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BJA: British Journal of Anaesthesia

Science & Medicine

Activity Overview

Episode publication activity over the past year

Episodes

Three simple steps to instantly improve patient satisfaction

Contributed by Lukas

Whilst the vast majority of big number patient research focuses on physiological outcomes, few studies have attempted to investigate the factors that ...

Perioperative Neuraxial Block - Safety, Outcomes and Statistics

Contributed by Lukas

As the the debate over perioperative neuraxial blockade rages on, more fuel is added to the fire in the form of a controversial secondary analysis car...

An Introduction to Functional MRI

Contributed by Lukas

Functional MRI is an exciting but complex imaging modality that is being used with increasing frequency in anaesthesia and pain research. Understandin...

They tried to make me go to prehab...

Contributed by Lukas

Whilst medical cancer therapies are increasing in their utility and efficacy, the physiological effects of intensive combined treatment regimes on pat...

Fifth National Audit Project on Accidental Awareness during General Anaesthesia

Contributed by Lukas

Accidental awareness during general anaesthesia (AAGA) is a rare but feared complication of anaesthesia. Studying such rare occurrences is technically...

Sound Asleep

Contributed by Lukas

NAP5 and the recent controversial guidance from NICE are putting commercial depth of anaesthesia monitors under intense scrutiny. How do they work? Do...

Pre-hospital Anaesthesia

Contributed by Lukas

Emergency airway management in trauma patients is a complex and somewhat contentious issue, with opinions varying on both the timing and delivery of i...

Checklist 2.0 with Dr Ashley de bie Dekker

21 Aug 2017

Contributed by Lukas

Checklists, checklists everywhere! Love them or hate them, since the introduction of the WHO surgical safety checklist there has been a tsunami of che...

Decisions, decisions, decisions... BJA Podcast with Paul Greig

05 May 2017

Contributed by Lukas

Imagine you are sitting on the runway, waiting to take off to your holiday destination. As you begin to taxi the pilot announces that there is an engi...

Ketamine Kids

04 Apr 2016

Contributed by Lukas

Children requiring urgent but simple surgery is a common place phenomenon that can sometimes wreak havoc on the best planned emergency list. Operating...

Perioperative Medicine: today, tomorrow and the future of teamworking

15 Feb 2016

Contributed by Lukas

There has been an increasing realisation that the majority of complications from high risk surgeries are not due to technical failings in either the o...

DAS unanticipated difficult intubation guidelines 2015; Plan D with Dr Ravi Bhagrath

23 Nov 2015

Contributed by Lukas

Probably one of the most talked about changes in the 2015 DAS guidelines will be Plan D. Whilst on a very basic level the recommendations have not alt...

DAS unanticipated difficult intubation guidelines 2015 overview with Dr Chris Frerk

23 Nov 2015

Contributed by Lukas

Dr Chris Frerk, chair of the airway guideline group talk about the updated 2015 DAS guidelines. 11 years after the publication of the original, the ne...

Through the looking glass: awareness, BIS and an anaesthetist's perspective

07 Aug 2015

Contributed by Lukas

Accidental awareness under general anaesthesia (AAGA) is the stuff of nightmares for patients and anaesthetists alike. Data from NAP5 has demonstrated...

Stem cell therapy - a new hope for traumatic brain injury?

24 Jul 2015

Contributed by Lukas

Traumatic brain injury carries a devastating burden of disease for both the individual patient and the population as a whole. Many patients are young ...

'Fit to fly': overcoming barriers to preoperative haemoglobin optimization in surgical patients

23 Jun 2015

Contributed by Lukas

Patient blood management (PBM) is a multifaceted approach to reducing allogenic blood transfusion (ABT) in the surgical population. In this podcast Pr...

Fluid Thinking with Professor Monty Mythen

23 Apr 2015

Contributed by Lukas

Assessment, calculation and composition of replacement fluid is a fundamental tenet of anaesthetic practice. Mounting evidence from the colorectal and...

Pregabalin use in the perioperative period: indications, dosage and the current evidence

22 Dec 2014

Contributed by Lukas

As with many anticonvulsants, pregabalin is enjoying an ever increasing spectrum of use. Originally licensed for the treatment of epilepsy, diabetic n...

Repercussions: post-operative morbidity and the mortality hangover

02 Dec 2014

Contributed by Lukas

Millions of operations take place in the UK each year; the majority occurring without undue patient morbidity. However, dependant on the nature of the...

Expiratory flow control: a novel mode of ventilation for the injured lung

21 Aug 2014

Contributed by Lukas

Achieving adequate gas exchange whilst minimising ventilator induced lung inury is a major challenge in intensive care. The world of ICU ventilation i...

Needle Phobia - A Psychological Perspective

18 Jun 2014

Contributed by Lukas

For anaesthetists, intravenous cannulation is the gateway procedure to an increasingly complex and risky array of manoeuvres, and as such becomes more...

Kidney donation after circulatory death: review and regional variation

23 May 2014

Contributed by Lukas

Successful kidney transplants have been shown to improve quality of life for the recipients and dramatically reduce the cost of caring for patients wi...

Fluid responsiveness: an evolution in our understanding

27 Mar 2014

Contributed by Lukas

Fluid therapy is a central tenet of both anaesthetic and intensive care practice, and has been a solid performer in the medical armamentarium for over...

Post-operative Cognitive Decline

18 Feb 2014

Contributed by Lukas

Post-operative cognitive decline (POCD) has been detected in some studies in up to 50% patients undergoing major surgery. With an ageing population an...

