CurrentAnesthesia — newest Briefs

Characteristics and Outcomes After General Anaesthesia in Elderly Patients: A Nationwide Cohort Study

2026-10-28T10:36:56.498Z

Cohort study · Acta Anaesthesiol Scand, 2026.

Environmental scan of Indigenous resources and culturally specific tools across intensive care units in Alberta, Canada

2026-10-28T10:36:56.498Z

Research article · Can J Anaesth, 2026.

Regional analgesic techniques for postoperative pain after kidney transplantation: a systematic review and Bayesian meta-analysis

2026-10-28T10:36:56.498Z

Meta-analysis · Br J Anaesth, 2026.

Early postoperative non-steroidal anti-inflammatory drugs and anastomotic leakage after oesophagectomy

2026-10-28T04:50:19.556Z

Cohort study · Br J Surg, 2022. Anastomotic leakage — NSAIDs vs No NSAIDs: OR 1.04 (95 per cent CI 0.97 to 1.10); stabilized IPTW

Sex-specific differences in the standard of care for infrarenal abdominal aortic aneurysm repair, and risk of major adverse cardiovascular events and death

2026-10-28T04:50:19.556Z

Cohort study · Br J Surg, 2023. MACED: Women 12.0 per cent; open repair 12.0 per cent; endovascular repair 4.9 per cent · Men 8.9 per cent; open repair 8.9 per cent; endovascular repair 2.9 per cent

Tranexamic acid and blood loss in pancreaticoduodenectomy: TAC-PD randomized clinical trial

2026-10-28T04:50:19.556Z

Randomised controlled trial · Br J Surg, 2022. Intraoperative blood loss: TXA mean 659 ml · Placebo mean 701 ml

Association Between Hemorrhage Control Interventions and Mortality in US Trauma Patients With Hemodynamically Unstable Pelvic Fractures

2026-10-28T04:49:16.800Z

Cohort study · JAMA Surg, 2023. Mortality — Pelvic AE: OR 0.62 (95% CI 0.47 to 0.82); P < .001; regression analysis; only pelvic AE associated with mortality reduction

Association of a Liberal Fasting Policy of Clear Fluids Before Surgery With Fasting Duration and Patient Well-being and Safety

2026-10-28T04:49:16.800Z

Research article · JAMA Surg, 2023. Change in fasting duration: Estimated fasting duration decrease after implementation of the liberal policy (time series analysis), hours (IQR, 1:36-7:22; P < .001) 3:07

Comparison of Postoperative Outcomes of Laparoscopic vs Open Inguinal Hernia Repair

2026-10-28T04:49:16.800Z

Cohort study · JAMA Surg, 2023. Postoperative complications and operative time — Laparoscopic vs Open general: difference in postoperative complications -0.15% (95% CI -0.39 to 0.09); P = .22; nonsignificant reduction

Cost-effectiveness of Fibrinogen Concentrate vs Cryoprecipitate for Treating Acquired Hypofibrinogenemia in Bleeding Adult Cardiac Surgical Patients

2026-10-28T04:49:16.800Z

Randomised controlled trial · JAMA Surg, 2023. Total 28-day cost, 28 days: Fibrinogen concentrate Median CAD $38 180 (IQR CAD $26 350 [USD $19 622]-CAD $65 080 [USD $48 463]) · Cryoprecipitate Median CAD $38 790 (IQR CAD $26 180 [USD $19 495]-CAD $70 380 [USD $52 409])

Electroacupuncture vs Sham Electroacupuncture in the Treatment of Postoperative Ileus After Laparoscopic Surgery for Colorectal Cancer: A Multicenter, Randomized Clinical Trial

2026-10-28T04:49:16.800Z

Randomised controlled trial · JAMA Surg, 2023. Time to first defecation: EA median 76.4 (IQR 67.6-96.8) hours · SA median 90.0 (IQR 73.6-100.3) hours

Effect of High-Dose Selenium on Postoperative Organ Dysfunction and Mortality in Cardiac Surgery Patients: The SUSTAIN CSX Randomized Clinical Trial

2026-10-28T04:49:16.800Z

Randomised controlled trial · JAMA Surg, 2023. Composite of days alive and free from organ dysfunction, first 30 days after cardiac surgery: Selenium median 29 (IQR 28-30) days · Placebo median 29 (IQR 28-30) days

