Newsletter #32
Hey there!
The past two weeks have been remarkably productive for new publications. Between the 2026 Surviving Sepsis Campaign guidelines and several high-impact clinical trials, there is a lot to cover. Enjoy the read! P.S. I haven’t forgotten the second part of our previous clinical case—I’ve got you covered.
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Anesthesiology:
Guidelines & Consensus:
1- AI:
- Contextualizing AI Evaluation in Anesthesiology: Interpreting Predictive Modeling and Reinforcement Learning Metrics Across Clinical Use Cases—An Expert Statement From the Society of Technology in Anesthesia, Anesthesia & Analgesia, 12 March 2026, Link
2- General:
- Guidelines on Preventing Medication Errors in Anaesthesia and Intensive Care, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
Systematic reviews & meta-analyses:
1- General:
- Comparative safety of esketamine in procedural sedation and analgesia: a systematic review and network meta-analysis, BMC Anesthesiology, 14 March 2026, Link
- The involvement of anaesthetists and other healthcare professionals with surgeons in shared decision-making for adult patients contemplating surgery: a systematic review and narrative analysis, BJA Open, March 2026, Link
2- Cardiovascular & Hemodynamics:
- Impact of hypotension prediction index-guided management on intraoperative hypotension and postoperative outcomes in abdominal surgery: A meta-analysis of randomized controlled trials, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
3- Obstetrics & Gynecology:
- Does peripartum intravenous calcium administration reduce the occurrence of uterine atony in caesarean sections? A systematic review and meta-analysis, European Journal of Anaesthesiology, 24 March 2026, Link
4- Pediatric:
- The effect of esketamine on emergence delirium or agitation in children after anesthesia: a systematic review and meta-analysis, BMC Anesthesiology, 16 March 2026, Link
5- Regional Anesthesia & Pain Management:
- Ketamine’s Immediate Analgesia and Opioid-Sparing Benefits in Laparoscopic Cholecystectomy: A Meta-Analysis of Time Points, Anesthesia Protocols, and Bolus/Infusion Strategies, The Clinical Journal of Pain, 19 March 2026, Link
- Comparison of neuraxial anesthesia and analgesia strategies for obese parturients: a systematic review and network meta-analysis, BMC Anesthesiology, 18 March 2026, Link
- Effect of ultrasound-guided quadratus lumborum block with dexmedetomidine as an adjuvant on postoperative analgesia for gynecological laparoscopic surgery: a randomized controlled trial, BMC Anesthesiology, 17 March 2026, Link
Clinical trials:
1- General:
- Comparison of effects of remimazolam and propofol on mask ventilation during general anaesthesia induction: A randomised controlled trial, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
- Continuous vs Intermittent Postoperative Vital Sign Monitoring: A Cluster Randomized Crossover Trial, JAMA Open, 26 March 2026, Link
- Dynamic effects of low- and high-pressure pneumoperitoneum on optic nerve sheath diameter during laparoscopic cholecystectomy: a prospective, randomized, observer-blinded clinical trial, BMC Anesthesiology, 19 March 2026, Link
2- Airway & Mechanical Ventilation:
- Jiancheng dual-channel vs. i-gel laryngeal mask airway for fiberoptic bronchoscopy: A randomized trial, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
- Provu video stylet-assisted intubation under direct laryngoscopy and video laryngoscopy in high Arne score patients: a randomized clinical trial, BMC Anesthesiology, 18 March 2026, Link
- Sugammadex, neostigmine, and postoperative pulmonary complications: protocol of the SNaPP multicentre randomised controlled trial, BJA Open, March 2026, Link
3- Cardiovascular & Hemodynamics:
- Efficacy of surgeon-administered regional anesthesia in cardiac surgery –A double-blind, two-center, randomized, placebo-controlled trial, Journal of Cardiothoracic and Vascular Anesthesia, 27 March 2026, Link
