No nerve blocks in joint arthroplasty – a service improvement?

Kerr DR & Kohan L. Local infiltration analgesia: a technique for the control of acute postoperative pain following knee and hip surgery: a case study of 325 patients. Acta orthopaedica 2008;  79: 174-183.

RHH Journal Club. April 18th, 2013. Dr Faizan Ahmad

Full-text article (if available)

Can local infiltration analgesia control of acute postoperative pain following knee and hip surgery?

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Transfuse or not in #NOF…..

Carson JL, Terrin ML, Noveck H et al. Liberal or restrictive transfusion in high-risk patients after hip surgery. New England Journal of Medicine 2011; 365: 2453-2462.

RHH Journal Club. April 18th, 2013. Dr Amy Thomas

Full-text article (if available)

To compare a liberal with a restrictive blood transfusion policy after surgery for fractured neck of femur in an elderly population with ischaemic heart disease (IHD) or with risk factors for IHD.

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Don’t forget the steroids when you give the cefotaxime…

De Gans J & Van de Beek D. Dexamethasone in adults with bacterial meningitis. New England Journal of Medicine 2002; 347: 1549-1556.

RHH Journal Club. January 10th, 2013. Dr Sireesha Aluri

Full-text article (if available)

Does adjunctive use of dexamethasone in adults with bacterial meningitis improve outcome?

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Surgeons and strokes….

Mendelow AD, Gregson BA, Fernandes HM et al. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomised trial. The Lancet 2005; 365: 387-397.

RHH Journal Club. May 17th, 2012. Dr Olena Mateszko

No free full-text available

For patients with spontaneous supratentorial intracerebral haemorrhage early operative haematoma evacuation (within 24 hours of randomisation) there is no statistically significant increase in favourable outcome when compared to initial conservative treatment.

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Can I have a bit of pressure?

Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. The Lancet 1961; 278: 404-406.

RHH Journal Club. July 12th, 2012. Dr Ilias Kanellopoulos

No free full-text available

Backward pressure of the cricoid cartilage against the cervical vertebrae is able to control regurgitation of stomach or oesophageal contents during induction of anaesthesia

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Why you should engage with checklists….

de Vries EN, Prins HA, Crolla RM et al. Effect of a comprehensive surgical safety system on patient outcomes. New England Journal of Medicine 2010; 363: 1928-1937.

RHH Journal Club. December 4th, 2012. Dr Surya Kasa

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Does implementation of comprehensive multidisciplinary check list with pre, intra & post op components improve outcome? 

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Not a laughing matter

Myles PS, Leslie K, Chan MT et al. Avoidance of nitrous oxide for patients undergoing major surgery: a randomized controlled trial. Anesthesiology 2007; 107: 221.

RHH Journal Club. July 7th, 2012. Dr Juliette Fraser

Full-text article (if available)

Does avoidance of nitrous oxide in anaesthesia for major surgery lead to earlier discharge from hospital?

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