Top Med Talk – Journal Club

This edition of journal club looks at two articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA.

TopMedTalk

Top Med Talk – Journal Club: Multi-centre trial in BJA

Effect of goal-directed haemodynamic therapy on postoperative complications in low?moderate risk surgical patients: a multicentre randomised controlled trial (FEDORA trial)

Randomised Controlled Multicentre trial; n=420; GDHT vs Control

TopMedTalk

Top Med Talk – Journal Club Xpress 2

2 articles in March 1st NEJM of circa 30,000 patients studied at Vanderbilt Medical Centre, USA

One in non-critically ill patients

The other in critically ill adult patients

Accompanied by a very balanced Editorial by Professor John Myburgh.

TopMedTalk

Top Med Talk – Journal Club Xpress: After non-cardiac surgery myocardial injury is common and dangerous.

Myocardial Injury after Noncardiac Surgery: A Large, International, Prospective Cohort Study Establishing DiagnosticCriteria, Characteristics, Predictors, and 30-day Outcomes

TheVascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION)Writing Group, on behalf of The Vascular events In noncardiac Surgery patIentscOhort evaluatioN (VISION) Investigators. Anesthesiology 03 2014,Vol.120, 564-578.

Top Med Talk – Journal Club Xpress: > 100K patient study of Spinal vs GA for fractured neck of femur

Association of Hospital-level Neuraxial Anesthesia Use for Hip Fracture Surgery with Outcomes: A Population-based Cohort Study – McIsaac D et al. Anesthesiology 3 2018, Vol.128, 480-491

A population-based cohort study using linked administrative data in Ontario, Canada. 107,317 hip fracture patients > 65 yr of age from 2002 to 2014.

Hip fracture surgery patients at hospitals that use more than 20 to 25% neuraxial anesthesia have improved survival independent of patient-level anesthesia type and other confounders. The underlying causal mechanism for this association requires a prospective study to guide improvements in perioperative care and outcomes of hip fracture patients.

For original paper click here

TopMedTalk