Rapid Sequence

This podcast was recorded live at the Association of Anaesthetists Annual Congress 2024 in Harrogate.

We recently published a new multidisciplinary consensus statement from the Association of Anaesthetists and the British Pain Society. We were delighted to join authors Dr Helen Laycock and Prof Kariem El-Boghdadly to discuss the need for this new document, how it was written...

This podcast was recorded following the airway session at the Association of Anaesthetists Annual Congress 2024 in Harrogate.

Our dissemination Editor Dr Maryann Turner was joined by Prof Kariem El-Boghdadly, Dr Emilie Hoogenboom, Prof Ed Mariano and Dr Imran Ahmad. The discussion was around difficult airway management and how the choice between technique A vs. B vs. C vs. others never has an obvious 'correct' answer. For this sess...

The 7th National Audit Project (NAP7) of the RCoA examined peri-operative cardiac arrest and each of the three phases captured the involvement of anaesthesia associates in clinical practice. In view of current interest and controversy concerning the roles and scope of practice of anaesthesia associates, the authors aimed to share a full account of information collected during NAP7 to add to the limited ...

There are lots of excellent papers this month which have been highlighted by our dissemination editors Maryann and Mike! This month, they discuss:

1. Still a ‘boys’ club': a qualitative analysis of how gender affects a career in anaesthesia in Australia and Aotearoa New Zealand
2. Successful return to work in anaesthesia after maternity leave: a qualitative study
3. Impact of postoperative cardiovascular com...

This month, Dr Maryann Turner is joined by Professor Kariem El-Boghdadly to discuss three papers from the June 2024 issue.

1. Comparison of the success rate of tracheal intubation between stylet and bougie with a hyperangulated videolaryngoscope: a randomised controlled trial.
2. The effect of a bundle intervention for ambulatory otorhinolaryngology procedures on same-day case cancellation rate and associ...

The Opioid PrEscRiptions and Usage After Surgery (OPERAS) study aimed to quantify the current global practice of opioid prescribing and consumption patterns in patients after discharge from common surgical procedures, and to identify factors associated with increased opioid consumption.

It found that double the quantity of opioids patients consume in the post-discharge period are prescribed at discharge, exposing them to risk of op...

Despite a lack of supporting evidence, airway management in patients with suspected or confirmed cervical spine injury is traditionally thought to increase the risk of worsening existing neurological deficits (secondary spinal cord injury) or risk of causing a new spinal cord injury (primary spinal cord injury). Although there has been evidence synthesis for specific elements of airway management in this setting, there has been lit...

While effective for acute pain control, recent pre-clinical evidence has raised concerns regarding an association between NSAIDs and chronic pain and potential opioid use. The objective of this paper was to explore the association between peri-operative use of prescription NSAIDs and the need for continued opioid prescriptions lasting 90–180 days in previously opioid-naïve patients undergoing total knee...

Gender inequity remains an issue in anaesthesia despite increasing numbers of women training and achieving fellowship in the speciality. Women are under-represented in all areas of anaesthetic research, academia and leadership. This podcast featuring Dr Seema Agarwal discusses two new qualitative papers on related topics. The first is an analysis of how gender affects a career in anaesthesia in Australi...

This month, Dr Maryann Turner takes the helm to discuss three papers from the May issue with Dr Mike Charlesworth.

The first is a national prospective observational cohort study of risk factors for complications after emergency surgery for paediatric appendicitis. The second is a new Resuscitation Council UK algorithm for the emergency treatment of peri-operative anaphylaxis...

The April issue contains lots of excellent clinically-orientated papers and this month, Associate Editor Dr Nicolai Bang Foss has chosen three that caught his eye.

The first is a comparison of a new intravenous agent remimazolam vs. propofol for TIVA and we talk about depth of anaesthesia, hypotension and everything inbeteeen. The second is a new PQIP study modelling postoperative complications and their prediction. Finally, we tal...

This month, all the main articles in the issue come from a special collection on sustainable healthcare, climate science and the anaesthetist. All papers are free to read, forever!

Our Associate Editor, Dr Ben Gibbison, has chosen three of his favourite from the issue to discuss. These include an editorial on misconceptions about sustainable anaesthesia, a review of background science on global warming potentials and a comparison o...

There have been few large-scale, prospective cohort studies focusing on postoperative cardiovascular complications and their impact on postoperative mortality.

This international prospective cohort study aimed to define the incidence and timing of these complications and to investigate their impact on 30-day all-cause mortality. The authors performed a prospective, international cohort study between January 2022 and May 2022. Data ...