Article
Medicine, General & Internal
Zhang Jian, Ran Longqing, Wei Dayuan, Jia Fei, Liu Bo, Zhang Gang, Zhu Siying, Gao Yan
Summary: This study summarizes the process of converting epidural labour analgesia to anaesthesia for caesarean delivery and explores the relationship between the duration of labour analgesia and conversion failure. The results show that prolonged duration of epidural labour analgesia is an independent risk factor for conversion failure, especially when it exceeds 8 hours.
ANNALS OF MEDICINE
(2022)
Article
Multidisciplinary Sciences
Stefanie Stark, Lukas Worm, Marie Kluge, Marco Roos, Larissa Burggraf
Summary: The research shows no correlation between patient-centered communication and patient satisfaction in this sample, and there are also no significant differences between the intervention and control groups. This raises the question of to what extent patient satisfaction can be significantly shaped through patient-centered communication.
Editorial Material
Anesthesiology
Allan M. Cyna, David W. Hewson, Jonathan G. Hardman
Summary: A randomised trial comparing hypnosis with general anaesthesia in children undergoing superficial surgery was published in the British Journal of Anaesthesia. The article describes the definition of clinical hypnosis, the goals and conduct of hypnotic communication, and its potential as an adjunct and alternative to traditional pharmacological anaesthesia in suitable cases.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Gastroenterology & Hepatology
Shiv K. Sarin, Mohammed Eslam, Jian-Gao Fan, Han-Chieh Lin, Jacob George, Masao Omata
Summary: Asian-Pacific nations, home to over half the world's population, are facing the challenge of metabolic dysfunction associated fatty liver disease (MAFLD). The Asian Pacific Association for the Study of the Liver (APASL) has taken the lead in redefining the disease and adopting the term MAFLD along with positive diagnostic criteria. Their efforts aim to advance the science and practice of Hepatology, incorporate MAFLD in multidisciplinary care teams, and improve patient-centered care in the region.
HEPATOLOGY INTERNATIONAL
(2022)
Article
Anesthesiology
Jade Merrer, Marie-Pierre Bonnet, Beatrice Blondel, Muriel Tafflet, Babak Khoshnood, Camille Le Ray, Anne A. Chantry
Summary: The study found that 35.2% of mothers in France were incomplete satisfied with neuraxial analgesia during labor. Women who expressed a preference not to use neuraxial analgesia beforehand but ended up using it were more likely to have incomplete satisfaction, while those who used patient-controlled neuraxial analgesia had higher satisfaction.
ANAESTHESIA CRITICAL CARE & PAIN MEDICINE
(2021)
Article
Orthopedics
Patawut Bovonratwet, Aaron Z. Z. Chen, Tony S. S. Shen, Nathaniel T. T. Ondeck, Kyle N. N. Kunze, Edwin P. P. Su
Summary: Although the direct anterior approach (DAA) for total hip arthroplasty is associated with slightly lower patient-reported pain, there is no significant difference in opioid consumption or the need for opioid prescription refill within 3 months after discharge between DAA and posterior approach. Other perioperative factors may be more important in reducing opioid use than the surgical approach alone.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Article
Multidisciplinary Sciences
Quentin Duroi, Jean-Marie Baudet, Maxime Bigoteau, Malek Slim, Tiphanie Pichard, Pierre-Jean Pisella, Raoul Kanav Khanna
Summary: This study evaluated the safety and patient satisfaction of cataract surgery under topical anesthesia without perioperative anesthesia care. The results showed that it is a safe procedure with high patient satisfaction.
SCIENTIFIC REPORTS
(2021)
Article
Anesthesiology
K. Bhatia
Summary: In women with COVID-19, non-neuraxial analgesic regimens were commonly utilized for labor while neuraxial anesthesia was employed for the majority of cesarean births. Symptomatic women with COVID-19 are at increased risk of significant maternal morbidity including preterm birth, cesarean birth, and peripartum critical care admission.
