Pub Date : 2026-02-02DOI: 10.1016/j.bja.2025.12.044
Christian Breschan, Gudrun Graf, Christoph Arneitz, Haro Stettner, Markus Koestenberger, Rudolf Likar
{"title":"Cannulation of the brachiocephalic vein in very low weight infants: analysis of a retrospective single-centre case series","authors":"Christian Breschan, Gudrun Graf, Christoph Arneitz, Haro Stettner, Markus Koestenberger, Rudolf Likar","doi":"10.1016/j.bja.2025.12.044","DOIUrl":"https://doi.org/10.1016/j.bja.2025.12.044","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"15 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109963","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}
Pub Date : 2026-01-30DOI: 10.1016/j.bja.2025.12.047
Gerard S. Angeles-Fite, Sara García-Ballester, Federico Migliorelli, Lidia Gómez-López, Beatriz Tena, Marina Vendrell, Manuel López-Baamonde, Juan M. Perdomo, Cristina Ibañez, Raquel Bergé, Tomás Cuñat, Johannes Schäfer, Albert Carramiñana, Miriam F. Panzeri, Ricard Valero, Christopher Neuhaus
{"title":"Validity and reliability of simulation-based assessment tools for European Training Requirement-defined competencies in anaesthesiology: a two-centre observational pilot study","authors":"Gerard S. Angeles-Fite, Sara García-Ballester, Federico Migliorelli, Lidia Gómez-López, Beatriz Tena, Marina Vendrell, Manuel López-Baamonde, Juan M. Perdomo, Cristina Ibañez, Raquel Bergé, Tomás Cuñat, Johannes Schäfer, Albert Carramiñana, Miriam F. Panzeri, Ricard Valero, Christopher Neuhaus","doi":"10.1016/j.bja.2025.12.047","DOIUrl":"https://doi.org/10.1016/j.bja.2025.12.047","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"282 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146089566","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}
Pub Date : 2026-01-29DOI: 10.1016/j.bja.2026.01.013
Clive N. May, Mark P. Plummer, Yugeesh R. Lankadeva
{"title":"Reversal of cerebral ischaemia and hypoxia and of sickness behaviour by megadose sodium ascorbate in ovine Gram-negative sepsis. Response to Br J Anaesth 2026; 136: 781–2","authors":"Clive N. May, Mark P. Plummer, Yugeesh R. Lankadeva","doi":"10.1016/j.bja.2026.01.013","DOIUrl":"https://doi.org/10.1016/j.bja.2026.01.013","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"31 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146072226","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}
Pub Date : 2026-01-29DOI: 10.1016/j.bja.2026.01.012
Pouline M.P. van Oort, Lynn E. Snijder, Jasper M. Kampman, Nicolaas H. Sperna Weiland
{"title":"Life cycle assessment of reusable versus single-use disposable forced-air warming blankets. Response to Br J Anaesth 2026; 136: 439–42","authors":"Pouline M.P. van Oort, Lynn E. Snijder, Jasper M. Kampman, Nicolaas H. Sperna Weiland","doi":"10.1016/j.bja.2026.01.012","DOIUrl":"https://doi.org/10.1016/j.bja.2026.01.012","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"1 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071541","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":"Erector spinae plane block versus paravertebral block for major oncological breast surgery. Response to Br J Anaesth 2026; 136: 386–7","authors":"Julien Raft, Anne-Sophie Lamotte, Aline Albi-Feldzer","doi":"10.1016/j.bja.2025.12.026","DOIUrl":"https://doi.org/10.1016/j.bja.2025.12.026","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"76 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146072228","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}
Pub Date : 2026-01-27DOI: 10.1016/j.bja.2025.12.051
Hao Kong, Hong Zhang
{"title":"qNOX index for quantification of intraoperative nociception and analgesia. Response to Br J Anaesth 2025; 135: 1091–3","authors":"Hao Kong, Hong Zhang","doi":"10.1016/j.bja.2025.12.051","DOIUrl":"https://doi.org/10.1016/j.bja.2025.12.051","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"102 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146056080","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}
Pub Date : 2026-01-27DOI: 10.1016/j.bja.2026.01.009
Kunal K. Sharma
{"title":"Photoacoustic detection of propofol in breath gas for monitoring depth of anaesthesia: application in neuroanaesthesia. Comment on Br J Anaesth 2025; 135: 1203-11","authors":"Kunal K. Sharma","doi":"10.1016/j.bja.2026.01.009","DOIUrl":"https://doi.org/10.1016/j.bja.2026.01.009","url":null,"abstract":"","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"30 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146056078","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}