Zone 1 Endovascular Balloon Occlusion of the Aorta vs Resuscitative Thoracotomy for Patient Resuscitation After Severe Hemorrhagic Shock

2026-10-28T04:49:16.800Z

Cohort study · JAMA Surg, 2023. Mortality: REBOA 44 (78.6%) · RT 52 (92.9%)

Association Between Blood Donor Demographics and Post-injury Multiple Organ Failure after Polytrauma

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2021. MOF by donor sex and age: Donor-recipient sex mismatched RBC transfusions more likely associated with MOF P = 0.0012

Association Between Naloxone Coprescription Mandates and Postoperative Outcomes

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2023. ED visit or hospital admission, 30 postoperative days: No significant association between naloxone prescribing mandates and the primary outcomes

Association of Kidney Function With Major Postoperative Events After Noncardiac Ambulatory Surgeries: A Population-Based Cohort Study

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2023. Death or AMI, 30 days — G3a vs G1-2: aOR 1.1 (95% CI 1.0-1.3)

Burn Resuscitation Practices in North America: Results of the Acute Burn ResUscitation Multicenter Prospective Trial (ABRUPT)

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2021. Total fluid received, 24 hours: Albumin mean 5.2 ± 2.3 mL/kg/% TBSA burn/24 hours · Crystalloid mean 3.7 ± 1.7 mL/kg/% TBSA burn/24 hours

Development and Validation of an Electronic Health Record-based Score for Triage to Perioperative Medicine

2026-10-28T04:46:28.518Z

Diagnostic or prognostic study · Ann Surg, 2021. Discrimination for post-operative morbidity (AUC): CAST: AUC 0.75 · Surgeon's complexity designation: AUC 0.63 · ASA: AUC 0.65

Direct Trauma Center Access by Helicopter Emergency Medical Services is Associated With Improved Survival After Severe Injury

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2023. Survival — Direct helicopter vs NTC ground + transfer: aOR for survival 2.78 (95% CI 2.24-3.44); P <0.01; described as a nearly 2-fold increase in odds of survival

Enhanced Recovery After Surgery Patients Are Prescribed Fewer Opioids at Discharge: A Propensity-score Matched Analysis

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2023. Discharge opioid pills and oral morphine equivalents (matched): Post-ERAS 17.4 pills; oral morphine equivalents 129.4 mg · Pre-ERAS 22.0 pills; oral morphine equivalents 167.6 mg

Enhanced Recovery Protocols Reduce Mortality Across Eight Surgical Specialties at Academic and University-affiliated Community Hospitals

2026-10-28T04:46:28.518Z

Case-control study · Ann Surg, 2020. Mortality: 30-day mortality: ERP 0.2% vs control 0.6% (P = 0.002)

Evidence-Based Opioid Prescribing Guidelines and New Persistent Opioid Use After Surgery

2026-10-28T04:46:28.518Z

Research article · Ann Surg, 2023. New persistent opioid use (adjusted incidence): Michigan 2.51% (95% CI 2.35-2.67%); before guidelines 3.29% (95% CI 3.15-3.43%)

Impact of Preoperative Immunonutrition on the Outcomes of Colon Cancer Surgery: Results from a Randomized Controlled Trial

2026-10-28T04:46:28.518Z

Randomised controlled trial · Ann Surg, 2021. Rate of infectious complications: Immunonutrition 17.7% · Normal diet 15.9%

Implementation of a Surgical Critical Care Service Reduces Failure to Rescue in Emergency Gastrointestinal Surgery in Rural Kenya

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2021. FTR rate: No SCCS 36.8% (95% CI 26.7%-47.8%) · SCCS 21.8% (95% CI 13.2%-32.6%)

Improved Preoperative Risk Assessment Tools Are Needed to Guide Informed Decision Making before Esophagectomy

2026-10-28T04:46:28.518Z

Diagnostic or prognostic study · Ann Surg, 2020. Discrimination of complications (C-index): SRC C-index 0.553; C-index, open esophagectomy 0.569; C-index, minimally invasive esophagectomy 0.542 · Frailty index C-index 0.513; C-index, serious complication 0.523; C-index, readmission 0.559

Inter-Rater Agreement of the Classification of Intraoperative Adverse Events (ClassIntra) in Abdominal Surgery

