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 2017: Changes in stroke volume induced by lung recruitment maneuvr predict fluid responsiveness in mechanically ventilated patients in the operating room
Journal Club: 21st February 2017: Early 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 2017: Children 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 2017: Chewing gum for the treatment of postoperative nausea and vomiting: a pilot randomized controlled trial
Journal Club: 28th March 2017: Myocardial 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 2017: Randomized Clinical Trial Of Preoperative Oral Versus Intravenous Iron In Anaemic Patients With Colorectal Cancer
Journal Club: 7th June 2017: Objective 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 2017: Efficacy and safety of intravenous lidocaine for postoperative analgesia and recovery after surgery: a systematic review with sequential trial analysis
Journal Club: 17th July 2017: The SLUScore: A Novel Method for Detecting Hazardous Hypotension in Adult Patients Undergoing Noncardiac Surgical Procedures.
Journal Club 1st August: Effectiveness of apnoeic oxygenation during intubation: systematic review and meta-analysis
Journal Club: 15th August 2017: Hydrocortisone, vitamin C and thiamine for the treatment of severe sepsis and septic shock
Journal Club: 29th August 2017: Validation of preoperative cardiopulmonary exercise testing-derived variables to predict in-hospital morbidity after major colorectal surgery
Journal Club: 8th September 2017: Secondary analysis of outcomes after 11,085 hip fracture operations from the prospective UK Anaesthesia Sprint Audit of Practice (ASAP-2)
Journal Club: 12th September 2017: Patterns and Predictors of Frailty Transitions in Older Men: The Osteoporotic Fractures in Men Study
Journal Club: 20th September 2017: Postoperative delirium in elderly patients is associated with subsequent cognitive impairment
Journal Club: 3rd October 2017: An 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 October: A systematic review of information format and timing before scheduled adult surgery for peri-operative anxiety
Journal Club 24th October: Emergency Department use of Apneic Oxygenation Versus Usual Care During Rapid Sequence Intubation: A Randomized Controlled Trial (The ENDAO Trial)
Journal Club: 7th November 2017: A 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 2017: Serratus plane block: a novel ultrasound-guided thoracic wall nerve block
Journal Club: 21st November 2017: Predicting postoperative morbidity in adult elective surgical patients using the Surgical Outcome Risk Tool (SORT)
Journal Club 28th November 2017: Fluid therapy in the perioperative setting—a clinical review
Journal Club: 5th December 2017: Diabetes is associated with risk of postoperative cognitive dysfunction: A meta-analysis.
Journal Club: 14th December 2017: The Health Foundation. Evidence Scan: Improving patient flow across organisations and pathways. Dr D de Silva. November 2013
Journal Club: 19th December 2017: Viscoelastometric-guided early fibrinogen concentrate replacement during postpartum haemorrhage: OBS2, a double-blind randomized controlled trial
Journal Club: 9th January 2018: Does 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 2018: Age-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 2018: Effect 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 2018: Intraoperative 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 2018: Evaluation 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 2018: Postoperative nausea and vomiting after oral and maxillofacial surgery: a prospective study
Journal Club: 21st March 2018: Point-of-care testing for emergency assessment of coagulation in patients treated with direct oral anticoagulants
Journal Club: 28th March 2018: Poor performance in incremental shuttle walk and cardiopulmonary exercise testing predicts poor overall survival for patients undergoing esophago-gastric resection
Journal Club: 11th April 2018: Personalised prehabilitation in high-risk patients undergoing elective major abdominal surgery
Journal Club: 18th April 2018: Normal 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 2018: Effectiveness 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 2018: The Clinical Impact of Cardiology Consultation Prior to Major Vascular Surgery
Journal Club: 16th May 2018: Incidence and risk factors of anaesthetic-related perioperative cardiac arrest
Journal Club: 23rd May 2018: Perioperative aspirin therapy in non-cardiac surgery: A systematic review and meta-analysis of randomized controlled trials
Journal Club: 30th May 2018: Abnormal routine pre-operative test results and their impact on anaesthetic management: An observational study
Journal Club: 6th June 2018: Restrictive versus Liberal Fluid Therapy for Major Abdominal Surgery (RELIEF)
Journal Club: 13th June 2018: The association of pre-operative home accelerometry with cardiopulmonary exercise variables
Journal Club: 20th June 2018: Association of Frailty with Failure to Rescue After Low-Risk and High-Risk Inpatient Surgery
Journal Club: 27th June 2018: Time elapsed after ischaemic stroke and risk of adverse cardiovascular events and mortality following elective non-cardiac surgery
Journal Club: 5th July 2018: Dabigatran in patients with myocardial injury after non-cardiac surgery (MANAGE): an international, randomised, placebo-controlled trial
Journal Club: 8th August 2018: The cardiopulmonary exercise testing grey zone; optimising fitness stratification by application of critical difference