Issue #[05] | Week of [18/07/2025] - [24/07/2025]

Welcome!

Hey there!

This week's issue is full of Obsevational studies, but there's some interesting papers including some RCTs and systematic reviews & meta-analyses.

Do you think it's better to include all papers in the newsletter, or should I limit it to guidelines, systematic reviews & meta-analyses, RCTs, and reviews?

Some numbers:

1-Anesthesiology:

• Guidelines: 01
• Systematic reviews & meta analyses: 06
• RCTs: 15
• Obsevational studies: 04
• Reviews: 07
• Other: 32

2-Critical Care:

• Guidelines: 00
• Systematic reviews & meta analyses: 03
• RCTs: 05
• Obsevational studies: 36
• Reviews: 06
• Other: 41

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Anesthesiology:

1-General:

1. Efficacy and safety of ciprofol versus propofol for anesthesia in patients undergoing gastrointestinal endoscope: a systematic review and meta-analysis of randomized controlled trials (RCT), BMC Anesthesiology, 19 July 2025, Systematic Review and Meta-analysis, Link
2. Continuation versus Discontinuation of Renin-Angiotensin System Inhibitors Before Noncardiac Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Systematic Review and Meta-Analysis, Link
3. Efficacy and safety of adamgammadex for reversing rocuronium-induced deep neuromuscular block: a multicentre, randomized, double-blind, positive-controlled phase III trial, BJA, August 2025, RCT, Link
4. Deep versus Moderate Neuromuscular Blockade During Total Hip Replacement Surgery on Postoperative Recovery and Immune Function: A Randomized Controlled Trial, Anesthesia & Analgesia, 17 July 2025, RCT, Link
5. Development of insulin and its pharmacology and perioperative use: a narrative review, BJA, August 2025, Review, Link
6. Evidence-Based Frailty Assessment for the Older Surgical Patient: a Narrative Review of Instruments, Barriers and Solutions, Current Anesthesiology Reports, 21 July 2025, Review, Link
7. Anesthetic Management of a Bronchopleural Fistula for Non-Thoracic Surgery, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Case Reports, Link
8. Frailty and perioperative outcomes: SNAP-3 as a call to action, BJA, August 2025, Editorial, Link
9. Frailty in the perioperative setting: lessons from SNAP-3, BJA, August 2025, Editorial, Link
10. Non-anaemic iron deficiency in surgical patients: more than just a laboratory finding?, BJA, August 2025, Editorial, Link
11. Intra-arterial lidocaine improves long-term survival in patients with hepatocellular carcinoma undergoing transcatheter arterial chemoembolisation. Response to Br J Anaesth 2025, BJA, 23 July 2025, Correspondence, Link
12. A black swan spotted during emergence from general anaesthesia: alpha and delta oscillations present in a conversing patient, British Journal of Anaesthesia, 23 July 2025, Correspondence, Link
13. Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in the perioperative period: withdraw or continue? A multicentre randomised controlled trial, BJA, 22 July 2025, Correspondence, Link
14. Drug challenge testing in the investigation of neuromuscular blocking agent hypersensitivity. Comment on Br J Anaesth 2025, BJA, August 2025, Correspondence, Link
15. Mitigating the systemic loss of nitrous oxide. Comment on Br J Anaesth 2024, BJA, August 2025, Correspondence, Link
16. Intra-arterial lidocaine improves long-term survival in patients with hepatocellular carcinoma undergoing transcatheter arterial chemoembolisation. Comment on Br J Anaesth 2025, BJA, August 2025, Correspondence, Link

2-Airway & Mechanical Ventilation:

17. High-Flow Nasal Oxygen versus Mechanical Ventilation Through a Laryngeal Mask During General Anesthesia Without Muscle Paralysis: A Randomized Clinical Trial, Anesthesia & Analgesia, 21 July 2025, RCT, Link
18. Incidence of transient sinus pause in cardiac rhythm increases with the use of hyperangulated videolaryngoscope blade compared to standard angle blade during tracheal intubation: A prospective randomized controlled trial, European Journal of Anaesthesiology, 24 July 2025, RCT, Link
19. Clinical Decision-Making and Process Complications During Difficult Airway Management, Anesthesia & Analgesia, 17 July 2025, Letter to the Editor, Link

3-Cardiovascular & Hemodynamics:

