The peri-operative implications of sodium-glucose co-transporter 2 inhibitors: a narrative review
Sodium-glucose co-transporter 2 inhibitors are a novel class of antihyperglycaemic drugs used in the management of type 2 diabetes, that improve glycaemic control, cardiovascular outcomes and promote weight loss. They are also approved for the treatment of heart failure and chronic kidney disease in patients with or without diabetes. This narrative review discusses the peri-operative effects and implications of sodium-glucose co-transporter 2 inhibitors and gives an overview of current evidence and existing peri-operative guidelines.
Sterile gowns for spinal anaesthesia - environmental cost without clinical gain: a reply
Combined spinal-epidural vs. dural puncture epidural techniques for labour analgesia: a randomised controlled trial
The dural puncture epidural technique is a modification of the combined spinal-epidural technique. Data comparing the two techniques are limited. We performed this randomised study to compare the quality of labour analgesia following initiation of analgesia with the dural puncture epidural vs. the combined spinal-epidural technique.
Anaesthetists should adopt a patient-centric approach to labour analgesia and embrace the combined spinal-epidural
Viscoelastic haemostatic assays to guide therapy in elective surgery: an updated systematic review and meta-analysis
Patients undergoing major surgery frequently experience major uncontrolled bleeding. The aim of this systematic review and meta-analysis was to evaluate the clinical efficacy of using viscoelastic haemostatic assays to manage peri-operative bleeding in elective surgery.
Breaking barriers: achieving equitable access to postoperative critical care
Total videoscopic tracheal intubation: a technical modification to reduce the risk of unrecognised oesophageal intubation
Patient safety incidents in anaesthesia: a qualitative study of trainee experience from a single UK healthcare region
Anaesthetic training has always had patient safety as part of the curriculum. However, there is limited emphasis on what happens when things do not go to plan. Our aims were to understand the impact of involvement in patient safety incidents on anaesthetic trainees in our region, to describe the range of support currently offered and put forward suggestions for improvement.
Mandatory training for rare anaesthetic events or mandatory safety preparedness - the beatings will continue until morale improves, or is it time for a carrot and not a stick?
Evaluating tracheal intubation ergonomics: practitioner experience and laryngoscope type
Postoperative analgesic effectiveness of ultrasound-guided bilateral erector spinae plane block
Gastric ultrasound performance time and difficulty: a prospective observational study
Point-of-care gastric ultrasound is an emerging tool in peri-operative practice. However, data on the technical challenges of gastric ultrasound, which are essential for optimised training, remain scarce. We analysed gastric ultrasound examinations performed after basic training to identify factors associated with difficulty.
Trends and health equity in environmental sustainability publications in major anaesthesia journals
Assessing the impact of additional clinical variables on SOFA score predictive accuracy: a retrospective cohort study
Safety and efficacy of remimazolam tosilate for general anaesthesia in paediatric patients undergoing elective surgery: a multicentre, randomised, single-blind, controlled trial
Remimazolam is an ultra-short-acting benzodiazepine sedative drug. This study aimed to compare the efficacy and safety of remimazolam with propofol for induction and maintenance of general anaesthesia in children undergoing elective surgery.
Sedation for awake tracheal intubation: A systematic review and network meta-analysis
Different sedation regimens have been used to facilitate awake tracheal intubation, but the evidence has not been synthesised robustly, particularly with respect to clinically important outcomes. We conducted a systematic review and network meta-analysis to determine the sedation techniques most likely to be associated with successful tracheal intubation, a shorter time to successful intubation and a lower risk of arterial oxygen desaturation.
Relationship between the dual platelet-inhibited ROTEM® Sigma FIBTEM assay and Clauss fibrinogen during postpartum haemorrhage
Patient-reported outcomes, postoperative pain and pain relief after day case surgery (POPPY): methodology for a prospective, multicentre observational study
In the UK, approximately 70% of surgical procedures are undertaken as day-cases. Little information exists about recovery from day-case surgery, yet international data highlights patients are at risk of developing significant longer-term health problems including chronic post-surgical pain and persistent postoperative opioid use. The Patient-reported Outcomes, Postoperative Pain and pain relief after daY case surgery (POPPY) study was a national prospective multicentre observational study, measuring short- and longer-term patient-reported outcomes, postoperative pain and pain relief after day-case surgery.