Article
Public, Environmental & Occupational Health
Tao Han, Sisi Li, Xueyuan Li, Chenhao Yu, Jiahui Li, Tiantian Jing, Mayangzong Bai, Yue Fang, Kun Qian, Xiaoyan Li, Huigang Liang, Zhiruo Zhang
Summary: This study introduces the patient-centered approach in China and validates the Chinese version of the Patient-Professional Interaction Questionnaire (PPIQ-C) to assess patient satisfaction. The results show that the PPIQ-C is a reliable measure and patient-centered care predicts overall patient satisfaction beyond other medical service perspectives. Adopting a patient-centered approach can improve overall healthcare and patient satisfaction in China.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Nursing
Cornelia Van Diepen, Andreas Fors, Monica Bertilsson, Malin Axelsson, Inger Ekman, Gunnel Hensing
Summary: The non-significant results of nurses' outcomes after implementing person-centred care (PCC) are described in this paper along with the discussion on how enablers of the WE-CARE roadmap can potentially mitigate such results. A scoping review and published materials were used to connect PCC with nurses' outcomes. The WE-CARE roadmap consists of five enablers: Information technology, Quality measures, Infrastructure, Incentive systems, and contracting strategies. The findings suggest that implementing the enablers of the WE-CARE roadmap can increase PCC implementation and improve nurses' job satisfaction.
Article
Anesthesiology
Jennifer Bourges, Clement Gakuba, Felipe Plass, Jean-Louis Gerard, Therese Simone, Jean-Luc Hanouz
Summary: In nulliparous women over 35 weeks of gestational age, adding a programmed intermittent epidural bolus (PIEB) to patient-controlled epidural analgesia (PCEA) resulted in higher hourly consumption of levobupivacaine compared to PCEA alone. However, there were no significant differences between the two groups in terms of secondary outcomes.
ANAESTHESIA CRITICAL CARE & PAIN MEDICINE
(2021)
Article
Geriatrics & Gerontology
James David van Oppen, Timothy John Coats, Simon Paul Conroy, Jagruti Lalseta, Kay Phelps, Emma Regen, Peter Riley, Jose Maria Valderas, Nicola Mackintosh
Summary: This study explored the nature of acute care outcome goals in elderly patients living with frailty. Semi-structured patient interviews were conducted to understand the healthcare outcome goals. The results showed that outcome goals for acute care among older participants living with frailty were influenced by the insecurity of their situation and fear of deterioration.
Article
Anesthesiology
Jake S. Engel, Weiwei Beckerleg, Duminda N. Wijeysundera, Sylvie Aucoin, Julien Leblanc, Sylvain Gagne, Gregory L. Bryson, Manoj M. Lalu, Anna Wyand, Daniel I. Mcisaac
Summary: This study aimed to evaluate the association between preoperative anesthesia consultation and patient outcomes. The results showed that preoperative anesthesia consultation did not have a significant impact on days alive and at home (DAH(30)) for the overall study population, but potential benefits were observed among high-risk subgroups.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Anesthesiology
E. Roofthooft, N. Filetici, M. Van Houwe, P. Van Houwe, A. Barbe, S. Fieuws, S. Rex, C. A. Wong, M. Van de Velde
Summary: The aim of neuraxial analgesia is to achieve excellent pain relief with the fewest adverse effects. The programmed intermittent epidural bolus technique has been introduced as a maintenance technique for epidural analgesia. Compared to patient-controlled epidural analgesia without background infusion, programmed intermittent epidural bolus is associated with less breakthrough pain, lower pain scores, higher local anaesthetic consumption, and comparable motor block.
Article
Multidisciplinary Sciences
Alejandra Fernandez Trujillo, Helena Vallverdu Cartie, Begona Roman Maestre, Jorge Lema Vazquez, Julian Berrade Zubiri
Summary: This study validates the Patient Evaluation of Emotional Care During Hospitalization (PEECH) questionnaire in ICU patients, demonstrating its validity and reliability. The questionnaire shows high internal consistency and homogeneity index. By utilizing this questionnaire, a more comprehensive evaluation and provision of care can be achieved for ICU and other hospitalized patients.
Article
Anesthesiology
Alexandra Ruan, Alexandra Klein, Preya Jhita, Natalya Hasan-Hill, Steven L. Shafer, Pamela D. Flood
Summary: Night float call systems are becoming increasingly common in training programs to reduce fatigue. Previous studies have shown decreased sleep and sleep efficiency during night float rotations. However, the impact on physical and emotional well-being has not been documented.
