Anesthesia and pain medicine最新文献

Management of broken catheter during neuroplasty using epidural balloon catheter for lumbar spinal stenosis - A case report. 硬膜外球囊导尿管治疗腰椎管狭窄神经成形术中导管破裂的处理- 1例报告。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-10-02 DOI: 10.17085/apm.25233

Minsoo Kim, Byeongmun Hwang

引用次数: 0

Effects of immediate extubation in patients after liver transplantation. 肝移植术后立即拔管的效果。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-10-02 DOI: 10.17085/apm.25278

Jong Ho Kim, So Young Lim, Sung Mi Hwang, Youngsuk Kwon, Jae Jun Lee, Hong Seuk Yang

引用次数: 0

A systematic review of the respiratory effects of ultrasound-guided phrenic nerve block. 超声引导膈神经阻滞对呼吸系统影响的系统综述。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-09-26 DOI: 10.17085/apm.25214

Christian Rafla, Tony Zitek, Michael Shalaby

{"title":"A systematic review of the respiratory effects of ultrasound-guided phrenic nerve block.","authors":"Christian Rafla, Tony Zitek, Michael Shalaby","doi":"10.17085/apm.25214","DOIUrl":"https://doi.org/10.17085/apm.25214","url":null,"abstract":"Ultrasound-guided phrenic nerve blocks (UPNBs) have emerged as a promising intervention for clinical conditions involving the diaphragm and adjacent structures. However, UPNB is often understood as an unintended but potentially critical complication of interscalene brachial plexus block (ISB) rather than a planned procedure. Therefore, we review the existing data on the effectiveness of UPNBs in enhancing respiratory functioning. We searched Medline, EMBASE, Web of Science, and Google Scholar for clinical data related to UPNBs up until May 2025. The primary outcome of this review was to determine the impact of UPNB in minimizing dyspnea or desaturation among patients. Secondary outcomes included UPNB's effectiveness in reducing the intensity and frequency of hiccups and enhancing pulmonary function testing (PFT) and arterial blood gas (ABG) values. Twenty-six studies met the inclusion criteria. The findings show that UPNB does not induce or worsen dyspnea among patients. The injection produced better saturation, with some studies reporting 99% and 96% - 100% oxygen saturation. Besides, phrenic nerve block injection is vital in reducing diaphragmatic pain. Patients who exhibited intractable or persistent hiccups had their frequency and severity reduced or vanished after the nerve block injection. Our findings show that UPNB positively affected ABG samples (fair PaO2, PaCO2, and arterial pH) and spirometry/PFT values (fair FEV1, FVC, and PEF). UPNB enhanced oxygen saturation, reduced intractable hiccups, and preserved PFT and ABG values. Additionally, UPNB did not induce or worsen dyspnea and desaturation. Nevertheless, more clinical trials are needed to confirm these findings.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

NLRP3 inflammasome: a key driver of neuroinflammation and a novel therapeutic target for neuropathic pain. NLRP3炎性小体：神经炎症的关键驱动因素和神经性疼痛的新治疗靶点。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-08-22 DOI: 10.17085/apm.24132

Zana Montazeri-Khosh, Ahmad Ebrahimpour, Mahyar Hossein-Zargari, Parsa Taghizadeh-Tabrizi, Mohammad Safari-Sahlabadi, Mohammad Hosein Sheybani-Arani, Nahid Davoodian

{"title":"NLRP3 inflammasome: a key driver of neuroinflammation and a novel therapeutic target for neuropathic pain.","authors":"Zana Montazeri-Khosh, Ahmad Ebrahimpour, Mahyar Hossein-Zargari, Parsa Taghizadeh-Tabrizi, Mohammad Safari-Sahlabadi, Mohammad Hosein Sheybani-Arani, Nahid Davoodian","doi":"10.17085/apm.24132","DOIUrl":"https://doi.org/10.17085/apm.24132","url":null,"abstract":"Neuropathic pain represents a serious complication arising from a spectrum of disorders that precipitate lesions within the central and peripheral nervous systems. This disabling pain can persist for years, severely diminishing the quality of life of the affected individuals. The treatment options available for neuropathic pain at present have limited efficacy. Moreover, the adverse effects associated with these options restrict their application. The exact etiological mechanisms underlying the pathogenesis of neuropathic pain remain unclear. However, neuroinflammatory processes mediated by the immune system play significant roles in the initiation and progression of neuropathic pain in various models. The nucleotide-binding domain and leucine-rich repeat pyrin-containing protein-3 (NLRP3) inflammasome, a pivotal element of the innate immune system, plays an indispensable role in the pathophysiological mechanisms of central and peripheral neuropathic pain. However, the precise mechanisms facilitating its activation in disparate neuropathic pain conditions remain to be elucidated. Gaining insights into the regulatory mechanisms affecting NLRP3 inflammasome activation in diverse neuropathic pain-associated disorders will aid in developing novel therapeutic avenues. Therefore, this review summarizes the current knowledge on the role of the NLRP3 inflammasome in the pathophysiology of several neuropathic pain-related conditions, such as diabetic neuropathic pain, chemotherapy-induced neuropathic pain, peripheral nerve compression, central nervous system neuropathic pain, radiculopathy, and morphine analgesic tolerance. In addition, this review also discusses the possible use of this inflammasome as a therapeutic target to alleviate the pain-related symptoms of these diseases.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare case of metastatic brachial plexopathy as an initial presentation of recurrent breast cancer mimicking shoulder disorder and peripheral nerve entrapment - A case report. 一例罕见的转移性臂丛病作为复发性乳腺癌的初始表现，模仿肩部疾病和周围神经卡压- 1例报告。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-23 DOI: 10.17085/apm.24155

