A triple ‐blind, placebo‐controlled randomised trial of the ilioinguinal‐transversus abdominis plane (I‐TAP) nerve block for elective caesarean section
This study investigated the efficacy of a new ilioinguinal‐transversus abdominis plane block when used as a component of multimodal analgesia. We conducted a prospective, triple‐blind, placebo‐controlled randomised study of 100 women undergoing elective caesarean section. All women had spinal anaesthesia with hyperbaric bupivacaine, 15 μg fentanyl and 150 μg morphine, as well as 100 mg diclofenac and 1.5 g paracetamol rectally. Women were randomly allocated to receive the ilioinguinal‐transversus abdominis plane block or a sham block at the end of surgery. The primary outcome was the difference in fentanyl pa...
Source: Anaesthesia - January 29, 2018 Category: Anesthesiology Authors: J. J. Staker, D. Liu, R. Church, D. J. Carlson, M. Panahkhahi, A. Lim, T. LeCong Tags: Original Article Source Type: research

A triple ‐blind, placebo‐controlled randomised trial of the ilioinguinal‐transversus abdominis plane (I‐TAP) nerve block for elective caesarean section
Anaesthesia, EarlyView. (Source: Anaesthesia)
Source: Anaesthesia - January 29, 2018 Category: Anesthesiology Source Type: research

Topical benzydamine hydrochloride for prevention of postoperative sore throat in adults undergoing tracheal intubation for elective surgery: a systematic review and meta ‐analysis
Anaesthesia, EarlyView. (Source: Anaesthesia)
Source: Anaesthesia - January 29, 2018 Category: Anesthesiology Source Type: research

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Anaesthesia, Ahead of Print. (Source: Anaesthesia)
Source: Anaesthesia - January 29, 2018 Category: Anesthesiology Source Type: research

Topical benzydamine hydrochloride for prevention of postoperative sore throat in adults undergoing tracheal intubation for elective surgery: a systematic review and meta ‐analysis
Summary Postoperative sore throat has a negative impact on patient satisfaction and recovery. Benzydamine hydrochloride is a non‐steroidal anti‐inflammatory drug available for topical use. We performed a systematic review and meta‐analysis to assess the efficacy and safety of topical application of benzydamine to prevent postoperative sore throat in adults undergoing elective surgery under general anaesthesia. We searched PubMed, EMBASE, Web of Science and the Cochrane Central Register of Controlled Trials to identify relevant randomised controlled trials and pooled the data using a random effects model. The primary ...
Source: Anaesthesia - January 29, 2018 Category: Anesthesiology Authors: A. Kuriyama, M. Aga, H. Maeda Tags: Review Article Source Type: research

A good pilot to navigate troubled waters
(Source: Anaesthesia)
Source: Anaesthesia - January 24, 2018 Category: Anesthesiology Authors: S. W. Choi, M. Charlesworth, G. T. C. Wong Tags: Statistically Speaking: Demystifying Methods Source Type: research

A good pilot to navigate troubled waters
Anaesthesia,Volume 73, Issue 4, Page 512-514, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 24, 2018 Category: Anesthesiology Source Type: research

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Anaesthesia,Volume 73, Issue 4, Page 512-514, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 24, 2018 Category: Anesthesiology Source Type: research

Effect of palpable vs. impalpable cricothyroid membranes in a simulated emergency front ‐of‐neck access scenario
Summary The Difficult Airway Society 2015 guidelines recommend and describe in detail a surgical cricothyroidotomy technique for the can't intubate, can't oxygenate (CICO) scenario, but this can be technically challenging for anaesthetists with no surgical training. Following a structured training session, 104 anaesthetists took part individually in a simulated can't intubate, can't oxygenate event using simulation and airway models to evaluate how well they could perform these front‐of‐neck access techniques. Main outcomes measures were: ability to correctly perform the technical steps; procedural time; and success ra...
Source: Anaesthesia - January 19, 2018 Category: Anesthesiology Authors: C. F. Pairaudeau, C. Mendonca, C. Hillermann, I. Qazi, P. A. Baker, R. E. Hodgson, S. Radhakrishna Tags: Original Article Source Type: research

The association between borderline pre ‐operative anaemia in women and outcomes after cardiac surgery: a cohort study
Anaesthesia, EarlyView. (Source: Anaesthesia)
Source: Anaesthesia - January 19, 2018 Category: Anesthesiology Source Type: research

Effect of palpable vs. impalpable cricothyroid membranes in a simulated emergency front ‐of‐neck access scenario
Anaesthesia, EarlyView. (Source: Anaesthesia)
Source: Anaesthesia - January 19, 2018 Category: Anesthesiology Source Type: research

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Anaesthesia, Ahead of Print. (Source: Anaesthesia)
Source: Anaesthesia - January 19, 2018 Category: Anesthesiology Source Type: research

