British Journal of Anaesthesia




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سفارش

Editorial Board

doi : 10.1016/S0007-0912(21)00526-2

Volume 127, Issue 4, October 2021, Page i

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Associate Editorial Board

doi : 10.1016/S0007-0912(21)00527-4

Volume 127, Issue 4, October 2021, Page ii

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Contents

doi : 10.1016/S0007-0912(21)00529-8

Volume 127, Issue 4, October 2021, Pages iv-vi

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Intravenous lidocaine, regional blockade, or both: considerations for multiple interventions involving local anaesthetics

HarshaShanthanna1GuyWeinberg2

doi : 10.1016/j.bja.2021.04.024

Volume 127, Issue 4, October 2021, Pages 497-501

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Evidence-based guidance for use of intrathecal morphine as an alternative to diamorphine for Caesarean delivery analgesia

PervezSultanBrendanCarvalho

doi : 10.1016/j.bja.2021.06.023

Volume 127, Issue 4, October 2021, Pages 501-505

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What we do, what we call ourselves, and how we spell it

J. RobertSneyd

doi : 10.1016/j.bja.2021.04.025

Volume 127, Issue 4, October 2021, Pages 505-508

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Lifting the lid on perioperative goal-directed therapy

Daniel S.Martin

doi : 10.1016/j.bja.2021.07.009

Volume 127, Issue 4, October 2021, Pages 508-510

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Proteomic signatures for perioperative oxygen delivery in skin after major elective surgery: mechanistic sub-study of a randomised controlled trial

Wendy E.Heywood1EmilyBliss1FatimaBahelil2TrindaCyrus2MarilenaCrescente3TimothyJones2SadafIqbal4Laura G.Paredes4Andrew J.Toner5Ana G.del Arroyo2Edel A.O'Toole6KevinMills1Gareth L.Ackland2

doi : 10.1016/j.bja.2021.06.003

Volume 127, Issue 4, October 2021, Pages 511-520

Maintaining adequate oxygen delivery (DO2) after major surgery is associated with minimising organ dysfunction. Skin is particularly vulnerable to reduced DO2. We tested the hypothesis that reduced perioperative DO2 fuels inflammation in metabolically compromised skin after major surgery.

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Goal-directed fluid therapy in emergency abdominal surgery: a randomised multicentre trial

Anne A.Aaen1Anders W.Voldby2NicolasStorm3JeppeKildsig3Egon G.Hansen4ErikZimmermann-Nielsen5Kenneth M.Jensen6PernilleTibæk7AnetteMortensen8Ann M.Møller4BirgitteBrandstrup2

doi : 10.1016/j.bja.2021.06.031

Volume 127, Issue 4, October 2021, Pages 521-531

More than 50% of patients have a major complication after emergency gastrointestinal surgery. Intravenous (i.v.) fluid therapy is a life-saving part of treatment, but evidence to guide what i.v. fluid strategy results in the best outcome is lacking. We hypothesised that goal-directed fluid therapy during surgery (GDT group) reduces the risk of major complications or death in patients undergoing major emergency gastrointestinal surgery compared with standard i.v. fluid therapy (STD group).

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Changes in pulse pressure variation to assess preload responsiveness in mechanically ventilated patients with spontaneous breathing activity: an observational study

OlfaHamzaoui1RuiShi23SimoneCarelli2BenjaminSztrymf13DominiquePrat1FredericJacobs1XavierMonnet23CorentinGouëzel1Jean-LouisTeboul23

doi : 10.1016/j.bja.2021.05.034

Volume 127, Issue 4, October 2021, Pages 532-538

Pulse pressure variation (PPV) is not reliable in predicting preload responsiveness in patients receiving mechanical with spontaneous breathing (SB) activity. We hypothesised that an increase in PPV after a tidal volume (VT) challenge (TVC) or a decrease in PPV during passive leg raising (PLR) can predict preload responsiveness in such cases.

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Standardized Assessment of Global activities in the Elderly scale in adult cardiac surgery patients

JessicaSpence123JackieBosch34EdwardChongsi3Shun FuLee3LehanaThabane23PabloMendoza23EmilieBelley-Côté235RichardWhitlock236KateBrady3William F.McIntyre235AndreLamy236P.J.Devereaux235

doi : 10.1016/j.bja.2021.05.037

Volume 127, Issue 4, October 2021, Pages 539-546

Different instruments have been used to assess ability to perform everyday functional activities, such as activities of daily living (ADL) and instrumental activities of daily living (IADL). No measures of functional activity have been validated in cardiac surgery. We assessed the reliability and validity of the Standardized Assessment of Global activities in the Elderly (SAGE) scale.