Incident Reporting Systems

18 Feb 2014

Contributed by Lukas

Widely regarded as champions of patient safety, it was anaesthetists who first pioneered incident reporting systems within hospital medicine. Signed i...

A new player in an old debate

23 Jan 2014

Contributed by Lukas

Opinions remain divided on the best form of post-operative analgesia following lower abdominal surgery, with an even split between those favouring epi...

How effective is simulation training in anaesthesia?

23 Jan 2014

Contributed by Lukas

As a speciality, anaesthesia has long been a champion of simulation training. But whilst ever increasing numbers of simulation based courses are avail...

ARDS: The difficulty with a definition

10 Oct 2013

Contributed by Lukas

Despite being defined as a syndrome over 4 decades ago, current studies estimate that over half of patients diagnosed with acute respiratory distress ...

Uncertainty and the art of systematic over-simplification

10 Oct 2013

Contributed by Lukas

With the exponential expansion of the evidence base and increasing frequency of meta-analysis, clinical guidelines have become increasingly ubiquitous...

Propofol use by non-anaesthetists in the Emergency Department

10 Sep 2013

Contributed by Lukas

Opinions on the use of propofol by non-anaesthetists remain controversial and divided. In this podcast Dr Gavin Lloyd, an emergency physician from The...

Mortality from Anaphylaxis under Anaesthesia

10 Sep 2013

Contributed by Lukas

Anaphylaxis under anaesthesia is a dramatic and feared phenomenon. Whilst recognition and treatment has improved largely through awareness and trainin...

Challenges in experimental pain studies in human volunteers

10 Jul 2013

Contributed by Lukas

This month the BJA features a volunteer study investigating the effects of low dose neuraxial clonidine from Stanford University. One of the authors o...

Neurotoxicity and Neuroplasticity

02 Jul 2013

Contributed by Lukas

Anaesthetic neurotoxicity is currently one of the hottest research topics in anaesthesia. In June 2012 the BJA sponsored a seminar in Salzburg Austria...

Adam or Eve - who bears the burden of chronic pain?

11 Jun 2013

Contributed by Lukas

Dr Sibtain Anwar interviews Professor Roger Fillingim on his work examining the differences in pain experienced between the sexes. Whilst a large body...

Pain - recent advances, novel imaging and new challenges

11 Jun 2013

Contributed by Lukas

Guest editor Dr Lesley Colvin introduces this special post-graduate issue of the BJA focusing on recent advances and new research in the field of pain...

The Irish are Coming

14 May 2013

Contributed by Lukas

Dr Ellen O'Sullivan talks about the adoption of the BJA as the official journal of The College of Anaesthetists of Ireland. Together with Rik Thomas, ...

Vein visualisation with near-infrared technology

14 May 2013

Contributed by Lukas

Definitely one for the tricky vein society; Dr Franklin Chiao talks us through his experience and research evaluating near-infrared devices for perpih...

Human factors and patient safety in anaesthesia

15 Apr 2013

Contributed by Lukas

The majority of morbidity and mortality due to anaesthesia is unfortunately caused by human error. In this podcast, Professors Alan Merry and Jennifer...

Teleanaesthesia

15 Apr 2013

Contributed by Lukas

Whether you relish the prospect of being on call from home or fear losing your job to a more consistently performing robot; automated anaesthesia deli...

The National Audit Phenomenon

13 Mar 2013

Contributed by Lukas

The RCoA national audit projects have enjoyed incredible success, both at home in the UK and internationally. Professor Tim Cook takes us through the ...

Do team processes really have an effect on clinical performance? A systematic literature review

13 Mar 2013

Contributed by Lukas

In this podcast, Dr Tanja Manser talks about the recent explosion of research into non-technical skills, crew resource management and team processes. ...

Inconsistencies in NICE guidance on measuring depth of anaesthesia: limitations of EEG-based technology in detecting who is unconscious

21 Feb 2013

Contributed by Lukas

Professor Jaideep Pandit, head of the Royal College's National Audit Project on accidental awareness under general anaesthesia, give us his views on t...

Perioperative medicine: the future of anaesthesia?

21 Feb 2013

Contributed by Lukas

Dr Rupert Pearce talks about the ideas and concepts behind the rapidly evolving speciality of peri-operative medicine. Dr Pearce and Dr Thomas discuss...

Opioid-induced respiratory depression in paediatrics: a review of case reports

14 Jan 2013

Contributed by Lukas

Professor Albert Dahan, head of the Anesthesia and Pain Research Unit at Leiden University Medical Centre, talks about why this common and dangerous p...

Long-term quality of sleep after remifentanil-based anaesthesia: a randomized controlled trial

14 Jan 2013

Contributed by Lukas

Dr Rik Thomas talks with Dr Manuel Wenk (lead author) about the inspiration and background behind this unusual randomised controlled trial. Dr Wenk su...

Why do we need research in anaesthesia?

03 Dec 2012

Contributed by Lukas

This BJA podcast sees the Journal interview Dr J. P. van Besouw, President of the Royal College of Anaesthetists, UK for his thoughts on why more rese...

An academic trainee; have I got a future?

03 Dec 2012

Contributed by Lukas

Professor M. Mythen, University College, London shares his perspective on training in academic anaesthesia in the UK.

Failed tracheal intubation in obstetrics

03 Dec 2012

Contributed by Lukas

Dr A. Quinn, from Leeds General Infirmary in the UK, lead author of a recent BJA paper on failed tracheal intubation in obstetric anaesthesia talks u...