- Invasive blood pressure monitoring by ultrasound-guided artery cannulation through the distal radial artery approach at the anatomical snuffbox compared with the conventional artery approach: a randomised controlled trial, Journal of Cardiothoracic and Vascular Anesthesia, 25 March 2026, Link
- Effect of ciprofol with etomidate on the occurrence of hypotension in elderly patients undergoing upper gastrointestinal endoscopy: a prospective randomized controlled study, BMC Anesthesiology, 24 March 2026, Link
- Effect of exercise prehabilitation on days alive and out of hospital after cardiac surgery: a secondary analysis of the randomised PRE-habilitation for improving QUality of recovery after ELective cardiac surgery trial, BJA Open, March 2026, Link
4- Neuro:
- Effect of Preoperative Intravenous Ferric Carboxymaltose on Postoperative Transfusion Reduction in Iron Deficiency Anemia Patients Scheduled for Clipping Surgery for Unruptured Intracranial Aneurysms: The PICASA Trial — A Single Center, Single-Blind Randomized Clinical Trial, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
- Impact of Ultraearly Perioperative Antihypertensive Therapy in Acute Intracerebral Hemorrhage, Stroke, 24 March 2026, Link
5- Obstetrics & Gynecology:
- Effect of intraoperative remimazolam infusion on postoperative sleep disturbance in elderly patients after gynecological laparoscopy: A randomized clinical trial, Anaesthesia Critical Care & Pain Medicine, 20 March 2026, Link, April 2026, Link
- HSK21542 for Postoperative Analgesia in Gynecological Surgery: A Pooled Post-Hoc Analysis of Two Phase III Randomized Controlled Trials, Anesthesia & Analgesia, 23 March 2026, Link
- Opioid-Free Versus Opioid-Based Anesthesia for Quality of Recovery Following Laparoscopic Hysterectomy: A Randomized Controlled Non-Inferiority Trial, Anaesthesia Critical Care & Pain Medicine, 20 March 2026, Link
- Comparison of supine vs head-elevated position on sensory block height following combined spinal epidural anaesthesia in Class III obese parturients undergoing elective caesarean delivery- a randomized controlled trial, BMC Anesthesiology, 16 March 2026, Link
6- Regional Anesthesia & Pain Management:
- Comfort-Focused Assessment and Patient-Reported Experience After Regional versus General Anaesthesia: Post Hoc Analysis of a Cluster-Randomised Trial, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
- Evaluation of the postoperative quality of recovery score in radical prostatectomy with erector spinae plane block: a randomised controlled trial, BMC Anesthesiology, 21 March 2026, Link
- Effect of Paroxetine or Escitalopram Co-administered with Oxycodone vs Oxycodone Alone on Ventilation During Hypercapnia: A Randomized Clinical Trial, Anesthesiology, 18 March 2026, Link
- Superior autonomic regulation with ropivacaine over lidocaine in stellate ganglion block for chronic insomnia: a randomized controlled trial, BMC Anesthesiology, 17 March 2026, Link
Reviews:
1- AI & Tech:
- From Cuffs to Code: Machine Learning in Non-Invasive Blood Pressure Monitoring, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
- Using head-mounted augmented and virtual reality devices for anaesthesia education: a scoping review, BJA Open, March 2026, Link
2- General:
- Anaesthetic considerations for patient blood management in cancer surgery: a narrative review, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
- Core concepts in statistics and research methods. Part 7: regression, BJA Edu, 20 March 2026, Link
3- Airway & Mechanical Ventilation:
- High-Flow Nasal Oxygen in the Perioperative Setting: A Narrative Review, Anaesthesia Critical Care & Pain Medicine, 26 March 2026, Link
4- Cardiovascular & Hemodynamics:
- Selected 2025 Highlights in Congenital Cardiac Anesthesia, Journal of Cardiothoracic and Vascular Anesthesia, 25 March 2026, Link