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Effects of inorganic nitrate on ischaemia-reperfusion injury after coronary artery bypass surgery: a randomised controlled trial

Karin E.Eriksson12†FredrikEidhagen13†JanLiska45AndersFranco-Cereceda45Jon O.Lundberg1EddieWeitzberg12

doi : 10.1016/j.bja.2021.06.046

Volume 127, Issue 4, October 2021, Pages 547-555

Nitric oxide (NO) is an important signalling molecule in the cardiovascular system with protective properties in ischaemia–reperfusion injury. Inorganic nitrate, an oxidation product of endogenous NO production and a constituent in our diet, can be recycled back to bioactive NO. We investigated if preoperative administration of inorganic nitrate could reduce troponin T release and other plasma markers of injury to the heart, liver, kidney, and brain in patients undergoing cardiac surgery.

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Safety and efficacy of tetrastarches in surgery and trauma: a systematic review and meta-analysis of randomised controlled trials

DanielChappell1Philippevan der Linden2JavierRipollés-Melchor34Michael F.M.James5

doi : 10.1016/j.bja.2021.06.040

Volume 127, Issue 4, October 2021, Pages 556-568

Hydroxyethyl starch (HES) 130 is a frequently used fluid to replace intravascular losses during surgery or trauma. In the past years, several trials performed in critically ill patients have raised questions regarding the safety of this product. Our aim in this meta-analysis was to evaluate the safety and efficacy of 6% HES during surgery and in trauma.

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Delaying initiation of diuretics in critically ill patients with recent vasopressor use and high positive fluid balance?

ZacharyShahn12Li-Wei H.Lehman13Roger G.Mark3DanielTalmor45SomnathBose45

doi : 10.1016/j.bja.2021.04.035

Volume 127, Issue 4, October 2021, Pages 569-576

Fluid overload is associated with poor outcomes. Clinicians might be reluctant to initiate diuretic therapy for patients with recent vasopressor use. We estimated the effect on 30-day mortality of withholding or delaying diuretics after vasopressor use in patients with probable fluid overload.

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Selective mitochondrial antioxidant MitoTEMPO reduces renal dysfunction and systemic inflammation in experimental sepsis in rats

NishkanthaArulkumaran1Sean J.Pollen1RobertTidswell1CharlotteGaupp1Vera B.M.Peters1GiacomoStanzani1Timothy A.C.Snow1Michael R.Duchen2MervynSinger1

doi : 10.1016/j.bja.2021.05.036

Volume 127, Issue 4, October 2021, Pages 577-586

Excess mitochondrial reactive oxygen species (mROS) in sepsis is associated with organ failure, in part by generating inflammation through the NOD-, LRR- and pyrin domain-containing protein 3 (NLRP3) inflammasome. We determined the impact of a mitochondrial-targeted antioxidant (MitoTEMPO) on mitochondrial dysfunction in renal proximal tubular epithelial cells, peritoneal immune cell function ex vivo, and organ dysfunction in a rat model of sepsis.

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Selective inhibition of gamma aminobutyric acid release from mouse hippocampal interneurone subtypes by the volatile anaesthetic isoflurane

Iris A.Speigel1Hugh C.HemmingsJr.12

doi : 10.1016/j.bja.2021.06.042

Volume 127, Issue 4, October 2021, Pages 587-599

The cellular and molecular mechanisms by which general anaesthesia occurs is poorly understood. Hippocampal interneurone subpopulations, which are critical regulators of cognitive function, have diverse neurophysiological and synaptic properties, but their responses to anaesthetics are unclear.

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Chronic disabling postpartum headache after unintentional dural puncture during epidural anaesthesia: a prospective cohort study

Jessica R.Ansari1MeredithBarad2StevenShafer1PamelaFlood1

doi : 10.1016/j.bja.2021.05.020

Volume 127, Issue 4, October 2021, Pages 600-607

Unintentional dural puncture with an epidural needle complicates approximately 1% of epidural anaesthetics and causes an acute headache in 60–80% of these patients. Several retrospective studies suggest an increased risk of chronic headache. We assessed the relationship between unintentional dural puncture and chronic disabling headache, defined as one or more functionally limiting headaches within a 2-week interval ending 2, 6, and 12 months postpartum.

