Anesthesiology

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Article Anesthesiology

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway*

Jeffrey L. Apfelbaum, Carin A. Hagberg, Richard T. Connis, Basem B. Abdelmalak, Madhulika Agarkar, Richard P. Dutton, John E. Fiadjoe, Robert Greif, P. Allan Klock, David Mercier, Sheila N. Myatra, Ellen P. O'Sullivan, William H. Rosenblatt, Massimiliano Sorbello, Avery Tung

Summary: This article presents an updated report of the Practice Guidelines for Management of the Difficult Airway, jointly published by multiple anesthesia societies.

ANESTHESIOLOGY (2022)

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Article Anesthesiology

Prevalence of chronic pain among adults in the United States

R. Jason Yong, Peter M. Mullins, Neil Bhattacharyya

Summary: Chronic pain is associated with reduced quality of life, increased medical expenditures, and significant economic costs. According to the latest data, more than one-fifth of adults in America experience chronic pain, indicating a need for increased attention and management.

PAIN (2022)

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Article Anesthesiology

Receiver operating characteristic curve: overview and practical use for clinicians

Francis Sahngun Nahm

Summary: The ROC curve is a vital tool for evaluating diagnostic performance, comparing multiple tests, and selecting optimal cut-off values. Understanding the core concepts of ROC curve analysis is essential for the correct use and interpretation of the ROC curve.

KOREAN JOURNAL OF ANESTHESIOLOGY (2022)

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Editorial Material Anesthesiology

Omicron SARS-CoV-2 variant: What we know and what we don't

Valentine Marie Ferre, Nathan Peiffer-Smadja, Benoit Visseaux, Diane Descamps, Jade Ghosn, Charlotte Charpentier

ANAESTHESIA CRITICAL CARE & PAIN MEDICINE (2022)

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Article Anesthesiology

Global, regional, and national burden of migraine in 204 countries and territories, 1990 to 2019

Saeid Safiri, Hojjat Pourfathi, Arielle Eagan, Mohammad Ali Mansournia, Mohammad Taghi Khodayari, Mark J. M. Sullman, Jay Kaufman, Gary Collins, Haijiang Dai, Nicola Luigi Bragazzi, Ali-Asghar Kolahi

Summary: The Global Burden of Disease Study 2019 revealed an increase in the burden of migraine from 1990 to 2019, with significant intercountry differences. Migraine prevalence was higher in females and decreased with age after the 40 to 44 age group. Enhanced migraine care is necessary to increase awareness of risk factors and treatment strategies, particularly among young adults and middle-aged women, as well as to gather more data on migraines.

PAIN (2022)

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Article Anesthesiology

Consensus statement on measures to promote equitable authorship in the publication of research from international partnerships

B. Morton, A. Vercueil, R. Masekela, E. Heinz, L. Reimer, S. Saleh, C. Kalinga, M. Seekles, B. Biccard, J. Chakaya, S. Abimbola, A. Obasi, N. Oriyo

Summary: This study team developed guidance for addressing parachute research studies by recommending the submission of structured reflexivity statements with manuscripts reporting research conducted in low- or middle-income countries. They also suggest that journal editors should transparently publish these statements with accepted manuscripts and use them as a tool for decision-making.

ANAESTHESIA (2022)

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Review Anesthesiology

PROSPECT guidelines for video-assisted thoracoscopic surgery: a systematic review and procedure-specific postoperative pain management recommendations

S. Feray, J. Lubach, G. P. Joshi, F. Bonnet, M. Van de Velde

Summary: Video-assisted thoracoscopic surgery has become popular for its faster recovery and reduced postoperative pain. This systematic review analyzed 71 studies and recommended pre-intra-operative administration of basic analgesia, intra-operative dexmedetomidine infusion, and regional analgesic techniques for optimal pain management. Opioids should be used as rescue analgesics in the postoperative period.

ANAESTHESIA (2022)

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Article Anesthesiology

SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study

E. Li

Summary: Surgical patients with peri-operative or recent SARS-CoV-2 infection are at increased risk of postoperative venous thromboembolism compared to those without a history of SARS-CoV-2. However, the optimal prophylaxis and treatment for venous thromboembolism in this patient population remains unknown. Venous thromboembolism is independently associated with 30-day mortality.

