The optimal ventilation strategy during general anesthesia is unclear. This systematic review investigated the relationship between ventilation targets or strategies (eg, positive end-expiratory pressure [PEEP], tidal volume, and recruitment maneuvers) and postoperative outcomes.
Medical Resources
Lewis P. Gundry Health Sciences Library
900 S Caton Ave, Baltimore MD 21229
Phone: 667-234-3134
Email: stagneslibrary@ascension.org
1st Floor (main building)
Library Open Hours: 7:30AM - 4:00PM (Monday - Friday)
After Hours Access limited (door unlocks at 6:30AM weekdays)
Librarian: Lucinda Bennett
PICO Search
Web Resources for Physicians & Surgeons
The following links provide information regarding professional academies.
Medal - The Medical Algorithms Company
Check out the Medical Algorithms Project, now called Medal The Medical Algorithms Company.
It has been around for over a decade, and has 1,000s of medical care algorithms for over 45 different specialties in medicine and nursing.
It was developed by Dr. Sriram Iyengar, Ph.D., of the School of Health information Systems, University of Texas, Houston, and the Institute for Algorithmic Medicine. For individuals, it is still freely accessible at the URL below.
You will need to register to gain access; it has iOS and Android apps available. This is an evidence-based clinical decision support tool, with over 22,000 plus calculators and risk scores.
Here is the URL below:
Inclusive Language & Mental Health Environments
Healthcare is an ever-changing and dynamic environment. It is important that providers in all fields learn the language and skills to compassionately care for patients of vast backgrounds and mental health status. The following PDFs are crafted by the American Hospital Association to help healthcare workers practice such language. Take a look and feel free to print, share and spread the word in your department.
Top Medical Journals
Citation Matcher
Titles From Our Print Collection
Catalog: Search for Print Resources
ABOG Recertification
Reading List for January 2023 is now available!
Access the electronic readings lists below. Note, there will be no August reading list. The Library will no longer be providing print copies of the articles, but we will announce the full reading lists here with live links to each citation.
- May 2023 Reading List - Coming Soon!
Blogs & Podcasts
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AAP BlogThis blog covers all publications within the American Academy of Pediatrics. Subjects of posts include the latest news in diagnoses, social inequalities and other important topics in children's health.
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Annals Video Summaries"This new Annals multimedia feature accompanies selected systematic reviews. These short videos are designed to make it easier for busy clinicians to digest the findings of selected articles in a short 3-4 minute animated video."
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Elsevier Clinical Insights"Explore a range of the biggest and most impactful topics in health and medicine that affect us today."
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Pediatrics On Call Podcast"A podcast on children’s health from the AAP. Each episode features interviews about new research and hot topics in the field of pediatrics. Hear about the most important innovations in pediatrics, from the people who are behind them. While designed for pediatricians and other health professionals, the podcast will also appeal to parents, caregivers and anyone else interested in the science behind children’s health."
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The Podcast by KevinMD"Hosted by Kevin Pho, MD, The Podcast by KevinMD shares the stories of the many who intersect with our health care system but are rarely heard from. 15 minutes a day. 7 days a week. "
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Press - Play - Connect"Press, Play, Connect is the official podcast of the Medical Library Association. Join Sally Gore and Emily Hurst as they interview librarians and discuss ideas from the medical library world. Sally is the Manager of Research and Scholarly Communication Services at the Lamar Soutter Library at UMass Medical School. Emily Hurst is Director and Associate Dean of the Tompkins-McCaw Library for the Health Sciences at Virginia Commonwealth University."
Mobile Apps
"iMedicalApps is the leading online publication for medical professionals, patients, and analysts interested in mobile medical technology and health care apps. Our physician editors lead a team of physicians, allied health professionals, medical trainees, and mHealth analysts in providing reviews, research, and commentary of mobile medical technology. Our publication is heavily based on our own experiences in the hospital and clinic setting."
http://www.medscape.com/public/iphone?src=emed-call
8,500+ prescription and OTC drugs, herbals, and supplements
6,200+ Reference articles for decision-making support
Clinical tools: drug interaction checker, calculators, and pill identifier
And more!
"In the interest of providing the medical community with concise information about the rapidly changing SARS-CoV-2/COVID-19 situation, Sanford Guide has made its resources related to the pandemic available without a digital subscription."
Access is available on the Web, on IPhone or IPad, and Android devices.
