European journal of anaesthesiology
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Meta Analysis
Serratus anterior plane block for video-assisted thoracoscopic surgery: A meta-analysis of randomised controlled trials.
The serratus anterior plane block (SAPb) is a promising interfascial plane technique able to provide profound thoracic analgesia. As only a few studies with quite small patient samples are presently available, the analgesic efficacy of adding SAPb to general anaesthesia in video-assisted thoracoscopic surgery (VATS), compared with general anaesthesia only, remains unclear. ⋯ Compared with general anaesthesia only and if no other locoregional techniques are used, SAPb significantly reduces postoperative pain and nausea and vomiting in patients undergoing VATS. Grading of Recommendations Assessment, Development and Evaluation rating are, nonetheless, quite low, due to high heterogeneity. Well designed and properly powered RCTs are necessary to confirm these preliminary findings.
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Meta Analysis
Effects of digital learning in anaesthesiology: A systematic review and meta-analysis.
Digital methods of instruction have proven to be effective in assisting learning in many fields at various levels. However, none of the meta-analyses have studied the effects of digital learning vs. traditional learning in the field of anaesthesiology. ⋯ The current study demonstrated positive effects of digital instruction in the field of anaesthesiology. Training through digital materials may assist professional training between the stages of didactic training and clinical training.
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Randomized Controlled Trial
Incidence of gastric insufflation at high compared with low laryngeal mask cuff pressure in a first-generation laryngeal mask detected by ultrasound: A randomised controlled cross-over trial.
The success of ventilation with a laryngeal mask depends crucially on the seal between the mask and the periglottic tissue. Increasing the laryngeal mask's cuff volume is known to reduce oral air leakage but may lead to gastric insufflation. ⋯ The study was registered in the German Clinical Trials Register (DRKS00010583) https://www.drks.de.