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Using small doses of norepinephrine or phenylephrine during the peri-operative period.
Gelman, Simon
doi : 10.1097/EJA.0000000000001697
Volume 39(7) pgs. 571-637 July 2022
Prediction of intraoperative hypotension from the linear extrapolation of mean arterial pressure.
Jacquet-Lagreze, Matthias; Larue, Antoine; Guilherme, Enrique; Schweizer, Remi; Portran, Philippe; Ruste, Martin; Gazon, Mathieu; Aubrun, Frederic; Fellahi, Jean-Luc
doi : 10.1097/EJA.0000000000001693
pg. 574-581
Hypotension prediction index (HPI) software is a proprietary machine learning-based algorithm used to predict intraoperative hypotension (IOH). HPI has shown superiority in predicting IOH when compared to the predictive value of changes in mean arterial pressure ([DELTA]MAP) alone. However, the predictive value of [DELTA]MAP alone, with no reference to the absolute level of MAP, is counterintuitive and poor at predicting IOH.
Microcirculatory tissue perfusion during general anaesthesia and noncardiac surgery: An observational study using incident dark field imaging with automated video analysis.
Flick, Moritz *; Schreiber, Tim-Henrik *; Montomoli, Jonathan; Krause, Linda; de Boer, Hans D.; Kouz, Karim; Scheeren, Thomas W.L.; Ince, Can; Hilty, Matthias P. +; Saugel, Bernd +
doi : 10.1097/EJA.0000000000001699
pg. 582-590
Handheld vital microscopy allows direct observation of red blood cells within the sublingual microcirculation. Automated analysis allows quantifying microcirculatory tissue perfusion variables - including tissue red blood cell perfusion (tRBCp), a functional variable integrating microcirculatory convection and diffusion capacities.
Single-injection regional analgesia techniques for mastectomy surgery: A network meta-analysis.
De Cassai, Alessandro; Zarantonello, Francesco; Geraldini, Federico; Boscolo, Annalisa; Pasin, Laura; De Pinto, Silvia; Leardini, Giovanni; Basile, Francesca; Disaro, Laura; Sella, Nicolo; Mariano, Edward R.; Pettenuzzo, Tommaso; Navalesi, Paolo
doi : 10.1097/EJA.0000000000001644
pg. 591-601
Patients undergoing mastectomy surgery experience severe postoperative pain. Several regional techniques have been developed to reduce pain intensity but it is unclear, which of these techniques is most effective. OBJECTIVES: To synthesise direct and indirect comparisons for the relative efficacy of different regional and local analgesia techniques in the setting of unilateral mastectomy.
Influence of height on ED95 of intrathecal 2-chloroprocaine for knee arthroscopy: A prospective dose-response clinical trial.
Guntz, Emmanuel; Jeanne, Gaelle; Gouwy, Jonathan; M'rini, Mehdi; Saxena, Sarah; Fils, Jean-Francois; Kapessidou, Yota
doi : 10.1097/EJA.0000000000001692
pg. 602-610
Plain 2-chloroprocaine , a rapid acting amino-ester-type local anaesthetic, is used in short ambulatory procedures under spinal anaesthesia. The ED95 of 2-chloroprocaine for lower limb surgery has not yet been defined. Moreover, patients' body height could influence the effects of the administered dose. OBJECTIVES: The aim of this study was to determine the ED95 of plain 2-chloroprocaine based on the height of patients undergoing ambulatory knee arthroscopy under spinal anaesthesia using the continual reassessment statistical method (CRM). DESIGN: Prospective, dose-response, double blind, controlled, bi-center, clinical trial.
The analgesic efficacy of transversus abdominis plane block vs. wound infiltration after inguinal and infra-umbilical hernia repairs: A systematic review and meta-analysis with trial sequential analysis.
Grape, Sina; Kirkham, Kyle R.; Albrecht, Eric
doi : 10.1097/EJA.0000000000001668
pg. 611-618
Both transversus abdominis plane (TAP) block and wound infiltration with local anaesthetic have been used to relieve pain after inguinal or infra-umbilical hernia repair. OBJECTIVES: To determine whether TAP block or local anaesthetic infiltration is the best analgesic option after inguinal or infra-umbilical hernia repair. DESIGN: Systematic review and meta-analysis with trial sequential analysis. DATA SOURCES: MEDLINE, Embase, Cochrane Central Register of Controlled Clinical Trials, Web of Science, up to June, 2020. ELIGIBILITY CRITERIA: We retrieved randomised controlled trials comparing TAP block with wound infiltration after inguinal or infra-umbilical hernia repair.
Trending ability of cardiac output measurements using electrical cardiometry during abdominal surgery: A cohort study.
Servaas, Sjoerd; van Eijk, Lucas T.; Malagon, Ignacio; Slagt, Cornelis
doi : 10.1097/EJA.0000000000001653
pg. 619-622
Exploring the relationship between adherence to a goal-directed fluid therapy protocol and outcome after major surgery.
Perilli, Valter; Luca, Ersilia; Marusco, Irene; Formicola, Giulio Ciro; Sollazzi, Liliana *; Aceto, Paola *
doi : 10.1097/EJA.0000000000001700
pg. 622-626
Comparing cardiac output with a double intravenous vasopressor automated system versus manual vasopressor boluses to prevent hypotension during spinal anaesthesia for caesarean delivery: Secondary analysis of a randomised controlled study.
Au-Yong, Phui-Sze Angie *; Tan, Hon Sen *; Sultana, Rehena; Tan, Chin Wen; Sia, Alex Tiong Heng; Sng, Ban Leong
doi : 10.1097/EJA.0000000000001698
pg. 626-629
How to end the 'venous return' controversy.
Dalmau, Rafael
doi : 10.1097/EJA.0000000000001689
pg. 629-630
Incidence and characteristics of major adverse events in continuous peripheral nerve block analgesia: A single-centre outcome analysis of 10 638 cases in a tertiary care teaching hospital.
Klinqler, Gabriela *; Senn, Martina *; Imboden, Paul; Rust, Christoph A.; Schnider, Thomas W.; Filipovic, Miodraq
doi : 10.1097/EJA.0000000000001628
pg. 631-633
Patient knowledge and preference in regional anaesthesia: A single-centre cross-sectional survey.
Nijs, Kristof; Jalil, Hassanin; Callebaut, Ina; Van de Velde, Marc *; Stessel, Bjorn *
doi : 10.1097/EJA.0000000000001544
pg. 633-635