ANAESTHESIA (2022)

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Article Anesthesiology

Regional anaesthesia in patients on antithrombotic drugs Joint ESAIC/ESRA guidelines

Sibylle Kietaibl, Raquel Ferrandis, Anne Godier, Juan Llau, Clara Lobo, Alan J. R. Macfarlane, Christoph J. Schlimp, Erik Vandermeulen, Thomas Volk, Christian von Heymann, Morne Wolmarans, Arash Afshari

Summary: This joint guideline provides evidence-based recommendations on reducing the risk of antithrombotic drug-induced hematoma formation in regional anesthesia and analgesia. The article highlights the importance of considering the timing of antiplatelet and anticoagulant drug administration, individual factors, and specific procedures in order to minimize bleeding risk.

EUROPEAN JOURNAL OF ANAESTHESIOLOGY (2022)

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Review Anesthesiology

Time course prevalence of post-COVID pain symptoms of musculoskeletal origin in patients who had survived severe acute respiratory syndrome coronavirus 2 infection: a systematic review and meta-analysis

Cesar Fernandez-de-las-Penas, Marcos Navarro-Santana, Gustavo Plaza-Manzano, Domingo Palacios-Cena, Lars Arendt-Nielsen

Summary: This review or meta-analysis aims to analyze the prevalence of musculoskeletal pain symptoms after COVID-19 infection among hospitalized or nonhospitalized patients. The analysis showed that nearly 10% of individuals infected with SARS-CoV-2 will experience musculoskeletal post-COVID pain symptoms during the first year after infection.

PAIN (2022)

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Article Anesthesiology

Pre-operative fasting in children A guideline from the European Society of Anaesthesiology and Intensive Care

Peter Frykholm, Nicola Disma, Hanna Andersson, Christiane Beck, Lionel Bouvet, Eloise Cercueil, Elizabeth Elliott, Jan Hofmann, Rebecca Isserman, Anna Klaucane, Fabian Kuhn, Mathilde de Queiroz Siqueira, David Rosen, Diana Rudolph, Alexander R. Schmidt, Achim Schmitz, Daniel Stocki, Robert Sumpelmann, Paul A. Stricker, Mark Thomas, Francis Veyckemans, Arash Afshari

Summary: This article summarizes the latest research findings on paediatric anaesthetic fasting guidelines, recommending more liberal fasting regimes, including reducing clear fluid and breast milk fasting times and allowing early postoperative feeding.

EUROPEAN JOURNAL OF ANAESTHESIOLOGY (2022)

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Review Anesthesiology

Prehabilitation in adult patients undergoing surgery: an umbrella review of systematic reviews

Daniel I. McIsaac, Marlyn Gill, Laura Boland, Brian Hutton, Karina Branje, Julia Shaw, Alexa L. Grudzinski, Natasha Barone, Chelsia Gillis

Summary: This umbrella review investigated the impact of prehabilitation on postoperative outcomes and found that it may improve functional recovery and reduce the risk of complications, non-home discharge, and length of stay. However, the certainty of the existing evidence is low, and more high-quality research is needed to support these findings.

BRITISH JOURNAL OF ANAESTHESIA (2022)

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Article Anesthesiology

Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies

N. Chrimes, A. Higgs, C. A. Hagberg, P. A. Baker, R. M. Cooper, R. Greif, G. Kovacs, J. A. Law, S. D. Marshall, S. N. Myatra, E. P. O'Sullivan, W. H. Rosenblatt, C. H. Ross, J. C. Sakles, M. Sorbello, T. M. Cook

Summary: Unrecognised oesophageal intubation during airway management poses a significant risk, leading to hypoxaemia, brain injury, and death. It occurs among both inexperienced and experienced practitioners. Detecting sustained exhaled carbon dioxide through waveform capnography is crucial in excluding unintended oesophageal placement of a tracheal tube. Removing the tube should be the default response if sustained exhaled carbon dioxide cannot be detected, or alternative techniques should be used to exclude oesophageal intubation while evaluating other possible causes. In addition to technical interventions, strategies are needed to address cognitive biases and performance deterioration in high-stress situations. These guidelines provide recommendations for preventing unrecognised oesophageal intubation that are applicable to all airway practitioners regardless of location, clinical position, discipline, or patient type.

ANAESTHESIA (2022)

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Review Anesthesiology

Hypotension during propofol sedation for colonoscopy: a retrospective exploratory analysis and meta-analysis

J. Robert Sneyd, Anthony R. Absalom, Clemens R. M. Barends, Jordan B. Jones

Summary: Hypotension is common during propofol sedation for colonoscopy and can cause harm to patients.

