BJA Education
@bjaeducation.bsky.social
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📝 263
Is there a 'correct' collection of nerve blocks for total knee replacement? Read C.C. de Carvalho et al's review article in
#BJAEd
to learn more! 💉https://www.bjaed.org/article/S2058-5349(26)00035-1/fulltext
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Anaesthesia and analgesia for total knee arthroplasty
Total knee arthroplasty (TKA) is among the most commonly performed orthopaedic procedures worldwide. Patients scheduled for TKA often present with limited mobility and moderate to severe pain, posing…
https://www.bjaed.org/article/S2058-5349(26)00035-1/fulltext
3 days ago
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On call and might be the first to receive a critically unwell child? BJA Education outlines the anaesthetist's role at the referring hospital, from resuscitation to safe transfer preparation. 🩺
#BJAEd
www.bjaed.org/article/S205...
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Paediatric stabilisation and transfer. Part 1: preparation and standards of care
Anaesthetists provide a vital role in the multidisciplinary management of children who are critically unwell or injured. These patients can present to any hospital providing emergency or walk-in care.
https://www.bjaed.org/article/S2058-5349(26)00027-2/fulltext
4 days ago
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C.C. de Carvalho et al distil preoperative optimisation, technique choice and motor-sparing analgesia for total knee arthroplasty - and more! 📚
#BJAEd
www.bjaed.org/article/S205...
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Anaesthesia and analgesia for total knee arthroplasty
Total knee arthroplasty (TKA) is among the most commonly performed orthopaedic procedures worldwide. Patients scheduled for TKA often present with limited mobility and moderate to severe pain, posing…
https://www.bjaed.org/article/S2058-5349(26)00035-1/fulltext
8 days ago
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Could your hospital safely stabilise and transfer a critically unwell child today? This BJA Education review sets out the national standards, guidance and minimum equipment every site should have. 🚑
#BJAEd
www.bjaed.org/article/S205...
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Paediatric stabilisation and transfer. Part 1: preparation and standards of care
Anaesthetists provide a vital role in the multidisciplinary management of children who are critically unwell or injured. These patients can present to any hospital providing emergency or walk-in care.
https://www.bjaed.org/article/S2058-5349(26)00027-2/fulltext
9 days ago
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General or spinal for total knee arthroplasty? This review compares the techniques, their risks and benefits, and how to individualise the choice. 🤔
www.bjaed.org/article/S205...
#BJAEd
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Anaesthesia and analgesia for total knee arthroplasty
Total knee arthroplasty (TKA) is among the most commonly performed orthopaedic procedures worldwide. Patients scheduled for TKA often present with limited mobility and moderate to severe pain, posing…
https://www.bjaed.org/article/S2058-5349(26)00035-1/fulltext
13 days ago
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Any hospital can be the first to receive a critically unwell child. New in BJA Education: the UK national standards every hospital should meet for paediatric stabilisation and transfer. 🏥
#BJAEd
www.bjaed.org/article/S205...
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Paediatric stabilisation and transfer. Part 1: preparation and standards of care
Anaesthetists provide a vital role in the multidisciplinary management of children who are critically unwell or injured. These patients can present to any hospital providing emergency or walk-in care.
https://www.bjaed.org/article/S2058-5349(26)00027-2/fulltext
14 days ago
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Spinal anaesthesia is commonly used for total knee arthroplasty and has been associated with reduced perioperative morbidity vs general anaesthesia. 💉
www.bjaed.org/article/S205...
#BJAEd
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https://www.bjaed.org/article/S2058-5349(26)00035-1/fulltext
17 days ago
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🔄 Orthotopic liver transplant unfolds in three phases, pre-anhepatic, anhepatic and neohepatic, each with distinct physiological challenges. Anticipating them is what separates a smooth case from a turbulent one. Read more:
www.bjaed.org/article/S2058-5349(26)00021-1/fulltext
20 days ago
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🔌 Neuromodulation offers reversible, non-destructive options for refractory pain, from TENS and pulsed radiofrequency to spinal cord, dorsal root ganglion and peripheral nerve stimulation, each at a different level. Read more:
www.bjaed.org/article/S2058-5349(26)00020-X/fulltext
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Interventions for managing pain after traumatic peripheral nerve injury
Traumatic peripheral nerve injury (TPNI) arises from a range of distinct aetiologies. The most common are sharp lacerations from glass or blades, and high-energy blunt trauma causing traction or…
https://www.bjaed.org/article/S2058-5349(26)00020-X/fulltext
21 days ago
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🛡️ Psychological safety is the shared belief that a team is safe for interpersonal risk-taking. It isn’t about being nice, it’s a climate where people can voice concerns and admit mistakes without fear. Read more:
www.bjaed.org/article/S2058-5349(26)00019-3/fulltext
22 days ago
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🔀 Multicollinearity, when explanatory variables are highly correlated (think APACHE and SOFA scores), can mask true effects. When two variables are highly correlated, include only one in the model. Read more:
www.bjaed.org/article/S2058-5349(26)00018-1/fulltext
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Core concepts in statistics and research methods. Part 7: regression
The term regression dates back to experiments conducted by British biologist Sir Francis Galton in the 19th century.1 Galton was interested in how strongly traits in one generation were inherited in…
https://www.bjaed.org/article/S2058-5349(26)00018-1/fulltext
23 days ago
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👥 There is no legal ‘next of kin’ in UK law and no hierarchy of opinion in best-interests decisions. Family views matter only to illuminate what the patient themselves would have wanted. Make sure you’re up to date with the legalities:
www.bjaed.org/article/S2058-5349(26)00028-4/fulltext
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Consent and assessing capacity in perioperative and intensive care
Consent and capacity are fundamental pillars of medical ethics and law. These take on particular significance in anaesthesia and intensive care medicine (ICM), where patients' ability to participate…
https://www.bjaed.org/article/S2058-5349(26)00028-4/fulltext
24 days ago
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⚡ Post-reperfusion syndrome complicates up to 77% of liver transplants. Cold, acidotic, hyperkalaemic blood returning to the heart can trigger arrhythmias and arrest. Anticipate it, augment the MAP, correct electrolytes. Read more:
www.bjaed.org/article/S2058-5349(26)00021-1/fulltext
25 days ago
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⏳ Timing is everything in nerve repair. Schwann cells lose their repair phenotype if reinnervation is delayed beyond 6–12 weeks, a key reason why early diagnosis and prompt referral matter so much. Read more:
www.bjaed.org/article/S2058-5349(26)00020-X/fulltext
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Interventions for managing pain after traumatic peripheral nerve injury
Traumatic peripheral nerve injury (TPNI) arises from a range of distinct aetiologies. The most common are sharp lacerations from glass or blades, and high-energy blunt trauma causing traction or…
https://www.bjaed.org/article/S2058-5349(26)00020-X/fulltext
26 days ago
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📋 A debriefing isn’t just a chat. Structure is what makes it work, guiding the conversation, ensuring everyone contributes, and steering past complaining circles and hierarchy effects. Learn how to optimise them in this month’s article:
www.bjaed.org/article/S2058-5349(26)00019-3/fulltext
27 days ago
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🔗 At its heart, regression quantifies how a response variable changes in relation to one or more explanatory variables. ‘Explanatory’ and ‘response’ indicate the direction of an effect, they do not imply causality. Read more:
www.bjaed.org/article/S2058-5349(26)00018-1/fulltext
28 days ago
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✨️ Our impact factor has increased to 2.7✨️ A huge well done to the teams at BJA, who are now top of the anaesthesia group, and BJA Open who have a new impact factor of 3.5.
28 days ago
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⚖️ Consent and capacity are fundamental pillars of medical ethics and law, and they’re tested daily in anaesthesia and critical care, where illness, sedation and anaesthesia can all compromise a patient’s ability to decide. Read more:
www.bjaed.org/article/S2058-5349(26)00028-4/fulltext
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Consent and assessing capacity in perioperative and intensive care
Consent and capacity are fundamental pillars of medical ethics and law. These take on particular significance in anaesthesia and intensive care medicine (ICM), where patients' ability to participate…
https://www.bjaed.org/article/S2058-5349(26)00028-4/fulltext
29 days ago
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🫁 Early extubation after paediatric liver transplant is increasingly adopted in major centres. Reintubation rates are low (0–4.4%) and it’s linked to shorter PICU and hospital stays in uncomplicated cases. Read more:
www.bjaed.org/article/S2058-5349(26)00021-1/fulltext
about 1 month ago
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⚠️ Up to a quarter of peripheral nerve injuries are iatrogenic, from nerve blocks and graft harvest to unrelated surgery, positioning and tourniquets. A sobering reminder of the stakes around the nerve. Read more:
www.bjaed.org/article/S2058-5349(26)00020-X/fulltext
about 1 month ago
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✈️ Born in aviation and the military, structured team debriefings are now a cornerstone of learning and quality improvement in anaesthesia, a protected space to reflect and improve together. Read more:
www.bjaed.org/article/S2058-5349(26)00019-3/fulltext
about 1 month ago
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📊 The word ‘regression’ dates back to Galton’s 19th-century pea experiments, but it has since become one of the most important techniques in all of statistics, a unified framework for analysing almost any data. Read more:
www.bjaed.org/article/S2058-5349(26)00018-1/fulltext
about 1 month ago
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📋 Montgomery reshaped informed consent: materiality is judged from the patient’s perspective, not by what doctors usually disclose. Clinicians must share material risks and reasonable alternatives, including doing nothing. Read more:
www.bjaed.org/article/S2058-5349(26)00028-4/fulltext
about 1 month ago
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🧒 Children aren’t small adults: higher metabolic demands, limited circulating volume and immature liver function leave them more prone to metabolic instability, haemodynamic swings and coagulopathy during liver transplantation. Read more:
www.bjaed.org/article/S2058-5349(26)00021-1/fulltext
about 1 month ago
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Safety-I asks why things go wrong. Safety-II asks why things usually go right. Debriefing on everyday successes, not just errors and near misses, captures insights that retrospective analysis alone can miss. Read more:
www.bjaed.org/article/S205...
about 1 month ago
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Make sure you don't miss this new
#BJAEd
article on Specialised Invasive Techniques for Cancer-related Pain:
www.bjaed.org/article/S205...
about 2 months ago
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Make sure you don't miss this excellent new
#BJAEd
article on the Diagnosis of Death using Neurological Criteria:
www.bjaed.org/article/S205...
about 2 months ago
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Don't miss this great new
#BJAEd
article from Kovac & Choksi on the prophylaxis and treatment of Postoperative Nausea and Vomiting:
www.bjaed.org/article/S205...
2 months ago
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Did you miss the
#BJAEd
podcast on Liver Disease in Pregnancy? Catch up now on Spotify:
open.spotify.com/episode/2SBt...
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Liver disease in pregnancy
BJA Education Podcasts · Episode
https://open.spotify.com/episode/2SBt4F29EvlNnyjxAj9AyP
2 months ago
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Have you ever wondered how to calculate the sample size for a clinical research study? Read this new
#BJAEd
article now to find out:
www.bjaed.org/article/S205...
2 months ago
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This fascinating new
#BJAEd
article on Specialised Invasive Techniques for Cancer-related Pain is available to read online now:
www.bjaed.org/article/S205...
2 months ago
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This fantastic new
#BJAEd
article on the Diagnosis of Death using Neurological Criteria is now available to read online:
www.bjaed.org/article/S205...
2 months ago
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This excellent new
#BJAEd
Article by Kovac & Choksi on the prophyalxis and treatment of Postoperative Nausea and Vomiting, is available to read now:
www.bjaed.org/article/S205...
3 months ago
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🤱Learn the postoperative ERAC components that truly matter for mum and baby. Dr Takenoshita et al. explore this in this
#BJAEd
review article.
www.bjaed.org/article/S205..
.
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Enhanced recovery after Caesarean delivery. Part 2: postoperative considerations and quality indicators
Enhanced Recovery After Caesarean delivery (ERAC) is a multidisciplinary and evidence-based strategy designed to optimise perioperative maternal and neonatal outcomes for patients undergoing…
http://www.bjaed.org/article/S205
3 months ago
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💉 Still relying on hypnotic-based sedation in the PICU? Time to rethink. Dr Mazandi et al. break down the shift to analgesia-based sedation, key assessment tools, and the drugs you need to know. 🧠
#BJAEd
www.bjaed.org/article/S205..
.
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Analgesia and sedation in mechanically ventilated critically ill children
Published reports of paediatric sedation date back to the advent of modern anaesthesia.1,2 Despite this and the establishment of the first paediatric ICUs (PICUs) 70 yrs ago in response to the polio…
http://www.bjaed.org/article/S205
3 months ago
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🎯 When systemic analgesia fails in cancer pain, what next? Dr Kalaiyarasan et al. walk you through sympathetic, peripheral and neuraxial interventional techniques. 🧠
#BJAEd
www.bjaed.org/article/S205..
.
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Common interventional techniques for cancer-related pain
Significant cancer-related pain (CRP) is experienced in two thirds of patients who have advanced, metastatic or terminal disease and in more than half of patients undergoing cancer treatment.1 This…
http://www.bjaed.org/article/S205
3 months ago
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🩸 Liver disease complicates up to 3% of pregnancies. Do you know how to spot it, assess severity, and manage anaesthesia safely? Dr Crosby Zawierucha et al. cover everything from AFLP to cirrhosis in this essential read 📖
#BJAEd
www.bjaed.org/article/S205..
.
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Liver disease in pregnancy
Liver dysfunction complicates up to 3% of all pregnancies, and the incidence of liver disease amongst women of childbearing age is increasing.1 Contemporary research into preexisting and…
http://www.bjaed.org/article/S205
3 months ago
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🧠 Frailty + cognitive impairment = a high-risk combination your surgical patient may already have. Dr Weiss et al. break down how to screen, stratify & refer - before it's too late. Learn the tools. Build the pathway. 🔍
#BJAEd
👉
www.bjaed.org/article/S205...
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Screening for perioperative neurocognitive disorders
Perioperative neurocognitive disorders (PNDs) are common yet underdiagnosed complications after anaesthesia and surgery. Postoperative cognitive decline was first described in 1887 by the prominent…
https://www.bjaed.org/article/S2058-5349(26)00008-9/fulltext
3 months ago
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✅ How do you evaluate the success of your ERAC programme? Dr Takenoshita et al. explain how to apply core outcome metrics and deliver patient-centred hospital discharge after Caesarean delivery. Don't miss Part 2!
#BJAEd
www.bjaed.org/article/S205...
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Enhanced recovery after Caesarean delivery. Part 2: postoperative considerations and quality indicators
Enhanced Recovery After Caesarean delivery (ERAC) is a multidisciplinary and evidence-based strategy designed to optimise perioperative maternal and neonatal outcomes for patients undergoing…
https://www.bjaed.org/article/S2058-5349(25)00117-9/fulltext
3 months ago
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🩺 Can you name the right sedation scale for a ventilated neonate vs a 7-year-old? Dr Mazandi et al. guide you through assessment tools, analgesic choices, and why comfort goes beyond pharmacology. 📖
#BJAEd
www.bjaed.org/article/S205...
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Analgesia and sedation in mechanically ventilated critically ill children
Published reports of paediatric sedation date back to the advent of modern anaesthesia.1,2 Despite this and the establishment of the first paediatric ICUs (PICUs) 70 yrs ago in response to the polio…
https://www.bjaed.org/article/S2058-5349(26)00005-3/fulltext
3 months ago
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🌐 Many patients with advanced cancer experience significant pain. Dr Kalaiyarasan et al. explain how to integrate interventional techniques into multimodal oncology pain care. 📖
#BJAEd
www.bjaed.org/article/S205...
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Common interventional techniques for cancer-related pain
Significant cancer-related pain (CRP) is experienced in two thirds of patients who have advanced, metastatic or terminal disease and in more than half of patients undergoing cancer treatment.1 This…
https://www.bjaed.org/article/S2058-5349(26)00006-5/fulltext
3 months ago
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🔬 The incidence of liver disease in women of childbearing age is rising. The obstetric anaesthetist is pivotal. Master the physiology, the conditions, and the anaesthetic management with Dr Crosby Zawierucha et al. 📚
#BJAEd
www.bjaed.org/article/S205...
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Liver disease in pregnancy
Liver dysfunction complicates up to 3% of all pregnancies, and the incidence of liver disease amongst women of childbearing age is increasing.1 Contemporary research into preexisting and…
https://www.bjaed.org/article/S2058-5349(25)00118-0/fulltext
3 months ago
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👴 Your older surgical patient deserves more than a standard anaesthetic plan. Dr Weiss et al. show how identifying cognitive frailty early transforms perioperative care - and outcomes. 💡 Read. Share. Act.
#BJAEd
www.bjaed.org/article/S205...
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Screening for perioperative neurocognitive disorders
Perioperative neurocognitive disorders (PNDs) are common yet underdiagnosed complications after anaesthesia and surgery. Postoperative cognitive decline was first described in 1887 by the prominent…
https://www.bjaed.org/article/S2058-5349(26)00008-9/fulltext
3 months ago
0
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💊 Multimodal analgesia. Early feeding. VTE prophylaxis. Anaemia management – and more! Know the postoperative ERAC toolkit inside out with this excellent review from Dr Takenoshita et al. Your patients will thank you.
#BJAEd
www.bjaed.org/article/S205...
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Enhanced recovery after Caesarean delivery. Part 2: postoperative considerations and quality indicators
Enhanced Recovery After Caesarean delivery (ERAC) is a multidisciplinary and evidence-based strategy designed to optimise perioperative maternal and neonatal outcomes for patients undergoing…
https://www.bjaed.org/article/S2058-5349(25)00117-9/fulltext
3 months ago
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🔄 The goal of PICU sedation has shifted from unconsciousness to targeted comfort. Learn the tools, the drugs, and the non-pharmacological strategies that make the difference. Dr Mazandi et al. 💊
#BJAEd
www.bjaed.org/article/S205...
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Analgesia and sedation in mechanically ventilated critically ill children
Published reports of paediatric sedation date back to the advent of modern anaesthesia.1,2 Despite this and the establishment of the first paediatric ICUs (PICUs) 70 yrs ago in response to the polio…
https://www.bjaed.org/article/S2058-5349(26)00005-3/fulltext
3 months ago
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🔬 Evidence-based decision making for cancer pain interventions: understand when to intervene, which technique are available, and how MDT assessment shapes outcomes. Dr Kalaiyarasan et al.
#BJAEd
🩺
www.bjaed.org/article/S205...
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Common interventional techniques for cancer-related pain
Significant cancer-related pain (CRP) is experienced in two thirds of patients who have advanced, metastatic or terminal disease and in more than half of patients undergoing cancer treatment.1 This…
https://www.bjaed.org/article/S2058-5349(26)00006-5/fulltext
3 months ago
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🏥 From intrahepatic cholestasis to HELLP to acute fatty liver of pregnancy... are you prepared? This
#BJAEd
article by Dr Crosby Zawierucha et al. gives you the knowledge to assess, escalate, and act 🎯
www.bjaed.org/article/S205...
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Liver disease in pregnancy
Liver dysfunction complicates up to 3% of all pregnancies, and the incidence of liver disease amongst women of childbearing age is increasing.1 Contemporary research into preexisting and…
https://www.bjaed.org/article/S2058-5349(25)00118-0/fulltext
3 months ago
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🔧 Mini-Cog? MoCA? CFS? 4AT? Know which tool to use, when, and why - Dr Weiss et al. map out perioperative cognitive screening from preop clinic to PACU. Essential reading. ✅
#BJAEd
www.bjaed.org/article/S205...
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Screening for perioperative neurocognitive disorders
Perioperative neurocognitive disorders (PNDs) are common yet underdiagnosed complications after anaesthesia and surgery. Postoperative cognitive decline was first described in 1887 by the prominent…
https://www.bjaed.org/article/S2058-5349(26)00008-9/fulltext
3 months ago
0
0
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🏥 28.5% of women will deliver by Caesarean by 2030. Are your postoperative care pathways ready? Dr Takenoshita et al. outline evidence-based ERAC strategies to optimise recovery and achieve patient-centric discharge.
#BJAEd
www.bjaed.org/article/S205...
loading . . .
Enhanced recovery after Caesarean delivery. Part 2: postoperative considerations and quality indicators
Enhanced Recovery After Caesarean delivery (ERAC) is a multidisciplinary and evidence-based strategy designed to optimise perioperative maternal and neonatal outcomes for patients undergoing…
https://www.bjaed.org/article/S2058-5349(25)00117-9/fulltext
3 months ago
0
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🚨 Delirium. Withdrawal. Under-sedation. The PICU presents unique challenges. Dr Mazandi et al. outline how analgesia-first strategies and validated scales can transform your practice. ✅
#BJAEd
www.bjaed.org/article/S205...
loading . . .
Analgesia and sedation in mechanically ventilated critically ill children
Published reports of paediatric sedation date back to the advent of modern anaesthesia.1,2 Despite this and the establishment of the first paediatric ICUs (PICUs) 70 yrs ago in response to the polio…
https://www.bjaed.org/article/S2058-5349(26)00005-3/fulltext
3 months ago
0
0
0
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