ANESTHESIA AND ANALGESIA
(2023)
Article
Obstetrics & Gynecology
P. Sultan, N. Guo, M. Kawai, F. H. Barwick, B. Carvalho, S. Mackey, M. A. Kallen, C. E. Gould, A. J. Butwick
Summary: This retrospective cohort study investigated the prevalence and predictors of postpartum sleep disorders among commercially insured women delivering in California between 2011 and 2014. The results showed a prevalence rate of 1.9% for postpartum sleep disorders, with insomnia being the most common type. Women with a history of drug abuse, stillbirth delivery, and chronic hypertension had the highest odds of developing postpartum sleep disorders. Additionally, one-third of women diagnosed with postpartum sleep disorders also had co-morbid depression. The study highlights the underdiagnosis of postpartum sleep disorders and the need for improved screening and diagnostic accuracy.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Michelle Zhang, Corinne S. Cooley, Maisa Ziadni, Ian Mackey, Pamela Flood
Summary: Women who have given birth have a higher risk of experiencing functionally significant back pain. Severe acute postpartum back pain is a risk factor for future disability, indicating that the peripartum period may provide an important opportunity for intervention. Early recognition and management may mitigate future disability.
Article
Anesthesiology
Cedar Fowler, Amy W. W. Chu, Nan Guo, Jessica R. Ansari, Steven L. Shafer, Pamela D. Flood
Summary: Most women who undergo cesarean delivery recover without complications. However, severe postoperative pain within the first few days is associated with increased risk of prolonged pain and opioid use. This study evaluated the effectiveness of outpatient treatment with gabapentin to facilitate opioid cessation in women with severe early onset pain after cesarean delivery.
ANESTHESIA AND ANALGESIA
(2023)
Article
Cell Biology
Davide De Francesco, Jonathan D. Reiss, Jacquelyn Roger, Alice S. Tang, Alan L. Chang, Martin Becker, Thanaphong Phongpreecha, Camilo Espinosa, Susanna Morin, Eloise Berson, Melan Thuraiappah, Brian L. Le, Neal G. Ravindra, Seyedeh Neelufar Payrovnaziri, Samson Mataraso, Yeasul Kim, Lei Xue, Melissa G. Rosenstein, Tomiko Oskotsky, Ivana Maric, Brice Gaudilliere, Brendan Carvalho, Brian T. Bateman, Martin S. Angst, Lawrence S. Prince, Yair J. Blumenfeld, William E. Benitz, Janene H. Fuerch, Gary M. Shaw, Karl G. Sylvester, David K. Stevenson, Marina Sirota, Nima Aghaeepour
Summary: Despite prematurity being the primary cause of death in children under 5 years old, the current definition based on gestational age lacks precision for guiding care decisions. This study proposes a deep learning model that uses electronic health records (EHRs) to predict neonatal outcomes starting before conception and extending months after birth. The model achieved high accuracy in predicting various neonatal outcomes and identified associations between maternal and neonatal features and specific outcomes. With a dataset of over 30,000 mother-newborn dyads, this study provides a valuable resource for investigating and predicting neonatal outcomes.
SCIENCE TRANSLATIONAL MEDICINE
(2023)
Article
Anesthesiology
Gillian Abir, Edward T. T. Riley, Ann Marie Oakeson, Amy Judy, Ellen Wang, Brendan Carvalho
Summary: Multidisciplinary team management is crucial for optimizing postpartum hemorrhage care. Lucile Packard Children's Hospital, Stanford, has implemented an automated alert system to ensure prompt evaluation by the obstetric anesthesia team when a second-line uterotonic drug is administered. This system has improved communication and reduced failure to inform the obstetric anesthesiology team of PPH after vaginal and cesarean deliveries.
Article
Health Care Sciences & Services
Grace Lim, Annamarie J. Lim, Beth Quinn, Brendan Carvalho, Mark Zakowski, Grant C. Lynde
Summary: This study used Queuing Theory Analysis (QTA) to identify optimal birth center operating room (OR) and staffing resources using real-world data. The findings suggest that QTA can inform individual hospital-level decisions in setting staffing and space requirements to achieve safe and efficient maternity perioperative care.
BMC HEALTH SERVICES RESEARCH
(2023)
Review
Anesthesiology
Preet M. Singh, Pervez Sultan, James O'Carroll, Lindsay Blake, Brendan Carvalho, Narinder P. Singh, David T. Monks
Summary: This article conducted a systematic review and network meta-analysis to compare the relative efficacy of different interventions in reducing the incidence of pruritus induced by single-shot intrathecal or epidural morphine in Caesarean delivery. The results showed that some interventions can effectively reduce the incidence of pruritus.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Correction
Anesthesiology
C. F. Weiniger, B. Carvalho, I. Ronel, C. Greenberger, B. Aptekman, O. Almog, G. Kagan, S. Shalev
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA
(2023)
Article
Health Care Sciences & Services
Kelly Fedoruk, James Xie, Ellen Wang, Cedar Fowler, Edward Riley, Brendan Carvalho
Summary: The use of electronic medical record (EMR) nudges significantly improved the accuracy of documentation of neuraxial block replacements by obstetric anaesthesiologists, and increased adherence to quality metric monitoring.