Articles of Interest - From our Subscriptions
Bolther, M. , Henriksen, J. , Holmberg, M. , Jessen, M. , Vallentin, M. , Hansen, F. , Holst, J. , Magnussen, A. , Hansen, N. , Johannsen, C. , Enevoldsen, J. , Jensen, T. , Roessler, L. , Carøe Lind, P. , Klitholm, M. , Eggertsen, M. , Caap, P. , Boye, C. , Dabrowski, K. , Vormfenne, L. , Høybye, M. , Karlsson, M. , Balleby, I. , Rasmussen, M. , Pælestik, K. , Granfeldt, A. & Andersen, L. (2022). Ventilation Strategies During General Anesthesia for Noncardiac Surgery: A Systematic Review and Meta-Analysis. Anesthesia & Analgesia, 135 (5), 971-985. doi: 10.1213/ANE.0000000000006106.
Abstract
"Background:
Methods:
PubMed and Embase were searched on March 8, 2021, for randomized trials investigating the effect of different respiratory targets or strategies on adults undergoing noncardiac surgery. Two investigators reviewed trials for relevance, extracted data, and assessed risk of bias. Meta-analyses were performed for relevant outcomes, and several subgroup analyses were conducted. The certainty of evidence was evaluated using Grading of Recommendations Assessment, Development and Evaluation (GRADE).
Results:
This review included 63 trials with 65 comparisons. Risk of bias was intermediate for all trials. In the meta-analyses, lung-protective ventilation (ie, low tidal volume with PEEP) reduced the risk of combined pulmonary complications (odds ratio [OR], 0.37; 95% confidence interval [CI], 0.28–0.49; 9 trials; 1106 patients), atelectasis (OR, 0.39; 95% CI, 0.25–0.60; 8 trials; 895 patients), and need for postoperative mechanical ventilation (OR, 0.36; 95% CI, 0.13–1.00; 5 trials; 636 patients). Recruitment maneuvers reduced the risk of atelectasis (OR, 0.44; 95% CI, 0.21–0.92; 5 trials; 328 patients). We found no clear effect of tidal volume, higher versus lower PEEP, or recruitment maneuvers on postoperative pulmonary complications when evaluated individually. For all comparisons across targets, no effect was found on mortality or hospital length of stay. No effect measure modifiers were found in subgroup analyses. The certainty of evidence was rated as very low, low, or moderate depending on the intervention and outcome.
Conclusions:
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American Academy of Pediatrics Resources
As of November 2021, all publications via the AAP have been on a single platform All journals subscribed to by the Library will be housed on the following pages, which will be made available on the Library site:
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Pediatrics: https://publications.aap.org/pediatrics
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Hospital Pediatrics: https://publications.aap.org/hospitalpediatrics
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Pediatrics in Review: https://publications.aap.org/pediatricsinreview
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NeoReviews: https://publications.aap.org/neoreviews
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AAP Grand Rounds: https://publications.aap.org/aapgrandrounds
MKSAP
Medical Knowledge Self-Assessment Program 19: Parts A & B now available for check-out!
Print copies of the latest Parts A & B are available for check-out in the Library Office - not in the stacks! MKSAP 18 IS in the stacks.
The borrowing time for each volume is 2 weeks. There is only a single copy of each volume so please be mindful of your due dates.
If you have a personal subscription to the online content of MKSAP, using the print resource as a supplement is an excellent way to diversify your study game.
Guideline Resources
Academy Websites & Publisher's Open Access
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CPR and resuscitation Updates Open Access from the journal CirculationPart 1 and Part 2 of the open access publication of
of the Nov 3, 2015 Circulation's supplemental issue -
American College of Chest PhysiciansAnti-Thrombotic Guidelines and other guidelines and resources
Official Government Guidelines
The US government's National Guideline Clearinghouse is a repository of US clinical practice guidelines as well as some international guidelines with the goal of improving patient safety standards and healthcare measures. Click on the NGC links below to take you to the URLs, to the link for the Agency for Healthcare Research and Quality, and to the link to the US government site for the Preventive Taskforce guidelines.
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Centers for Disease ControlSearch by disease or condition for guidelines
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Morbidity and Mortality Weekly ReportSearch for guidelines according to disease or condition
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US Government Preventive Services TaskforceOffers evidence-based clinical recommendations for preventive health care measures and screenings.
Governments & Free Agency Websites