Knowledge

Collections of articles, notes and knowledge from the metajournal community.

Regional stuff

Analgesia Pain Regional anesthesia
- Randomized Controlled Trial
  
  Adductor Canal Block Versus Femoral Nerve Block for Analgesia After Total Knee Arthroplasty: A Randomized, Double-blind Study.
  
  Reg Anesth Pain Med. 2013 Nov 1; 38 (6): 526-32.
  
  Quadriceps strength is better preserved after adductor canal block for total knee arthroplasty than femoral nerve block with similar analgesic effect.
  pearl
- Randomized Controlled Trial
  
  Adductor Canal Block versus Femoral Nerve Block for Total Knee Arthroplasty: A Prospective, Randomized, Controlled Trial.
  
  Anesthesiology. 2014 Mar 1;120(3):540-50.
  
  Adductor canal block analgesia is comparable to femoral nerve block while improving early (6-8 h) quadriceps strength after total knee arthroplasty.
  pearl
- Randomized Controlled Trial
  
  Adjuvant dexamethasone with bupivacaine prolongs the duration of interscalene block: a prospective randomized trial.
  
  J Anesth. 2011 Oct 1; 25 (5): 704-9.
  
  Dexamethasone added to bupivacaine significantly prolongs the duration of interscalene analgesia and motor blockade.
  pearl
expand and show 90 more articles
Magnesium the new 'roid

Analgesia Magnesium
- Review
  
  Peri-operative intravenous administration of magnesium sulphate and postoperative pain: a meta-analysis.
  
  Anaesthesia. 2013 Jan 1;68(1):79-90.
- Randomized Controlled Trial
  
  Is magnesium sulfate effective for pain in chronic postherpetic neuralgia patients comparing with ketamine infusion therapy?
  
  J Clin Anesth. 2015 Jun 1; 27 (4): 296-300.
- Review
  
  Influence of the perioperative administration of magnesium sulfate on the total dose of anesthetics during general anesthesia. A systematic review and meta-analysis.
  
  J Clin Anesth. 2017 Jun 1; 39: 129-138.
  
  Perioperative magnesium reduces propofol induction and maintenance doses, and similarly reduces neuromuscular drug needs.
  pearl
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Does intravenous lidocaine/lignocaine improve post-operative recovery?

Analgesia Lidocaine Local anesthetics Pain
There is some evidence supporting the benefit of perioperative intravenous lignocaine/lidocaine infusion in both laparoscopic and open abdominal surgery.

The strongest evidence supports both improved analgesia and reduction in nausea, with weaker evidence suggesting faster improvement in GIT function and earlier discharge from hospital.

Safety data is reassuring but far from conclusive due to the small size of most studies.
summary
- Randomized Controlled Trial
  
  Systemic lidocaine to improve postoperative quality of recovery after ambulatory laparoscopic surgery.
  
  Anesth. Analg.. 2012 Aug 1;115(2):262-7.
  
  Intraoperative intravenous lidocaine improves the quality of recovery following ambulatory laparoscopic surgery.
  pearl
- Randomized Controlled Trial
  
  Perioperative intravenous lidocaine decreases the incidence of persistent pain after breast surgery.
  
  Clin J Pain. 2012 Sep 1;28(7):567-72.
- Review
  
  Impact of intravenous lidocaine infusion on postoperative analgesia and recovery from surgery: a systematic review of randomized controlled trials.
  
  Drugs. 2010 Jun 18;70(9):1149-63.
expand and show 9 more articles
Supraglottic airways, laryngeal masks and general anaesthesia Caesarean section

Airway Laryngeal masks Obstetric anesthesia
- Editorial
  
  Supraglottic airway devices for Caesarean delivery under general anaesthesia: for all, for none, or for some?
  
  Br J Anaesth. 2020 Jul 1; 125 (1): e7-e11.
  
  Supraglottic airway devices may be a safe choice for managing general anaesthetic Caesarean section in selected populations, however the evidence base is still slim.
  pearl
- Review
  
  Failed tracheal intubation during obstetric general anaesthesia: a literature review.
  
  Int J Obstet Anesth. 2015 Nov 1; 24 (4): 356-74.
- Article
  
  The use of ProSeal laryngeal mask airway in caesarean section--experience in 3000 cases.
  
  Anaesth Intensive Care. 2010 Nov 1;38(6):1023-8.
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How useful is point-of-care ultrasound (POCUS) for diagnosing pneumothorax and other chest pathology?

Critical care Emergency medicine Trauma Ultrasound
- Review
  
  Basic concepts in the use of thoracic and lung ultrasound.
  
  Curr Opin Anaesthesiol. 2013 Feb 1;26(1):20-30.
- Review
  
  Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine?
  
  Clin Med (Lond). 2018 Jun 1; 18 (3): 219224219-224.
- Observational Study
  
  Point-of-care ultrasonography for evaluation of acute dyspnea in the emergency department.
  
  Chest. 2017 Jun 1; 151 (6): 1295-1301.
expand and show 2 more articles

Knowledge

Regional stuff

Magnesium the new 'roid

Does intravenous lidocaine/lignocaine improve post-operative recovery?

Supraglottic airways, laryngeal masks and general anaesthesia Caesarean section

How useful is point-of-care ultrasound (POCUS) for diagnosing pneumothorax and other chest pathology?

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