Review
Obstetrics & Gynecology
James O. ' Carroll, Kazuo Ando, Romy Yun, Danielle Panelli, Angela Nicklin, Natasha Kennedy, Brendan Carvalho, Lindsay Blake, Jessica Coker, Debra Kaysen, Pervez Sultan
Summary: This study aimed to identify the best patient-reported outcome measure for postpartum anxiety by conducting a systematic review and evaluating the psychometric properties of instruments. Five instruments were recommended for use, but with limitations. Future research is needed to determine the optimal instrument or develop a more specific measure for maternal postpartum anxiety.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2023)
Article
Anesthesiology
Kariem El-Boghdadly, Eric Albrecht, Morne Wolmarans, Edward R. Mariano, Sandra Kopp, Anahi Perlas, Athmaja Thottungal, Jeff Gadsden, Serkan Tulgar, Sanjib Adhikary, Jose Aguirre, Anne M. R. Agur, Basak Altiparmak, Michael J. Barrington, Nigel Bedforth, Rafael Blanco, Sebastien Bloc, Karen Boretsky, James Bowness, Margaretha Breebaart, David Burckett-St Laurent, Brendan Carvalho, Jacques E. Chelly, Ki Jinn Chin, Alwin Chuan, Steve Coppens, Ioana Costache, Mette Dam, Matthias Desmet, Shalini Dhir, Christian Egeler, Hesham Elsharkawy, Thomas Fichtner Bendtsen, Ben Fox, Carlo D. Franco, Philippe Emmanuel Gautier, Stuart Alan Grant, Sina Grape, Carrie Guheen, Monica W. Harbell, Peter Hebbard, Nadia Hernandez, Rosemary M. G. Hogg, Margaret Holtz, Barys Ihnatsenka, Brian M. Ilfeld, Vivian H. Y. Ip, Rebecca L. Johnson, Hari Kalagara, Paul Kessler, M. Kwesi Kwofie, Linda Le-Wendling, Philipp Lirk, Clara Lobo, Danielle Ludwin, Alan James Robert Macfarlane, Alexandros Makris, Colin Mccartney, John Mcdonnell, Graeme A. Mcleod, Stavros G. Memtsoudis, Peter Merjavy, E. M. Louise Moran, Antoun Nader, Joseph M. Neal, Ahtsham U. Niazi, Catherine Njathi-Ori, Brian D. O'Donnell, Matt Oldman, Steven L. Orebaugh, Teresa Parras, Amit Pawa, Philip Peng, Steven Porter, Bridget P. Pulos, Xavier Sala-Blanch, Andrea Saporito, Axel R. Sauter, Eric S. Schwenk, Maria Paz Sebastian, Navdeep Sidhu, Sanjay Kumar Sinha, Ellen M. Soffin, James Stimpson, Raymond Tang, Ban C. H. Tsui, Lloyd Turbitt, Vishal Uppal, Geert J. van Geffen, Kris Vermeylen, Kamen Vlassakov, Thomas Volk, Jeff L. Xu, Nabil M. Elkassabany
Summary: Through a Delphi international consensus study, standardized names and anatomical descriptions for upper and lower limb peripheral nerve blocks were established, with strong consensus achieved for the majority of items. This framework will improve research, education, and clinical practice in regional anesthesia, ultimately benefiting patient care.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Medicine, General & Internal
Vesela P. Kovacheva, William Armero, Guohai Zhou, David Bishop, Robert Dyer, Brendan Carvalho
Summary: Maintaining higher intraoperative blood pressure using individual pre-spinal MAP as baseline can reduce the occurrence of maternal nausea during cesarean delivery under spinal anesthesia. Using pre-spinal MAP as the baseline reference value in intraoperative blood pressure monitoring can effectively guide the management of hypotension.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Anesthesiology
Din H. Ben Hayoun, Pervez Sultan, Jonathan Rozeznic, Nan Guo, Brendan Carvalho, Sharon Orbach-Zinger, Carolyn F. Weiniger
Summary: The study aimed to explore the relationship between Obstetric Quality of Recovery survey and Edinburgh postnatal depression scale measured 6 weeks after delivery. The results showed that lower quality of recovery during hospitalization, pre-existing depression or anxiety, and hospital readmission were associated with positive screening for postpartum depression at 6 weeks.
JOURNAL OF CLINICAL ANESTHESIA
(2023)
