We aimed to evaluate and report a protocol for video double-lumen tube (VDLT) intubation in a modified lateral position and evaluate whether it shortens in-room to cut time (IRCT; defined as the time from patient entry to incision) compared with conventional supine intubation in patients undergoing elective unilateral video-assisted thoracoscopic surgery (VATS). We conducted a single-centre, prospective, parallel-group, randomized controlled superiority trial at a tertiary university hospital in Xi’an, China. We enrolled adults aged 18–75 yr (American Society of Anesthesiologists Physical Status I–III) scheduled for elective unilateral VATS requiring VDLT intubation; exclusions included body mass index > 30 kg·m−2, mouth opening < 3 cm, Mallampati class 3–4, or anticipated difficult airway. Participants were randomized 1:1 to modified-lateral-position (Group L) or supine-position (Group S) VDLT intubation using a computer-generated sequence with sealed-envelope allocation concealment. Operators were unblinded; nonoperator staff collecting postoperative data and the outcome analyst were blinded to allocation. The primary outcome was IRCT. Sixty-two patients were randomized (Group L, N = 31; Group S, N = 31), and all were analyzed for the primary outcome. Mean (standard deviation [SD]) IRCT was shorter in Group L (18.1 [2.0] min) than in Group S (31.1 [3.3] min), with a mean difference (L–S) of −13.0 min (95 ChiCTR2500112254 ); first posted 21 October 2025.
Remifentanil infusion titrated to effect-site concentration (Ce) is commonly used to suppress coughing during emergence from general anesthesia; nevertheless, the optimal Ce range remains unclear. We aimed to conduct a systematic review and meta-analysis to synthesize the existing evidence on the optimal Ce values of remifentanil for cough suppression during emergence. We performed a comprehensive literature search using PubMed®, Embase®, Web of Science™, the Cochrane Library, and Google Scholar on 27 February 2025. We included prospective studies that used the up-and-down method to estimate the effective concentrations of remifentanil in 50 CRD42024623581 ); first submitted 20 December 2024.
We aimed to assess the public perception of who is responsible for anesthesia-related hospital care tasks in Japan and examine associated factors. We conducted a cross-sectional, nationwide, quota-based web survey of adults in Japan in July 2025. Of the 1,944 respondents who initiated the survey, 1,844 completed (94.9
Readmission after discharge from the intensive care unit (ICU) occurs globally at a rate of approximately 1–12
Indigenous Peoples in Canada are disproportionately burdened with a spectrum of health issues and consistently report lower satisfaction with their health care; nevertheless, little is known about their experiences with critical care and the support received during critical illness. We aimed to describe the current scope of critical-care-specific resources available to Indigenous patients and their families across Alberta to identify gaps and opportunities to implement actionable change to realize more equitable and culturally safe care. We conducted a two-phase environmental scan. Phase 1 entailed searching websites for information to support Indigenous patients, their families, and health care workers. Phase 2 facilitated 21 interviews with intensive care unit (ICU) stakeholders from across Alberta to further describe site-specific resources, services, tools, or initiatives to support Indigenous Peoples. Indigenous partners were engaged through all aspects of the project. Our environmental scan identified a paucity of ICU-specific resources, programs, or policies to support Indigenous patients and families’ navigation with critical care. We identified two national resources aimed at clinicians, rather than patients or families. Interviews with ICU stakeholders confirmed the paucity of Indigenous-specific resources. Stakeholders cited numerous barriers, including inadequate culture training, staff time constraints and burnout, physical space limits, and insufficient personnel, such as Indigenous liaisons and social workers. Multiple gaps exist in the availability of critical-care-focused resources and supports for Indigenous Peoples experiencing critical illness in Alberta, Canada. Addressing these care gaps may improve health equity, access, and the experience for Indigenous patients and families during critical illness and further build trust and strengthen relationships with health care workers.