2026-10-28T04:46:28.518Z

Secondary analysis · Ann Surg, 2023. Inter-rater agreement of ClassIntra grades (Cohen kappa): Cohen kappa coefficient for ClassIntra grades, 95% CI 0.84-0.90 0.87

Lifestyle Optimization Leads to Superior Liver Regeneration in Live Liver Donors and Decreases Early Allograft Dysfunction in Recipients: A Randomized Control Trial

2026-10-28T04:46:28.518Z

Randomised controlled trial · Ann Surg, 2023. Day of normalization of serum bilirubin and PT-INR; percentage liver growth, POD 7 and 14 — Intervention vs Control; P =0.005; day of normalization of bilirubin, less in intervention

Low Preoperative Serum Creatinine is Common and Associated With Poor Outcomes After Nonemergent Inpatient Surgery

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2022. 30-day mortality and major complications — Males ≤0.44 vs Males 0.85 to 1.04: aOR (mortality) 1.55 (95% CI 1.29-1.86)

Objective Activity Parameters Track Patient-specific Physical Recovery Trajectories After Surgery and Link With Individual Preoperative Immune States

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2021. Whether accelerometry-derived objective physical parameters accurately track patient-specific physical recovery profiles, vs benchmark metrics incl. step count, and link with preoperative immune state: Patient-specific temporal patterns of physical function derived with precision superior to benchmark metrics

Optimal Timing of Perioperative Chemoprophylaxis in Patients With High Thromboembolic Risk Undergoing Major Abdominal Surgery: A Multicenter Cohort Study

2026-10-28T04:46:28.518Z

Meta-analysis · Ann Surg, 2022. Clinical VTE, <30 days postsurgery: Early 0.7% · Postop 0.7%

Optimizing Trauma Systems: A Geospatial Analysis of the Victorian State Trauma System

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2023. Transport directly to a major trauma service (MTS): Transported directly to an MTS (all patients, observed) 58%

Postoperative Overtriage to an Intensive Care Unit Is Associated With Low Value of Care

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2022. Value of care: Overtriage 2.9 (range 2.0-4.0) · Controls 24.2 (range 14.1-34.5)

Preoperative Heart Failure Treatment Prevents Postoperative Cardiac Complications in Patients With Lower Risk: A Retrospective Cohort Study

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2021. Cardiac complications (composite of MI, cardiac arrest, acute HF and mortality), 30 postoperative days: Heart failure 8.1% · No heart failure 1.1%

Prevalence, Management, and Outcomes Related to Preoperative Medical Orders for Life Sustaining Treatment (MOLST) in an Adult Surgical Population: Preoperative MOLST and Code Status Discussions

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2020. Documented presurgery code status discussion: MOLST 169 (42.0%)

Prospective Evaluation of a Tiered Opioid Prescribing Guideline for Inpatient Colorectal Operations

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2021. Opioid prescribing (EOP): Reduction in mean prescription quantity 41%

Reasons for Long-term Opioid Prescriptions After Guideline-directed Opioid Prescribing and Excess Opioid Pill Disposal

2026-10-28T04:46:28.518Z

Secondary analysis · Ann Surg, 2021. Long-term opioid rx filled, 3 to 12 months after surgery: Filled an opioid rx 3 to 12 months after surgery 15.3% (34/221)

Review Paper on Penetrating Brain Injury: Ethical Quandaries in the Trauma Bay and Beyond

2026-10-28T04:46:28.518Z

Guideline or statement · Ann Surg, 2022. Traditional TBI prognostic signs may not be applicable to PBI; multidisciplinary team approach suggested case by case

Routine Postsurgical Anesthesia Visit to Improve 30-day Morbidity and Mortality: A Multicenter, Stepped-wedge Cluster Randomized Interventional Study (The TRACE Study)

2026-10-28T04:46:28.518Z

Randomised controlled trial · Ann Surg, 2021. 30-day mortality, 30 days: Control 14 (0.56%) · Intervention 12 (0.44%)

Should Cell Salvage Be Used in Liver Resection and Transplantation? A Systematic Review and Meta-analysis

2026-10-28T04:46:28.518Z

Meta-analysis · Ann Surg, 2022. Allogeneic RBC transfusion, liver transplant — IBSA vs Control: mean difference -1.81 (95% CI -3.22, -0.40); P =0.01; I 2 =86%, very-low certainty

