- Resource allocation decisions faced by health care providers during the COVID-19 pandemic in a community intensive care unit in Ontario, Canada: a qualitative study. [Journal Article]Can J Anaesth. 2026 Aug 14. [Online ahead of print]CJ
- CONCLUSIONS: Institutional policies and pragmatic limitations meant that HCPs in a community ICU in Ontario, Canada needed to make frequent ethical decisions about the allocation of scarce resources during the pandemic. These frequent decisions highlight the degree to which resource allocation is an inherent part of critical care. There is opportunity for targeted professional development to support allocation practices during adverse circumstances.
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- Continuous neural blockade via adductor canal catheters combined with standardized multimodal analgesia in patients undergoing total knee arthroplasty. [Letter]Can J Anaesth. 2026 Aug 14. [Online ahead of print]CJ
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- Deviations between registered protocols and published systematic reviews in high-impact anesthesiology and pain medicine journals: a cross-sectional analysis. [Journal Article]
- CONCLUSIONS: Our study identified at least one deviation from the registered protocol in all of the 114 included systematic reviews published in high-impact anesthesiology journals. Universal protocol deviations with minimal disclosure threaten the integrity of systematic reviews in anesthesiology and pain medicine. These findings show an urgent need for stricter protocol adherence and transparent reporting of deviations by authors, with enhanced oversight by peer reviewers and journal editors.
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- Effectiveness of extended reality in simulation-based ultrasound-guided regional anesthesia training: a systematic review. [Review]
- CONCLUSIONS: The current evidence does not conclusively support widespread adoption of XR for UGRA training, owing to heterogeneity, small samples, and underpowered studies. Currently, XR remains at an early and experimental stage in development.
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- Impact on per-case cost of moving to oral sedation for cataract surgery in Ontario, Canada. [Letter]
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- Exploring factors that influence the implementation of presurgical smoking cessation interventions: a cross-sectional survey. [Multicenter Study]
- CONCLUSIONS: The level of implementation of smoking cessation in preoperative visits was poor. The main barriers detected were lack of knowledge and lack of resources and organizational support. Hospitals should promote strategies that address the main barriers identified and should apply interventions to help people quit smoking as a routine practice in preoperative visits.
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- Environmental sustainability evidence in critical care medicine: a scoping review. [Review]
- CONCLUSIONS: In this scoping review, we found a rapidly expanding yet fragmented body of evidence on ICU environmental sustainability. Important gaps exist in evidence to guide clinicians on practical bedside strategies and understanding how to implement them to drive meaningful, sustainable change.
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- Perioperative hyperglycemia and postoperative outcomes: a retrospective cohort study. [Journal Article]
- CONCLUSIONS: In this large study, the prevalence of DM among patients who underwent surgery exceeded previously reported estimates. Perioperative hyperglycemia was significantly associated with increased postoperative mortality. Blood glucose monitoring was not performed systematically in patients with DM, and many lacked an HbA1C measurement within 90 days of surgery.
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- Choosing Wisely Canada climate-conscious recommendations for critical care medicine. [Journal Article]
- CONCLUSIONS: This Special Article introduces seven Choosing Wisely Canada climate-conscious recommendations to empower clinicians in reducing the environmental impact of critical care medicine.
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