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Hemoglobin threshold and clinical predictors for perioperative blood transfusion in elective surgery: Systemic review
ConclusionsTransfusion is required at hemoglobin levels <7 g/dl. Recent guidelines and literatures have consistently expressed the transfusion threshold between 7 and 10 g/dl with clinical indicators further defining the need for allogenic transfusion in between. (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - December 25, 2019 Category: Anesthesiology Source Type: research

Perioperative implications and prevalence of Obstructive Sleep Apnea risk in a surgical population using the updated STOP-Bang questionnaire
ConclusionIntermediate and high OSA risk patients were more prone to suffer intra and post-operative events as difficult intubation and mask ventilation. Updated STOP-Bang questionnaire was found to be a reliable tool to detect OSA risk and predict its perioperative implications. (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - December 6, 2019 Category: Anesthesiology Source Type: research

Difficult obstetric airway training: Current strategies, challenges and future innovations
Publication date: Available online 7 November 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): Jason J.I. Chan, Raymond W.L. Goy, Ithnin Farida, Ban Leong SngAbstractManagement of the difficult obstetric airway requires the use of appropriate medical knowledge, as well as timely technical and non-technical skills. In the training of these highly specialised skills, our learners are exposed to the challenges of high stress in optimising maternal and neonatal outcomes. Limitations and challenges persist for training for the difficult obstetric airway, including the decreased number of elective caesareans done un...
Source: Trends in Anaesthesia and Critical Care - November 8, 2019 Category: Anesthesiology Source Type: research

Instrumental and randomised clinical comparison between laryngeal mask airway Proseal and Supreme in pediatric patients
Conclusionsinstrumental measurements highlight that SLMA offers the advantage of less resistance to the airflow, allowing to keep lower oropharyngeal leak pressure during mechanical ventilation. Despite the differences reported, we observed only a few minor complications in both groups. (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - November 7, 2019 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: December 2019Source: Trends in Anaesthesia and Critical Care, Volume 29Author(s): (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - November 5, 2019 Category: Anesthesiology Source Type: research

“Shorter the Wiser”- to obtain safer medial canthal peribulbar block
Publication date: Available online 24 October 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): Jaichandran V V (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - October 24, 2019 Category: Anesthesiology Source Type: research

What’s in a number? Communicating risk through real-world examples
Publication date: Available online 11 October 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): George ChapmanAbstract“Don’t worry, it’s more dangerous driving here than having the anaesthetic”. This statement may be reassuring, but it isn’t true. Despite its falsehood, it is often quoted as it evokes a visceral response that suggests the procedure is low risk.Communicating risks and probabilities to our patients is an everyday occurrence for clinicians - but are we correctly understood? Are we over-reliant on numerical expressions of risk? Could comparative examples of probabilities aid the understan...
Source: Trends in Anaesthesia and Critical Care - October 18, 2019 Category: Anesthesiology Source Type: research

Direct laryngoscopy to predict extubation success following a failed cuff leak test in intensive care patients
Publication date: Available online 14 October 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): Jack Stannus, Winston Cheung, Mark Kol, Rosalba Cross, Asim Shah, Atul Wagh, Nicola Clayton, Helen Wong (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - October 15, 2019 Category: Anesthesiology Source Type: research

What's in a number? Communicating risk through real-world examples
Publication date: Available online 11 October 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): George ChapmanAbstract“Don't worry, it's more dangerous driving here than having the anaesthetic”. This statement may be reassuring, but it isn't true. Despite its falsehood, it is often quoted as it evokes a visceral response that suggests the procedure is low risk.Communicating risks and probabilities to our patients is an everyday occurrence for clinicians - but are we correctly understood? Are we over-reliant on numerical expressions of risk? Could comparative examples of probabilities aid the understanding o...
Source: Trends in Anaesthesia and Critical Care - October 12, 2019 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: October 2019Source: Trends in Anaesthesia and Critical Care, Volume 28Author(s): (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - October 12, 2019 Category: Anesthesiology Source Type: research

Acute pulmonary edema – Is positive pressure ventilation with dry air useful?
Publication date: October 2019Source: Trends in Anaesthesia and Critical Care, Volume 28Author(s): Sheila Nainan Myatra (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - October 12, 2019 Category: Anesthesiology Source Type: research

Awake fibre-optic intubation in crisis?
Publication date: October 2019Source: Trends in Anaesthesia and Critical Care, Volume 28Author(s): T. Rees, I. Hodzovic (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - October 12, 2019 Category: Anesthesiology Source Type: research

Comparison of monitored anaesthesia care and general anaesthesia in endobronchial coil treatment
ConclusionMAC can be safely used in endobronchial coil treatment and considered as an alternative method to general anaesthesia for endobronchial coil treatment. (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - October 9, 2019 Category: Anesthesiology Source Type: research

Comparison of intravenous and transtracheal lidocaine on hemodynamic changes in patients with hypertension following tracheal intubation: A double blind clinical trial
ConclusionOur results showed that use of lidocaine in hypertensive patients following tracheal intubation can results in a more stable systolic and diastolic blood pressure as well as heart rate. It should be noted that the use of lidocaine for the presence or absence of cardiac dysrhythmias showed no difference among the study groups. (Source: Trends in Anaesthesia and Critical Care)
Source: Trends in Anaesthesia and Critical Care - October 2, 2019 Category: Anesthesiology Source Type: research

Submental intubation in traumatic maxillofacial surgery
Publication date: Available online 30 September 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): Imen Zouche, Sahar Elleuch, Sondes Briki, Rahma derbelAbstractIn the maxillofacial trauma associated with base of skull fracture, nasotracheal intubation is contraindicated. Surgical repair may require intermaxillary fixation which contraindicate orotracheal intubation. The submental intubation is an interesting alternative to tracheotomy.This type of intubation was used in maxillofacial surgery operating unit in 17 patients with mandibular fracture who require an intermaxillary fixation associated with a skull bas...
Source: Trends in Anaesthesia and Critical Care - October 2, 2019 Category: Anesthesiology Source Type: research