MTP block anatomy and paravertebral spread – a reply
(Source: Anaesthesia)
Source: Anaesthesia - November 12, 2017 Category: Anesthesiology Authors: I. Costache, F. W. Abdallah, A. Pawa Tags: Correspondence Source Type: research

MTP block and paravertebral spread
(Source: Anaesthesia)
Source: Anaesthesia - November 12, 2017 Category: Anesthesiology Authors: D. L. Hamilton, B. P. Manickam Tags: Correspondence Source Type: research

MTP block anatomy
(Source: Anaesthesia)
Source: Anaesthesia - November 12, 2017 Category: Anesthesiology Authors: A. Philip, V. Kaushik Tags: Correspondence Source Type: research

Neuromuscular monitoring and the cost of antagonism: when will we learn? A reply
(Source: Anaesthesia)
Source: Anaesthesia - November 12, 2017 Category: Anesthesiology Authors: C. R. Bailey Tags: Correspondence Source Type: research

The ‘cost’ of sugammadex
(Source: Anaesthesia)
Source: Anaesthesia - November 12, 2017 Category: Anesthesiology Authors: A. Maddock Tags: Correspondence Source Type: research

Neuromuscular monitoring and the cost of antagonism: when will we learn?
(Source: Anaesthesia)
Source: Anaesthesia - November 12, 2017 Category: Anesthesiology Authors: S. J. Brull, R. C. Prielipp Tags: Correspondence Source Type: research

Comparing times in clinical studies with a finite ending
(Source: Anaesthesia)
Source: Anaesthesia - November 12, 2017 Category: Anesthesiology Authors: S. W. Choi, D. M. H. Lam Tags: Statistically Speaking: methodological madness Source Type: research

Feng shui And Emotional Response in the Critical care Environment (FARCE) study
Summary The aim of this study was to investigate the relationship between nursing staff emotions and their surrounding environment, using the ancient system of feng shui. Two orientations of critical care bed spaces (wind and water groups, respectively) were mapped using a western bagua. Energy or ‘chi’ scores for nine emotions were calculated based on the positive or negative flow of chi in each of the two groups. During a two‐week period, nursing staff were allocated to work in a bed space in either the wind or water groups; nursing staff who were not allocated to a study bed space acted as a control group....
Source: Anaesthesia - November 12, 2017 Category: Anesthesiology Authors: R. Charles, S. Glover, K. Bauchm üller, D. Wood Tags: Original Article Source Type: research

Issue Information – Editorial Board
(Source: Anaesthesia)
Source: Anaesthesia - November 12, 2017 Category: Anesthesiology Tags: Issue Information Source Type: research

A systematic review of the incidence of and risk factors for postoperative atrial fibrillation following general surgery
Anaesthesia,Volume 73, Issue 4, Page 490-498, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - November 4, 2017 Category: Anesthesiology Source Type: research

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Anaesthesia,Volume 73, Issue 4, Page 490-498, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - November 4, 2017 Category: Anesthesiology Source Type: research

Evaluation of a novel waste anaesthetic gas scavenger device for use during recovery from anaesthesia
Summary Volatile anaesthetic agents are a potential occupational health hazard to theatre and recovery staff. Operating theatres and anaesthetic rooms are required to be equipped with scavenging systems, but recovery units often are not. We compared exhaled, spectrophotometric sevoflurane and desflurane concentrations 15 cm from the mouth (‘patient breathing zone’) and 91 cm laterally to the patient (‘nurse work zone’) in 120 patients after tracheal extubation who were consecutively allocated to either ISO‐Gard mask oxygen/scavenging or standard oxygen mask, 0 min, 10 min and 20 min after arrival ...
Source: Anaesthesia - November 2, 2017 Category: Anesthesiology Authors: R. Tallent, J. Corcoran, J. Sebastian Tags: Original Article Source Type: research

When rain stops play: a ‘Duckworth–Lewis method’ for surgical operating list productivity?
(Source: Anaesthesia)
Source: Anaesthesia - November 2, 2017 Category: Anesthesiology Authors: A. Tavare, J. J. Pandit Tags: Statistically Speaking Source Type: research

