Review
Multidisciplinary Sciences
Jianghui Cai, Mi Tang, Huaye Wu, Jing Yuan, Hua Liang, Xuan Wu, Shasha Xing, Xiao Yang, Xiao-Dong Duan
Summary: Intraoperative hypotension is a common side effect of non-cardiac surgery that may lead to poor postoperative outcomes. This study aimed to evaluate the association between intraoperative hypotension and severe postoperative complications. The results indicate that intraoperative hypotension increases the risk of mortality, acute kidney injury, major adverse cardiac events, postoperative cognitive dysfunction, and postoperative delirium. Overall, this study highlights the importance of closely monitoring and avoiding intraoperative hypotension during non-cardiac surgery.
Review
Surgery
Shiqi Liang, Xingxia Zhang, Yanjie Hu, Jie Yang, Ka Li
Summary: Perioperative chlorhexidine oral care significantly reduces the incidence of postoperative pneumonia in noncardiac surgical patients, indicating its potential as a convenient and cost-effective preventive measure.
Article
Anesthesiology
Niklas S. Campos, Thomas Bluth, Sabrine N. T. Hemmes, Julian Librero, Natividad Pozo, Carlos Ferrando, Lorenzo Ball, Guido Mazzinari, Paolo Pelosi, Marcelo Gama de Abreu, Marcus J. Schultz, A. Serpa Neto
Summary: A patient-level meta-analysis of three clinical trials showed that high PEEP combined with recruitment manoeuvres during low tidal volume ventilation did not reduce postoperative pulmonary complications in patients undergoing major surgery.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Review
Anesthesiology
Sara Hui, Alexander J. Fowler, Richard M. J. Cashmore, Thomas J. Fisher, Jonas Schlautmann, Suzanne Body, Valerie Lan-Pak-Kee, Maylan Webb, Maria Kyriakides, Jing Yong Ng, Nathan S. Chisvo, Rupert M. Pearse, Tom E. F. Abbott
Summary: This study conducted a systematic review and meta-analysis of RCTs to investigate the efficacy of routine noninvasive respiratory support in preventing postoperative pneumonia in adults. The results showed that there was no significant difference in the incidence of pneumonia between patients receiving noninvasive respiratory support and those receiving standard care. Subgroup analyses did not demonstrate any benefit of CPAP, NIV, or HFNO in preventing pneumonia.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Article
Dermatology
Jialiang Zhu, Ziwen Lu, Xianguo Cai, Wanbo Chen
Summary: This article analyzed the effectiveness of open radical prostatectomy (ORP) and minimally invasive surgery (MIS) in treating post-operation complications. The findings suggest that MIS can reduce wound infections, bleeding, and hospital stay compared to open surgery, but it increases operative time. However, caution is needed due to bias in the studies.
INTERNATIONAL WOUND JOURNAL
(2023)
Review
Anesthesiology
Lina Chen, Emily Au, Aparna Saripella, Paras Kapoor, Ellene Yan, Jean Wong, David F. Tang-Wai, David Gold, Sheila Riazi, Colin Suen, David He, Marina Englesakis, Mahesh Nagappa, Frances Chung
Summary: This study aimed to investigate the impact of cognitive impairment and dementia on adverse outcomes in older surgical patients. The findings showed that preoperative cognitive impairment significantly increased the risk of delirium, mortality, discharge to assisted care, 30-day readmissions, and postoperative complications. Dementia was also found to increase the risk of 1-year mortality.
JOURNAL OF CLINICAL ANESTHESIA
(2022)
Review
Medicine, General & Internal
Chengkui Liu, Xiaoqing Li, Qingfeng Wang
Summary: In this updated meta-analysis, both robotic and laparoscopic surgeries were found to have similar postoperative complications for the treatment of rectal cancer. No significant differences were observed between the two surgical approaches.