- Rethinking Lactate in Cardiac Surgery and Intensive Care, Journal of Cardiothoracic and Vascular Anesthesia, 14 March 2026, Link
- Advances in the understanding and management of hospital-acquired anemia, Current Opinion in Anesthesiology, 13 March 2026, Link
- Updates to perioperative and anesthetic management of the left ventricular assist device patient presenting for noncardiac surgery, Current Opinion in Anesthesiology, 11 March 2026, Link
- Safety in electroconvulsive therapy: a narrative review of cardiopulmonary complications, Current Opinion in Anesthesiology, 9 March 2026, Link
5- Obstetrics & Gynecology:
- Beyond postdural puncture headache: headache and the puerperium, Current Opinion in Anesthesiology, 9 March 2026, Link
6- Pediatric:
- The impact of social determinants of health on paediatric perioperative adverse events – a narrative review, Anaesthesia Critical Care & Pain Medicine, 20 March 2026, Link
- Neuromuscular block in paediatric patients undergoing airway management: a narrative review, Current Opinion in Anesthesiology, 13 March 2026, Link
- Overview and anesthetic management of fetal vessel anomalies and umbilical cord emergencies, Current Opinion in Anesthesiology, 12 March 2026, Link
- Update on total intravenous anesthesia in children, Current Opinion in Anesthesiology, 12 March 2026, Link
- Promoting safe anaesthesia for every child: the SAFETOTS initiative and beyond, Current Opinion in Anesthesiology, 11 March 2026, Link
7- Regional Anesthesia & Pain Management:
- Specialised invasive techniques for cancer-related pain, BJA Edu, 19 March 2026, Link
- Latest conceptual, methodological, and clinical advances in chronic pain, Current Opinion in Anesthesiology, 11 March 2026, Link
Critical Care:
1- Cardiovascular & Hemodynamics:
- Current practice, training and skill assessment of central venous access device insertion: Perspectives of intensive care trainees in adult intensive care units across Australia and New Zealand and their recommendations for improvement: Central Venous Lines Insertion: Practice, Education, Recommendation 2.0 (CLIPER 2.0), Critical Care and Resuscitation, March 2026, Link
- Evidence-based guidelines for the use of extracorporeal membrane oxygenation in Australia and New Zealand using GRADE methodology series part 1: Venovenous extracorporeal membrane oxygenation (VV ECMO) indications and management, Critical Care and Resuscitation, March 2026, Link
2- Infectious Diseases:
- Evidence-based, cost-effective management of necrotizing soft tissue infection: An algorithm of the Journal of Trauma and Acute Care Surgery emergency general surgery algorithms work group, Journal of Trauma and Acute Care Surgery, April 2026, Link
- Clinical Criteria for the Definition of Refractory Septic Shock: A Joint Delphi Consensus from the Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM), Critical Care Medicine, 24 March 2026, Link
- Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026, Critical Care Medicine, 23 March 2026, Link
- Executive Summary: Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026, Critical Care Medicine, 23 March 2026, Link
- Gaps and Strategies for Management of Sepsis in Low-Resource Settings: Expert Consensus Statements Using a Delphi Method, Critical Care Medicine, 20 March 2026, Link
3- Sedation & analgesia:
- Updated European Society for Emergency Medicine Guidelines for acute pain management in emergency departments and prehospital care, European Journal of Emergency Medicine, 11 March 2026, Link
4- Pediatric critical care:
- Surviving Sepsis Campaign International Guidelines for the Management of Sepsis and Septic Shock in Children 2026, Intensive Care Medicine, 23 March 2026, Link
5- Other:
- Executive Summary: Society of Critical Care Medicine Guidelines on Caring for Older Adults in the ICU, Critical Care Medicine, 20 March 2026, Link
- Society of Critical Care Medicine Guidelines on Caring for Older Adults in the ICU, Critical Care Medicine, 20 March 2026, Link