Why an appendicectomy now takes 2 hrs…

Pedersen AG, Petersen OB, Wara P, Rønning H, Qvist N & Laurberg S. Randomized clinical trial of laparoscopic versus open appendicectomy. British Journal of Surgery 2001; 88: 200-205.

RHH Journal Club. June 20th, 2013. Dr Sunita Asif

No free full-text available

Is laparoscopic appendicectomy superior to open appendicectomy?

Read more…

Pneumoperitoneum and PAFCs…

Joris JL, Noirot DP, Legrand MJ, Jacquet NJ, & Lamy ML. Hemodynamic changes during laparoscopic cholecystectomy. Anesthesia & Analgesia 1993;76: 1067-1071.

RHH Journal Club. June 20th, 2013. Dr Ramya Sriraman

Full-text article (if available)

Haemodynamic changes reported during gynaecological laparoscopy in earlier studies include an increase in mean arterial blood pressure, a decrease in cardiac output, and an increase in systemic vascular resistance. The authors hypothesized that peritoneal insufflation for laparoscopic cholecystectomy would result in more significant haemodynamic changes.

Read more…

The origin of DO2 and the magic 600….

Shoemaker WC, Appel PL, Kram HB, Waxman K, & Lee TS. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. CHEST Journal  1988; 94: 1176-1186.

RHH Journal Club. June 13th, 2013. Dr Andy Cruikshanks

Full-text article (if available)

Does the targeting of supranormal oxygen delivery reduce mortality in high-risk surgical patients?

Read more…

Labour analgesia the VIP way…

Gambling D, Berkowitz J, Farrell TR et al. A Randomized Controlled Comparison of Epidural Analgesia and Combined Spinal-Epidural Analgesia in a Private Practice Setting: Pain Scores During First and Second Stages of Labor and at Delivery. Anesthesia & Analgesia 1013; 116: 636-643.

RHH Journal Club. June 6th, 2013. Dr Vinayak Kumar

No free full-text available

Does a CSE technique provide superior analgesia for the first two stages of labour compared to a standard lumbar epidural?

Read more…

Early-goal directed therapy in sepsis – a flawed concept?

Rivers E, Nguyen B, Havstad S et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. New England Journal of Medicine 2001; 345: 1368-1377.

RHH Journal Club. June 13th, 2013. Dr Wei Yang Low

Full-text article (if available)

Does early goal-directed therapy before admission to the intensive care unit effectively reduce the incidence of multiorgan dysfunction, mortality, and the use of health care resources among patients with severe sepsis or septic shock?

Read more…

Antacids for LSCS

Roberts RB, & Shirley MA. Reducing the risk of acid aspiration during cesarean section. Anesthesia & Analgesia 1974; 53: 859-868.

RHH Journal Club. June 6th, 2013. Dr Susan Yeung

Full-text article (if available)

This paper from 1974 highlights the increased risk of aspiration in pregnant women undergoing caesarean section (CS). This has led to a change in practice whereby all women prior to elective or emergency section are given antacid prophylaxis.

Read more…