Question Spotting
Mar 30, 2009 in Uncategorized
So we’ve been going through the last few months of journals and have a few articles that might make it into the exam.
From March 2009 BJA:
Editorial: Hypotension in obstetric spinal anaesthesia: a lesson from pre-eclampsia
The other editorial, whilst interesting, I don’t think contains enough substance to have a question generated from it (though I could be wrong), but it does raise some issues about the use of red blood cells, and alternatives.
Article on Regional Anaesthesia: Ultrasound guidance compared with electrical neurostimulation for peripheral nerve block: a systematic review and meta-analysis of randomized controlled trials.
From February 2009 BJA:
Editorial: Central neuraxial block: defining risk more clearly
This is an editorial on the recently published NAP 3 project on the complications of Central Neuraxial Blockade. If you’re going into the exam without having read this and the results of NAP 3, then I think you are missing out on the possibility of scoring highly in a highly probable question. The editorial is accompanied by the article Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists in the same issue.
Review Article: Antifibrinolytics in cardiac surgical patients receiving aspirin: a systematic review and meta-analysis
Another highly probable question. This is a much discussed topic, and an important one.
Obstetric Article: Conversion of epidural labour analgesia to anaesthesia for Caesarean section: a prospective study of the incidence and determinants of failure
Another actually quite interesting article. One I even thought of reading when I saw the title. I can’t honestly say that’s something I do much when it comes to the blue journal…
From January 2009 BJA
Editorial Emergency Caesarean delivery: is supplementary maternal oxygen necessary?
Um…interesting question, and I never would have thought it would be one to feature in an editorial, however, they do make the point at the end, even if there is a risk to the foetus, the risk/benefit ratio is still in favour of giving supplemental oxygen.
Review: Bone cement implantation syndrome
Funnily enough this was a topic of a presentation at a departmental meeting recently at my hospital…
Clinical Practice: Onset and effectiveness of rocuronium for rapid onset of paralysis in patients with major burns: priming or large bolus
Obstetric Anaesthesia: Supplementary oxygen for emergency Caesarean section under regional anaesthesia,
From December 2008 BJA
Editorial: Can we accurately assess an individual’s perioperative risk?
The eternal question!!
Obstetrics: Intravenous oxytocin bolus of 2 units is superior to 5 units during elective Caesarean section
I’m not sure that this will make a question, but since I used 10U of oxytocin when I first did obstetrics, and I now use 5U, perhaps a further reduction is in order.
From November 2008 BJA
Clinical Practice: Effect of prewarming on post-induction core temperature and the incidence of inadvertent perioperative hypothermia in patients undergoing general anaesthesia
NICE published guidelines in April 2008 on Perioperative Hypothermia (inadvertent), and in these they mention that if a patient’s temperature is less than 36°C before an operation they should be prewarmed. Here is a study looking into the effects of prewarming.
From October 2008 BJA
Editorial: Calcium channel blockers, beta-blockers, and perioperative cardiovascular stability
Review: Positive pressure ventilation: what is the real cost?
Clinical Practice: Multicentre, parallel-group, comparative trial evaluating the efficacy and safety of sugammadex in patients with end-stage renal failure or normal renal function
Clinical Practice: Risk factors for severe postoperative nausea and vomiting in a randomized trial of nitrous oxide-based vs nitrous oxide-free anaesthesia
Critical Care: Transport with ongoing cardiopulmonary resuscitation may not be futile
Not sure that this will make a question really, but again, it’s quite interesting.
(MORE WILL FOLLOW!)
