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Identifying Components of an Enhanced Recovery Pathway for Primary Cleft Palate Repair: A Scoping Review.
Cleft Palate Craniofac J
January 2025
Department of Plastic Surgery, Children's Health Ireland at Crumlin, Dublin, Ireland.
Objective: This study aims to map the existing sources of evidence on perioperative care and recovery strategies for primary cleft palate repair, to identify elements that should be included in an enhanced recovery pathway (ERP), and to identify gaps in current knowledge.
Design: Scoping review.
Setting: ERPs are evidence-based, patient-centered, multimodal, perioperative care pathways designed to reduce surgical stress and improve postoperative outcomes and are increasingly being reported in the cleft lip and palate literature.
Lung ultrasound on first postoperative day predicts out-of-hospital pulmonary complications following video-assisted thoracic surgery: A prospective cohort study.
Eur J Anaesthesiol
December 2024
From the Department of Anaesthesiology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, China (ZL, HS, SN, MW, YZ, BL).
Background: The integration of enhanced recovery after surgery (ERAS) protocols into the peri-operative management of video-assisted thoracic surgery (VATS) has facilitated rapid patient recovery, enabling discharge within 48 h. However, postoperative pulmonary complications (PPCs) postdischarge pose significant concerns for patient welfare. Despite the established utility of lung ultrasound (LUS) in diagnosing the causes of dyspnoea, the effectiveness of quantitative LUS in predicting PPCs after VATS remains uncertain.
View Article and Find Full Text PDFThe peri-operative implications of sodium-glucose co-transporter 2 inhibitors: a narrative review.
Anaesthesia
January 2025
Department of Anaesthesiology, University of Hong Kong, Hong Kong.
Introduction: Sodium-glucose co-transporter 2 inhibitors are a novel class of antihyperglycaemic drugs used in the management of type 2 diabetes, that improve glycaemic control, cardiovascular outcomes and promote weight loss. They are also approved for the treatment of heart failure and chronic kidney disease in patients with or without diabetes. This narrative review discusses the peri-operative effects and implications of sodium-glucose co-transporter 2 inhibitors and gives an overview of current evidence and existing peri-operative guidelines.
View Article and Find Full Text PDFRelationship between residual gastric content and peri-operative semaglutide use assessed by gastric ultrasound: a prospective observational study.
Anaesthesia
December 2024
Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada.
Article Synopsis
- Semaglutide, a drug that slows down stomach emptying, may pose risks for patients undergoing surgery due to potential increased residual gastric content and aspiration during anesthesia, especially if taken within 10 days before the operation.
- In a study with 220 patients, those who had taken semaglutide showed a significantly higher incidence (40%) of increased gastric content compared to only 3% in the control group.
- The findings suggest that using semaglutide pre-operatively raises the risk of residual gastric content, although there were no reported cases of aspiration during the surgeries.
European guidelines on peri-operative venous thromboembolism prophylaxis: first update.: Chapter 3: Day surgery and fast-track surgery.
Eur J Anaesthesiol
August 2024
From the Department of Anaesthesia and Intensive Care, Hospital of Northern Zealand, Hillerød (CCJ); The Centre for Fast-track Hip and Knee Replacement, Copenhagen, Denmark (CCJ); Anesthesiology and Critical Care Department, Hospital Universitari Doctor Peset (JL); Universitat de València, València, Spain (JL); Clinique Sainte Odile, Haguenau, France, EHS (J-YJ); Department of Anaesthesia and Critical Care, Grenoble Alpes University Hospital, Grenoble, France; and ESAIC, Brussels, Belgium (JL, PA).
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