Efficacy of a single midline injection of lignocaine at the scrotal neck on the behavioural response of lambs to castration

Originally Published hereTo compare the behavioural responses of lambs to ring castration with or without local anaesthetic administration by single midline injection at the scrotal neck.

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Cardiac coherence and medical hypnosis: a feasibility study of a new combined approach for managing preoperative anxiety in patients with breast or gynaecological cancer

Originally Published hereNon-pharmaceutical approaches can help manage preoperative anxiety, but few studies have evaluated psychoeducational programmes, especially for cancer surgery. We assessed the feasibility of the COHErence Cardiaque (COHEC) programme where cardiac coherence and medical hypnosis are combined to manage preoperative anxiety in patients undergoing breast or gynaecological cancer surgical interventions (BGCSI).

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Perioperative considerations in the paediatric patient with congenital and acquired coagulopathy

Originally Published hereNeonates, infants, and children undergoing major surgery or with trauma can develop severe coagulopathy perioperatively. Neonates and infants are at highest risk because their haemostatic system is not fully developed and underlying inherited bleeding disorders may not have been diagnosed before surgery. Historically, laboratory coagulation measurements have been used to diagnose and monitor…

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Evaluation of lung homogeneity in neonates and small infants during general anaesthesia using electrical impedance tomography: a prospective observational study

Originally Published hereProlonged mechanical ventilation can create heterogeneous ventilation patterns, which increase the risk of lung injury in infants. However, little is understood about the risk of brief exposure to mechanical ventilation during anaesthesia. The aim of this prospective observational study was to describe the regional pattern of lung ventilation during general anaesthesia in healthy…

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An update on iron therapy as an intervention to reduce blood transfusion for patients undergoing hip fracture surgery

Originally Published hereEditor—Preoperative anaemia occurs in one-third of patients and is associated with an increased risk of blood transfusion, patient morbidity, and mortality.1,2 The leading cause of anaemia is iron deficiency, with several studies exploring the use of iron around the time of surgery.3 Preoperative iron therapy has become a plausible and attractive therapeutic intervention…

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Paediatric perioperative hypersensitivity: the performance of the current consensus formula and the effect of uneventful anaesthesia on serum tryptase. Reply to BJA Open 2024; 9: 100254

Originally Published hereEditor—It was with great interest that we read the response by Green and colleagues1 to our publication on tryptase in paediatric hypersensitivity.2 We would like to thank the authors for their prompt response to our request for external validation of the new paediatric consensus formula for mast cell activation. Some aspects of their…

Opioid-free management of postoperative sternotomy-related pain by continuous transversus thoracis plane block in a dog.

Originally Published hereWe describe a continuous bilateral transversus thoracis plane (TTP) block in an 11-year-old entire female mixed-breed dog, weighing 8.4 kg, undergoing sternotomy for thymoma removal. Preanaesthetic examination and blood analysis were unremarkable and an American Society of Anesthesiologists status of II was assigned. After saphenous vein cannulation (Covetrus, the Netherlands), intravenous methadone (0.2…

Rectus sheath block for perioperative analgesia during umbilical herniorrhaphy in a calf

Originally Published hereThe rectus sheath block (RSB) is a fascial plane block of the abdominal wall that has been described in various species, including calves(Ferreira et al. 2022; Alterisio et al. 2023). The RSB is of interest in production species as umbilical defects requiring surgical repair are common (Micieli et al. 2023). Furthermore, local anesthetics…