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Interactive video games to reduce paediatric procedural pain and anxiety: a systematic review and meta-analysis

Mona F.Sajeev12LaurenKelada12A'tikah BinteYahya Nur12Claire E.Wakefield12Michael A.Wewege34JonathanKarpelowsky567BenedictAkimana8Anne-SophieDarlington9ChristinaSignorelli12

doi : 10.1016/j.bja.2021.06.039

Volume 127, Issue 4, October 2021, Pages 608-619

Procedural pain and anxiety in children can be poorly controlled, leading to significant short- and long-term sequelae, such as longer procedure times or future healthcare avoidance. Caregiver anxiety can exacerbate these effects. We aimed to evaluate the effect of interactive video game interventions on children's procedural pain and anxiety, including the effect of different types of video games on those outcomes.

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Renal tissue desaturation and acute kidney injury in infant cardiac surgery: a prospective propensity score-matched cohort study

DongniZhang1†ChuanOuyang1†XuZhao2BoqunCui1FengDai3LingzhongMeng4JunMa1

doi : 10.1016/j.bja.2021.06.045

Volume 127, Issue 4, October 2021, Pages 620-628

Previous studies on the association between renal tissue desaturation and acute kidney injury (AKI) in infant cardiac surgery are limited by small sample sizes and inconsistent results. This prospective study aimed to determine the association between renal desaturation and AKI in infants undergoing surgical repair of an isolated ventricular septal defect (VSD).

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Effect of erector spinae plane block on the postoperative quality of recovery after laparoscopic cholecystectomy: a prospective double-blind study

AhmetCan?tez4BetulKozanhan1NergisAksoy2MuniseYildiz1Mahmut S.Tutar3

doi : 10.1016/j.bja.2021.06.030

Volume 127, Issue 4, October 2021, Pages 629-635

Laparoscopic cholecystectomy is a common surgical procedure that frequently results in substantial postoperative pain. Erector spinae plane block (ESPB) has been shown to have beneficial postoperative analgesic effects when used as a part of multimodal analgesia. The aim of this study was to determine whether ESPB improves postoperative recovery quality in patients undergoing laparoscopic cholecystectomy. Evaluation of the effects of ESPB on postoperative pain, opioid consumption, and nausea and vomiting was the secondary objective.

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Airway devices for awake tracheal intubation in adults: a systematic review and network meta-analysis

NeelDesai12GamunuRatnayake1Desire N.Onwochei12KariemEl-Boghdadly12ImranAhmad12

doi : 10.1016/j.bja.2021.05.025

Volume 127, Issue 4, October 2021, Pages 636-647

Awake tracheal intubation is commonly performed with flexible bronchoscopes, but the emerging role of alternative airway devices, such as videolaryngoscopes, direct laryngoscopes, and optical stylets, has been recognised.

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The central nervous system during lung injury and mechanical ventilation: a narrative review

Guillermo M.Albaiceta1234LaurentBrochard56Claudia C.Dos Santos56RafaelFernández47DimitrisGeorgopoulos8TimothyGirard9AmalJubran1011JosefinaLópez-Aguilar412JordiMancebo13PaoloPelosi1415YoannaSkrobik16Arnaud W.Thille1718Mary E.Wilcox619LluisBlanch412

doi : 10.1016/j.bja.2021.05.038

Volume 127, Issue 4, October 2021, Pages 648-659

Mechanical ventilation induces a number of systemic responses for which the brain plays an essential role. During the last decade, substantial evidence has emerged showing that the brain modifies pulmonary responses to physical and biological stimuli by various mechanisms, including the modulation of neuroinflammatory reflexes and the onset of abnormal breathing patterns. Afferent signals and circulating factors from injured peripheral tissues, including the lung, can induce neuronal reprogramming, potentially contributing to neurocognitive dysfunction and psychological alterations seen in critically ill patients. These impairments are ubiquitous in the presence of positive pressure ventilation. This narrative review summarises current evidence of lung–brain crosstalk in patients receiving mechanical ventilation and describes the clinical implications of this crosstalk. Further, it proposes directions for future research ranging from identifying mechanisms of multiorgan failure to mitigating long-term sequelae after critical illness.

