Anesthesia and pain medicine最新文献_第2页

From revival to routine: electromyography-based neuromuscular monitoring in contemporary anesthesia practice. 从苏醒到常规：当代麻醉实践中基于肌电图的神经肌肉监测。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.17085/apm.25267

Chang-Hoon Koo

{"title":"From revival to routine: electromyography-based neuromuscular monitoring in contemporary anesthesia practice.","authors":"Chang-Hoon Koo","doi":"10.17085/apm.25267","DOIUrl":"10.17085/apm.25267","url":null,"abstract":"Electromyography (EMG)-based neuromuscular monitoring has emerged as a pivotal advancement in anesthesia, offering enhanced precision and reliability in assessing neuromuscular blockade. This review describes the physiological foundations of EMG, the methodologies for quantifying compound muscle action potential, and the comparative utility of EMG over traditional acceleromyography. Clinical applications across various muscle sites-specifically the adductor pollicis, first dorsal interosseous, and abductor digiti minimi-are explored, emphasizing inter-muscle variability and its implications for dosing of reversal agents. EMG-based monitoring is associated with reduced calibration time, improved stability against signal drift, and superior prevention of residual neuromuscular blockade. However, EMG monitoring presents unique challenges, including signal artifacts and device-specific variations in response thresholds. Recent comparative studies have demonstrated the importance of understanding device-specific characteristics to optimize clinical interpretations. Collectively, this evidence supports the use of EMG as a standard modality for perioperative neuromuscular management. Its accurate and reproducible signals, combined with broad clinical compatibility, present a compelling case for widespread adoption in routine anesthetic practice.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 3","pages":"222-229"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824469","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

Erratum: Revolutionizing trauma care: advancing coagulation management and damage control anesthesia. 勘误：革新创伤护理：推进凝血管理和损伤控制麻醉。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.17085/apm.24038.e1

引用次数: 0

Cold temperatures, hot risks: perioperative hypothermia in geriatric patients - a narrative review. 低温、高温风险：老年患者围手术期低体温——一篇叙述性综述。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.17085/apm.25294

Jae Hwa Yoo, Tae-Yun Sung, Chung-Sik Oh

{"title":"Cold temperatures, hot risks: perioperative hypothermia in geriatric patients - a narrative review.","authors":"Jae Hwa Yoo, Tae-Yun Sung, Chung-Sik Oh","doi":"10.17085/apm.25294","DOIUrl":"10.17085/apm.25294","url":null,"abstract":"Aging adversely impacts thermoregulatory function, thereby increasing the risk of intraoperative hypothermia. Age-associated alterations-including diminished thermal perception, impaired autonomic responsiveness, reduced thermogenic capacity due to sarcopenia, and decreased cardiovascular adaptability, exacerbate the vulnerability to hypothermia. Concomitant comorbidities and polypharmacy further compromise thermal homeostasis in geriatric patients. Anesthetic agents compound this risk by lowering the thresholds for vasoconstriction and shivering and attenuating the magnitude of thermal responses. Consequently, geriatric populations are predisposed to significant perioperative temperature decline, particularly in cooler operating room (OR) environments. Intraoperative hypothermia is associated with an increased incidence of adverse outcomes, including increased cardiac events, surgical site infections, coagulopathy, protracted pharmacodynamic effects, extended recovery, and hospitalization duration. Although recent investigations suggest a diminished incidence of hypothermia due to minimally invasive surgical techniques and enhanced temperature management protocols, the intrinsic susceptibility of the aged thermoregulatory system persists. Effective temperature management requires precise core temperature monitoring and maintains appropriate OR temperatures. Furthermore, the implementation of multimodal warming strategies, including passive insulation, active warming modalities, warming of intravenous fluids, and prewarming before anesthesia induction, is critical. Therefore, a comprehensive and proactive thermal management approach is essential in mitigating hypothermia-related risks and optimizing perioperative outcomes in the geriatric patients.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 3","pages":"189-199"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824462","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

Navigating ambulatory perioperative care in patients with obesity and obstructive sleep apnea: a narrative review of ambulatory surgery outcomes and opioid safety. 肥胖和阻塞性睡眠呼吸暂停患者的门诊围手术期护理：门诊手术结果和阿片类药物安全性的叙述性回顾