The association between borderline pre ‐operative anaemia in women and outcomes after cardiac surgery: a cohort study
Summary Anaemia is common before cardiac surgery and is associated with increased morbidity and mortality. The World Health Organization (WHO) definition of anaemia is lower for women than for men by 10 g.l−1, potentially putting women at a disadvantage compared with men with regard to pre‐operative optimisation. Our hypothesis was that women with borderline anaemia (defined by us as haemoglobin concentration 120–129 g.l−1) would have a higher rate of red cell transfusion, morbidity and mortality than non‐anaemic women (haemoglobin ≥ 130 g.l−1). This retrospective observational study included...
Source: Anaesthesia - January 19, 2018 Category: Anesthesiology Authors: G. Blaudszun, K. E. Munting, A. Butchart, C. Gerrard, A. A. Klein Tags: Original Article Source Type: research

A new retrograde transillumination technique for videolaryngoscopic tracheal intubation
Summary This single‐centre, prospective trial was designed to assess the efficacy of a new retrograde transillumination device called the ‘Infrared Red Intubation System’ (IRRIS) to aid videolaryngoscopic tracheal intubation. We included 40 adult patients, who were undergoing elective urological surgery under general anaesthesia. We assessed the ability to differentiate the transilluminated glottis from other structures and found a median (IQR [range]) larynx recognition time of 8 (5–14 [3–28]) s. The difference in laryngeal visibility on the screen between the deactivated vs. activated device exp...
Source: Anaesthesia - January 18, 2018 Category: Anesthesiology Authors: P. Biro, E. Fried, M. Schlaepfer, M. S. Kristensen Tags: Original Article Source Type: research

A new retrograde transillumination technique for videolaryngoscopic tracheal intubation
Anaesthesia,Volume 73, Issue 4, Page 474-479, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 18, 2018 Category: Anesthesiology Source Type: research

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Anaesthesia,Volume 73, Issue 4, Page 474-479, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 18, 2018 Category: Anesthesiology Source Type: research

Correction
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Tags: Correction Source Type: research

Double ‐blind and single‐blind retractable placebo needles
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Authors: N. Takakura, M. Takayama, H. Yajima Tags: Correspondence Source Type: research

National standards for triaging elderly trauma patients
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Authors: J. Neely, H. Abbott Tags: Correspondence Source Type: research

The ‘airway spider’: an education tool to assist teaching human factors and ergonomics in airway management
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Authors: F. E. Kelly, R. Bhagrath, A. F. McNarry Tags: Correspondence Source Type: research

Social prescribing and pre ‐operative care
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Authors: A. Davey Tags: Correspondence Source Type: research

Difficult mask ventilation and muscle relaxation – a reply
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Authors: S. Solt ész, P. Alm, A. Mathes, M. Hellmich, J. Hinkelbein Tags: Correspondence Source Type: research

Difficult mask ventilation and muscle relaxation
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Authors: J. R. Nielsen Tags: Correspondence Source Type: research

Comparing bougie ‐guided and conventional nasotracheal intubations using videolaryngoscopy
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Authors: F. S. Xue, Y. Y. Liu, G. Z. Yang Tags: Correspondence Source Type: research

Mechanical ventilation mode and postoperative pulmonary complications – a reply
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Authors: A. Bagchi, M. I. Rudolph, M. Eikermann Tags: Correspondence Source Type: research

Mechanical ventilation mode and postoperative pulmonary complications
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Authors: D. McGuckin Tags: Correspondence Source Type: research

Issue Information – Editorial Board
(Source: Anaesthesia)
Source: Anaesthesia - January 14, 2018 Category: Anesthesiology Tags: Issue Information Source Type: research

Transnasal humidified rapid ‐insufflation ventilatory exchange (THRIVE) vs. facemask breathing pre‐oxygenation for rapid sequence induction in adults: a prospective randomised non‐blinded clinical trial
Anaesthesia, EarlyView. (Source: Anaesthesia)
Source: Anaesthesia - January 13, 2018 Category: Anesthesiology Source Type: research

Clinical guideline and recommendations on pre ‐operative exercise training in patients awaiting major non‐cardiac surgery
Anaesthesia, EarlyView. (Source: Anaesthesia)
Source: Anaesthesia - January 13, 2018 Category: Anesthesiology Source Type: research

Combined spinal ‐epidural vs. spinal anaesthesia for caesarean section: meta‐analysis and trial‐sequential analysis
Anaesthesia, EarlyView. (Source: Anaesthesia)
Source: Anaesthesia - January 13, 2018 Category: Anesthesiology Source Type: research

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Anaesthesia, Ahead of Print. (Source: Anaesthesia)
Source: Anaesthesia - January 13, 2018 Category: Anesthesiology Source Type: research

