Anaesthesia
Audio Summaries

Artificial intelligence-assisted peri-operative echocardiography: a multicentre observational study

May 5, 2026

This multicentre observational study investigates the effectiveness of an artificial intelligence-driven analysis (US2.AI) in enhancing peri-operative echocardiography performed by anaesthetists. The authors aim to determine whether AI can streamline the assessment of key echocardiographic parameters, finding strong agreement between AI-generated measurements and clinician-derived standards, which supports the integration of AI into peri-operative workflows. Further research is suggested to evaluate the clinical outcomes of this technology.

Best practice in obstetric general anaesthesia: an umbrella review of pharmacological strategies for induction of general anaesthesia

Apr 16, 2026

The authors aimed to systematically review and summarize the evidence regarding pharmacological strategies for the induction of general anaesthesia in caesarean deliveries, focusing on maternal and neonatal outcomes. Their findings suggest that short-acting opioids and propofol are safe and effective choices, while rocuronium is a viable alternative to suxamethonium for intubation, although the evidence is limited by the exclusion of high-risk pregnancies and emergency situations.

Use of sterile gowns for single-shot spinal anaesthesia: consensus guidelines from the Association of Anaesthetists, Royal College of Anaesthetists, Obstetric Anaesthetists' Association, Regional Anaesthesia UK, College of Anaesthesiologists of Ireland and Australian and New Zealand College of Anaesthetists

Apr 16, 2026

The authors aimed to establish updated, evidence-informed consensus guidelines regarding the use of sterile gowns in single-shot spinal anaesthesia, amidst varying international recommendations and limited evidence of their routine necessity. Through a comprehensive literature review and a modified Delphi process involving experts, they concluded that while the routine use of sterile gowns is not mandatory for uncomplicated adult patients, essential aseptic practices like hand hygiene and facemask use remain critical for infection prevention. This guidance seeks to balance high standards of infection control with practical and sustainable anaesthetic practices.

PeriOperative Quality Initiative consensus statement recommendations on the definitions, aims and delivery of shared decision-making for major surgery

Apr 7, 2026

The authors aimed to develop clinical practice recommendations for implementing shared decision-making in peri-operative care, particularly for patients facing complex surgical decisions. Through an international consensus process involving a multidisciplinary group of experts and consumer advisors, they established 25 recommendations, including a definition of 'universal shared decision-making' and criteria for specialized services for patients needing additional support. This consensus statement is intended to enhance the consistency and effectiveness of shared decision-making in surgical contexts.

Lidocaine combined with low-dose esketamine for movement-evoked pain after hepatectomy: a double-blind randomised controlled trial

Mar 31, 2026

The authors aimed to determine whether the combination of lidocaine and low-dose esketamine could effectively reduce movement-evoked pain, decrease opioid consumption, and enhance recovery quality in patients undergoing hepatectomy. The study found that this combination significantly lowered pain scores and opioid use in the first 72 hours post-surgery, although the clinical significance of these findings was considered modest.

Organisational practices in postoperative opioid prescribing at discharge in UK NHS day surgery units: the OPIOID-discharge survey

Mar 29, 2026

The authors aimed to assess compliance with new guidelines regarding postoperative opioid prescribing practices in UK NHS day surgery units, following a 2025 drug safety update that restricted the use of prolonged-release opioids. Their survey revealed that while there was a significant shift away from modified-release opioids, many units still dispensed them, and communication regarding opioid risks to patients and general practitioners was inadequate. The findings indicate that despite progress, further improvements are needed in opioid prescribing practices and patient education.

Patient-reported outcomes, postoperative pain and pain relief after day-case surgery (POPPY): short-term peri-operative analgesic use

Mar 29, 2026

The POPPY study aimed to evaluate short-term analgesic use and patient-reported outcomes related to postoperative pain management following day-case surgery in the UK. Findings revealed that while a majority of patients were satisfied with their pain relief, a significant number continued to use opioids a week post-surgery and sought additional help for pain management, indicating potential areas for improvement in postoperative care and support systems.

Safer prehospital anaesthesia: updated guidelines from the Association of Anaesthetists

Mar 24, 2026

The authors aimed to update guidelines for prehospital emergency anaesthesia to enhance safety and standardization in this high-risk clinical intervention. By employing a modified Delphi process and literature reviews, they formulated recommendations across several key areas, including techniques, personnel training, and equipment. The findings emphasize the importance of well-trained clinical teams in delivering prehospital anaesthesia safely, even in the context of patients with significant physiological instability.

Efficacy and safety of different vasopressor infusions on feto-maternal outcomes in normotensive patients undergoing caesarean delivery: a systematic review and network meta-analysis of randomised controlled trials

Mar 19, 2026

The authors aimed to evaluate the efficacy and safety of various vasopressor infusions on feto-maternal outcomes in normotensive patients undergoing caesarean delivery, given the variability in clinical practice despite guidelines favoring phenylephrine. Their systematic review and network meta-analysis of 55 randomized controlled trials found that continuous infusions of α-agonists with mild β-activity, such as noradrenaline and metaraminol, were superior to control in preventing maternal hypotension, while mephentermine and metaraminol better preserved umbilical acid-base balance. However, they noted that the evidence regarding fetal outcomes remains limited.

Effects of anaesthesia type on development of persistent postoperative opioid utilisation: a South Korean nationwide cohort study

Mar 19, 2026

The authors aimed to investigate the impact of different types of anaesthesia—general, regional, and combined—on the long-term use of opioids following surgery. Their findings indicate that general anaesthesia is associated with a higher likelihood of persistent postoperative opioid utilisation compared to regional anaesthesia, particularly in patients undergoing thoracotomy. This suggests that regional anaesthesia may be a more effective option for reducing long-term opioid consumption after surgery.