British journal of anaesthesia最新文献

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Programmed intermittent epidural bolus for postoperative epidural analgesia in major paediatric surgery: a brief report. 程序间歇硬膜外丸用于大儿科手术术后硬膜外镇痛:简要报告。
IF 10.3 1区 医学
British journal of anaesthesia Pub Date : 2026-09-15 DOI: 10.1016/j.bja.2026.07.061
Julien Pico, Tanya Santella, Rebecca Dubé, Lucie Coruble, Mathilde Carrubba, Laurent Hertz, Chrystelle Sola, Christophe Dadure
{"title":"Programmed intermittent epidural bolus for postoperative epidural analgesia in major paediatric surgery: a brief report.","authors":"Julien Pico, Tanya Santella, Rebecca Dubé, Lucie Coruble, Mathilde Carrubba, Laurent Hertz, Chrystelle Sola, Christophe Dadure","doi":"10.1016/j.bja.2026.07.061","DOIUrl":"https://doi.org/10.1016/j.bja.2026.07.061","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148975901","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
Postoperative hypotension in patients recovering from noncardiac surgery: interpreting postoperative hypotension a prospective, blinded observational study. Comment on Br J Anaesth 2026; 137: 66-73. 非心脏手术后患者的术后低血压:一项前瞻性、盲法观察性研究[J]中国生物医学工程学报(英文版);137: 66 - 73。
IF 10.3 1区 医学
British journal of anaesthesia Pub Date : 2026-09-11 DOI: 10.1016/j.bja.2026.07.055
Xinyue Wang, Xu Dong, Xinyi Xu
{"title":"Postoperative hypotension in patients recovering from noncardiac surgery: interpreting postoperative hypotension a prospective, blinded observational study. Comment on Br J Anaesth 2026; 137: 66-73.","authors":"Xinyue Wang, Xu Dong, Xinyi Xu","doi":"10.1016/j.bja.2026.07.055","DOIUrl":"https://doi.org/10.1016/j.bja.2026.07.055","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944291","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
Inequality in healthy lifespan after surgery: a longitudinal population study. 术后健康寿命的不平等:一项纵向人口研究。
IF 10.3 1区 医学
British journal of anaesthesia Pub Date : 2026-09-11 DOI: 10.1016/j.bja.2026.08.009
Yize I Wan, Rupert M Pearse, John R Prowle
{"title":"Inequality in healthy lifespan after surgery: a longitudinal population study.","authors":"Yize I Wan, Rupert M Pearse, John R Prowle","doi":"10.1016/j.bja.2026.08.009","DOIUrl":"https://doi.org/10.1016/j.bja.2026.08.009","url":null,"abstract":"<p><strong>Background: </strong>The impact of surgery on long-term disease across socioeconomic groups is unknown. We investigated the onset of long-term disease after surgery and differences between socioeconomic and ethnic groups.</p><p><strong>Methods: </strong>We conducted a longitudinal population study using linked primary and secondary care data, describing adults (≥18 yr) in England recorded in the Clinical Practice Research Datalink between January 1, 2012 and December 31, 2021. Socioeconomic deprivation was defined using the Index of Multiple Deprivation (IMD). The exposure was surgery, and the primary outcome was long-term disease.</p><p><strong>Results: </strong>Of 18 329 659 people, 8 951 145 (48.8%) underwent surgery (elective: n=7 032 475 [78.6%]; emergency: n=1 918 670 [21.4%]). Of these, 4 741 188 (52.0%) were female, 3 540 136 (39.6%) were from the most deprived deciles (IMD 1-4), and 994 595 (11.1%) were from a minority ethnic group. Age-standardised surgery rates were higher among deprived individuals (comparative rate ratio, IMD 1 vs IMD 10, elective: 1.11 [95% CI 1.11-1.11]; emergency: 1.54 [95% CI 1.54-1.54]). Rates of long-term disease increased after elective (baseline 19.6%, 3-yr 24.5%) and emergency surgery (baseline 10.3%, 3-yr 12.3%). Risk of new long-term disease after surgery increased with increasing levels of deprivation (IMD 1 vs IMD 10, elective: hazard ratio [HR] 1.45 [95% CI 1.43-1.46]; emergency: HR 1.45 [95% CI 1.42-1.48]).</p><p><strong>Conclusions: </strong>Surgical treatment is strongly associated with the onset of long-term disease and factors that limit healthy life expectancy. Surgery occurs at a younger age among socioeconomically deprived groups and could be linked to health inequalities.</p>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944268","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
Ketamine versus alternate agents to prevent postinduction haemodynamic instability during tracheal intubation of critically ill adults. Response to Br J Anaesth Advance Access published on Jul 20, 2026, doi: 10.1016/j.bja.2026.05.034. 氯胺酮与替代药物预防危重成人气管插管诱导后血流动力学不稳定。对Br J anesth Advance Access发表于2026年7月20日的回应,doi: 10.1016/j.b java .2026.05.034。