Pub Date : 2026-01-27DOI: 10.1016/j.bja.2025.12.048
Adriano Servetti, Denise Battaglini, Nicolò A. Patroniti, Sarah Al Sharie, Basil Jouryyeh, Loui Al-Husinat, John J. Marini, Patricia R.M. Rocco
Positive end-expiratory pressure (PEEP) is a fundamental component of mechanical ventilation in patients with acute respiratory distress syndrome (ARDS). However, identifying the optimal PEEP remains a clinical challenge owing to the heterogeneity of lung injury and the resulting regional variability in mechanical properties. A variety of techniques have been proposed to guide individualised PEEP titration, each based on distinct physiological principles and associated with specific advantages and limitations. Among these, oxygenation-based titration remains the most commonly applied method, although its limitations are well recognised. Alternative strategies, including compliance-guided methods, driving pressure (ΔP) minimisation, and oesophageal pressure-guided ventilation, are gaining attention but require further validation. Imaging modalities, ranging from conventional chest radiography to advanced tools such as chest CT, electrical impedance tomography, and lung ultrasound, provide valuable insights into alveolar recruitment and can support more precise PEEP adjustment. This narrative review critically evaluates current approaches to PEEP titration in ARDS, emphasising the integration of physiological and imaging-based strategies to optimise lung recruitment while minimising ventilator-induced lung injury. An integrative strategy that combines physiological assessment, imaging, and continuous monitoring offers the greatest potential to individualise PEEP. Ongoing technological and clinical advances are likely to further improve the feasibility and effectiveness of personalised PEEP titration in critical care.
{"title":"Optimising positive end-expiratory pressure in acute respiratory distress syndrome: a narrative review of approaches to titration","authors":"Adriano Servetti, Denise Battaglini, Nicolò A. Patroniti, Sarah Al Sharie, Basil Jouryyeh, Loui Al-Husinat, John J. Marini, Patricia R.M. Rocco","doi":"10.1016/j.bja.2025.12.048","DOIUrl":"https://doi.org/10.1016/j.bja.2025.12.048","url":null,"abstract":"Positive end-expiratory pressure (PEEP) is a fundamental component of mechanical ventilation in patients with acute respiratory distress syndrome (ARDS). However, identifying the optimal PEEP remains a clinical challenge owing to the heterogeneity of lung injury and the resulting regional variability in mechanical properties. A variety of techniques have been proposed to guide individualised PEEP titration, each based on distinct physiological principles and associated with specific advantages and limitations. Among these, oxygenation-based titration remains the most commonly applied method, although its limitations are well recognised. Alternative strategies, including compliance-guided methods, driving pressure (ΔP) minimisation, and oesophageal pressure-guided ventilation, are gaining attention but require further validation. Imaging modalities, ranging from conventional chest radiography to advanced tools such as chest CT, electrical impedance tomography, and lung ultrasound, provide valuable insights into alveolar recruitment and can support more precise PEEP adjustment. This narrative review critically evaluates current approaches to PEEP titration in ARDS, emphasising the integration of physiological and imaging-based strategies to optimise lung recruitment while minimising ventilator-induced lung injury. An integrative strategy that combines physiological assessment, imaging, and continuous monitoring offers the greatest potential to individualise PEEP. Ongoing technological and clinical advances are likely to further improve the feasibility and effectiveness of personalised PEEP titration in critical care.","PeriodicalId":9250,"journal":{"name":"British journal of anaesthesia","volume":"33 1","pages":""},"PeriodicalIF":9.8,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146056082","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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