British journal of anaesthesia
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Observational Study
Enhanced recovery after surgery components and perioperative outcomes: a nationwide observational study.
Enhanced recovery after surgery (ERAS) protocols have been shown to benefit recovery after several operations. However, large-scale data on the association between the level of ERAS use and perioperative complications are scarce, particularly in surgeries with increasing ERAS uptake, including total hip (THA) and knee arthroplasty (TKA). Using US national data, we examined the relationship between the number of ERAS components implemented ('level') and perioperative outcomes. ⋯ ERAS components were used more frequently over time, and the level of utilisation was independently associated with incrementally improved complication odds and reduced length of stay during the primary admission. Possible indication bias limits the certainty of these findings.
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Review Meta Analysis
Association between night/after-hours surgery and mortality: a systematic review and meta-analysis.
There is an association between after-hours surgery and mortality risk that is not entirely explained by the emergent and morbidity characteristics of patients or the surgical procedure.
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Randomized Controlled Trial
Randomised controlled trial of sugammadex or neostigmine for reversal of neuromuscular block on the incidence of pulmonary complications in older adults undergoing prolonged surgery.
Sugammadex used for NMBD reversal in older adults after prolonged surgery reduced residual blockade but did not reduce pulmonary complications when compared to neostigmine.
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Randomized Controlled Trial
Effect of regular alveolar recruitment on intraoperative atelectasis in paediatric patients ventilated in the prone position: a randomised controlled trial.
Among infants & children < 3y having prone general anaesthesia, regular hourly alveolar recruitment reduces pre-extubation atelectasis.
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Review
The case for statin use to reduce perioperative adverse cardiovascular and cerebrovascular events.
Perioperative use of statins in at-risk patients may significantly reduce perioperative stroke and major cardiac events.
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