Minerva

Minerva

BMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39093.672697.801 (Published 18 January 2007) Cite this as: BMJ 2007;334:162

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Maintaining adequate oxygen supplies to the brain protects other organs from trauma, so when patients undergo cardiac bypass surgery it may make sense to actively monitor brain oxygen saturation. Two hundred bypass patients were randomised to actively displayed intraoperative cerebral oxygen saturation monitoring or blinded oxygen saturation monitoring. Significantly more patients in the blinded monitoring group showed prolonged cerebral desaturation and had a longer duration of stay in intensive care. The incidence of major organ dysfunction and death was also higher in this group (Anesthesia and Analgesia 2007;104:51-8 doi: 10.1213/01.ame.0000246814.29362.f4).

Before the G8 meeting at Gleneagles in 2005, thousands of people in the developed world demonstrated their belief in the idea of making poverty history by marching. Politicians responded by pledging an extra £50bn (€75bn; $97bn) in foreign aid, half of which was to go to Africa. But an analysis in African Affairs (2007;106:133-140 doi: 10.1093/afraf/adl057) doubts whether rich countries are really serious about tackling African poverty. Little progress has been made in resolving the basic paradox of aid; namely, because …

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