BRITISH JOURNAL OF ANAESTHESIA (2022)

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Article Anesthesiology

A Global Definition of Patient Blood Management

Aryeh Shander, Jean-Francois Hardy, Sherri Ozawa, Shannon L. Farmer, Axel Hofmann, Steven M. Frank, Daryl J. Kor, David Faraoni, John Freedman

Summary: Patient blood management (PBM) is a patient-centered, systematic, evidence-based approach to improve patient outcomes by managing and preserving a patient's own blood, while promoting patient safety and empowerment. It involves screening, diagnosing, and appropriately treating anemia; minimizing surgical, procedural, and iatrogenic blood losses and managing coagulopathic bleeding throughout the care; and supporting the patient while appropriate treatment is initiated.

ANESTHESIA AND ANALGESIA (2022)

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Article Anesthesiology

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, Centre for Perioperative Care, Federation of Surgical Specialty Associations, Royal College of Anaesthetists, Royal College of Surgeons of England

K. El-Boghdadly, T. M. Cook, T. Goodacre, J. Kua, S. Denmark, S. McNally, N. Mercer, S. R. Moonesinghe, D. J. Summerton

Summary: The impact of vaccination and new SARS-CoV-2 variants on peri-operative outcomes is uncertain. This study provides updated recommendations for timing of elective surgery after SARS-CoV-2 infection, suggesting a 7-week waiting period unless the benefits outweigh the risks. Individualized risk assessment is recommended, taking into account mortality risk calculation and assessment of risk factors. Asymptomatic SARS-CoV-2 infection, including the Omicron variant, increases peri-operative mortality risk, and elective surgery should be postponed for at least 10 days after diagnosis to prevent potential transmission.

ANAESTHESIA (2022)

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Article Anesthesiology

Principles of environmentally-sustainable anaesthesia: a global consensus statement from the World Federation of Societies of Anaesthesiologists

S. M. White, C. L. Shelton, A. W. Gelb, C. Lawson, F. McGain, J. Muret, J. D. Sherman

Summary: The Earth's surface temperature has risen dangerously due to global warming, requiring action. Anaesthesia providers can reduce their contribution to global warming by changing their practices. In the long run, this will benefit public health.

ANAESTHESIA (2022)

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Article Anesthesiology

Prevalence and risk factors of musculoskeletal pain symptoms as long-term post-COVID sequelae in hospitalized COVID-19 survivors: a multicenter study

Cesar Fernandez-de-las-Penas, Ana De-la-Llave-Rincon, Ricardo Ortega-Santiago, Silvia Ambite-Quesada, Victor Gomez-Mayordomo, Maria L. Cuadrado, Jose A. Arias-Navalon, Valentin Hernandez-Barrera, Jose D. Martin-Guerrero, Oscar J. Pellicer-Valero, Lars Arendt-Nielsen

Summary: This study investigated the prevalence and risk factors of long-term musculoskeletal post-COVID pain in COVID-19 survivors. The study found that 45.1% of survivors experienced musculoskeletal post-COVID pain 8 months after hospital discharge, and risk factors included female sex, history of musculoskeletal pain, presence of myalgia and headache as COVID-19 symptoms, and days at hospital.

PAIN (2022)

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Review Anesthesiology

Short-term impact of combining pain neuroscience education with exercise for chronic musculoskeletal pain: a systematic review and meta-analysis

Benjamin Siddall, Adrian Ram, Matthew D. Jones, John Booth, Diana Perriman, Simon J. Summers

Summary: This systematic review and meta-analysis evaluated the effect of combining pain neuroscience education (PNE) with exercise therapy for chronic musculoskeletal pain. The findings suggest that combining PNE and exercise leads to greater short-term improvements in pain, disability, kinesiophobia, and pain catastrophizing compared to exercise alone.

PAIN (2022)

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Article Anesthesiology

Association Between Intraoperative Arterial Hypotension and Postoperative Delirium After Noncardiac Surgery: A Retrospective Multicenter Cohort Study

Luca J. Wachtendorf, Omid Azimaraghi, Peter Santer, Felix C. Linhardt, Michael Blank, Aiman Suleiman, Curie Ahn, Ying H. Low, Bijan Teja, Samir M. Kendale, Maximilian S. Schaefer, Timothy T. Houle, Richard J. Pollard, Balachundhar Subramaniam, Matthias Eikermann, Karuna Wongtangman

Summary: The study found that intraoperative arterial hypotension is associated with an increased risk of postoperative delirium in noncardiac surgical patients, and this association is dependent on the duration of hypotension. The association is more pronounced in patients undergoing longer surgeries.

ANESTHESIA AND ANALGESIA (2022)

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