Newsletter #32

Newsletter #32
Issue #[32] | From [14/03/2026] to [27/03/2026]

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:

  1. 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:

  1. Guidelines on Preventing Medication Errors in Anaesthesia and Intensive Care, Anaesthesia Critical Care & Pain Medicine, April 2026, Link


Systematic reviews & meta-analyses:

1- General:

  1. Comparative safety of esketamine in procedural sedation and analgesia: a systematic review and network meta-analysis, BMC Anesthesiology, 14 March 2026, Link
  2. 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:

  1. 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:

  1. 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:

  1. 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:

  1. 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
  2. Comparison of neuraxial anesthesia and analgesia strategies for obese parturients: a systematic review and network meta-analysis, BMC Anesthesiology, 18 March 2026, Link
  3. 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:

  1. 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
  2. Continuous vs Intermittent Postoperative Vital Sign Monitoring: A Cluster Randomized Crossover Trial, JAMA Open, 26 March 2026, Link
  3. 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:

  1. Jiancheng dual-channel vs. i-gel laryngeal mask airway for fiberoptic bronchoscopy: A randomized trial, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
  2. 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
  3. Sugammadex, neostigmine, and postoperative pulmonary complications: protocol of the SNaPP multicentre randomised controlled trial, BJA Open, March 2026, Link

3- Cardiovascular & Hemodynamics:

  1. 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
  2. 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
  3. 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
  4. 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:

  1. 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
  2. Impact of Ultraearly Perioperative Antihypertensive Therapy in Acute Intracerebral Hemorrhage, Stroke, 24 March 2026, Link

5- Obstetrics & Gynecology:

  1. 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
  2. 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
  3. 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
  4. 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:

  1. 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
  2. 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
  3. 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
  4. 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:

  1. From Cuffs to Code: Machine Learning in Non-Invasive Blood Pressure Monitoring, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
  2. Using head-mounted augmented and virtual reality devices for anaesthesia education: a scoping review, BJA Open, March 2026, Link

2- General:

  1. Anaesthetic considerations for patient blood management in cancer surgery: a narrative review, Anaesthesia Critical Care & Pain Medicine, April 2026, Link
  2. Core concepts in statistics and research methods. Part 7: regression, BJA Edu, 20 March 2026, Link

3- Airway & Mechanical Ventilation:

  1. High-Flow Nasal Oxygen in the Perioperative Setting: A Narrative Review, Anaesthesia Critical Care & Pain Medicine, 26 March 2026, Link

4- Cardiovascular & Hemodynamics:

  1. Selected 2025 Highlights in Congenital Cardiac Anesthesia, Journal of Cardiothoracic and Vascular Anesthesia, 25 March 2026, Link
  2. Rethinking Lactate in Cardiac Surgery and Intensive Care, Journal of Cardiothoracic and Vascular Anesthesia, 14 March 2026, Link
  3. Advances in the understanding and management of hospital-acquired anemia, Current Opinion in Anesthesiology, 13 March 2026, Link
  4. 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
  5. Safety in electroconvulsive therapy: a narrative review of cardiopulmonary complications, Current Opinion in Anesthesiology, 9 March 2026, Link

5- Obstetrics & Gynecology:

  1. Beyond postdural puncture headache: headache and the puerperium, Current Opinion in Anesthesiology, 9 March 2026, Link

6- Pediatric:

  1. The impact of social determinants of health on paediatric perioperative adverse events – a narrative review, Anaesthesia Critical Care & Pain Medicine, 20 March 2026, Link
  2. Neuromuscular block in paediatric patients undergoing airway management: a narrative review, Current Opinion in Anesthesiology, 13 March 2026, Link
  3. Overview and anesthetic management of fetal vessel anomalies and umbilical cord emergencies, Current Opinion in Anesthesiology, 12 March 2026, Link
  4. Update on total intravenous anesthesia in children, Current Opinion in Anesthesiology, 12 March 2026, Link
  5. Promoting safe anaesthesia for every child: the SAFETOTS initiative and beyond, Current Opinion in Anesthesiology, 11 March 2026, Link

7- Regional Anesthesia & Pain Management:

  1. Specialised invasive techniques for cancer-related pain, BJA Edu, 19 March 2026, Link
  2. Latest conceptual, methodological, and clinical advances in chronic pain, Current Opinion in Anesthesiology, 11 March 2026, Link


Critical Care:

1- Cardiovascular & Hemodynamics:

  1. 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
  2. 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:

  1. 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
  2. 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
  3. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026, Critical Care Medicine, 23 March 2026, Link
  4. Executive Summary: Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026, Critical Care Medicine, 23 March 2026, Link
  5. 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:

  1. 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:

  1. 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:

  1. Executive Summary: Society of Critical Care Medicine Guidelines on Caring for Older Adults in the ICU, Critical Care Medicine, 20 March 2026, Link
  2. Society of Critical Care Medicine Guidelines on Caring for Older Adults in the ICU, Critical Care Medicine, 20 March 2026, Link


Systematic reviews & meta-analyses: