A Canadian survey of perceptions and practices related to ordering of blood tests in the intensive care unit
ConclusionMost respondents to this survey perceived that unnecessary blood testing occurs in the ICU. The survey identified possible strategies to decrease the number of blood tests. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 19, 2024 Category: Anesthesiology Source Type: research
Measurements of pupillary unrest using infrared pupillometry fail to detect changes in pain intensity in patients after surgery: a prospective observational study
ConclusionIn this prospective observational study, pupillometric measurements of pupillary unrest did not identify changes in pain intensity in a postoperative, predominantly opioid-exposed patient population. While the sample size was small, the use of measurements of pupillary unrest to detect and quantify pain has to be questioned. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 19, 2024 Category: Anesthesiology Source Type: research
Don ’t just do something, stand there!
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 18, 2024 Category: Anesthesiology Source Type: research
The knowns and unknowns of glucagon-like peptide 1 agonists and perioperative care
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 14, 2024 Category: Anesthesiology Source Type: research
Association of glucagon-like peptide receptor 1 agonist therapy with the presence of gastric contents in fasting patients undergoing endoscopy under anesthesia care: a historical cohort study
ConclusionsIn fasting patients, GLP-1 agonist therapy was associated with an increased incidence of residual gastric contents, potentially posing an additional risk of periprocedural pulmonary aspiration. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 14, 2024 Category: Anesthesiology Source Type: research
Prevention of hypotension after induction of general anesthesia using point-of-care ultrasound to guide fluid management: a randomized controlled trial
ConclusionA preoperative fluid bolus in patients with a collapsible IVC reduced the incidence of GAIH without associated adverse effects.Study registrationClinicalTrials.gov (NCT05424510); first submitted 15 June 2022. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 13, 2024 Category: Anesthesiology Source Type: research
Designing and implementing a new icon-based difficult airway cart: a two-phase prospective qualitative improvement project
ConclusionOur quality improvement project successfully designed and implemented a new visual-based difficult airway cart at our institution. We believe this report enables other institutions to reproduce our project. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 13, 2024 Category: Anesthesiology Source Type: research
Postinduction hypotension —don’t give me numbers, give me the cause
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 13, 2024 Category: Anesthesiology Source Type: research
The ECMO Book, First Edition
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 12, 2024 Category: Anesthesiology Source Type: research
Exercising medical judgement: resuscitation and “Decision-Making for End-of-Life Care,” a new policy from the College of Physician and Surgeons of Ontario
AbstractIn March 2023, the College of Physicians and Surgeons of Ontario (CPSO) updated their policy entitledDecision-Making for End-of-Life Care. This policy will significantly change the landscape and clinical practice in Canada ’s most populous province with respect to decision-making for resuscitation. The update interrupts approximately eight years of CPSO policy that has mandated physicians to perform cardiopulmonary resuscitation (CPR) and other resuscitative measures unless they can explicitly obtain consent in the form of a do-not-resuscitate or no-CPR order. The policy is now aligned with theWawrzyniak v. Liv...
Source: Canadian Journal of Anesthesia - March 11, 2024 Category: Anesthesiology Source Type: research
Comparison of tracheal versus esophageal temperatures during laparoscopic surgery
ConclusionThe temperature tracheal tube showed an acceptable overall mean bias of −0.3 °C and a percentage error of 3%, but incompatible trending ability with the esophageal temperature probe.Study registrationcris.nih.go.kr (KCT0007265); 22 April 2022. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 11, 2024 Category: Anesthesiology Source Type: research
Pulsus bisferiens and volume resuscitation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 11, 2024 Category: Anesthesiology Source Type: research
Analgesia for rib fractures: a narrative review
ConclusionRib fracture(s) continues to be a serious diagnosis, with high rates of mortality, development of chronic pain, and disability. A multidisciplinary approach to management, combined with appropriate analgesia and adherence to care bundles/protocols, has been shown to decrease morbidity and mortality. Most of the risk-stratifying care pathways identified perform poorly in predicting mortality and complications after rib fracture(s). (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 8, 2024 Category: Anesthesiology Source Type: research
Public perception of participation in low-risk clinical trials in critical care using waived consent: a Canadian national survey
ConclusionsThere is public support for models of waived consent for participation in low-risk pragmatic clinical trials in ICU settings in Canada; however, this is not universal. This information can inform and guide education, ethics, policy, and legal discussion on consent models. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 8, 2024 Category: Anesthesiology Source Type: research
Comment on “In reply: Comment on ‘Strategies for intraoperative glucose management: a scoping review’”
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 8, 2024 Category: Anesthesiology Source Type: research
