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British Journal of Anaesthesia

@bjajournals.bsky.social

BJA is a high-impact international journal for #Anaesthesia, #CriticalCare, #Pain & #PeriOpMed BJA Open provides Gold Open Access bjanaesthesia.org #AnSky #ICUSky #ICMSky #PainSky

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Impact of superficial and deep parasternal blocks on recovery after cardiac surgery with sternotomy: a randomised controlled trial Pain is common after cardiac surgery and can impair recovery. Regional anaesthesia has been proposed to limit pain, but its impact on recovery is unknown. This study compared the impact ofโ€ฆ

Are parasternal blocks effective and safe in cardiac surgery? Do they have an impact on the quality of recovery? This new randomised trial by Demarquette et al. did not show any difference in quality of recovery (QoR-15) compared to standard care.

07.10.2025 11:03 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Determining the #ASA status with #AI: while #Deepseek-R1 may be more suitable for outpatient and elective settings, Open-AI's #o3-mini-high may be useful for scenarios requiring speed and consistency

www.bjanaesthesia.org/article/S000...

06.10.2025 11:02 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Which rapid infusion system does your institution have? The #Belmontยฎ RI-2 emerges as the only device in this new study by Eichinger et al. that can achieve adequate heating at high flow rates..

www.bjanaesthesia.org/article/S000...

05.10.2025 11:02 โ€” ๐Ÿ‘ 8    ๐Ÿ” 3    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 1
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The #QoR-15 is a reliable patient-reported outcome measure for postoperative #recovery, highlighting that greater surgical insult and complications correlate with prolonged recovery and reduced days at home within 30 days

www.bjanaesthesia.org/article/S000...

04.10.2025 11:01 โ€” ๐Ÿ‘ 3    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 1
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Perioperative Quality Initiative consensus statement on goal-directed haemodynamic therapy Perioperative goal-directed haemodynamic therapy (GDHT) includes a variety of protocolised approaches to the assessment and management of the circulatory system and blood flow for patients undergoingโ€ฆ

Read the latest Perioperative Quality Initiative statement on goal-directed haemodynamic therapy here, including when #GDHT may be beneficial

03.10.2025 11:03 โ€” ๐Ÿ‘ 5    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Videolaryngoscopy versus direct laryngoscopy for teaching direct laryngoscopy skills: a systematic review and meta-analysis It is established that videolaryngoscopy improves intubation success rates and views compared with direct laryngoscopy. However, concerns regarding default adoption of videolaryngoscopy include aโ€ฆ

In this new study by Gunning et al., #videolaryngoscopy enhances first-attempt success in teaching direct laryngoscopy, with no compromise in overall outcomes. Should #videolaryngoscopy be the preferred training tool? #AnSky #airway

02.10.2025 11:03 โ€” ๐Ÿ‘ 2    ๐Ÿ” 2    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 1
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Effects of ketamine on postoperative cognition: a scoping review Postoperative delirium and other forms of perioperative neurocognitive deficits occur commonly in older adult patients. Ketamine, administered either before or during general anaesthesia, may haveโ€ฆ

#Ketamine may have a beneficial effect on the incidence and/or duration of #perioperative #neurocognitive disorders. Further research is needed to clarify whether the benefits persist in subpopulations of high-risk patients

01.10.2025 11:06 โ€” ๐Ÿ‘ 4    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

New work from our AIMS Research Group and The Canadian Prehabilitation Network.

28.09.2025 11:33 โ€” ๐Ÿ‘ 2    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Have you ever wondered why some patients need more or less #propofol than others? Genetic polymorphism in the propofol metabolism pathway may provide the answer

www.bjanaesthesia.org/article/S000...

29.09.2025 11:02 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Adherence to prehabilitation in adult surgical patients: a systematic review, meta-analysis, meta-regression, and qualitative synthesis Prehabilitation is hypothesised to play an important role in optimising postoperative outcomes. However, achieving high adherence can be challenging. Our objectives were to synthesise currentโ€ฆ

As #prehabilitation becomes standard practice, more research is required to address the barriers to #adherence. Optimising definitions of adherence and improving reporting quality can be the first step

28.09.2025 11:01 โ€” ๐Ÿ‘ 3    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 1

#Perioperative autonomic nervous system imbalance may contribute to adverse outcomes. Addressing this imbalance may represent potential therapeutic targets to improve recovery in the future

27.09.2025 11:01 โ€” ๐Ÿ‘ 2    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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While #AI algorithms achieve high accuracy for STEMI identification on clean #ECGs, high noise signals in the perioperative environment limit their clinical use. Prospective real-world data is required to develop a mature algorithm.

www.bjanaesthesia.org/article/S000...

26.09.2025 11:02 โ€” ๐Ÿ‘ 4    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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How well does your #i-gel ยฎ fit? New study shows current smallest i-gelยฎ (size 1.0) is still too large for #neonates under 2200g. Low birth weight #infants may require smaller, tailored supraglottic airway devices #AnSky #anaesthesia

www.bjanaesthesia.org/article/S000...

