Kyle R. Kirkham
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View article: OPTIMIS PRO – A Novel Algorithm to Improve Perioperative Antibiotic Administration
OPTIMIS PRO – A Novel Algorithm to Improve Perioperative Antibiotic Administration Open
Objectives The selection and dosing of surgical antimicrobial prophylaxis (SAP) to prevent surgical site infections (SSIs) is often improvisational and inappropriate in clinical settings resulting in increased risk of SSI. We therefore dev…
View article: Does a theory-based intervention to improve accountability reduce low-value preoperative tests for patients undergoing low-risk surgery? A pragmatic cluster randomized controlled trial protocol.
Does a theory-based intervention to improve accountability reduce low-value preoperative tests for patients undergoing low-risk surgery? A pragmatic cluster randomized controlled trial protocol. Open
Background: Low value preoperative tests ordered for patients without any clinical indication undergoing low-risk surgery can lead to further unnecessary investigations or treatments of false-positives. Identified drivers of ordering such …
View article: Combination of femoral triangle block and infiltration between the popliteal artery and the capsule of the posterior knee (iPACK) versus local infiltration analgesia for analgesia after anterior cruciate ligament reconstruction: a randomized controlled triple-blinded trial
Combination of femoral triangle block and infiltration between the popliteal artery and the capsule of the posterior knee (iPACK) versus local infiltration analgesia for analgesia after anterior cruciate ligament reconstruction: a randomized controlled triple-blinded trial Open
Background and objectives Femoral triangle block and local infiltration analgesia are two effective analgesic techniques after anterior cruciate ligament reconstruction. Recently, the iPACK block (infiltration between the popliteal artery …
View article: Gender and sexuality-based discrimination in anesthesiology within Canada: a cross-sectional survey
Gender and sexuality-based discrimination in anesthesiology within Canada: a cross-sectional survey Open
View article: Factors associated with success and failure of patient-controlled oral analgesia after total hip and knee arthroplasty: a historical comparative cohort study
Factors associated with success and failure of patient-controlled oral analgesia after total hip and knee arthroplasty: a historical comparative cohort study Open
View article: Characteristics of a single- versus multiple-injection axillary brachial plexus block: a single-blinded randomised, clinical trial
Characteristics of a single- versus multiple-injection axillary brachial plexus block: a single-blinded randomised, clinical trial Open
Background. An ultrasound-guided axillary brachial plexus block is usually performed with a multiple-injection technique. However, when the arm is abducted at 160°, the musculocutaneous nerve lies close to the axillary artery, and all four…
View article: Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus
Practice advisory on the bleeding risks for peripheral nerve and interfascial plane blockade: evidence review and expert consensus Open
View article: Measuring the frequency and variation of unnecessary care across Canada
Measuring the frequency and variation of unnecessary care across Canada Open
The use of potentially unnecessary care appears to be common in Canada. This investigation provides methodology to facilitate future measurement efforts that may incorporate additional jurisdictions and/or unnecessary services.
View article: Fascia iliaca block in the emergency department for hip fracture: a randomized, controlled, double-blind trial
Fascia iliaca block in the emergency department for hip fracture: a randomized, controlled, double-blind trial Open
Clinicaltrials.gov - NCT02433548 . The study was registered retrospectively.
View article: The analgesic efficacy of transverse abdominis plane block versus epidural analgesia
The analgesic efficacy of transverse abdominis plane block versus epidural analgesia Open
There is moderate evidence that TAP block and epidural analgesia are equally effective in treating postoperative pain in both pediatric and adult patients, while TAP block is associated with fewer episodes of hypotension and reduced length…
View article: Optimising day‐case analgesia for anterior cruciate ligament reconstruction – a reply
Optimising day‐case analgesia for anterior cruciate ligament reconstruction – a reply Open
We would like to thank Dr Mughal and Dr Jagannathan for their thoughtful comments regarding our recent meta-analysis comparing the analgesic efficacy of local infiltration analgesia with femoral nerve block after anterior cruciate ligament…
View article: Intravenous dexamethasone for prophylaxis of postoperative nausea and vomiting after administration of long‐acting neuraxial opioids: a systematic review and meta‐analysis
Intravenous dexamethasone for prophylaxis of postoperative nausea and vomiting after administration of long‐acting neuraxial opioids: a systematic review and meta‐analysis Open
Summary Long‐acting neuraxial opioids provide excellent analgesia after surgery, but are associated with higher rates of postoperative nausea and vomiting. Dexamethasone effectively prevents postoperative nausea and vomiting after general …
View article: Sciatic nerve block and enhanced recovery after total knee arthroplasty – a reply
Sciatic nerve block and enhanced recovery after total knee arthroplasty – a reply Open
We would like to thank Dr. Palmer for his thoughtful comments regarding our recent meta-analysis exploring the analgesic efficacy of a sciatic nerve block in addition to femoral nerve blockade for patients undergoing total knee arthroplast…
View article: The analgesic efficacy of sciatic nerve block in addition to femoral nerve block in patients undergoing total knee arthroplasty: a systematic review and meta‐analysis
The analgesic efficacy of sciatic nerve block in addition to femoral nerve block in patients undergoing total knee arthroplasty: a systematic review and meta‐analysis Open
Summary The aim of this meta‐analysis was to assess the postoperative analgesic efficacy of sciatic nerve block when combined with femoral nerve block after total knee arthroplasty. Outcomes included resting pain scores (analogue scale, 0–…
View article: A systematic review of ultrasound‐guided methods for brachial plexus blockade
A systematic review of ultrasound‐guided methods for brachial plexus blockade Open
Summary We systematically reviewed 25 randomised controlled trials of ultrasound‐guided brachial plexus blockade that recruited 1948 participants: either one approach vs another (axillary, infraclavicular or supraclavicular); or one inject…
View article: Novel Approach to Intractable Pectoralis Major Muscle Spasms Following Submuscular Expanderimplant Breast Reconstruction
Novel Approach to Intractable Pectoralis Major Muscle Spasms Following Submuscular Expanderimplant Breast Reconstruction Open
Implant-based breast reconstruction is the most commonly used reconstructive modality following mastectomy. Placement of the tissue expander and implant under the pectoralis major muscle is believed to minimize the incidence of capsular co…
View article: Preoperative testing before low-risk surgical procedures
Preoperative testing before low-risk surgical procedures Open
Despite guideline recommendations to limit testing before low-risk surgical procedures, preoperative ECG and chest radiography were performed frequently. Significant variation across institutions remained after adjustment for patient- and …