Response to comments on "Effect of postoperative peripheral nerve blocks on the analgesia nociception index under propofol anesthesia: an observational study."

IF 2 3区 医学 Q2 ANESTHESIOLOGY
Motoi Kumagai, Masahiro Wakimoto, Shohei Ogawa, Sho Watanabe, Kenji S Suzuki
{"title":"Response to comments on \"Effect of postoperative peripheral nerve blocks on the analgesia nociception index under propofol anesthesia: an observational study.\"","authors":"Motoi Kumagai, Masahiro Wakimoto, Shohei Ogawa, Sho Watanabe, Kenji S Suzuki","doi":"10.1007/s10877-025-01283-1","DOIUrl":null,"url":null,"abstract":"<p><p>Tanaka et al. suggested that the increase in high-frequency variability index (HFVI) after peripheral nerve block (PNB) may result from autonomic effects mediated by the stellate ganglion block when an interscalene brachial plexus block (ISB) is performed. To investigate this, we analyzed patients receiving PNB with (ISB group; n = 8) or without ISB (non-ISB group; n = 22). HFVI increased significantly in both groups to a similar extent. These findings suggest that ISB's direct autonomic influence on HFVI is minimal. Additionally, laterality effects could not be assessed due to limited cases. We conclude that HFVI elevation is more likely due to PNB's analgesic effects rather than ISB's autonomic influence. Further studies are needed to confirm these findings.</p>","PeriodicalId":15513,"journal":{"name":"Journal of Clinical Monitoring and Computing","volume":" ","pages":"653-654"},"PeriodicalIF":2.0000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Monitoring and Computing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10877-025-01283-1","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/18 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Tanaka et al. suggested that the increase in high-frequency variability index (HFVI) after peripheral nerve block (PNB) may result from autonomic effects mediated by the stellate ganglion block when an interscalene brachial plexus block (ISB) is performed. To investigate this, we analyzed patients receiving PNB with (ISB group; n = 8) or without ISB (non-ISB group; n = 22). HFVI increased significantly in both groups to a similar extent. These findings suggest that ISB's direct autonomic influence on HFVI is minimal. Additionally, laterality effects could not be assessed due to limited cases. We conclude that HFVI elevation is more likely due to PNB's analgesic effects rather than ISB's autonomic influence. Further studies are needed to confirm these findings.

对“术后周围神经阻滞对异丙酚麻醉下镇痛伤害感觉指数的影响:一项观察性研究”评论的回应。
Tanaka等人认为,外周神经阻滞(PNB)后高频变异性指数(HFVI)的增加可能是在进行斜胛间臂丛神经阻滞(ISB)时由星状神经节阻滞介导的自主神经作用所致。为了研究这一点,我们分析了接受PNB的患者(ISB组;n = 8)或不含ISB(非ISB组;n = 22)。HFVI在两组中均显著升高,升高程度相似。这些发现表明ISB对HFVI的直接自主影响很小。此外,由于病例有限,侧边效应无法评估。我们得出结论,HFVI升高更可能是由于PNB的镇痛作用,而不是ISB的自主神经影响。需要进一步的研究来证实这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.30
自引率
13.60%
发文量
144
审稿时长
6-12 weeks
期刊介绍: The Journal of Clinical Monitoring and Computing is a clinical journal publishing papers related to technology in the fields of anaesthesia, intensive care medicine, emergency medicine, and peri-operative medicine. The journal has links with numerous specialist societies, including editorial board representatives from the European Society for Computing and Technology in Anaesthesia and Intensive Care (ESCTAIC), the Society for Technology in Anesthesia (STA), the Society for Complex Acute Illness (SCAI) and the NAVAt (NAVigating towards your Anaestheisa Targets) group. The journal publishes original papers, narrative and systematic reviews, technological notes, letters to the editor, editorial or commentary papers, and policy statements or guidelines from national or international societies. The journal encourages debate on published papers and technology, including letters commenting on previous publications or technological concerns. The journal occasionally publishes special issues with technological or clinical themes, or reports and abstracts from scientificmeetings. Special issues proposals should be sent to the Editor-in-Chief. Specific details of types of papers, and the clinical and technological content of papers considered within scope can be found in instructions for authors.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信