{"title":"Effects of anaesthesia and surgery on sleep–wake timing and subjective sleep quality in children: a reply","authors":"Jorinde A. W. Polderman, Mark L. van Zuylen","doi":"10.1111/anae.70071","DOIUrl":"https://doi.org/10.1111/anae.70071","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"61 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145461322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Routine pre‐operative modified telephone interview for cognitive status screening: feasible, but is it justified?","authors":"Mark L. van Zuylen","doi":"10.1111/anae.70064","DOIUrl":"https://doi.org/10.1111/anae.70064","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"39 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145462293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Renata K. Carvalho, Gustavo A. Moreira, Sergio Tufik, Monica L. Andersen
{"title":"Time, sleep and children: integrating chronobiology into anaesthesia","authors":"Renata K. Carvalho, Gustavo A. Moreira, Sergio Tufik, Monica L. Andersen","doi":"10.1111/anae.70065","DOIUrl":"https://doi.org/10.1111/anae.70065","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"13 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145461319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The ‘afternoon effect’ as a proxy for systemic vulnerabilities in surgical care","authors":"Yu‐Chi Su, Pei‐Yi Hung, Ming‐Hui Hung","doi":"10.1111/anae.70066","DOIUrl":"https://doi.org/10.1111/anae.70066","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"14 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145461323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dexmedetomidine and postoperative cardiac surgical delirium: methodological concerns and small effect sizes","authors":"Liwen Liu, Gaosheng Su, Zhong Lin","doi":"10.1111/anae.70073","DOIUrl":"https://doi.org/10.1111/anae.70073","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"100 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145461321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tim Cook, Benjamin Dallyn, Ronan Hanratty, the authors
<p>We welcome the interest from Ward and Karabulut [<span>1</span>] in our study [<span>2</span>] and agree with several of their points. Their routine practice with hyperangulated videolaryngoscopy (HAVL) is to use a stylet and our study supports this. They make the argument that a flexible bougie (static or dynamic) can be useful. Our study suggests that bougies with a tip that can be actively deformed by the user (i.e. a dynamic bougie) can perform well, but cast significant doubt over the performance of a standard bougie, particularly when the laryngeal view is poor. In our study, standard bougie first-attempt and overall failure rates were 67% and 37%, respectively. This occurred even in scenarios without the additional challenges Ward and Karabulut propose.</p><p>As we did not study skill acquisition with dynamic bougies, we cannot comment on this, but participants did not report difficulties with the technique. We challenge the view of Ward and Karabulut that poor bougie performance was due to participant inexperience. All study participants had used a D-blade at least 10 times clinically. Data from our own institution indicate that first pass tracheal intubation with a D-blade HAVL exceeds 90% after 10 uses [<span>3</span>], consistent with the report by Ott et al. of a learning curve of 12 HAVL tracheal intubations [<span>4</span>]. Participants comprised 47% permanent senior staff and 77% speciality staff, all of whom use videolaryngoscopy daily, with HAVL used in 11% of all tracheal intubations in our hospital [<span>3</span>], and rising [<span>5</span>]. Thus, it is likely all study participants were competent, and many were expert. As our study was performed in a hospital that uses videolaryngoscopy for all tracheal intubations, and has done so for almost a decade, it is unlikely that our group of participants is less experienced with the technique than would be typical of any other cohort of anaesthetists. A first attempt stylet-assisted tracheal intubation success rate of 100% (median duration 22 s) with tracheal intubation ease rated at 8/10 attests to this [<span>1</span>]. Our hospital-wide 92% first attempt success with a D-blade in routine practice, including during training, adds further reassurance [<span>3</span>].</p><p>Whether bougies are advantageous over stylets in the sort of difficult laryngoscopies Ward and Karabulut describe is a testable hypothesis. The discussion of how to grade laryngoscopy and tracheal intubation difficulty during HAVL continues, but no system omits the view of the glottis, and logic dictates this. We challenge the proposal that to intubate the trachea easily with HAVL, one must deliberately achieve a poorer view. We showed that the ‘can see, cannot intubate easily’ phenomenon is not associated with HAVL [<span>5</span>]. Using a HAVL technique which promotes acquiring the best possible laryngeal view, we observed this phenomenon in 7% of cases with HAVL and 10% with Macintosh videolaryngoscopy
