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pearl
1
Posterior transversus abdominis plane block continues to reduce pain scores and opioid consumption at up to 48 hours, though with lesser magnitude.
Abdallah FW, Laffey JG, Halpern SH et al. Duration of analgesic effectiveness after the posterior and lateral transversus abdominis plane block techniques for transverse lower abdominal incisions: a meta-analysis. Br J Anaesth. 2013 Nov 1; 111 (5): 721-35.
  Daniel Jolley
pearl
1
Peri-operative systemic magnesium reduces postoperative pain and opioid consumption, although it is of uncertain clinical significance.
De GS, Castro-Alves LJ, Khan JH et al. Perioperative systemic magnesium to minimize postoperative pain: a meta-analysis of randomized controlled trials. Anesthesiology. 2013 Jul 1;119(1):178-90.
  Daniel Jolley
pearl
1
The Proseal LMA achieves higher oropharyngeal leak pressure and tidal volumes than does the LMA Supreme during elective laparoscopic cholecsystectomy.
Beleña JM, Núñez M, Anta D et al. Comparison of Laryngeal Mask Airway Supreme and Laryngeal Mask Airway Proseal with respect to oropharyngeal leak pressure during laparoscopic cholecystectomy: a randomised controlled trial. Eur J Anaesthesiol. 2013 Mar 1;30(3):119-23.
  Daniel Jolley
pearl
1
Nitrous oxide use in non-cardiac surgery does not increase the risk of death, cardiovascular complications or wound infection.
Myles PS, Leslie K, Chan MT et al. The safety of addition of nitrous oxide to general anaesthesia in at-risk patients having major non-cardiac surgery (ENIGMA-II): a randomised, single-blind trial. Lancet. 2014 Oct 18;384(9952):1446-54.
  Daniel Jolley
pearl
1
Dexamethasone added to bupivacaine significantly prolongs the duration of interscalene analgesia and motor blockade.
Tandoc MN, Fan L, Kolesnikov S et al. Adjuvant dexamethasone with bupivacaine prolongs the duration of interscalene block: a prospective randomized trial. J Anesth. 2011 Oct 1; 25 (5): 704-9.
  Daniel Jolley
pearl
1
Magnesium sulphate halves the risk of eclampsia in pre-eclamptic pregnant women without significant adverse effect.
Altman D, Carroli G, Duley L et al. Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomised placebo-controlled trial. Lancet. 2002 Jun 1;359(9321):1877-90.
  Daniel Jolley
pearl
1
Use of absorbable sutures for simple laceration repair in the ED results in comparable 3 month cosmetic outcome to non-absorbable sutures.
Tejani C, Sivitz AB, Rosen MD et al. A Comparison of Cosmetic Outcomes of Lacerations on the Extremities and Trunk Using Absorbable Versus Nonabsorbable Sutures. Acad Emerg Med. 2014 Jun 1;21(6):637-43.
  Daniel Jolley
pearl
1
Xenon anaesthesia is feasible and non-inferior to sevoflurane anaesthesia for coronary artery bypass surgery.
Stoppe C, Fahlenkamp AV, Rex S et al. Feasibility and safety of xenon compared with sevoflurane anaesthesia in coronary surgical patients: a randomized controlled pilot study. Br J Anaesth. 2013 Sep 1;111(3):406-16.
  Daniel Jolley
pearl
1
Ondansetron may reduce the analgesic effect of acetaminophen/paracetamol.
Ramirez L, Cros J, Marin B et al. Analgesic interaction between ondansetron and acetaminophen after tonsillectomy in children: The Paratron randomized, controlled trial. Eur J Pain. 2015 May 1;19(5):661-8.
  Daniel Jolley
pearl
1
A Global Rating Scale used for paediatric anaesthesia emergency simulation is a reliable and feasible indicator of readiness for independent practice.
Everett TC, Ng E, Power D et al. The Managing Emergencies in Paediatric Anaesthesia global rating scale is a reliable tool for simulation-based assessment in pediatric anesthesia crisis management. Paediatr Anaesth. 2013 Dec 1;23(12):1117-23.
  Daniel Jolley