (ERPs) are designed to improve patient outcomes after elective surgery. Our primary aim was to examine whether shorter hospital stay, as a surrogate ERP outcome, was associated with higher 30-day emergency readmission rates for colonic and rectal surgery in England. A secondary aim was to assess how hospital trust compliance with a specific postoperative care bundle, drinking, eating, and mobilising (DrEaMing) within 24 h, relates to outcomes.</div></div><div><h3>Methods</h3><div>This was a retrospective analysis of observational data from the Hospital Episode Statistics dataset for England. All patients aged ≥17 yr undergoing elective colonic or rectal surgery for cancer between April 1, 2014, and March 31, 2024, were included.</div></div><div><h3>Results</h3><div>Shorter hospital stays were significantly associated with a lower rate of 30-day emergency readmission among 124 580 colonic and 87 036 rectal surgery patients. Comparing the first (reference) and fourth quartile of length of stay, the odds of 30-day emergency readmission increased by 2.16 (95% confidence interval [CI] 2.04–2.30) and 2.41 (95% CI 2.26–2.57) for colonic and rectal surgery, respectively. Increased hospital trust DrEaMing compliance was associated with a reduction in the number of patients with extended length of stay (colonic surgery: X<sup>2</sup>=24.885, <em>P</em>&lt;0.001; rectal surgery: X<sup>2</sup>=61.670, <em>P</em>&lt;0.001) and was not associated with 30-day emergency readmission.</div></div><div><h3>Conclusions</h3><div>We found no evidence that shorter length of stay, or greater DrEaMing compliance, were associated with higher emergency admission rates. These findings should not be interpreted as causal.</div></div>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 6","pages":"Pages 1765-1772"},"PeriodicalIF":9.1,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871981","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
Optimal securement techniques for peripheral nerve catheters: a quality improvement cycle. 外周神经导管的最佳固定技术：质量改进周期。
IF 9.8 1区 医学
British journal of anaesthesia Pub Date : 2025-04-22 DOI: 10.1016/j.bja.2025.03.016
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}
引用次数: 0
Associate Editorial Board and cover image caption 副编委和封面图片说明
IF 9.1 1区 医学
British journal of anaesthesia Pub Date : 2025-04-20 DOI: 10.1016/S0007-0912(25)00175-8
{"title":"Associate Editorial Board and cover image caption","authors":"","doi":"10.1016/S0007-0912(25)00175-8","DOIUrl":"10.1016/S0007-0912(25)00175-8","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"134 5","pages":"Page ii"},"PeriodicalIF":9.1,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851839","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
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 心脏指数引导治疗在高危大腹手术患者中维持最佳诱导后心脏指数。对Br [J]研究，2025；134: 1550 - 1
IF 9.1 1区 医学
British journal of anaesthesia Pub Date : 2025-04-18 DOI: 10.1016/j.bja.2025.03.013
Bernd Saugel , Alina Bergholz
{"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 ,&nbsp;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}
引用次数: 0
Mind the messenger: role of extracellular vesicle signalling in postoperative neurocognitive dysfunction 注意信使：细胞外囊泡信号在术后神经认知功能障碍中的作用。
IF 9.1 1区 医学
British journal of anaesthesia Pub Date : 2025-04-17 DOI: 10.1016/j.bja.2025.03.003
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 ,&nbsp;Michael J. Devinney ,&nbsp;Miles Berger ,&nbsp;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}
引用次数: 0
Bridging the GAP: a critical analysis of pain management services in the United Kingdom 弥合差距：在英国疼痛管理服务的关键分析
IF 9.1 1区 医学
British journal of anaesthesia Pub Date : 2025-04-17 DOI: 10.1016/j.bja.2025.03.011
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 ,&nbsp;Suzanne Carty ,&nbsp;Matthew Brown ,&nbsp;Sailesh Mishra ,&nbsp;Emmy Kato Clarke ,&nbsp;Devjit Srivastava ,&nbsp;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}
引用次数: 0
The optimal mode of anaesthesia: are we ready for an evidence-based recommendation? 最佳麻醉模式：我们准备好接受循证推荐了吗？
IF 9.1 1区 医学
British journal of anaesthesia Pub Date : 2025-04-17 DOI: 10.1016/j.bja.2025.03.005
Jasper M. Kampman , Nicolaas H. Sperna Weiland
{"title":"The optimal mode of anaesthesia: are we ready for an evidence-based recommendation?","authors":"Jasper M. Kampman ,&nbsp;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 &gt;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}
引用次数: 0
The promise of precision: exploring the role of remimazolam in paediatric anaesthesia 精确的承诺：探索雷马唑仑在儿科麻醉中的作用
IF 9.1 1区 医学
British journal of anaesthesia Pub Date : 2025-04-17 DOI: 10.1016/j.bja.2025.03.010
Tom Giedsing Hansen , Thomas Engelhardt
{"title":"The promise of precision: exploring the role of remimazolam in paediatric anaesthesia","authors":"Tom Giedsing Hansen ,&nbsp;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}
引用次数: 0
The future of sound in patient monitoring: a call to action to embrace the evidence and move forward 健全的病人监护的未来：呼吁采取行动，接受证据并向前迈进
IF 9.1 1区 医学
British journal of anaesthesia Pub Date : 2025-04-17 DOI: 10.1016/j.bja.2025.03.012
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 ,&nbsp;Tadzio R. Roche ,&nbsp;Arend Rahrisch ,&nbsp;Craig S. Webster ,&nbsp;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}
引用次数: 0
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