Sarah E. Byrne‐Martelli, Alice Bottussi, Jacopo D'Andria Ursoleo
{"title":"Broadening the framework of medical futility","authors":"Sarah E. Byrne‐Martelli, Alice Bottussi, Jacopo D'Andria Ursoleo","doi":"10.1111/anae.70033","DOIUrl":"https://doi.org/10.1111/anae.70033","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"40 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260578","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}
Kai Jiang, Wen‐qian Zhao, Hong Liu, Fu‐hai Ji, Ke Peng
{"title":"Esketamine infusion for the prevention of tourniquet‐induced intra‐operative hypertension during below‐knee orthopaedic surgery: a randomised controlled trial","authors":"Kai Jiang, Wen‐qian Zhao, Hong Liu, Fu‐hai Ji, Ke Peng","doi":"10.1111/anae.70027","DOIUrl":"https://doi.org/10.1111/anae.70027","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"20 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145255331","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":"Inclusion of health equity variables in UK national anaesthesia projects","authors":"Sarah Hudson, Søren Kudsk‐Iversen, Akshay Shah","doi":"10.1111/anae.70031","DOIUrl":"https://doi.org/10.1111/anae.70031","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"90 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145255334","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}
Francesco Fiorini, George A. Rose, Damian M. Bailey, Richard G. Davies
{"title":"Socio‐economic deprivation and functional exercise capacity: a retrospective observational cohort study","authors":"Francesco Fiorini, George A. Rose, Damian M. Bailey, Richard G. Davies","doi":"10.1111/anae.70037","DOIUrl":"https://doi.org/10.1111/anae.70037","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"54 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260660","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 ratio of confidence interval above the minimal clinically important difference","authors":"Alessandro De Cassai","doi":"10.1111/anae.70028","DOIUrl":"https://doi.org/10.1111/anae.70028","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"17 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260615","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 reasons hypoactive delirium is often overlooked: a reply","authors":"Ben Gibbison, Maria Pufulete","doi":"10.1111/anae.70035","DOIUrl":"https://doi.org/10.1111/anae.70035","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"57 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145255332","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":"Reassessing the dose‐onset relationship of remimazolam in children: a reply","authors":"Yu‐Bo Fang, Hua‐Cheng Liu","doi":"10.1111/anae.70029","DOIUrl":"https://doi.org/10.1111/anae.70029","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"19 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145255333","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}
Roxanne M Parslow,Ben Gibbison,Maria Pufulete,Kathryn M Rowan,Andrew J Moore,
INTRODUCTIONDelirium is common in patients who are critically ill and associated with increased mortality and long-term cognitive impairment. The objective of this study was to explore the barriers and facilitators to the use of existing ICU delirium identification tools and implementation of care protocols.METHODSSemi-structured interviews were conducted with healthcare professionals working in UK NHS ICUs. Purposive sampling was utilised to recruit a diverse range of participants to account for profession; user status of delirium identification tools or care packages; size of unit; and UK location. Thematic analysis was undertaken using the Theoretical Domains Framework.RESULTSTwenty-one ICU healthcare professionals were interviewed from 20 hospitals. Participants included consultants (n = 9); nurses (n = 8); advanced critical care practitioners (n = 2); and allied health professionals (n = 2). Five major barriers to effective delirium care emerged: lack of prioritisation; lack of structured ICU delirium care protocols; inability to implement interventions due to physical space constraints and/or lack of resources; loss of experienced staff; and changes in ICU nursing culture. Facilitators included the presence of clear protocols; continued staff training; increased awareness; delirium champions; post-ICU follow-up clinics; family engagement; effective communication; and the use of digital prompts as a component of mandatory electronic documentation.DISCUSSIONAlthough ICU delirium is acknowledged as being important by clinical staff, management is often hindered by systemic and cultural barriers. Healthcare professionals highlighted the need for protocol-driven care, enhanced training and awareness, and the inclusion of families in care processes. These findings will inform the design of a multicomponent care package to improve delirium care in the ICU.
{"title":"Barriers and facilitators to the delivery of delirium care in intensive care units: an analysis informed by the Theoretical Domains Framework.","authors":"Roxanne M Parslow,Ben Gibbison,Maria Pufulete,Kathryn M Rowan,Andrew J Moore, ","doi":"10.1111/anae.70017","DOIUrl":"https://doi.org/10.1111/anae.70017","url":null,"abstract":"INTRODUCTIONDelirium is common in patients who are critically ill and associated with increased mortality and long-term cognitive impairment. The objective of this study was to explore the barriers and facilitators to the use of existing ICU delirium identification tools and implementation of care protocols.METHODSSemi-structured interviews were conducted with healthcare professionals working in UK NHS ICUs. Purposive sampling was utilised to recruit a diverse range of participants to account for profession; user status of delirium identification tools or care packages; size of unit; and UK location. Thematic analysis was undertaken using the Theoretical Domains Framework.RESULTSTwenty-one ICU healthcare professionals were interviewed from 20 hospitals. Participants included consultants (n = 9); nurses (n = 8); advanced critical care practitioners (n = 2); and allied health professionals (n = 2). Five major barriers to effective delirium care emerged: lack of prioritisation; lack of structured ICU delirium care protocols; inability to implement interventions due to physical space constraints and/or lack of resources; loss of experienced staff; and changes in ICU nursing culture. Facilitators included the presence of clear protocols; continued staff training; increased awareness; delirium champions; post-ICU follow-up clinics; family engagement; effective communication; and the use of digital prompts as a component of mandatory electronic documentation.DISCUSSIONAlthough ICU delirium is acknowledged as being important by clinical staff, management is often hindered by systemic and cultural barriers. Healthcare professionals highlighted the need for protocol-driven care, enhanced training and awareness, and the inclusion of families in care processes. These findings will inform the design of a multicomponent care package to improve delirium care in the ICU.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"52 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145235891","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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