The BELGIAN ANESTHESIA TRAINEES (BAT) is an independent organisation that represents the interests of the Belgian anesthesia trainees in different institutions on different levels. All BAT members act voluntarily and without financial compensation to improve the position of Belgian anesthesia trainees by elaborating the BAT vision points and adhering to the BAT aims.

Perioperative dexmedetomidine administration to prevent delirium in adults after non-cardiac surgery: A systematic review and meta-analysis

Study objective: To evaluate the efficacy of perioperative dexmedetomidine (DEX) administration for preventing delirium in adults after non-cardiac surgery.

Design: Systematic review and meta-analysis of randomized controlled trials (RCTs).

Interventions: Perioperative administration of DEX to prevent delirium in adults following non-cardiac surgery.

Measurements: The incidence of postoperative delirium (POD).

Persistent postoperative opioid use in Europe A systematic review

BACKGROUND In the United States, postoperative opioid prescriptions have been implicated in the so-called ‘opioid epidemic’. In Europe, the extent of overprescribing or misuse of opioids is not known.

OBJECTIVES To describe the proportion of persistent postoperative opioid use in adults (>18 years) in European countries.

DESIGN Systematic review of the published data.

DATA SOURCES We searched the electronic literature databases MEDLINE (Ovid), Embase (Ovid), PubMed/MEDLINE and Scopus.

Second victim support structures in anaesthesia: a cross-sectional survey in Belgian anaesthesiologists

Background: Anaesthesiologists are prone to patient safety situations after which second victim symptoms can occur. In international literature, a majority of these second victims indicated that they were emotionally affected in the aftermath of a patient safety incident (PSI) and received little institutional support after these events.

Objective: To study the current second victim support structures in anaesthesia departments in Belgium.

Pectoral nerve blocks for breast surgery A meta-analysis

BACKGROUND Pectoral nerve blocks (PECS block) might be an interesting new regional anaesthetic technique in patients undergoing breast surgery.

OBJECTIVE The aim of this meta-analysis was to investigate postoperative pain outcomes and adverse events of a PECS block compared with no treatment, sham treatment or other regional anaesthetic techniques in women undergoing breast surgery.

DESIGN We performed a systematic review of randomised controlled trials (RCT) with meta-analysis and risk of bias assessment.

European Society of Anaesthesiology and Intensive Care Guidelines on peri-operative use of ultrasound for regional anaesthesia (PERSEUS regional anesthesia): Peripheral nerves blocks and neuraxial anaesthesia

Nowadays, ultrasound-guidance is commonly used in regional anaesthesia (USGRA) and to locate the spinal anatomy in neuraxial analgesia. The aim of this second guideline on the PERi-operative uSE of UltraSound (PERSEUS-RA) is to provide evidence as to which areas of regional anaesthesia the use of ultrasound guidance should be considered a gold standard or beneficial to the patient. The PERSEUS Taskforce members were asked to define relevant outcomes and rank the relative importance of outcomes following the GRADE process.

Prevent deterioration and long-term ventilation: intensive care following thoracic surgery

Purpose of review: Patients with indication for lung surgery besides the pulmonary pathology often suffer from independent comorbidities affecting several other organ systems. Preventing patients from harmful complications due to decompensation of underlying organ insufficiencies perioperatively is pivotal. This review draws attention to the peri- and postoperative responsibility of the anaesthetist and intensivist to prevent patients undergoing lung surgery deterioration.

Belgian Anesthesia Trainees vzw/asbl
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