Intensive care unit utilisation post-oesophagectomy.
CONCLUSION: This study shows a large proportion of post-operative oesophagectomy patients do not require ICU level support, however in the absence of a reliable pre-operative predictive tool, post-operative ICU care is still required in our setting. An individualised post-operative approach could be explored to help divert stable patients, potentially up to half of the group, away from ICU. PMID: 32078601 [PubMed - in process]
Publication date: Available online 3 April 2020Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Vincent R. van Cuilenborg, Jeroen Hermanides, Elke M.E. Bos, Markus W. Hollmann, Benedikt Preckel, Fabian O. Kooij, Ingrid Terreehorst
Conclusions: Diagnostics must be performed with caution in order to rule out perforation and establish a treatment algorithm. Manual transanal extraction under sedation or general anesthesia may be performed in conjunction with cautious abdominal compression. Because of the variety of objects, i.e. in form and material, each case must be treated individually. Sometimes creativity and surgeon imagination may be required, although different algorithms have been established. PMID: 32233273 [PubMed - in process]
Medical charity Alima planned to open an emergency operating theatre this week in Burkina Faso, but the project has stalled because the country closed its borders before a surgeon and anaesthetist could fly in, its director told Reuters.
CONCLUSIONS: Prolonged preoperative fasting time led to unfavorable outcomes after gastrointestinal operations. Thus, reducing preoperative fasting time is likely to accelerate postoperative recovery in gastrointestinal surgery patients. PMID: 32229440 [PubMed - in process]
Publication date: Available online 18 February 2020Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): M. Susan Mandell, Jiapeng Huang, Jing Zhao
We described the primary endpoints that are the main concern of the study and the basis for calculating sample size, the statistics used to analyze the primary endpoints, type I error and power, the effect size and the rationale. It also included a method of calculating the adjusted sample size considering the dropout rate inevitably occurring during the research. Finally, examples regarding sample size calculation that are appropriately and incorrectly described in the published papers are presented with explanations. PMID: 32229812 [PubMed - in process]
Conclusions: This case suggested that negative pressure operating room, skillful medical team, and enhanced personal protective equipment including N95 masks, surgical cap, double gown, double gloves, shoe covers, and powered air-purifying respirator are required at the hospital for safe delivery in such a case. PMID: 32229802 [PubMed - as supplied by publisher]
Following publication of the original article , it was brought to our attention of an error in the article title.
Conclusion: Previous knowledge and experience in airway management are required when performing conventional endotracheal intubation; moreover, its success rate is low. Contrastingly, using proper instruments and the 3D mouth-piece facilitated easier and quicker airway management regardless of previous experience. PMID: 32228200 [PubMed - as supplied by publisher]
ConclusionsSuper morbidly obese patients required fewer opioids and analgesics perioperatively. They exhibited higher comorbidities with greater anaesthesia time and ICU admissions. PACU stay time and pain scores were comparable.