{"title":"Hyperangulated videolaryngoscopy: stylet first until benefit of bougie is shown","authors":"Tim Cook, Benjamin Dallyn, Ronan Hanratty, the authors","doi":"10.1111/anae.70062","DOIUrl":"10.1111/anae.70062","url":null,"abstract":"<p>We welcome the interest from Ward and Karabulut [<span>1</span>] in our study [<span>2</span>] and agree with several of their points. Their routine practice with hyperangulated videolaryngoscopy (HAVL) is to use a stylet and our study supports this. They make the argument that a flexible bougie (static or dynamic) can be useful. Our study suggests that bougies with a tip that can be actively deformed by the user (i.e. a dynamic bougie) can perform well, but cast significant doubt over the performance of a standard bougie, particularly when the laryngeal view is poor. In our study, standard bougie first-attempt and overall failure rates were 67% and 37%, respectively. This occurred even in scenarios without the additional challenges Ward and Karabulut propose.</p><p>As we did not study skill acquisition with dynamic bougies, we cannot comment on this, but participants did not report difficulties with the technique. We challenge the view of Ward and Karabulut that poor bougie performance was due to participant inexperience. All study participants had used a D-blade at least 10 times clinically. Data from our own institution indicate that first pass tracheal intubation with a D-blade HAVL exceeds 90% after 10 uses [<span>3</span>], consistent with the report by Ott et al. of a learning curve of 12 HAVL tracheal intubations [<span>4</span>]. Participants comprised 47% permanent senior staff and 77% speciality staff, all of whom use videolaryngoscopy daily, with HAVL used in 11% of all tracheal intubations in our hospital [<span>3</span>], and rising [<span>5</span>]. Thus, it is likely all study participants were competent, and many were expert. As our study was performed in a hospital that uses videolaryngoscopy for all tracheal intubations, and has done so for almost a decade, it is unlikely that our group of participants is less experienced with the technique than would be typical of any other cohort of anaesthetists. A first attempt stylet-assisted tracheal intubation success rate of 100% (median duration 22 s) with tracheal intubation ease rated at 8/10 attests to this [<span>1</span>]. Our hospital-wide 92% first attempt success with a D-blade in routine practice, including during training, adds further reassurance [<span>3</span>].</p><p>Whether bougies are advantageous over stylets in the sort of difficult laryngoscopies Ward and Karabulut describe is a testable hypothesis. The discussion of how to grade laryngoscopy and tracheal intubation difficulty during HAVL continues, but no system omits the view of the glottis, and logic dictates this. We challenge the proposal that to intubate the trachea easily with HAVL, one must deliberately achieve a poorer view. We showed that the ‘can see, cannot intubate easily’ phenomenon is not associated with HAVL [<span>5</span>]. Using a HAVL technique which promotes acquiring the best possible laryngeal view, we observed this phenomenon in 7% of cases with HAVL and 10% with Macintosh videolaryngoscopy","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"81 2","pages":"310-311"},"PeriodicalIF":6.9,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1111/anae.70062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145462017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jan Hansel, Alexander Fuchs, Benjamin Cornwell, Katherine Haynes, Vinay Tanna, Ahmed Mohamed, Kate Rivett, Gillian Radcliffe, Robert Greif, Tim M. Cook, Kariem El-Boghdadly
Airway management research has historically incorporated heterogeneous outcome selection and definitions. This impedes evidence synthesis and hinders advances in patient care. We aimed to develop a core outcome set to standardise airway management research and improve outcome reporting.
{"title":"A core outcome set for airway management research","authors":"Jan Hansel, Alexander Fuchs, Benjamin Cornwell, Katherine Haynes, Vinay Tanna, Ahmed Mohamed, Kate Rivett, Gillian Radcliffe, Robert Greif, Tim M. Cook, Kariem El-Boghdadly","doi":"10.1111/anae.70026","DOIUrl":"https://doi.org/10.1111/anae.70026","url":null,"abstract":"Airway management research has historically incorporated heterogeneous outcome selection and definitions. This impedes evidence synthesis and hinders advances in patient care. We aimed to develop a core outcome set to standardise airway management research and improve outcome reporting.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"27 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145455459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial intelligence and the airway: first steps toward continuous evaluation and improvement.","authors":"Tim M Cook,Mary-Anne Hartley","doi":"10.1111/anae.70069","DOIUrl":"https://doi.org/10.1111/anae.70069","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"87 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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