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.17085/apm.25221

Faria Nisar, Nicolás Mario Mas D Alessandro, Jessica Suratkal, Kelly Lebak

{"title":"Navigating ambulatory perioperative care in patients with obesity and obstructive sleep apnea: a narrative review of ambulatory surgery outcomes and opioid safety.","authors":"Faria Nisar, Nicolás Mario Mas D Alessandro, Jessica Suratkal, Kelly Lebak","doi":"10.17085/apm.25221","DOIUrl":"10.17085/apm.25221","url":null,"abstract":"Obesity and sleep apnea contribute to significant challenges in ambulatory surgical centers which include airway management and perioperative recovery. This narrative review was written following a literature review of articles available on ScienceDirect, PubMed, and Google Scholar from 2009 to 2024. This article highlights that obesity-related anatomical changes, such as increased neck circumference (NC) and reduced cervical extension, may complicate airway management. Successful ambulatory surgery for these high-risk patients depends on detailed attention throughout the perioperative period. Advanced airway techniques, along with continuous pulse oximetry and capnography, are vital for safe care. The use of continuous positive airway pressure or bilevel positive airway pressure in the perioperative phase is particularly beneficial in preventing respiratory complications. A systematic, multidisciplinary approach emphasizing preoperative screening, risk stratification, and standardized protocols is crucial for optimizing results.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 3","pages":"200-212"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824471","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

Corrigendum to: Neuromuscular blockade monitoring in pediatric patients. 小儿患者神经肌肉阻断监测的勘误表。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.17085/apm.23158.e1

Zehra Serpil Ustalar Ozgen

引用次数: 0

Use of combined spinal epidural technique with milrinone nebulization in a patient with pulmonary stenosis posted for elective cesarean section - A case report. 脊髓硬膜外联合米力农雾化治疗肺狭窄择期剖宫产1例报告。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.17085/apm.25223

Gade Sandeep, Subrata Kumar Singha, Sarita Ramchandani, Sai Mahitha, Swati Vijapurkar

{"title":"Use of combined spinal epidural technique with milrinone nebulization in a patient with pulmonary stenosis posted for elective cesarean section - A case report.","authors":"Gade Sandeep, Subrata Kumar Singha, Sarita Ramchandani, Sai Mahitha, Swati Vijapurkar","doi":"10.17085/apm.25223","DOIUrl":"10.17085/apm.25223","url":null,"abstract":"Background: Anesthetic management in pregnant women with congenital heart disease is complex due to physiological changes during pregnancy and the specific hemodynamic challenges posed by different cardiac anomalies. A multidisciplinary approach is essential to optimize maternal and fetal outcomes. Pregnancy induces significant cardiovascular changes to meet the increased metabolic demands of the mother and growing fetus. Cardiovascular changes may aggravate the underlying pathology during pregnancy, leading to hemodynamic instability.Case: A 27-year-old pregnant woman presented with severe pulmonary stenosis after pulmonary valve balloon dilatation for an elective cesarean section using a combined spinal-epidural technique (CSE) and milrinone nebulization to avoid right ventricular dysfunction.Conclusions: CSE reduces the stress response to surgery, minimizes myocardial depression associated with anesthetic drugs, and improves postoperative pain control. Techniques such as milrinone nebulization may help lessen the hemodynamic perturbations associated with auto-transfusion post-delivery.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 3","pages":"242-245"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824473","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

Diagnostic value of visual stethoscopes for detecting bronchospasm in a patient under general anesthesia - A case report. 视觉听诊器对全麻支气管痉挛的诊断价值- 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.24194

Jaeeun Song, Baehun Moon, Hyun-Seok Kim, Woo-Young Seo, Woo Jin Kim, Sung-Hoon Kim

{"title":"Diagnostic value of visual stethoscopes for detecting bronchospasm in a patient under general anesthesia - A case report.","authors":"Jaeeun Song, Baehun Moon, Hyun-Seok Kim, Woo-Young Seo, Woo Jin Kim, Sung-Hoon Kim","doi":"10.17085/apm.24194","DOIUrl":"10.17085/apm.24194","url":null,"abstract":"Background: Bronchospasm is a rare but potentially life-threatening complication during anesthesia that requires prompt recognition and management. Traditional auscultation plays a key role but is limited in objective interpretation and continuous monitoring.Case: We report a case of intraoperative bronchospasm during laparoscopic surgery, detected early through real-time acoustic visualization using a digitalized esophageal stethoscope. The visualization of lung sounds facilitated the rapid identification of expiratory wheezing and abnormal spectrogram patterns characteristic of bronchospasm. Immediate intervention with a bronchodilator resolved the condition without further complications.Conclusions: This case demonstrates the utility of visual stethoscopes in enhancing perioperative respiratory management. Real-time visualization and quantification of lung sounds offer anesthesiologists a valuable tool for early diagnosis and collaborative decision-making during critical respiratory events.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 3","pages":"277-282"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824466","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

Enhanced accuracy in gravity-based intravenous infusion using pulse oximeter drop counting and measured single-drop weights. 使用脉搏血氧计滴计数和测量的单滴重量提高了重力静脉输液的准确性。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.17085/apm.25207