20. 2024 EACTS/EACTAIC Guidelines on Patient Blood Management in Adult Cardiac Surgery in Collaboration With EBCP, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Guidelines, Link
21. A Systematic Review and Meta-Analysis of Local-Regional versus General Anesthesia for Elective Endovascular Abdominal Aortic Aneurysm Repair, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Systematic Review and Meta-Analysis, Link
22. Local Versus General Anesthesia for Endovascular Repair of Abdominal Aortic Aneurysm: A Systematic Review and Meta-analysis, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Systematic Review and Meta-analysis, Link
23. A single, blind, randomised controlled trial comparing postoperative analgesic effects of superficial and deep parasternal intercostal blocks in patients undergoing coronary artery bypass grafting surgery, Journal of Cardiothoracic and Vascular Anesthesia, 23 July 2025, RCT, Link
24. Effects of liquid resuscitation guided by internal jugular vein variability during deep inhalation on preventing propofol-induced hypotension in elderly patients, BMC Anesthesiology, 17 July 2025, RCT, Link
25. Effect of Esketamine on Postoperative Delirium and Inflammatory Response in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting: A Randomized Controlled Study, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, RCT, Link
26. Effect of Bicuspid or Tricuspid Aortic Valve on Preoperative Coagulation in Patients Scheduled for Thoracic Aortic Surgery, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, observational study, Link
27. How We Would Use Enhanced Recovery After Cardiac Surgery: What We Would Do for Ourselves During the Perioperative Period, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Review, Link
28. Dependability of Large Language Models in Cardiovascular Medicine: A Scoping Review, Journal of Cardiothoracic and Vascular Anesthesia, 22 July 2025, Review, Link
29. Examining the Safety of Continuing Preoperative Renin-angiotensin System Inhibitors in Noncardiac Surgery, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Review, Link
30. Hyperoxia in Cardiac Surgery: Where Do We Stand?, Journal of Cardiothoracic and Vascular Anesthesia, 21 July 2025, Review, Link
31. Advances in Cardiovascular Pharmacotherapy. III. Sodium-Glucose Cotransporter Type 2 Inhibitors, Part 1: Efficacy in Heart Failure and Myocardial Infarction, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Review, Link
32. A 2024 Update From the American Society of Echocardiography: Multimodality Imaging for Patients With Left Ventricular Assist Devices and Temporary Mechanical Circulatory Support, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Editorial, Link
33. Commentary: refining patient stratification for haemoadsorption in cardiac surgery: comparative reflections on RECCAS, REMOVE, and SIRAKI02, Critical Care, 23 July 2025, Commentary, Link
34. Beyond the 3Ds of the Aortic Valve: Rethinking Durability, Dysfunction, and Decision-Making in TAVR and SAVR, Journal of Cardiothoracic and Vascular Anesthesia, 18 July 2025, Commentary, Link
35. Three-Dimensional Intracardiac Echo: Have Structural Heart Interventions Moved Beyond Transesophageal Echocardiography?, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Editorial, Link
36. Artificial Intelligence to Evaluate Aortic Insufficiency: An Exercise in Machine Learning, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Editorial, Link
37. Noninvasion and Its Relevance in Modern Imaging for Aortic Regurgitation, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Editorial, Link
38. Moderate Aortic Stenosis: Can We Predict Who Will Benefit from Intervention?, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Editorial, Link
39. Aortic Stenosis: A Lifetime of Decision Making, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Editorial, Link
40. Does Benzodiazepine-Free Cardiac Anesthesia Reduce Postoperative Delirium?, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Editorial, Link
41. The Cardiothoracic Anesthesiology Workforce in 2025: The Good, the Bad, and the Admittedly Ugly, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Editorial, Link
42. The Evolving Landscape of Cardiac Anesthesia: Strength in Numbers, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Editorial, Link
43. Advances in Acute Type A Aortic Dissection – expanding the roles of goal-directed echocardiographic imaging throughout the perioperative period, Journal of Cardiothoracic and Vascular Anesthesia, 23 July 2025, Editorial, Link
44. Optimizing Sedation Strategies for Catheter Ablation Procedures: Balancing Safety, Efficacy, and Practice Variations, Circulation, 21 July 2025, Editorial, Link

4-Thoracic:

45. Comparison of the Effects of Combined Rhomboid Intercostal and Sub-Serratus Plane Block versus Rhomboid Intercostal Block on Postoperative Analgesia in Patients Undergoing Video-Assisted Thoracoscopic Surgery for Wedge Resection, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, RCT, Link
46. Anesthetic Management of a Bronchopleural Fistula for Non-Thoracic Surgery, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, Case Reports, Link

5-Neuro:

47. Solving the enigma of burst suppression. Response to Br J Anaesth 2025, BJA, 2025, Commentary, Link

6-Obstetrics & Gynecology:

48. The median Effective Dose (ED₅₀) and the 95% Effective Dose (ED₉₅) of alfentanil in inhibiting responses to cervical dilation when combined with ciprofol during hysteroscopic procedure: a prospective, double-blind, dose-finding clinical study, BMC Anesthesiology, 19 July 2025, RCT! dose finding study, Link
49. Prevalence of Point-of-Care Ultrasound Abnormalities and Raised Serum NT-proBNP in Early-Onset Preeclampsia, Anesthesia & Analgesia, 21 July 2025, observational study, Link

7-Pediatric:

50. Intraoperative Assessment of Cerebral Autoregulation With Cerebral Oximetry Index in Neonates Undergoing Cardiac Surgery: A Pilot Study, Journal of Cardiothoracic and Vascular Anesthesia, August 2025, observational study, Link
51. Combining A ‘Z’ Suture With A Stopcock Assembly For Pediatric Femoral Venous Access Closure, Journal of Cardiothoracic and Vascular Anesthesia, 21 July 2025, Letter to the Editor, Link

8-Regional Anesthesia & Pain Management: