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}
{"title":"Frailty, emergency laparotomy and the long road beyond 90 days.","authors":"Arash Fereydooni,Shipra Arya","doi":"10.1111/anae.70068","DOIUrl":"https://doi.org/10.1111/anae.70068","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"25 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433986","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}
Annabel Levido, Nicole Marsh, Amanda Corley, Felicity Edwards, Kevin B. Laupland, Samantha Keogh
Summary Introduction Although there is an extensive body of literature on complications associated with central venous catheters, less is known about arterial catheter‐related complications. This systematic review and meta‐analysis aimed to quantify the incidence of arterial catheter‐related complications and failure in intensive care. Methods Databases were searched for relevant randomised controlled trials and cohort studies that reported on arterial catheter‐related complications and failure within the adult critical care setting. Two authors independently identified studies for full review, extracted data and completed quality assessments. Pooled estimates were calculated using random‐effects models with the Freeman‐Tukey double arcsine transformation. Certainty of evidence for each outcome was assessed using the GRADE framework. Results Thirty‐nine studies (22 observational studies and 17 randomised controlled trials), comprising 19,018 arterial catheters, were included. The pooled proportion of all‐cause arterial catheter failure was 13.0% (95%CI 7.6–19.5%, moderate certainty). Non‐infectious arterial catheter failure occurred in 19.8% (95%CI 12.2–28.7%, moderate certainty) of arterial catheters. The pooled proportion of all‐cause catheter‐associated or related bloodstream infections was 1.3% (95%CI 0.7–2.1%, moderate certainty). Local infection occurred in 1.2% (95%CI 0.4–2.4%, high certainty). Reporting of definitions of bloodstream and local infections was limited. Incidence density could not be calculated for any outcomes due to limited reporting of total catheter days. Discussion Arterial catheter failure occurs in up to one in five catheters in intensive care. Reducing failure rates and associated complications requires system‐wide interventions, clearer definitions of infection and standardised reporting to improve data synthesis and guide evidence‐based improvement.
{"title":"Incidence of peripheral arterial catheter failure and complications in intensive care: a systematic review and meta‐analysis","authors":"Annabel Levido, Nicole Marsh, Amanda Corley, Felicity Edwards, Kevin B. Laupland, Samantha Keogh","doi":"10.1111/anae.70074","DOIUrl":"https://doi.org/10.1111/anae.70074","url":null,"abstract":"Summary Introduction Although there is an extensive body of literature on complications associated with central venous catheters, less is known about arterial catheter‐related complications. This systematic review and meta‐analysis aimed to quantify the incidence of arterial catheter‐related complications and failure in intensive care. Methods Databases were searched for relevant randomised controlled trials and cohort studies that reported on arterial catheter‐related complications and failure within the adult critical care setting. Two authors independently identified studies for full review, extracted data and completed quality assessments. Pooled estimates were calculated using random‐effects models with the Freeman‐Tukey double arcsine transformation. Certainty of evidence for each outcome was assessed using the GRADE framework. Results Thirty‐nine studies (22 observational studies and 17 randomised controlled trials), comprising 19,018 arterial catheters, were included. The pooled proportion of all‐cause arterial catheter failure was 13.0% (95%CI 7.6–19.5%, moderate certainty). Non‐infectious arterial catheter failure occurred in 19.8% (95%CI 12.2–28.7%, moderate certainty) of arterial catheters. The pooled proportion of all‐cause catheter‐associated or related bloodstream infections was 1.3% (95%CI 0.7–2.1%, moderate certainty). Local infection occurred in 1.2% (95%CI 0.4–2.4%, high certainty). Reporting of definitions of bloodstream and local infections was limited. Incidence density could not be calculated for any outcomes due to limited reporting of total catheter days. Discussion Arterial catheter failure occurs in up to one in five catheters in intensive care. Reducing failure rates and associated complications requires system‐wide interventions, clearer definitions of infection and standardised reporting to improve data synthesis and guide evidence‐based improvement.","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"127 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145427762","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":"Preserving sleep in paediatric peri-operative care","authors":"Vivian M. Y. Yuen, Siu-Wai Choi","doi":"10.1111/anae.70060","DOIUrl":"10.1111/anae.70060","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"81 1","pages":"20-23"},"PeriodicalIF":6.9,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145427793","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}
Zachary J. Moulder, Jason Mann, Paul Bramley, Jana Heinz, Matthew D. Wiles
Introduction
Postoperative sore throat is a common complaint with an incidence of up to 62%. While anaesthetists often perceive this as a minor and self-limiting complication, postoperative sore throat is one of the leading causes of postoperative anaesthesia-related discomfort. Preventative strategies for postoperative sore throat have been studied extensively, but well-evidenced recommendations are lacking.
