Global capnography and airway teaching
We congratulate Whittaker et al. for their work with the Global Capnography Project (GCAP) [1]. Given the likely physical and personnel infrastructures involved, it is a significant achievement to not...
View ArticlePre-oxygenation versus apnoeic oxygenation in obstetrics
We congratulate Shippam et al. on their important contribution to the current discussion about the role of high-flow nasal oxygenation (HFNO) in obstetric patients [1]. In keeping with previous...
View ArticleOffsetting the genotoxic effects of sleep disruption
In a cross-sectional observational study of 49 healthy doctors, Cheung et al. demonstrated that, compared with normal sleep patterns, acute sleep deprivation through overnight on-site call activity was...
View ArticleCarbon dioxide clearance during apnoea- have we furthered our understanding?
I would like to congratulate Hermez et al. on their extensive efforts ofin determining the mechanism of carbon dioxide clearance during apnoeic oxygenation with high-flow nasal oxygenation (HFNO)...
View ArticleTreating hypofibrinogenemia in major aortic surgery? Yes, but be careful
Morrison et al. assessed the role of fibrinogen concentrate in enhancing haemostasis during open thoraco-abdominal aortic aneurysm (TAAA) repair [1]. We commend the authors for conducting a randomized...
View ArticleReliability of ASA-PS in cancer patients
We read with interest the review article titled 'A review of ASA physical status–historical perspectives and modern developments' by Mayhew et al.[1]. The article lucidly covered the birth and...
View ArticleCapnography and Bag Mask Ventilation
The subject of capnography continues to be widely discussed in ‘Anaesthesia’. In their recent correspondence, Nielsen and Lim [1]concur with the importance of capnography in defining a successful...
View ArticleROTEM ®sigma- reference range validity.
The adoption of viscoelastic haemostatic assays (VHA) technology for point of care testing in routine clinical practice and research into its role for improving patient care, has been hampered by...
View ArticleThe effect of force applied to the left paratracheal oesophagus on air entry...
I've followed the topic of " force applied to the left paratracheal oesophagus on air entry into the gastric antrum during positive-pressure ventilation" in recent issues of your valuable journal....
View ArticleErector Spinae Plane vs. Paravertebral blockade for Rib Fracture Analgesia
We would like to commend Adhikary et al. for their continued efforts to show benefit from novel regional techniques for chest trauma [1], and agree that patients with rib fracture(s) have significantly...
View ArticleDesflurane - balancing the environmental costs and cognitive benefits
Working in a District General Hospital serving an elderly population, the recent Association of Anaesthetists guideline on peri-operative care of people with dementia is of particular relevance [1]....
View ArticleErector spinae block or paravertebral block or thoracic epidural for...
I commend Adhikary et al. [1], Womack et al. [2] and El-Boghdadly and Wiles [3] for increasing the collection and interpretation of further evidence supporting the use of novel chest wall blocks for...
View ArticleThe effect of intravenous and inhalational maintenance of anaesthesia on...
We read with interest the recent editorial ‘Caring for the ageing mind’ [1] accompanying the Association’s new guidelines on the peri-operative care of people with dementia [2]. Currently, attention...
View ArticleEvidence for harms of high tidal volumes from systematic reviews and meta...
We read with interest Charlesworth and Glossop’s editorial on postoperative pulmonary complications [1], and the paper by Bagchi et al. which it discussed [2]. The Bagchi manuscript seemed to show that...
View ArticlePostoperative cognitive decline: a multi-dimension clinical problem
Cheng et al. found that dexmedetomidine reduced the rate of immediate postoperative delirium and the rates of postoperative cognitive dysfunction (POCD) after three and seven days, respectively, in...
View ArticleFurther thoughts about the "transatlantic divide" in brain death determination
Response to McGee and Gardiner: FURTHER THOUGHTS ABOUT THE "TRANSATLANTIC DIVIDE" IN BRAIN DEATH DETERMINATION McGee and Gardiner have published an interesting article about the differences in legal...
View ArticleDifficulties controlling out-of-hospital variables that influence...
I thank Cheng et al for their interesting trial highlighting the issue of postoperative cognitive decline and recognising that there may be agents at our disposal that can reduce the impact of general...
View ArticleMaking the model more comprehensive
The article by Sivia and Pandit [1] provides a fresh perspective on a relevant and important issue concerning all anaesthetists. However, the model begins at the point when the anaesthetist decides to...
View ArticleNew E-FONA devices - leading airway management off 'trach'
I am concerned that Yeow at al.'s study may herald the beginning of a raft of new devices developed for emergency front of neck access (eFONA), having also recently become aware of the ScalpelCric (VBM...
View ArticleGuidelines for day-surgery 2019.
We welcome the publication 'Guidelines for day-case surgery 2019' in your June 2019 journal and were encouraged to read recommendation five that states 'All anaesthetists should be familiar...
View ArticleBedside predictors of difficult airway – neck mobility
We read with great interest the comprehensive and important systematic review by Roth et al [1] regarding the bedside predictors of difficult airways.However, we missed from this article some data and...
View ArticleStudy supporting eFONA cannula approach: On point?
This is a fascinating study,1 which arguably provides some support to ANZCA's dual commitment to cannula and scalpel eFONA approaches in CICO situations. The NAP4 group and DAS have never precluded the...
View ArticleThe cannula eFONA Approach: A Viable Alternative?
We would like to congratulate and commend the authors on a very thought-provoking and high-fidelity study on the delivery and assessment of emergency front of neck access (eFONA). However, we would...
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Central Venous Catheter tip position on chest radiographs
We read with interest the recent article by Hade et al[i] in Anaesthesia and commend them for their work developing an insertion bundle and diagram for optimum Central Venous Catheter (CVC) tip...
View ArticlePrefilled syringes, patient safety and environmentally-sustainable healthcare
I was interested to read the article “a new role for anaesthetists in environmentally-sustainable healthcare” [1] and congratulate the authors for bringing this important issue to a wider audience’s...
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