25.09.2025 11:03 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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#hypotension in #remimazolam and #propofol induction. In this correspondence, Takaki et al. clarifies dosing, monitoring, and analysis details in their study of induction of #anaesthesia.

www.bjanaesthesia.org/article/S000...

24.09.2025 11:02 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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#SNAP-3, the UKโ€™s largest perioperative study of older adults, shows #frailtyโ€”not #multimorbidityโ€”is key to poor surgical outcomes. Findings support targeted, frailty-focused care.

www.bjanaesthesia.org/article/S000...

23.09.2025 11:02 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Chemogenetic PV-cell silencing under 1% isoflurane: burst-suppression or covert spike-and-wave epilepsy? Aksenov et al. explain why wide-band #EEG & anti-absence tests are essential to differentiate between them.

www.bjanaesthesia.org/article/S000...

22.09.2025 11:02 โ€” ๐Ÿ‘ 5    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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#Hydroxocobalamin was associated with a significant reduction in short term #vasopressor requirements up to 24 hours post-cardiopulmonary bypass in vasoplegic patients. Will this translate to improved clinical outcomes?

www.bjanaesthesia.org/article/S000...

21.09.2025 11:01 โ€” ๐Ÿ‘ 4    ๐Ÿ” 4    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 1
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#Cognitive errors in paediatric #airway management increase the risks of complications. Team training and cognitive aids may minimise faulty thought processes and subconscious biases, improving patient #safety.

www.bjanaesthesia.org/article/S000...

20.09.2025 11:01 โ€” ๐Ÿ‘ 5    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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#SNAP-3 demonstrates patients of Clinical #Frailty Scale โ‰ฅ4 are at higher risks of #delirium & perioperative complications. Future research should focus on identifying interventions that would improve outcomes in this group of patients.

www.bjanaesthesia.org/article/S000...

19.09.2025 11:01 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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How does #ICD-11 help - or hinder - the recognition of chronic postsurgical #pain? This new editorial by Martinez et al. explores the challenges of coding #CPSP and highlights what remains to be improved.

www.bjanaesthesia.org/article/S000...

18.09.2025 11:02 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Following elimination of #desflurane, #nitrousoxide & high fresh gas flow emerge as the key contributors or anaesthesia-related CO2e emissions in this new study by Seibold et al.

www.bjanaesthesia.org/article/S000...

15.09.2025 11:02 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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#Anaemia and #transfusion are associated with an increased mortality and higher incidence of postoperative complications in #paediatric noncardiac surgery patients #AnSky

bjanaesthesia.org.uk/article/S000...

14.09.2025 11:01 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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#Communication failures cause harm. Directed, closed loop communication may improve team performance and task management in the operating theatre. #OR #surgery #AnSky

www.bjanaesthesia.org.uk/article/S000...

13.09.2025 11:01 โ€” ๐Ÿ‘ 6    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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#Dexmedetomidine may reduce postoperative #AKI risk in children, but more studies needed to confirm optimal dosing and timing with efforts to exclude potential biases and confounding

www.bjanaesthesia.org.uk/article/S000...

12.09.2025 11:02 โ€” ๐Ÿ‘ 6    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Automatic, targeted, and unobtrusive intraoperative reminders in the electronic health record significantly reinforce the adoption of #neuromuscular transmission monitoring

www.bjanaesthesia.org.uk/article/S000...

11.09.2025 11:01 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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Should we use reusable forced-air #warming blankets instead of disposable blankets to reduce our #carbon footprint? van Oort et al. performs a life cycle assesment to find the breakeven point. #greenanaesthesia

www.bjanaesthesia.org.uk/article/S000...

10.09.2025 11:02 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Geographic isolation is associated with lower standardised admission rates to ICU, but no difference in #mortality. Support access to critical care in remote areas may improve health outcomes

www.bjanaesthesia.org.uk/article/S000...

09.09.2025 11:02 โ€” ๐Ÿ‘ 3    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 1

The Postoperative Discharge Recovery State: a new outcome variable to better capture older adults' postoperative recovery and return to independent living compared to traditional binary measures

www.bjanaesthesia.org.uk/article/S000...

08.09.2025 11:02 โ€” ๐Ÿ‘ 2    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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New study by Xiang et al. reveals that neural circuits from hypothalamic #orexin neurons to the substantia innominata promote wakefulness and reduces pain under anaesthesia

www.bjanaesthesia.org/article/S000...

07.09.2025 11:01 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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New study highlights the #Conox monitor may underestimate consciousness in paralysed patients, as its indices rely partly on muscle activity

www.bjanaesthesia.org/article/S000...

06.09.2025 11:01 โ€” ๐Ÿ‘ 5    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

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