Journal Watch

I hope you find that this Journal Watch is useful and will direct your journal reading when there are many to choose from and we all seem to be becoming more stretched for time.

SPANZA thanks all contributing writers from each centre and Catherine Olweny for taking on the role of ‘executive editor’ in 2011 to get the project up and running, and to Robyn Maina for taking over in 2019.

 

International Journal Watch

SPANZA Journal Watch was recognised as a great initiative, and APAGBI thought that it would be a great thing for them to adopt.  SPANZA is now working with APAGBI to create the ‘International Journal Watch’.

CLICK HERE to go to the APAGBI Journal Watch site.

Journal Watch Search

204 Results Found

Complications associated with paediatric airway management during the COVID-19 pandemic: an international, multicentre, observational study [published online ahead of print, 2022 Mar 23].

This multicentre observational study was designed to bridge the gap in knowledge about potential adverse respiratory events during airway management in children with COVID-19 with a lot of earlier data reliant on adult studies.

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The effect of magnesium sulfate on emergence agitation in children undergoing general anesthesia: A systematic review and meta-analysis + 1 more (paired review)

Study type: Systematic review and meta-analysis Methods: Incidence of emergence agitation (EA) in <18 year-olds receiving IV magnesium sulfate Findings: 8 studies, 635 participants. Administration of magnesium sulfate during general anaesthesia did not affect the occurrence of EA in paediatric patients. However, magnesium sulfate can prolong the emergence time without adverse effects.

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Emergence agitation in paediatric day case surgery: A randomised, single-blinded study comparing narcotrend and heart rate variability with standard monitoring.

Study type: Randomised single-blinded study in paediatric patients (1–6 year-olds; ASA 1-2) undergoing minor general surgery. Methods: Evaluated emergence agitation using the RASS 15-minutely in three groups: Intraoperative use of standard monitoring (STD) Intraoperative use of standard monitoring + Mdoloris Anaesthesia Nociception Index (ANI) Intraoperative use of standard monitoring + Narcotrend EEG (NCT) Interestingly, cases where supraglottic airways and bag-mask ventilation were used were included whereas cases where endotracheal tubes (ETTs) were used were excluded. By the same token, cases under total intravenous anaesthesia (TIVA) were also excluded.

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Impact of airway and a standardized recruitment maneuver on CT chest imaging quality in a pediatric population: A retrospective review.

An interesting Australian paper focusing on CT imaging and minimising the effects of pulmonary atelectasis. The authors present a retrospective study of 44 paediatric patients to compare the use of a supraglottic airway device (SGA) with non-standardised airway recruitment versus the use of a cuffed endotracheal tube (ETT) with a standardised airway recruitment manoeuvre and the resultant degree of atelectasis (“atelectasis score”).

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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.

The aim of this article is to provide an update to the timing of elective surgery post SARS-CoV-2 infection taking into account the effect of vaccination and new variants. The current UK recommendation as per the authors is to delay surgery for 7 weeks post infection to minimise perioperative risk, “unless the benefits of doing so exceed the risk of waiting”. This paper provides a multidisciplinary consensus statement that recommends an individualised risk assessment if a patient is requiring elective surgery within 7 weeks of SARS-CoV-2 infection. The statement does not specify what patient population (adults and/or paediatric patients).

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Substance use disorder in the anaesthetist: Guidelines from the Association of Anaesthetists: Guidelines from the Association of Anaesthetists

This is a guideline published by the Association of Anaesthetists in the UK. It summarises the risks of substance use disorder specifically for anaesthetists and critical care physicians and suggests a pathway of management. It explores the risk factors of substance use disorders specific to anaesthetists, the regulation and monitoring of individuals identified as having the disorder, the role of the Medical Director in coordinating the care of the clinician and referral to appropriate services, the pharmacological and counselling treatments available and the strategy for returning to work.

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Update on Perioperative Pediatric Pulmonary Hypertension Management.

This is a comprehensive review of paediatric pulmonary hypertension from the John Hopkins University School of Medicine, Baltimore, USA. The article is split into two sections; the first summarises definitions, diagnosis, investigation and treatment of the disease, and the second highlights anaesthetic considerations preoperative, intraoperative and postoperative and the management of pulmonary hypertensive crisis.

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