A systematic review of the incidence of and risk factors for postoperative atrial fibrillation following general surgery
This study aimed to identify the prevalence of and risk factors for postoperative atrial fibrillation in the general surgical population. A systematic search of the Embase, MEDLINE and Cochrane (CENTRAL) databases was conducted. Studies were included in the review if they reported cases of new‐onset atrial fibrillation within 30 days of the index operation. Results were evaluated qualitatively due to substantial clinical heterogeneity. Incidence rates were pooled using a weighted random‐effects meta‐analysis model. A total of 835 records were initially identified, from which 32 full texts were retrieved. Following re...
Source: Anaesthesia - November 1, 2017 Category: Anesthesiology Authors: R. Chebbout, E. G. Heywood, T. M. Drake, J. R. L. Wild, J. Lee, M. Wilson, M. J. Lee Tags: Review Article Source Type: research

Effect of sufentanil on bispectral index in the elderly
We examined the impact of adding sufentanil during anaesthesia induction with propofol on bispectral index values in elderly patients (≥ 65 years). Patients were randomly assigned to receive a target‐controlled sufentanil infusion (effect‐site concentration of 0.3 ng.ml−1) or matching placebo, followed by a target‐controlled propofol induction (initial effect‐site concentration of 0.5 μg.ml−1; step‐wise increase of 0.5 μg.ml−1) until loss of consciousness defined as an Observer's Assessment of Alertness/Sedation score
Source: Anaesthesia - November 1, 2017 Category: Anesthesiology Authors: T. Valence, N. Elia, C. Czarnetzki, L. Dumont, M. R. Tram èr, C. Lysakowski Tags: Original Article Source Type: research

Consequences of proceeding with surgery after resuscitation from intra ‐operative anaphylaxis
Summary Intra‐operative acute hypersensitivity reactions require a decision to be made regarding whether to proceed with or abandon the planned surgical procedure once the patient has stabilised. Using retrospective case controls, we examined all cases (223) of proven acute hypersensitivity reactions from 2005 to 2014 in Western Australia, in which the syndrome was recognised by the treating clinician before or during surgery, to determine whether recovery outcomes were adversely affected by proceeding with the planned procedure. Surgery proceeded in 104 patients (47%) and was abandoned in 119 (53%). The severity of acut...
Source: Anaesthesia - November 1, 2017 Category: Anesthesiology Authors: P. H. M. Sadleir, R. C. Clarke, B. Bozic, P. R. Platt Tags: Original Article Source Type: research

International consensus statement on the management of hypotension with vasopressors during caesarean section under spinal anaesthesia
(Source: Anaesthesia)
Source: Anaesthesia - November 1, 2017 Category: Anesthesiology Authors: S. M. Kinsella, B. Carvalho, R. A. Dyer, R. Fernando, N. McDonnell, F. J. Mercier, A. Palanisamy, A. T. H. Sia, M. Van de Velde, A. Vercueil Tags: Guidelines Source Type: research

Management of hypotension with vasopressors at caesarean section under spinal anaesthesia – have we found the Holy Grail of obstetric anaesthesia?
(Source: Anaesthesia)
Source: Anaesthesia - November 1, 2017 Category: Anesthesiology Authors: J. P. Campbell, G. M. Stocks Tags: Editorial Source Type: research

Learning from the Law. A review of 21  years of litigation for pain during caesarean section
Summary The large majority of caesarean sections in the UK are now carried out under neuraxial anaesthesia. Although this technique is widely accepted as being the safest option in most circumstances, the use of regional anaesthesia increases the risk of patients experiencing intra‐operative discomfort or pain. Pain during operative obstetric delivery is the commonest successful negligence claim relating to regional anaesthesia against obstetric anaesthetists in the UK. In the following article, using a database of over 360 cases spanning 21 years, we break down and examine the recurrent components of medicolegal cl...
Source: Anaesthesia - November 1, 2017 Category: Anesthesiology Authors: K. McCombe, D. G. Bogod Tags: Original Article Source Type: research

Human cadavers preserved using Thiel's method for the teaching of fibreoptically ‐guided intubation of the trachea: a laboratory investigation
Summary We assessed the suitability of human cadavers preserved using Thiel's method for teaching flexible fibreoptic tracheal intubation. Thirty‐one anaesthetists unacquainted with this technique received didactic teaching followed by handling of the fibrescope on the Oxford teaching box. They then carried out fibreoptic intubations in two cadavers to establish a baseline sample of their intubation skills. Thereafter, we randomly assigned the trainees to two groups to practice fibreoptic intubation either on two distinct cadavers or on two airway manikins. After 7 days we re‐assessed procedural skills using the s...
Source: Anaesthesia - November 1, 2017 Category: Anesthesiology Authors: C. J. L ászló, Z. Szűcs, Á. Nemeskéri, G. Baksa, A. Szuák, M. Varga, E. Tassonyi Tags: Original Article Source Type: research

