Welcome to the home of the Welsh anaesthetic trainees journal club. Below you will find summaries of articles discussed at our journal club in Morriston Hospital, Swansea.

Journal Club: 6th February 2017Changes in stroke volume induced by lung recruitment maneuvr predict fluid responsiveness in mechanically ventilated patients in the operating room

Journal Club: 21st February 2017Early postoperative oral fluid intake in paediatric day case surgery influences the need for opioids and postoperative vomiting: a controlled randomized trial

Journal Club: 1st March 2017Children and parental anxiolysis in paediatric ambulatory surgery: a randomized controlled study comparing 0.3mg kg-1 midazolam to tablet computer based interactive distraction

Journal Club: 14th March 2017Chewing gum for the treatment of postoperative nausea and vomiting: a pilot randomized controlled trial

Journal Club: 28th March 2017Myocardial injury after Noncardiac Surgery. A large, international, Prospective Cohort Study Establishing Diagnostic Criteria, Characteristics, Predictors and 30-day Outcomes

Journal Club: 2nd May 2017: A randomised double-blind trial of phenylephrine and metaraminol infusions for prevention of hypotension during spinal and combined spinal–epidural anaesthesia for elective caesarean section

Journal Club: 18th May 2017Randomized Clinical Trial Of Preoperative Oral Versus Intravenous Iron In Anaemic Patients With Colorectal Cancer

Journal Club: 7th June 2017Objective model using only gender, age and medication list predicts in-hospital morbidity after elective surgery

Journal Club: 13th June 2017:Relevance of induced and accidental hypothermia after trauma-haemorrhage – what do we know from experimental models in pigs? 

Journal Club 27th June 2017Efficacy and safety of intravenous lidocaine for postoperative analgesia and recovery after surgery: a systematic review with sequential trial analysis

Journal Club: 17th July 2017The SLUScore: A Novel Method for Detecting Hazardous Hypotension in Adult Patients Undergoing Noncardiac Surgical Procedures.

Journal Club 1st AugustEffectiveness of apnoeic oxygenation during intubation: systematic review and meta-analysis

Journal Club: 15th August 2017Hydrocortisone, vitamin C and thiamine for the treatment of severe sepsis and septic shock

Journal Club: 29th August 2017Validation of preoperative cardiopulmonary exercise testing-derived variables to predict in-hospital morbidity after major colorectal surgery

Journal Club: 8th September 2017Secondary analysis of outcomes after 11,085 hip fracture operations from the prospective UK Anaesthesia Sprint Audit of Practice (ASAP-2)

Journal Club: 12th September 2017Patterns and Predictors of Frailty Transitions in Older Men: The Osteoporotic Fractures in Men Study

Journal Club: 20th September 2017Postoperative delirium in elderly patients is associated with subsequent cognitive impairment

Journal Club: 3rd October 2017An evaluation of the validity of the preoperative oxygen uptake efficiency slope as an indicator of cardiorespiratory fitness in elderly patients scheduled for major colorectal surgery

Journal Club 17th OctoberA systematic review of information format and timing before scheduled adult surgery for peri-operative anxiety

Journal Club 24th OctoberEmergency Department use of Apneic Oxygenation Versus Usual Care During Rapid Sequence Intubation: A Randomized Controlled Trial (The ENDAO Trial)

Journal Club: 7th November 2017A Perioperative Smoking Cessation Intervention with Varenicline, Counseling, and Fax Referral to a Telephone Quitline Versus a Brief Intervention: A Randomized Controlled Trial

Journal Club: 14th November 2017Serratus plane block: a novel ultrasound-guided thoracic wall nerve block

Journal Club: 21st November 2017Predicting postoperative morbidity in adult elective surgical patients using the Surgical Outcome Risk Tool (SORT)

Journal Club 28th November 2017Fluid therapy in the perioperative setting—a clinical review

Journal Club: 5th December 2017Diabetes is associated with risk of postoperative cognitive dysfunction: A meta-analysis.

Journal Club: 14th December 2017The Health Foundation. Evidence Scan: Improving patient flow across organisations and pathways. Dr D de Silva. November 2013

Journal Club: 19th December 2017Viscoelastometric-guided early fibrinogen concentrate replacement during postpartum haemorrhage: OBS2, a double-blind randomized controlled trial

Journal Club: 9th January 2018Does preoperative mechanical prophylaxis have additional effectiveness in preventing postoperative venous thromboembolism in elderly patients with hip fracture? – Retrospective case controlled study

Journal Club: 16th January 2018Age-dependent decrease in desflurane concentration for maintaining bispectral index below 50. 

Journal Club: 30th January 2018:Assessing the accuracy of algorithm-derived cardiorespiratory fitness in surgical patients: a prospective cohort study

Journal Club: 6th February 2018Effect of Individualized vs Standard Blood Pressure Management Strategies on Postoperative Organ Dysfunction Among High-Risk Patients Undergoing Major Surgery A Randomized Clinical Trial. 

Journal Club: 21st February 2018Intraoperative Infusion of Dexmedetomidine for Prevention of Postoperative Delirium and Cognitive Dysfunction in Elderly Patients Undergoing Major Elective Noncardiac Surgery: A Randomized Clinical Trial.

Journal Club: 28th February 2018Evaluation of reliability of MYZONE MZ-3 Heart Rate Monitor: A study for the Future of Telephysiotherapy for Preoperative Prehabilitation in Cancer Patients

Journal Club: 7th March 2018Postoperative nausea and vomiting after oral and maxillofacial surgery: a prospective study

Journal Club: 21st March 2018Point-of-care testing for emergency assessment of coagulation in patients treated with direct oral anticoagulants

Journal Club: 28th March 2018Poor performance in incremental shuttle walk and cardiopulmonary exercise testing predicts poor overall survival for patients undergoing esophago-gastric resection

Journal Club: 11th April 2018Personalised prehabilitation in high-risk patients undergoing elective major abdominal surgery

Journal Club: 18th April 2018Normal saline versus a balanced crystalloid for goal-directed perioperative fluid therapy in major abdominal surgery: a double-blind randomised controlled study

Journal Club: 25th April 2018Effectiveness of an internet-based perioperative care programme to enhance postoperative recovery in gynaecological patients: cluster controlled trial with randomised stepped-wedge implementation

Journal Club: 9th May 2018The Clinical Impact of Cardiology Consultation Prior to Major Vascular Surgery

Journal Club: 16th May 2018Incidence and risk factors of anaesthetic-related perioperative cardiac arrest

Journal Club: 23rd May 2018Perioperative aspirin therapy in non-cardiac surgery: A systematic review and meta-analysis of randomized controlled trials

Journal Club: 30th May 2018Abnormal routine pre-operative test results and their impact on anaesthetic management: An observational study

Journal Club: 6th June 2018Restrictive versus Liberal Fluid Therapy for Major Abdominal Surgery (RELIEF)

Journal Club: 13th June 2018The association of pre-operative home accelerometry with cardiopulmonary exercise variables

Journal Club: 20th June 2018Association of Frailty with Failure to Rescue After Low-Risk and High-Risk Inpatient Surgery

Journal Club: 27th June 2018Time elapsed after ischaemic stroke and risk of adverse cardiovascular events and mortality following elective non-cardiac surgery

Journal Club: 5th July 2018Dabigatran in patients with myocardial injury after non-cardiac surgery (MANAGE): an international, randomised, placebo-controlled trial

Journal Club: 8th August 2018The cardiopulmonary exercise testing grey zone; optimising fitness stratification by application of critical difference