IF 10.3 1区 医学
British journal of anaesthesia Pub Date : 2026-09-09 DOI: 10.1016/j.bja.2026.08.006
Humphrey G M Walker, Daniel Loughnan, Nicholas Woodland, Samuel Finlayson, Ary Serpa Neto, Adam M Deane, Matthew W Semler, Alastair Brown
{"title":"Ketamine versus alternate agents to prevent postinduction haemodynamic instability during tracheal intubation of critically ill adults. Response to Br J Anaesth Advance Access published on Jul 20, 2026, doi: 10.1016/j.bja.2026.05.034.","authors":"Humphrey G M Walker, Daniel Loughnan, Nicholas Woodland, Samuel Finlayson, Ary Serpa Neto, Adam M Deane, Matthew W Semler, Alastair Brown","doi":"10.1016/j.bja.2026.08.006","DOIUrl":"https://doi.org/10.1016/j.bja.2026.08.006","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918709","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
Language, power, and access: large language models and equity in medicine. 语言、权力和准入:医学中的大型语言模型和公平性。
IF 10.3 1区 医学
British journal of anaesthesia Pub Date : 2026-09-08 DOI: 10.1016/j.bja.2026.08.008
Hazem Lashin
{"title":"Language, power, and access: large language models and equity in medicine.","authors":"Hazem Lashin","doi":"10.1016/j.bja.2026.08.008","DOIUrl":"https://doi.org/10.1016/j.bja.2026.08.008","url":null,"abstract":"<p><p>Large language models (LLMs) are increasingly being integrated into anaesthesia, perioperative medicine, and critical care, creating new opportunities to improve communication, decision support, and access to healthcare knowledge. Realising these opportunities equitably depends not only on model capability but also on how LLMs are developed, implemented, used, and governed within healthcare systems. This editorial introduces the Bias Pyramid, a conceptual framework that explains how inequity can emerge across global knowledge ecosystems, institutional information environments, and individual clinical workflows, and identifies opportunities for equitable implementation. By incorporating reinforcing feedback, the framework conceptualises equity as an evolving property of learning healthcare systems that can either amplify existing inequities or progressively improve equity over successive learning cycles. The Bias Pyramid provides a practical implementation framework to guide governance, education, and coordinated action before LLMs become embedded in routine perioperative and critical care practice.</p>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910848","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
Delayed gastric emptying in adolescent patients on GLP-1 receptor agonists with standard preoperative fasting guidelines: a prospective cohort study. 使用GLP-1受体激动剂和标准术前禁食指南的青少年患者胃排空延迟:一项前瞻性队列研究
IF 10.3 1区 医学
British journal of anaesthesia Pub Date : 2026-09-08 DOI: 10.1016/j.bja.2026.07.016
Elizabeth M O'Brien, Robert Gallop, Maya Washburn, Andrew Dumas, Nicky Como, Faith Kilungya, Steven M Willi, Elaina E Lin
{"title":"Delayed gastric emptying in adolescent patients on GLP-1 receptor agonists with standard preoperative fasting guidelines: a prospective cohort study.","authors":"Elizabeth M O'Brien, Robert Gallop, Maya Washburn, Andrew Dumas, Nicky Como, Faith Kilungya, Steven M Willi, Elaina E Lin","doi":"10.1016/j.bja.2026.07.016","DOIUrl":"https://doi.org/10.1016/j.bja.2026.07.016","url":null,"abstract":"<p><strong>Background: </strong>Glucagon-like peptide-1 receptor agonists (GLP1-RAs) are approved in patients aged ≥10 yr for type 2 diabetes mellitus and aged ≥12 yr for obesity. We examined the effect of GLP1-RAs on the retention of gastric contents in fasting adolescents.</p><p><strong>Methods: </strong>This prospective cohort study examined adolescent patients (10-18 yr) at a single institution between June 2023 and November 2024. Three groups were compared: a GLP1-RA group; a group at-risk for delayed gastric emptying not on GLP1-RAs; and a healthy control group. All patients fasted 8 h for solids and 1 h for clears liquid. Gastric contents were examined utilising gastric ultrasound qualitatively on a 3-point scale, and quantitatively. The primary outcome was the number of adolescents on GLP1-RAs with residual gastric contents (presence of solids or gastric fluid volume ≥1.5 ml kg<sup>-1</sup>).