Maternal cardiac output response to colloid preload and vasopressor therapy during spinal anaesthesia for caesarean section in patients with severe pre ‐eclampsia: a randomised, controlled trial
We examined the haemodynamic effects of colloid preload, and phenylephrine and ephedrine administered for spinal hypotension, during caesarean section in 42 women with severe early onset pre‐eclampsia. Twenty patients with pre‐delivery spinal hypotension were randomly allocated to receive an initial dose of either 50 μg phenylephrine or 7.5 mg ephedrine; the primary outcome was percentage change in cardiac index. After a 300‐ml colloid preload, mean (SD) cardiac index increased from 4.9 (1.1) to 5.6 (1.2) l.min−1.m−2 (p 10% and> 5%, respectively; a significant negative correlation was found between ...
Source: Anaesthesia - October 31, 2017 Category: Anesthesiology Authors: R. A. Dyer, A. Daniels, A. Vorster, A. Emmanuel, M. J. Arcache, S. Schulein, A. R. Reed, C. J. Lombard, M. F. James, D. Dyk Tags: Original Article Source Type: research

Is unconsciousness simply the reverse of consciousness?
(Source: Anaesthesia)
Source: Anaesthesia - October 23, 2017 Category: Anesthesiology Authors: F. Engbers Tags: Editorial Source Type: research

Peripheral nerve block in ankle fracture surgery: a qualitative study of patients ’ experiences
Summary Peripheral nerve blocks are popular as a mode of anaesthesia for limb surgery and their beneficial effects are well documented in elective surgery. However, concerns have been raised about potential rebound pain outweighing the benefits in acute ankle fracture surgery. Furthermore, pain scores and morphine consumption do not provide a full picture, as pain is subjective. To evaluate the clinical usefulness of peripheral nerve blocks, we explored patients’ expectations and experiences by means of semi‐structured interviews analysed with systematic text condensation. We obtained ethical approval and informed ...
Source: Anaesthesia - October 20, 2017 Category: Anesthesiology Authors: M. J. Henningsen, R. Sort, A. M. M øller, S. F. Herling Tags: Original Article Source Type: research

Correction
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Tags: Corrections Source Type: research

Corrections
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Tags: Corrections Source Type: research

When traditional research fails – the case for veno‐arterial ECMO in postcardiotomy cardiogenic shock
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: M. Charlesworth, R. Venkateswaran, L. Feddy Tags: Correspondence Source Type: research

Improving TIVA safety through measurement of peripheral venous pressure
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: A. McGuire, I. Broome Tags: Correspondence Source Type: research

The use of activated charcoal filters in anaesthetic circuits in suspected malignant hyperthermia
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: E. G. Bickmore, E. Aziz, M. Nathanson Tags: Correspondence Source Type: research

Iliac artery balloon catheter use in abnormally invasive placenta disease management – a reply
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: H. Huang Tags: Correspondence Source Type: research

Iliac artery balloon catheter use in abnormally invasive placental disease management
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: A. Taylor, M. Henderson, M. Broom Tags: Correspondence Source Type: research

Suxamethonium or rocuronium for rapid sequence induction of anaesthesia? A reply
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: D. T. T. Tran Tags: Correspondence Source Type: research

Suxamethonium or rocuronium for rapid sequence induction of anaesthesia?
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: J. Dinsmore Tags: Correspondence Source Type: research

Are aviation industry fatigue risk management strategies needed in healthcare? A reply
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: M. Farquhar Tags: Correspondence Source Type: research

Are aviation industry fatigue risk management strategies needed in healthcare?
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: E. Waclawski, P. Noone Tags: Correspondence Source Type: research

EWTD implementation in anaesthesia: effects on training and quality of life
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: S. M. O'Shaughnessy, B. O'Donnell Tags: Correspondence Source Type: research

Curtailing fabrication in medical literature
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: J. Hartung Tags: Correspondence Source Type: research

Errors in published papers are multifactorial
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: I. K. Moppett Tags: Correspondence Source Type: research

How to describe your data – the devil is in the distribution
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: S. W. Choi, D. M. H. Lam Tags: Statistically Speaking: methodological madness Source Type: research

Apnoeic oxygenation with high ‐flow nasal oxygen for laryngeal surgery: a case series
Summary Surgery under apnoeic conditions with the use of high‐flow nasal oxygen is novel. Between November 2016 and May 2017, 28 patients underwent tubeless laryngeal or tracheal surgery under apnoeic conditions with high‐flow nasal oxygen as the sole method of gas exchange. Patients received total intravenous anaesthesia and neuromuscular blocking agents for the duration of their surgery. The median (IQR [range]) apnoea time was 19 (15–24 [9–37]) min. Four patients experienced an episode of oxygen desaturation to a value between 85% and 90%, lasting less than 2 min in each case. Median (IQR [range]) e...
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: C. Lyons, M. Callaghan Tags: Original Article Source Type: research