Daeseok Oh, Myoung Jin Ko, Jae Hwan Kim, Yeiheum Park, Sungho Moon

{"title":"Enhanced accuracy in gravity-based intravenous infusion using pulse oximeter drop counting and measured single-drop weights.","authors":"Daeseok Oh, Myoung Jin Ko, Jae Hwan Kim, Yeiheum Park, Sungho Moon","doi":"10.17085/apm.25207","DOIUrl":"10.17085/apm.25207","url":null,"abstract":"Background: Intravenous (IV) fluid therapy is essential and widely used; however, it is associated with high error rates, largely due to human factors, necessitating constant and careful monitoring by medical staff. Gravity-based systems are prone to errors, whereas electronic pumps, though more accurate, are limited by size, cost, and complexity. In this study, the impact of single-drop weight measurement and real-time light source monitoring on the accuracy of gravity-based infusion systems was evaluated.Methods: Gravity-based IV sets with IV infusion flow regulators (IIFRs) from three manufacturers were tested using 1,000 ml of 0.9% saline. The drops per min and the drop weight were recorded using a pulse oximeter, which served as a light source. The flow rates from the pulse oximeter group (PO) were compared with those from the manufacturer's drop volume (C) and the IIFR groups. The mean absolute percentage error (MAPE) of predicted versus actual volumes was analyzed along with correlations between the residual volume and drop rate.Results: The PO group values were statistically closer to those of the actual measurements than the C and IIFR groups values (P < 0.05), demonstrating higher accuracy and lower MAPE, except at 300 ml/h when than those of the C group, independent of residual volume. The residual volume strongly correlated with the drop rate (r > 0.9).Conclusions: Real-time drop measurements using light sources combined with single-drop weight assessment improve the accuracy of these systems. Integrating pulse oximeters into IV sets may enhance clinical precision and reduce provider workload.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 3","pages":"230-241"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144824467","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

Regional anesthesia for scapular surgeries: a scoping review. 肩胛骨手术的区域麻醉：范围回顾。

Anesthesia and pain medicine Pub Date : 2025-05-01 DOI: 10.17085/apm.24170

Reena, Ashutosh Vikram, Anshul Jain, Praveen Talawar

引用次数: 0

Comparison of intraoperative intravenous lidocaine infusion and transversus abdominis plane block for postoperative analgesia following laparoscopic cholecystectomy: a randomized controlled trial. 术中静脉输注利多卡因与经腹平面阻滞用于腹腔镜胆囊切除术术后镇痛的比较：一项随机对照试验。

IF 3.2

Anesthesia and pain medicine Pub Date : 2025-05-01 DOI: 10.17085/apm.24159

Haris Sheikh, Shakaib Zafar, Kamran Nawaz, Hameed Ullah

{"title":"Comparison of intraoperative intravenous lidocaine infusion and transversus abdominis plane block for postoperative analgesia following laparoscopic cholecystectomy: a randomized controlled trial.","authors":"Haris Sheikh, Shakaib Zafar, Kamran Nawaz, Hameed Ullah","doi":"10.17085/apm.24159","DOIUrl":"10.17085/apm.24159","url":null,"abstract":"Background: Laparoscopic cholecystectomy has been associated with moderate to severe intensity pain, especially in the early postoperative period. Among pain modalities, the transversus abdominis plane (TAP) block has favorable results and fewer associated adverse effects. Current evidence also reports that intravenous lidocaine infusion is effective in reducing acute postoperative pain and decreases overall opioid requirement. This study aimed to compare intravenous lidocaine infusion and bilateral subcostal TAP block for postoperative analgesia following laparoscopic cholecystectomy.Methods: Thirty patients were randomly classified into the control, lidocaine, and TAP block groups. Intravenous lidocaine infusion was used in the lidocaine arm intraoperatively, while bilateral subcostal TAP block was placed in the TAP block arm as an intervention. The primary outcome was 24 h average pain score. Secondary outcomes included rescue analgesic consumption, postoperative nausea and vomiting, and patient satisfaction.Results: Comparative analysis between groups showed that the 24 h mean pain score on the visual analog scale score was significantly decreased in the lidocaine group than the control group (mean difference with 95% confidence interval [CI], 2.47 (1.94, 3.00); P < 0.001). Furthermore, the mean pain score was significantly decreased in the lidocaine group than in the TAP block group (mean difference with 95% CI, 1.14 (0.56, 1.72); P < 0.001).Conclusions: Intravenous lidocaine infusion is a superior modality for postoperative pain management in laparoscopic cholecystectomy than TAP block or routine management. Lidocaine also helped decrease rescue analgesic consumption and achieved better patient satisfaction.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121901","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