Article
Dermatology
Shuangyun Zheng, Xiaole Liu, Liqin Cheng, Qiaozhu Wu, Fanhang Meng
Summary: In this meta-analysis, the effect of minimally invasive surgery and laparotomy on wound infection and postoperative and intraoperative complications in the management of cervical cancer was evaluated. The results showed that minimally invasive surgery had significantly lower rates of wound infection and postoperative complications compared to laparotomy, but had no significant difference in intraoperative complications for subjects with cervical cancer.
INTERNATIONAL WOUND JOURNAL
(2023)
Review
Cardiac & Cardiovascular Systems
Lingyu Lin, Xuecui Zhang, Shurong Xu, Yanchun Peng, Sailan Li, Xizhen Huang, Liangwan Chen, Yanjuan Lin
Summary: This study conducted a systematic review and meta-analysis to evaluate the correlation between postoperative delirium (POD) and outcomes in patients undergoing cardiac surgery. The findings showed that POD is associated with higher mortality, longer ICU and hospital stays, and a longer duration of mechanical ventilation. This research highlights the importance of understanding and intervening in POD.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Andra E. Duncan, Alex Kartashov, Scott B. Robinson, Doug Randall, Kan Zhang, John Luber, Roberta A. James, Sven Halvorson, Paula Bokesch
Summary: This study examines the incidence and risk factors of low cardiac output syndrome after cardiac surgery, as well as its association with postoperative outcomes. The results show that patients who develop low cardiac output syndrome have higher mortality rates, increased resource utilization and healthcare costs, and higher readmission rates.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Review
Anesthesiology
Ellene Yan, Matthew Veitch, Aparna Saripella, Yasmin Alhamdah, Nina Butris, David F. Tang-Wai, Maria Carmela Tartaglia, Mahesh Nagappa, Marina Englesakis, David He, Frances Chung
Summary: This study aimed to evaluate the incidence and outcomes of postoperative delirium in older non-cardiac surgical patients. The pooled incidence of postoperative delirium was 19% after elective surgery and 32% after emergency surgery. Postoperative delirium was associated with increased mortality, complications, unplanned intensive care unit admissions, prolonged hospital stay, and non-home discharge.
JOURNAL OF CLINICAL ANESTHESIA
(2023)
Review
Cardiac & Cardiovascular Systems
Ke Zhou, Dongyu Li, Guang Song
Summary: This study is a meta-analysis on the use of different regional anesthetic techniques for patients after cardiac surgery. The results indicate that thoracic epidural analgesia (TEA) is the most effective technique, reducing pain scores and decreasing the need for rescue analgesia.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Review
Oncology
Xiaoting Zhang, Shaokang Wang, Wentao Ji, Huixian Wang, Keqian Zhou, Zhichao Jin, Lulong Bo
Summary: This systematic review and meta-analysis evaluated the effect of prehabilitation on postoperative outcomes in patients undergoing colorectal surgery. The results showed that prehabilitation did not significantly impact the number of postoperative complications, length of hospital stay, or functional capacity. Therefore, further consideration is needed to determine whether prehabilitation should be recommended.
FRONTIERS IN ONCOLOGY
(2022)
Review
Anesthesiology
Zhengyang Liu, Alexandra D. Karamesinis, Mark Plummer, Reny Segal, Rinaldo Bellomo, Julian A. Smith, Luke A. Perry
Summary: Persistent postoperative opioid use after cardiac surgery affects at least one in 20 patients. Risk factors such as female sex, smoking, alcohol use, congestive cardiac failure, diabetes mellitus, chronic lung disease, chronic kidney disease, and length of hospital stay are associated with this phenomenon.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Review
Anesthesiology
Federico Linassi, Eleonora Maran, Alessandro De Laurenzis, Paola Tellaroli, Matthias Kreuzer, Gerhard Schneider, Paolo Navalesi, Michele Carron
Summary: The study found that factors such as temperature, mean arterial blood pressure (MAP) during cardiopulmonary bypass, age, and surgery type were not significantly associated with neurocognitive disorders, stroke, and mortality in cardiac surgery. Normothermic cardiopulmonary bypass with MAP >70 mm Hg may reduce the risk of postoperative neurocognitive decline after cardiac surgery.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