The Effect of Cryotherapy Application on Postoperative Pain: A Systematic Review and Meta-analysis

2026-10-28T04:46:28.518Z

Meta-analysis · Ann Surg, 2023. Postoperative pain — Cryotherapy vs No cryotherapy: SMD -0.50 (95% CI -0.71 to -0.29); POD 1; I² = 74%

The Golden Hour of Casualty Care: Rapid Handoff to Surgical Team is Associated With Improved Survival in War-injured US Service Members

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2023. 24-hour mortality, 24 hours — Handoff within 1 hour vs Delayed surgical care: aHR 0.34 (95% CI 0.14-0.82); P = 0.02; handoff alive to the surgical team

Transfusion-free Strategies in Liver and Pancreatic Surgery: A Predictive Model of Blood Conservation for Transfusion Avoidance in Mainstream Populations

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2022. Perioperative outcomes of transfusion-free liver and pancreatic resections: Liver 7.0%; Clavien grade ≥3 morbidity 7.0% · Pancreas 15.9%; Clavien grade ≥3 morbidity 15.9%

Variation in Anesthesiology Provider–Volume for Complex Gastrointestinal Cancer Surgery: A Population-Based Study

2026-10-28T04:46:28.518Z

Cohort study · Ann Surg, 2023. Variation in delivery of high-volume anesthesiology care (adjusted): Variation attributable to between-anesthesiologist differences (VPC) 0.32

Association Between Preoperative Diabetes Control and Postoperative Adverse Events Among Veterans Health Administration Patients With Diabetes Who Underwent Elective Ambulatory Hernia Surgery

2026-10-28T04:44:26.953Z

Cohort study · JAMA Netw Open, 2023. Postoperative adverse events

Association of Days Alive and at Home at Day 90 After Intensive Care Unit Admission With Long-term Survival and Functional Status Among Mechanically Ventilated Patients

2026-10-28T04:44:26.953Z

Secondary analysis · JAMA Netw Open, 2023. Mortality at 1 year after ICU admission (survivors to day 90) — Tertile 1 vs Tertile 3: aHR for death 0.18 (95% CI 0.07-0.43); P < .001; lower DAAH90 associated with higher mortality

Association of Vitamin C, Thiamine, and Hydrocortisone Infusion With Long-term Cognitive, Psychological, and Functional Outcomes in Sepsis Survivors: A Secondary Analysis of the Vitamin C, Thiamine, and Steroids in Sepsis Randomized Clinical Trial

2026-10-28T04:44:26.953Z

Secondary analysis · JAMA Netw Open, 2023. Long-term cognitive, psychological and functional outcomes, 6 months — Intervention vs Control: aOR 0.49 (95% CI 0.26-0.89); immediate memory scores (lower)

Clinical Outcomes and Hospital Utilization Among Patients Undergoing Bariatric Surgery With Telemedicine Preoperative Care

2026-10-28T04:44:26.953Z

Cohort study · JAMA Netw Open, 2023. Clinical outcomes (operating room delay, procedure duration, LOS, MAE) and hospital utilization (ED visit or readmission within 30 days): Operating room delay, minutes: Telemedicine mean 7.8 (SD 25.1; 95% CI 5.1-10.5) vs Control 4.2 (SD 11.1; 95% CI 1.0-7.4); noninferior P = .002

Comparative Effectiveness of Intracranial Pressure Monitoring vs No Monitoring in Severe Penetrating Brain Injury Management

2026-10-28T04:44:26.953Z

Cohort study · JAMA Netw Open, 2023. Mortality (PS-matched): ICP monitoring 72 (30.9%) · No ICP monitoring 95 (40.8%)

Comparison of Opioids Prescribed by Advanced Practice Clinicians vs Surgeons After Surgical Procedures in the US

2026-10-28T04:44:26.953Z

Cross-sectional study · JAMA Netw Open, 2023. Prescriptions written by APCs: Perioperative opioid prescriptions written by APCs (119 266 of 628 197) 19.0%

Defining Posttraumatic Sepsis for Population-Level Research

2026-10-28T04:44:26.953Z

Cohort study · JAMA Netw Open, 2023. Chronic critical illness and in-hospital mortality — Automated clinical criteria: adjusted RR of chronic critical illness 9.9 (95% CI 8.0-12.3)