Methods
We performed a systematic review to summarise interventions which may prevent postoperative sore throat. Two independent reviewers assessed studies against inclusion criteria and completed a Cochrane Risk of Bias 2 assessment for randomised controlled trials. The results were synthesised narratively due to extensive methodological heterogeneity (populations, interventions and outcomes).
Results
We identified 1883 studies, of which 162 met the inclusion criteria (enrolling 21,199 patients). The pooled incidence of postoperative sore throat at 1 h was 32.4% (95%CI 26.9–38.5%) in 43 studies involving tracheal intubation and 29.4% (95%CI 20.5–40.2%) in 18 studies that used a supraglottic airway device. At 24 h, the pooled incidence of postoperative sore throat was 16.4% (95%CI 13.6–19.8%) in 93 studies involving tracheal intubation and 9.9% (95%CI 6.7–14.4%) in 23 studies that used supraglottic airway devices. Interventions with evidence of benefit included maintaining cuff pressure ≤ 60 cmH2O for supraglottic airway devices and ≤ 30 cmH2O for tracheal tubes. For tracheal tubes only, other interventions with benefit included use of topical ketamine; intravenous or topical steroids; and topical non-steroidal anti-inflammatory drugs.
Discussion
Despite the high incidence of postoperative sore throat, the current literature lacks high-quality randomised controlled trials on treatments that prevent a complication that is of importance to patients and their recovery. New research will only add value to this area if studies adequately control for confounders.
{"title":"Postoperative sore throat: a systematic review*","authors":"Zachary J. Moulder, Jason Mann, Paul Bramley, Jana Heinz, Matthew D. Wiles","doi":"10.1111/anae.70048","DOIUrl":"10.1111/anae.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Postoperative sore throat is a common complaint with an incidence of up to 62%. While anaesthetists often perceive this as a minor and self-limiting complication, postoperative sore throat is one of the leading causes of postoperative anaesthesia-related discomfort. Preventative strategies for postoperative sore throat have been studied extensively, but well-evidenced recommendations are lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed a systematic review to summarise interventions which may prevent postoperative sore throat. Two independent reviewers assessed studies against inclusion criteria and completed a Cochrane Risk of Bias 2 assessment for randomised controlled trials. The results were synthesised narratively due to extensive methodological heterogeneity (populations, interventions and outcomes).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified 1883 studies, of which 162 met the inclusion criteria (enrolling 21,199 patients). The pooled incidence of postoperative sore throat at 1 h was 32.4% (95%CI 26.9–38.5%) in 43 studies involving tracheal intubation and 29.4% (95%CI 20.5–40.2%) in 18 studies that used a supraglottic airway device. At 24 h, the pooled incidence of postoperative sore throat was 16.4% (95%CI 13.6–19.8%) in 93 studies involving tracheal intubation and 9.9% (95%CI 6.7–14.4%) in 23 studies that used supraglottic airway devices. Interventions with evidence of benefit included maintaining cuff pressure ≤ 60 cmH<sub>2</sub>O for supraglottic airway devices and ≤ 30 cmH<sub>2</sub>O for tracheal tubes. For tracheal tubes only, other interventions with benefit included use of topical ketamine; intravenous or topical steroids; and topical non-steroidal anti-inflammatory drugs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Despite the high incidence of postoperative sore throat, the current literature lacks high-quality randomised controlled trials on treatments that prevent a complication that is of importance to patients and their recovery. New research will only add value to this area if studies adequately control for confounders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"81 1","pages":"116-133"},"PeriodicalIF":6.9,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145375952","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}
{"title":"Interpreting the afternoon disadvantage: accounting for mediation, weighting and secular trends: a reply.","authors":"Ji-Hoon Sim","doi":"10.1111/anae.70052","DOIUrl":"https://doi.org/10.1111/anae.70052","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":" ","pages":""},"PeriodicalIF":6.9,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145385783","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":"Conscious sedation vs. general anaesthesia for the peri-operative management of patients undergoing transcatheter aortic valve implantation: a reply.","authors":"Mike Charlesworth","doi":"10.1111/anae.70051","DOIUrl":"https://doi.org/10.1111/anae.70051","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":" ","pages":""},"PeriodicalIF":6.9,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145385779","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":"High neuraxial block in obstetrics: are we only seeing the tip of the iceberg?","authors":"Rebecca Crosby, Cliff Shelton, Allison Lee","doi":"10.1111/anae.70045","DOIUrl":"10.1111/anae.70045","url":null,"abstract":"","PeriodicalId":7742,"journal":{"name":"Anaesthesia","volume":"81 1","pages":"8-11"},"PeriodicalIF":6.9,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145339010","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：