Andrew F Smith
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View article: “My Vision Isn’t The Only One”
“My Vision Isn’t The Only One” Open
School counseling is built on the American School Counselor Association National Model (2019, 2025), which includes heavy emphasis on individualist-focused student standards and isolationist practice (Drake et al., 2024b). While the field …
View article: Opportunities and practices supporting responsive health care for forced migrants: lessons from transnational practice and a mixed-methods systematic review
Opportunities and practices supporting responsive health care for forced migrants: lessons from transnational practice and a mixed-methods systematic review Open
Background For those displaced across borders, significant adversity before, during and after displacement journeys, including attitudes and structures in countries of transit and arrival, contributes to considerable risk of poor physical …
View article: The inequalities and challenges of prehabilitation before cancer surgery: a narrative review
The inequalities and challenges of prehabilitation before cancer surgery: a narrative review Open
Summary Introduction Prehabilitation seeks to enhance functional capacity and preparedness before surgery with the aim of improving outcomes; it is generally based on exercise, diet and psychological interventions. While there is obvious a…
View article: Defining Criteria for Quality and Equity in Prehabilitation Services Before Cancer Surgery: A Delphi Study Informed by Lived and Professional Experience
Defining Criteria for Quality and Equity in Prehabilitation Services Before Cancer Surgery: A Delphi Study Informed by Lived and Professional Experience Open
Background: Prehabilitation before cancer surgery has been recommended for implementation in clinical practice to improve patients’ functional and psychological wellbeing to improve outcomes. Currently, in the United Kingdom, cancer prehab…
View article: Regional anaesthesia research priorities: a Regional Anaesthesia <scp>UK</scp> ( <scp>RA</scp> ‐ <scp>UK</scp> ) priority setting partnership involving patients, carers and healthcare professionals
Regional anaesthesia research priorities: a Regional Anaesthesia <span>UK</span> ( <span>RA</span> ‐ <span>UK</span> ) priority setting partnership involving patients, carers and healthcare professionals Open
Summary Introduction Regional anaesthesia provides important clinical benefits to patients but is underutilised. A barrier to widespread adoption may be the focus of regional anaesthesia research on novel techniques rather than evaluating …
View article: Accommodation and critique: A necessary tension
Accommodation and critique: A necessary tension Open
A dilemma in critical systems thinking is how to balance a desire for critique to inspire far‐reaching transformations in society with the requirement for people to reach accommodations to enable on‐the‐ground change. Both critique and acc…
View article: High-flow nasal cannulae for respiratory support in adult intensive care patien
High-flow nasal cannulae for respiratory support in adult intensive care patien Open
FundamentoLas cánulas nasales de alto flujo (CNAF) suministran flujos altos de una mezcla de aire humidificado y oxígeno a través de cánulas nasales de
View article: Identifying quality and inequality in prehabilitation services before cancer surgery: a Delphi study informed by lived and professional experience
Identifying quality and inequality in prehabilitation services before cancer surgery: a Delphi study informed by lived and professional experience Open
Background Preoperative cancer prehabilitation interventions have been described as the practice of enhancing a patient’s functional capacity before surgery, aiming to improve postoperative outcomes. Internationally, it is increasingly rec…
View article: Perioperative exercise programmes to promote physical activity in the medium to long term: systematic review and qualitative research
Perioperative exercise programmes to promote physical activity in the medium to long term: systematic review and qualitative research Open
Background In England, more than 4 million hospital admissions lead to surgery each year. The perioperative encounter (from initial presentation in primary care to postoperative return to function) offers potential for substantial health g…
View article: High-flow nasal cannulae for respiratory support in adult intensive care patients
High-flow nasal cannulae for respiratory support in adult intensive care patients Open
BackgroundHigh-flow nasal cannulae (HFNC) deliver high flows of blended humidified air and oxygen via wide-bore nasal cannulae and may be useful in providing respiratory support for adult patients experiencing acute respiratory failure in …
View article: The use of intravenous lidocaine for postoperative pain and recovery: international consensus statement on efficacy and safety
The use of intravenous lidocaine for postoperative pain and recovery: international consensus statement on efficacy and safety Open
Summary Intravenous lidocaine is used widely for its effect on postoperative pain and recovery but it can be, and has been, fatal when used inappropriately and incorrectly. The risk‐benefit ratio of i.v. lidocaine varies with type of surge…
View article: Oxygen targets in the intensive care unit during mechanical ventilation for acute respiratory distress syndrome: a rapid review
Oxygen targets in the intensive care unit during mechanical ventilation for acute respiratory distress syndrome: a rapid review Open
We are very uncertain as to whether a higher or lower oxygen target is more beneficial in patients with ARDS and receiving mechanical ventilation in an intensive care setting. We identified only one RCT with a total of 205 participants exp…
View article: Ten years of the Helsinki Declaration on patient safety in anaesthesiology
Ten years of the Helsinki Declaration on patient safety in anaesthesiology Open
Patient safety is an activity to mitigate preventable patient harm that may occur during the delivery of medical care. The European Board of Anaesthesiology (EBA)/European Union of Medical Specialists had previously published safety recomm…
View article: Breaking the fast for procedural sedation: changing risk or risking change?