Young Sung Kim, Seung Inn Cho, Kuen Su Lee, Sang Sik Choi

{"title":"A rare case of metastatic brachial plexopathy as an initial presentation of recurrent breast cancer mimicking shoulder disorder and peripheral nerve entrapment - A case report.","authors":"Young Sung Kim, Seung Inn Cho, Kuen Su Lee, Sang Sik Choi","doi":"10.17085/apm.24155","DOIUrl":"10.17085/apm.24155","url":null,"abstract":"Background: The clinical manifestations of metastatic brachial plexopathy include pain, sensory loss, paresthesia, weakness, and reduced range of motion. These symptoms closely resemble those of shoulder disorders and peripheral nerve entrapment, which are commonly diagnosed in pain clinics, increasing the risk of misdiagnosis or delayed diagnosis, particularly in patients with a history of malignancy.Case: A 51-year-old woman with a history of breast cancer in complete remission for 19 years presented with shoulder pain, arm weakness, and tingling in the fingers. Initial treatments for suspected cervical radiculopathy, shoulder disorders, and nerve entrapment were ineffective. Electromyography and nerve conduction studies revealed electrophysiological abnormalities consistent with left brachial plexopathy. Magnetic resonance imaging of the brachial plexus confirmed metastatic involvement. The patient is currently undergoing chemotherapy.Conclusions: Clinicians must be vigilant of the possibility of malignancy in patients with a history of cancer and should pursue comprehensive diagnostic evaluations to exclude cancer recurrence.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 3","pages":"246-251"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sustaining surgical services during the 2024 South Korean medical workforce crisis: a single-center experience. 2024年韩国医疗人力危机期间维持外科服务：单中心体验。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-23 DOI: 10.17085/apm.25281

Yumin Song, Dong-Hyun Go, Jong-Hoon Park, Cheesoon Yoon, Young Uk Kim

引用次数: 0

Comment on "Unintended subdural anesthesia and subdural air bubbles after attempted epidural anesthesia in a patient undergoing cesarean section". 评论“剖宫产术患者尝试硬膜外麻醉后意外硬膜下麻醉和硬膜下气泡”。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-18 DOI: 10.17085/apm.25212

Saecheol Oh, Jiwon Kang

引用次数: 0

Comparative effectiveness of bupivacaine and lidocaine-bupivacaine mixtures in brachial plexus block: a systematic review and meta-analysis. 布比卡因和利多卡因-布比卡因混合物治疗臂丛神经阻滞的比较疗效：一项系统综述和荟萃分析。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.17085/apm.25264

João M Cansian, Vítor S Bracht, Lisandra V Biolo, André P Schmidt

{"title":"Comparative effectiveness of bupivacaine and lidocaine-bupivacaine mixtures in brachial plexus block: a systematic review and meta-analysis.","authors":"João M Cansian, Vítor S Bracht, Lisandra V Biolo, André P Schmidt","doi":"10.17085/apm.25264","DOIUrl":"10.17085/apm.25264","url":null,"abstract":"Background: Combining lidocaine with bupivacaine in brachial plexus blocks seeks to blend rapid onset with extended duration; yet, clinical advantages are uncertain. This systematic review assesses their efficacy against bupivacaine alone in ultrasound-guided brachial plexus blocks.Methods: A systematic search of PubMed, EMBASE, and Cochrane databases was conducted in May 2025. Randomized controlled trials (RCTs) comparing lidocaine-bupivacaine mixtures with bupivacaine alone in ultrasound-guided brachial plexus blocks were included. The primary outcome was sensory block onset time. Secondary outcomes included motor block onset time, sensory and motor block durations, and conversion to general anesthesia. Data were analyzed using a random-effects model, with heterogeneity assessed via I² statistics.Results: Of 1,490 identified articles, 7 RCTs (358 patients) met the inclusion criteria. No significant difference was found in sensory block onset time (mean difference [MD] -1.81 min, 95% confidence interval [CI] -3.92 to 0.29; P = 0.09; I² = 98%) or motor block onset time (MD 0.02 min, 95% CI -2.34 to 2.39; P = 0.99; I² = 95%) between groups. The mixture reduced sensory (MD -172.88 min, 95% CI -215.18 to -130.59; P<0.00001; I² = 90%) and motor block durations (MD -212.13 min, 95% CI -374.99 to -49.28; P = 0.01; I² = 93%).Conclusions: No clinical benefit was observed from combining lidocaine with bupivacaine, as there was no improvement in block onset times and a reduction in block durations. Given the very low certainty of evidence, these findings should be interpreted with caution, and further high-quality RCTs are needed.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 3","pages":"252-265"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intraoperative blood pressure considerations in pediatric anesthesia. 小儿麻醉术中血压的注意事项。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-04 DOI: 10.17085/apm.25206

Stephen J Gleich

引用次数: 0

Beyond numbers: the beginning of a new possibility. 超越数字：一种新的可能性的开始。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.17085/apm.25306

Min Kyoung Kim, Hyun Kang

引用次数: 0