British journal of anaesthesia
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Multicenter Study
Perioperative Doppler ultrasound assessment of portal vein flow pulsatility in high-risk cardiac surgery patients: a multicentre prospective cohort study.
Portal vein Doppler ultrasound pulsatility measured by transoesophageal echocardiography is a marker of the haemodynamic impact of venous congestion in cardiac surgery. We investigated whether the presence of abnormal portal vein flow pulsatility is associated with a longer duration of invasive life support and postoperative complications in high-risk patients. ⋯ NCT03656263.
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Other than acute kidney injury, there appears no outcome difference between spinal and general anaesthesia in hip fracture surgery.
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Meta Analysis
Individualised positive end-expiratory pressure in abdominal surgery: a systematic review and meta-analysis.
Individualised positive end-expiratory pressure (PEEP) may optimise pulmonary compliance, thereby potentially mitigating lung injury. This meta-analysis aimed to determine the impact of individualised PEEP vs fixed PEEP during abdominal surgery on postoperative pulmonary outcomes. ⋯ CRD42021277973.