Breaking the fast for procedural sedation: changing risk or risking change? Open
Since the early demonstration of aspiration pneumonitis 1, fasting has aimed to reduce both the volume and acidity of gastric contents in order to decrease the risk of regurgitation and aspiration 2. Fluid fasting policy has progressed fro…
View article: Guidelines for safe transfer of the brain‐injured patient: trauma and stroke, 2019
Guidelines for safe transfer of the brain‐injured patient: trauma and stroke, 2019 Open
Summary The location of care for many brain‐injured patients has changed since 2012 following the development of major trauma centres. Advances in management of ischaemic stroke have led to the urgent transfer of many more patients. The ba…
View article: Faculty Opinions recommendation of Supplemental perioperative intravenous crystalloids for postoperative nausea and vomiting.
Faculty Opinions recommendation of Supplemental perioperative intravenous crystalloids for postoperative nausea and vomiting. Open
Cochrane Database of Systematic ReviewsAll studies took place in surgical centres, and were conducted in geographically diverse settings.Risk of bias was generally unclear across all domains.Supplemental intravenous crystalloid administrat…
View article: Faculty Opinions recommendation of Hyperbaric versus isobaric bupivacaine for spinal anaesthesia for caesarean section.
Faculty Opinions recommendation of Hyperbaric versus isobaric bupivacaine for spinal anaesthesia for caesarean section. Open
BackgroundBupivacaine is an amide local anaesthetic used in hyperbaric and isobaric forms.These are administered intrathecally into the spine to provide regional anaesthesia for caesarean section.Several trials have compared hyperbaric and…
View article: Pharmacological agents for adults with acute respiratory distress syndrome
Pharmacological agents for adults with acute respiratory distress syndrome Open
We found insufficient evidence to determine with certainty whether corticosteroids, surfactants, N-acetylcysteine, statins, or beta-agonists were effective at reducing mortality in people with ARDS, or duration of mechanical ventilation, o…
View article: Trial sequential analysis: adding a new dimension to meta‐analysis
Trial sequential analysis: adding a new dimension to meta‐analysis Open
Systematic reviews and meta-analyses have long been considered to be at the top of the evidence-based medicine hierarchy and are frequently used to inform clinical practice and future research. The number of published systematic reviews co…
View article: People, systems and safety: resilience and excellence in healthcare practice
People, systems and safety: resilience and excellence in healthcare practice Open
Summary This article outlines recent developments in safety science. It describes the progression of three ‘ages’ of safety, namely the ‘age of technology’, the ‘age of human factors’ and the ‘age of safety management’. Safety science outs…
View article: Faculty Opinions recommendation of Perioperative alcohol cessation intervention for postoperative complications.
Faculty Opinions recommendation of Perioperative alcohol cessation intervention for postoperative complications. Open
BackgroundRisky consumption of alcohol is a global problem.More than 3.3 million deaths annually are associated with risky use of alcohol, and global alcohol consumption continues to increase.People who have high alcohol consumption o en r…
View article: Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors
Follow-up services for improving long-term outcomes in intensive care unit (ICU) survivors Open
We found insufficient evidence, from a limited number of studies, to determine whether ICU follow-up services are effective in identifying and addressing the unmet health needs of ICU survivors. We found five ongoing studies which are not …
View article: Information or education interventions for adult intensive care unit (ICU) patients and their carers
Information or education interventions for adult intensive care unit (ICU) patients and their carers Open
We are uncertain of the effects of information or education interventions given to adult ICU patients and their carers, as the evidence in all cases was of very low certainty, and our confidence in the evidence was limited. Ongoing studies…