</p><p><strong>Results: </strong>In total, 67 patients were analysed: 20 in the GLP1-RA group; 27 in the at-risk group; and 20 in the control group. The median age was 14.8 (interquartile range [IQR] 13.2-16.6) yr, and median fasting durations for solids and clears were 13 h (IQR 12-14) and 12 h (IQR 3.5-13), respectively. In the GLP1-RA group, 16/20 patients (80%) had solids present on gastric ultrasound, compared with 17/27 patients (63%) in the at-risk group and 1/20 patient (5%) in the control group (unadjusted P <0.001; adjusted P <0.02, with propensity score adjustment for age, body mass index, sex, race, and NPO time).</p><p><strong>Conclusions: </strong>We observed that 80% of adolescents on GLP1-RAs had solids on gastric ultrasound despite having fasted for over 12 h.</p>","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910845","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
Postoperative hypotension in patients recovering from noncardiac surgery: considerations on cohort selection, exploratory harm, and generalisability. Comment on Br J Anaesth 2026; 137: 66-73. 非心脏手术后恢复患者的术后低血压:对队列选择、探索性危害和普遍性的考虑。[J]中国生物医学工程学报(英文版);137: 66 - 73。
IF 10.3 1区 医学
British journal of anaesthesia Pub Date : 2026-09-08 DOI: 10.1016/j.bja.2026.07.033
Haiyue Yu, Hang Lyu
{"title":"Postoperative hypotension in patients recovering from noncardiac surgery: considerations on cohort selection, exploratory harm, and generalisability. Comment on Br J Anaesth 2026; 137: 66-73.","authors":"Haiyue Yu, Hang Lyu","doi":"10.1016/j.bja.2026.07.033","DOIUrl":"https://doi.org/10.1016/j.bja.2026.07.033","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910864","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
Paediatric one-hour clear-fluid fasting: definition of the intervention and event-rate considerations. Comment on Br J Anaesth 2026; 136: 158-66. 儿科1小时清液禁食:干预的定义和事件发生率考虑[J]中国生物医学工程学报(英文版);136: 158 - 66。
IF 10.3 1区 医学
British journal of anaesthesia Pub Date : 2026-09-04 DOI: 10.1016/j.bja.2026.07.040
Xi-Lin Gao
{"title":"Paediatric one-hour clear-fluid fasting: definition of the intervention and event-rate considerations. Comment on Br J Anaesth 2026; 136: 158-66.","authors":"Xi-Lin Gao","doi":"10.1016/j.bja.2026.07.040","DOIUrl":"https://doi.org/10.1016/j.bja.2026.07.040","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891025","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
Perioperative discontinuation of SGLT2-inhibitors and cardiac complications after noncardiac surgery: is postoperative treatment resumption the critical factor? Comment on Br J Anaesth 2026; 137: 440-9. 非心脏手术围手术期停用sglt2抑制剂和心脏并发症:术后恢复治疗是关键因素吗?[J]中国生物医学工程学报(英文版);137: 440 - 9。
IF 10.3 1区 医学
British journal of anaesthesia Pub Date : 2026-09-04 DOI: 10.1016/j.bja.2026.07.042
Sophia Kalanski, Tristan Grogan, Maziar M Nourian, Jacques Neelankavil, Alexandre Joosten
{"title":"Perioperative discontinuation of SGLT2-inhibitors and cardiac complications after noncardiac surgery: is postoperative treatment resumption the critical factor? Comment on Br J Anaesth 2026; 137: 440-9.","authors":"Sophia Kalanski, Tristan Grogan, Maziar M Nourian, Jacques Neelankavil, Alexandre Joosten","doi":"10.1016/j.bja.2026.07.042","DOIUrl":"https://doi.org/10.1016/j.bja.2026.07.042","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":" ","pages":""},"PeriodicalIF":10.3,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890960","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
Drug allergy labels and complications after surgery: a prospective multicentre cohort study 药物过敏标签和术后并发症:一项前瞻性多中心队列研究
IF 9.8 1区 医学
British journal of anaesthesia Pub Date : 2026-09-01 DOI: 10.1016/j.bja.2026.07.035
Louise C. Savic,Priya Dias,Jai Vairale,Salma Begum,Kamran Khan,Alexander J. Fowler,Vikas Kaura,Sarah-Louise Watson,Anna Littlejohns,Rupert M. Pearse,Tom E.F. Abbott
{"title":"Drug allergy labels and complications after surgery: a prospective multicentre cohort study","authors":"Louise C. Savic,Priya Dias,Jai Vairale,Salma Begum,Kamran Khan,Alexander J. Fowler,Vikas Kaura,Sarah-Louise Watson,Anna Littlejohns,Rupert M. Pearse,Tom E.F. Abbott","doi":"10.1016/j.bja.2026.07.035","DOIUrl":"https://doi.org/10.1016/j.bja.2026.07.035","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"150 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922895","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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