Landiolol for the prevention of postoperative atrial fibrillation: a trial sequential analysis
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 28, 2024 Category: Anesthesiology Source Type: research

Local anesthesia versus general anesthesia for surgical drainage of chronic subdural hematoma: a systematic review and meta-analysis
ConclusionsLocal anesthesia with/without sedation for surgical drainage of CSDH may be associated with a shorter LOS, and lower postoperative complications. As most of our included studies were observational in nature, our results should be interpreted as summaries of unadjusted group comparisons. In view of the low certainty of evidence, higher quality evidence is required to corroborate these findings.Study registrationPROSPERO (CRD42022333388); first submitted 1 June 2022. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 28, 2024 Category: Anesthesiology Source Type: research

Comparing perioperative outcomes between regional anesthesia and general anesthesia in patients undergoing hip fracture surgery: a systematic review and meta-analysis
ConclusionIn this updated systematic review and meta-analysis, RA did not reduce postoperative 30-day mortality in hip fracture surgery patients compared to GA. Fewer patients receiving RA had intraoperative hypotension than those receiving GA did. Apart from intraoperative hypotension, the data showed no differences in complications between the two anesthetic techniques.Study registrationPROSPERO (CRD42023411854); registered 7 April 2023. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 28, 2024 Category: Anesthesiology Source Type: research

General versus spinal anesthesia: are we asking the right question?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 28, 2024 Category: Anesthesiology Source Type: research

Landiolol for the prevention of postoperative atrial fibrillation: a trial sequential analysis
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 28, 2024 Category: Anesthesiology Source Type: research

A survey of Canadian specialist anesthesiologists and family practice anesthetists: rural operating room use, a mixed model of care, and mentoring
ConclusionThis survey shows perceived capacity to expand surgical services in rural areas, a precedent for a mixed SA-FPA model of anesthesia delivery at the same site, and desire for anesthesia providers to engage in mentoring. Such options should be considered to strengthen the physician-led anesthesiology profession in Canada. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 27, 2024 Category: Anesthesiology Source Type: research

A threshold of 100 or more colony-forming units on the anesthesia machine predicts bacterial pathogen detection: a retrospective laboratory-based analysis
ConclusionsAnesthesia machine reservoir samples returning  <  100 CFU were associated with negligible pathogen detection. This threshold can be used for assessment of terminal, routine, and between-case cleaning of the anesthesia machine and equipment. Such feedback may be useful because the 44% prevalence of ≥ 100 CFU was comparable to the 46% (25/ 54) reported earlier from an unrelated hospital. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 27, 2024 Category: Anesthesiology Source Type: research

Accidental transection of bronchial blocker during thoracoscopic radical resection of lung cancer in two cases
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 27, 2024 Category: Anesthesiology Source Type: research

A survey of Canadian specialist anesthesiologists and family practice anesthetists: rural operating room use, a mixed model of care, and mentoring
ConclusionThis survey shows perceived capacity to expand surgical services in rural areas, a precedent for a mixed SA-FPA model of anesthesia delivery at the same site, and desire for anesthesia providers to engage in mentoring. Such options should be considered to strengthen the physician-led anesthesiology profession in Canada. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 27, 2024 Category: Anesthesiology Source Type: research

A threshold of 100 or more colony-forming units on the anesthesia machine predicts bacterial pathogen detection: a retrospective laboratory-based analysis
ConclusionsAnesthesia machine reservoir samples returning  <  100 CFU were associated with negligible pathogen detection. This threshold can be used for assessment of terminal, routine, and between-case cleaning of the anesthesia machine and equipment. Such feedback may be useful because the 44% prevalence of ≥ 100 CFU was comparable to the 46% (25/ 54) reported earlier from an unrelated hospital. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 27, 2024 Category: Anesthesiology Source Type: research

Accidental transection of bronchial blocker during thoracoscopic radical resection of lung cancer in two cases
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 27, 2024 Category: Anesthesiology Source Type: research

A quasi-experimental evaluation of the association between implementation of Quality-Based Procedures funding for hip fractures and improvements in processes and outcomes for hip fracture patients in Ontario: an interrupted time series analysis
ConclusionEvaluation of the QBP program is crucial to inform ongoing and future changes to policy and funding for hip fracture care. The introduction of the QBP Hip Fracture program, supported by evidence-based recommendations, was associated with improved application of some evidence-based processes of care but no changes in clinical outcomes. There is a need for ongoing development and evaluation of funding models to identify optimal strategies to improve the value and outcomes of hip fracture care.Study registrationOpen Science Framework (https://osf.io/2938h/); first posted 13 June 2022. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 26, 2024 Category: Anesthesiology Source Type: research

Enhancing care for hip fracture patients through a Quality-Based Procedures funding model
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 26, 2024 Category: Anesthesiology Source Type: research

A quasi-experimental evaluation of the association between implementation of Quality-Based Procedures funding for hip fractures and improvements in processes and outcomes for hip fracture patients in Ontario: an interrupted time series analysis
ConclusionEvaluation of the QBP program is crucial to inform ongoing and future changes to policy and funding for hip fracture care. The introduction of the QBP Hip Fracture program, supported by evidence-based recommendations, was associated with improved application of some evidence-based processes of care but no changes in clinical outcomes. There is a need for ongoing development and evaluation of funding models to identify optimal strategies to improve the value and outcomes of hip fracture care.Study registrationOpen Science Framework (https://osf.io/2938h/); first posted 13 June 2022. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 26, 2024 Category: Anesthesiology Source Type: research

Enhancing care for hip fracture patients through a Quality-Based Procedures funding model
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 26, 2024 Category: Anesthesiology Source Type: research