Onset of labour epidural analgesia with low ‐dose bupivacaine and different doses of fentanyl
This study investigated the effects of different doses of epidural fentanyl on the time to onset of epidural analgesia in women in early labour. We hypothesised that onset of epidural labour analgesia (the primary outcome defined as time in minutes from completion of epidural bolus to the first uterine contraction with a numeric pain rating scale [NPRS] score ≤ 3) would be faster with 100 μg of fentanyl epidural bolus compared with 20 μg or 50 μg. Epidural labour analgesia was initiated with 20 μg of fentanyl (F20 group), 50 μg (F50 group) or 100 μg (F100 group) ...
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Authors: R. Vedagiri Sai, S. I. Singh, F. Qasem, D. Nguyen, S. Dhir, K. Marmai, R. Adam, P. M. Jones Tags: Original Article Source Type: research

Issue Information – Editorial Board
(Source: Anaesthesia)
Source: Anaesthesia - October 19, 2017 Category: Anesthesiology Tags: Issue Information Source Type: research

Hyperbaric vs. isobaric bupivacaine for spinal anaesthesia for elective caesarean section: a Cochrane systematic review
Anaesthesia,Volume 73, Issue 4, Page 499-511, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - October 17, 2017 Category: Anesthesiology Source Type: research

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Anaesthesia,Volume 73, Issue 4, Page 499-511, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - October 17, 2017 Category: Anesthesiology Source Type: research

Nitrous oxide ‐based vs. nitrous oxide‐free general anaesthesia and accidental awareness in surgical patients: an abridged Cochrane systematic review
Summary Accidental awareness during general anaesthesia can arise from a failure to deliver sufficient anaesthetic agent, or from a patient's resistance to an expected sufficient dose of such an agent. Awareness is ‘explicit’ if the patient is subsequently able to recall the event. We conducted a systematic review into the effect of nitrous oxide used as part of a general anaesthetic on the risk of accidental awareness in people over the age of five years undergoing general anaesthesia for surgery. We included 15 randomised controlled trials, 14 of which, representing a total of 3439 participants, were included...
Source: Anaesthesia - October 16, 2017 Category: Anesthesiology Authors: J. Hounsome, J. Greenhalgh, O. J. Schofield ‐Robinson, S. R. Lewis, T. M. Cook, A. F. Smith Tags: Review Article Source Type: research

‘Your lack of planning does not constitute my emergency’ – caring for obstetric patients with mental illness
Anaesthesia, EarlyView. (Source: Anaesthesia)
Source: Anaesthesia - October 5, 2017 Category: Anesthesiology Source Type: research

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Anaesthesia, Ahead of Print. (Source: Anaesthesia)
Source: Anaesthesia - October 5, 2017 Category: Anesthesiology Source Type: research

Pre ‐operative variables including fitness associated with complications after oesophagectomy
Summary Oesophagectomy is a technically‐demanding operation associated with a high level of morbidity. We analysed the association of pre‐operative variables, including those from cardiopulmonary exercise testing, with complications (logistic regression) and survival and length of stay (Cox regression) after scheduled transthoracic oesophagectomy in 273 adults, in isolation and on multivariate testing (maximum Akaike information criterion). On multivariate analysis, any postoperative complication was associated with ventilatory equivalents for carbon dioxide, odds ratio (95%CI) 1.088 (1.02–1.17), p = 0.018. Cardi...
Source: Anaesthesia - October 5, 2017 Category: Anesthesiology Authors: R. C. F. Sinclair, A. W. Phillips, M. Navidi, S. M. Griffin, C. P. Snowden Tags: Original Article Source Type: research

‘Your lack of planning does not constitute my emergency’ – caring for obstetric patients with mental illness
(Source: Anaesthesia)
Source: Anaesthesia - October 5, 2017 Category: Anesthesiology Authors: K. McCombe Tags: Editorial Source Type: research

Restrictive or responsive? Outcome classification and unplanned sub ‐group analyses in meta‐analyses
(Source: Anaesthesia)
Source: Anaesthesia - October 4, 2017 Category: Anesthesiology Authors: M. Heesen, M. Klimek, S. E. Hoeks Tags: Editorial Source Type: research