Combined spinal ‐epidural vs. spinal anaesthesia for caesarean section: meta‐analysis and trial‐sequential analysis
Summary Combined spinal‐epidural and single‐shot spinal anaesthesia are both used for caesarean section. It has been claimed in individual trials that combined spinal‐epidural is associated with higher sensory spread and greater cardiovascular stability. We set out to gather all available evidence. We performed: a systematic literature search to identify randomised controlled trials comparing combined spinal‐epidural with spinal anaesthesia for caesarean section: conventional meta‐analysis; trial‐sequential analysis; and assessment of trial quality using the Grading of Recommendations Assessment, Development, a...
Source: Anaesthesia - January 13, 2018 Category: Anesthesiology Authors: M. Klimek, R. Rossaint, M. Velde, M. Heesen Tags: Review Article Source Type: research

Clinical guideline and recommendations on pre ‐operative exercise training in patients awaiting major non‐cardiac surgery
Summary Despite calls for the routine implementation of pre‐operative exercise programmes to optimise patient fitness before elective major surgery, there is no practical guidance for providing safe and effective exercise in this specific context. The following clinical guideline was developed following a review of the evidence on the effects of pre‐operative exercise interventions. We developed a series of best‐practice and, where possible, evidence‐based statements to advise on patient care with respect to exercise training in the peri‐operative period. These statements cover: patient selection for exercise tra...
Source: Anaesthesia - January 13, 2018 Category: Anesthesiology Authors: G. A. Tew, R. Ayyash, J. Durrand, G. R. Danjoux Tags: Guidelines Source Type: research

Propensity score ‐matched outcomes after thoracic epidural or paravertebral analgesia for thoracotomy
Anaesthesia,Volume 73, Issue 4, Page 444-449, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 12, 2018 Category: Anesthesiology Source Type: research

Has analgesia changed for lung resection surgery?
Anaesthesia,Volume 73, Issue 4, Page 412-416, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 12, 2018 Category: Anesthesiology Source Type: research

Combined thoracic paravertebral and pectoral nerve blocks for breast surgery under sedation: a prospective observational case series
Anaesthesia,Volume 73, Issue 4, Page 438-443, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 12, 2018 Category: Anesthesiology Source Type: research

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Anaesthesia,Volume 73, Issue 4, Page 444-449, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 12, 2018 Category: Anesthesiology Source Type: research

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Anaesthesia,Volume 73, Issue 4, Page 412-416, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 12, 2018 Category: Anesthesiology Source Type: research

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Anaesthesia,Volume 73, Issue 4, Page 438-443, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 12, 2018 Category: Anesthesiology Source Type: research

Propensity score ‐matched outcomes after thoracic epidural or paravertebral analgesia for thoracotomy
Summary It is not known which regional analgesic technique is most effective or safest after open lung resection. We retrospectively examined outcomes in 828 patients who received thoracic epidural analgesia and 791 patients who received paravertebral block after lung resection between 2008 and 2012. We analysed outcomes for 648 patients, 324 who had each analgesic technique, matched by propensity scores generated with peri‐operative data. There were 22 out of 324 (7%) postoperative respiratory complications after thoracic epidural and 23 out of 324 (7%) after paravertebral block, p = 0.88. For any postoperative complica...
Source: Anaesthesia - January 12, 2018 Category: Anesthesiology Authors: W. J. Blackshaw, A. Bhawnani, S. H. Pennefather, O. Al ‐Rawi, S. Agarwal, M. Shaw Tags: Original Article Source Type: research

Has analgesia changed for lung resection surgery?
(Source: Anaesthesia)
Source: Anaesthesia - January 12, 2018 Category: Anesthesiology Authors: H. L. Short, K. Kamalanathan Tags: Editorial Source Type: research

Have we reached the end for throat packs inserted by anaesthetists?
Anaesthesia, EarlyView. (Source: Anaesthesia)
Source: Anaesthesia - January 10, 2018 Category: Anesthesiology Source Type: research

Systematic review of benefits or harms of routine anaesthetist ‐inserted throat packs in adults: practice recommendations for inserting and counting throat packs
Anaesthesia, EarlyView. (Source: Anaesthesia)
Source: Anaesthesia - January 10, 2018 Category: Anesthesiology Source Type: research

A randomised controlled trial comparing needle movements during combined spinal ‐epidural anaesthesia with and without ultrasound assistance
Anaesthesia,Volume 73, Issue 4, Page 466-473, April 2018. (Source: Anaesthesia)
Source: Anaesthesia - January 10, 2018 Category: Anesthesiology Source Type: research

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Anaesthesia, Ahead of Print. (Source: Anaesthesia)
Source: Anaesthesia - January 10, 2018 Category: Anesthesiology Source Type: research