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Importance of pain score distribution to interpretation of the minimal clinically important difference

Bruno L. de C.Araujo1Andreia C.de Melo2Luiz C.Santos Thuler23

doi : 10.1016/j.bja.2021.06.032

Volume 127, Issue 4, October 2021, Pages e121-e123

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Use of transversus abdominus block for alveolar bone graft analgesia in children

Richard J.Berwick123CharlotteBerwick1JoanneHaidon1JennieCraske1

doi : 10.1016/j.bja.2021.06.047

Volume 127, Issue 4, October 2021, Pages e123-e125

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Understanding ‘difficult tracheal intubation’ in neonatal anaesthesia. Comment on Br J Anaesth 2021; 126: 1173–81

Angela L.Gardner1DanielleEusuf2HelenKennedy2BronaghPatterson2VictoriaScott-Warren3Clifford L.Shelton45

doi : 10.1016/j.bja.2021.06.034

Volume 127, Issue 4, October 2021, Pages e125-e127

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Perioperative dexmedetomidine and 5-year survival in patients undergoing cardiac surgery. Comment on Br J Anaesth 2021; 127: 215–23

TingjuHu1†RuiDuan2†XiaohuaZou1JingShi1

doi : 10.1016/j.bja.2021.06.035

Volume 127, Issue 4, October 2021, Pages e127-e128

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Analysis of the effect of varying protamine-to-heparin ratio on coagulation in vitro

Loretta T.S.Ho12Mark J.McVey134Gerhardus J.A.J.M.Kuiper15Peter L.Gross6KeyvanKarkouti12789

doi : 10.1016/j.bja.2021.06.037

Volume 127, Issue 4, October 2021, Pages e128-e130

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Early postoperative nutritional support in hip fracture patients. Comment on Br J Anaesth 2021; 126: 730–7

ChangqiLuoYouYuChengNie

doi : 10.1016/j.bja.2021.07.003

Volume 127, Issue 4, October 2021, Pages e131-e132

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DISH10 (Deep Inspiration, Squeeze and Hold for 10 seconds) manoeuvre: a noninvasive treatment for postdural puncture headache

KartikSonawaneChelliahSekarHrudiniDixitTuhinMistry

doi : 10.1016/j.bja.2021.06.044

Volume 127, Issue 4, October 2021, Pages e132-e135

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Safety of high-concentration norepinephrine for peripheral intravenous use. Comment on Br J Anaesth 2020; 124: e108–14

LiweiLiu†LanLuo†LuLi†MuJin

doi : 10.1016/j.bja.2021.07.004

Volume 127, Issue 4, October 2021, Pages e135-e137

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Structural validity of the 15-item quality of recovery scale

Paul S.Myles

doi : 10.1016/j.bja.2021.07.006

Volume 127, Issue 4, October 2021, Pages e138-e139

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The Routine posTsuRgical Anesthesia visit to improve patient outComE (TRACE) study: lessons learned

Markus W.Hollmann1Diannede Korte-de Boer2ChristaBoer3Wolfgang F.F.A.Buhre2on behalf of the TRACE Study investigators†

doi : 10.1016/j.bja.2021.07.011

Volume 127, Issue 4, October 2021, Pages e140-e142

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Management of perioperative thromboprophylaxis for surgery following COVID-19: an expert-panel survey

RaquelFerrandis1Juan V.Llau2ArashAfshari3James D.Douketis4AurelioGómez-Luque5Charles-MarcSamama6

doi : 10.1016/j.bja.2021.06.041

Volume 127, Issue 4, October 2021, Pages e143-e145

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Vasopressin infusion in COVID-19 critical illness is not associated with impaired viral clearance: a pilot study

Daniel E.Leisman12ArnavMehta3456YijiaLi7Kyle R.Kays8Jonathan Z.Li7Michael R.Filbin489Marcia B.Goldberg341011

doi : 10.1016/j.bja.2021.07.005

Volume 127, Issue 4, October 2021, Pages e146-e148

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Pediatric Sedation Outside of the Operating Room: A Multispecialty International Collaboration,, Keira P. Mason (Ed.), Springer Nature, Switzerland (2021), pp. 990. €239.19, ISBN 978-3-030-58405-4

Per-ArneLönnqvist

doi : 10.1016/j.bja.2021.06.022

Volume 127, Issue 4, October 2021, Page 660

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