Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Meta Analysis
Uterine exteriorization versus in situ repair in Cesarean delivery: a systematic review and meta-analysis.
We conducted an updated systematic review and meta-analysis on maternal outcomes associated with uterine exteriorization compared with in situ repair in women undergoing Cesarean delivery. ⋯ PROSPERO (CRD42020190074); registered 5 July 2020.
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Typically, physician training programs use a self-reported case-log competency assessment that does not measure procedure success or objectively assess competency. Cumulative sum (CUSUM) analysis could provide objective assessments of competency and progress over the training period. Our study objective was to determine the feasibility of CUSUM analysis to assess competency of ultrasound-guided peripheral intravenous (USG-PIV) line placement in pediatric anesthesiology fellows. ⋯ Our study showed that CUSUM can be used to assess competence in USG-PIV procedures performed by pediatric anesthesia fellows and to identify learners not progressing toward competency in procedural skills. Ultrasound-guided venous access required more attempts to achieve competency in younger patients.
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Intra-abdominal pressure during and after cardiac surgery: a single-centre prospective cohort study.
While intra-abdominal hypertension (IAH) has been associated with adverse outcomes in multiple settings, the epidemiology and clinical implications of IAH in the context of cardiac surgery are less known. In this study, we aimed to describe the prevalence of IAH in patients undergoing cardiac surgery and determine its association with patient characteristics and postoperative outcomes. ⋯ Intra-abdominal hypertension is very common during cardiac surgery but its clinical implications are uncertain.