Anesthesia and pain medicine最新文献_第6页

Risk factors of hypotension during cesarean section with spinal anesthesia in parturients with COVID-19: a retrospective study in comparison with pregnant women without COVID-19. 患有 COVID-19 的产妇在脊髓麻醉下进行剖腹产时出现低血压的风险因素：与未患有 COVID-19 的孕妇进行比较的回顾性研究。

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2024-10-30 DOI: 10.17085/apm.24010

Si Ra Bang, Gunn Hee Kim, Sung Jun Cho, Mi Jung Yoon

{"title":"Risk factors of hypotension during cesarean section with spinal anesthesia in parturients with COVID-19: a retrospective study in comparison with pregnant women without COVID-19.","authors":"Si Ra Bang, Gunn Hee Kim, Sung Jun Cho, Mi Jung Yoon","doi":"10.17085/apm.24010","DOIUrl":"10.17085/apm.24010","url":null,"abstract":"Background: The incidence of hypotension in parturients with coronavirus disease (COVID-19) undergoing regional anesthesia remains controversial. This study aimed to investigate the incidence of hypotension during spinal anesthesia in parturients infected with COVID-19, as well as to identify associated risk factors.Methods: This retrospective study compared COVID-19-positive parturients who underwent cesarean section under spinal anesthesia (COVID-19 group) with a control group between January 2017 and June 2022. We reviewed the medical records and collected the following information: basic patient characteristics, spinal anesthesia, and newborn-related data.Results: Compared with the control group, the COVID-19 group did not show any significant differences in terms of hypotension occurrence and vasopressor usage. A positive correlation was noted in the COVID-19 group between heart rate and duration of hospital stay (P < 0.001, Spearman's rho = 0.422). In subgroup analysis of the COVID-19 group, group with a baseline heart rate ≥ 100 (group H) had lower Apgar scores at 1 min, longer hospital stays, and more severe COVID-19 symptoms than the with a baseline heart rate < 100 (group L). Moreover, in group H, there was a positive correlation between the heart rate and the lowest systolic blood pressure after spinal anesthesia (P = 0.012, Spearman's rho = 0.528).Conclusions: Parturients with COVID-19 do not appear to have a higher risk of hypotension during cesarean section under spinal anesthesia than those without COVID-19. Given the close association between preoperative heart rate and extent of hypotension in parturients with COVID-19 undergoing spinal anesthesia, vigilant monitoring of vital signs by anesthesiologists is crucial during the perioperative period.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"19 4","pages":"326-332"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607850","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

What is your optimal target of oxygen during general anesthesia in pediatric patients? 在对儿科患者进行全身麻醉时，您的最佳供氧目标是什么？

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2023-10-30 DOI: 10.17085/apm.23103

Sung-Ae Cho

引用次数: 0

Early extubation after pediatric cardiac surgery. 小儿心脏手术后尽早拔管。

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2024-07-24 DOI: 10.17085/apm.23154

Shu Qi Tham, Evangeline H L Lim

引用次数: 0

Effective and safe pediatric sedation. 有效安全的儿科镇静

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI: 10.17085/apm.24046

Young-Eun Jang, Jin-Tae Kim

{"title":"Effective and safe pediatric sedation.","authors":"Young-Eun Jang, Jin-Tae Kim","doi":"10.17085/apm.24046","DOIUrl":"10.17085/apm.24046","url":null,"abstract":"Pediatric sedation is a crucial tool for minimizing pain and anxiety during procedures and examinations in children. However, it is not without risks. This review provides a comprehensive review of pediatric sedation, including both established practices and recent advancements. A thorough pre-procedural evaluation is crucial to mitigate these risks. Skilled healthcare professionals trained in pediatric sedation are paramount to ensure a safe and effective procedure. The choice of sedative medication depends on various factors, such as the type of procedure and the patient's medical condition. Medications, used alone or in combination, offer sedation with varying onset times and durations. Non-pharmacological approaches can complement pharmacological sedation and further reduce potential complications. Preventing sedation-related complications requires a multidisciplinary approach. This includes collaborative decision-making, vigilant monitoring throughout the procedure, and a focus on patient safety. Recovery involves ensuring the child returns to their baseline status before discharge, following established criteria. In conclusion, successful pediatric sedation hinges on a comprehensive strategy. This strategy encompasses a thorough evaluation, skilled personnel, appropriate medication selection, vigilant monitoring, and a focus on patient safety throughout the process. By following these steps, we can minimize risks and achieve successful outcomes.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"S36-S48"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790769","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

Diagnosis and management of infections related to spinal pain interventions. 脊柱疼痛介入治疗相关感染的诊断和管理。

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2024-10-30 DOI: 10.17085/apm.24140

Sang Cheol Yoon, Eun Joo Choi

{"title":"Diagnosis and management of infections related to spinal pain interventions.","authors":"Sang Cheol Yoon, Eun Joo Choi","doi":"10.17085/apm.24140","DOIUrl":"10.17085/apm.24140","url":null,"abstract":"Although relatively rare, infections related to spinal pain interventions pose significant risks with an increase in the frequency of these procedures. This review investigates the incidence, risk factors, and management of infections following spinal pain interventions, such as epidural steroid injections, nucleoplasty, and facet joint injections. Most of the existing literature comprises case reports and retrospective studies with limited prospective research, owing to the nature of these infections. Our analysis revealed that while the overall infection rate is low, potential complications, such as epidural abscesses and spondylodiscitis, can be severe and life-threatening. The risk factors include advanced age, diabetes, immunosuppression, and multiple spinal procedures. Early diagnosis and timely intervention are critical to prevent long-term morbidity. These findings emphasize the importance of developing standardized diagnostic algorithms and treatment guidelines to support clinicians in managing these infections effectively. Future research should focus on large-scale studies to understand the impact of these infections better and refine clinical management strategies.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"19 4","pages":"294-301"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607831","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

Ensuring safety: a reporting system for residual narcotics in intravenous fluids. 确保安全：静脉注射液中残留麻醉剂的报告系统。

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2024-10-25 DOI: 10.17085/apm.24111

Daeseok Oh

引用次数: 0

Emergence delirium: an overview with an emphasis on the use of electroencephalography in its management. 新发谵妄：概述，重点是脑电图在治疗中的应用。

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2024-07-24 DOI: 10.17085/apm.24013

Lucy Davies, Tham Shu Qi, Agnes Ng

{"title":"Emergence delirium: an overview with an emphasis on the use of electroencephalography in its management.","authors":"Lucy Davies, Tham Shu Qi, Agnes Ng","doi":"10.17085/apm.24013","DOIUrl":"10.17085/apm.24013","url":null,"abstract":"Emergence delirium remains a clinically significant issue, which often leads to distress among pediatric patients, parents, and staff in the short term; and may also result in postoperative maladaptive behaviors persisting for weeks to months. Although several diagnostic tools are available, the Pediatric Anesthesia Emergence Delirium Scale is most often utilized. Many risk factors contributing to the likelihood of a pediatric patient developing emergence delirium have been identified; however, its accurate prediction remains challenging. Recently, intraoperative electroencephalographic monitoring has been used to improve the prediction of emergence delirium. Similarly, it may also prevent emergence delirium if the anesthesiologist ensures that the at-risk patient rouses only after the onset of appropriate electroencephalogram patterns, thus indicating a change to natural sleep. Prediction of at-risk patients is crucial; preventing emergence delirium may begin early during patient preparation by using non-pharmacological methods (i.e., the ADVANCE program). Intraoperative electroencephalographic monitoring can predict emergence delirium. This review also discusses a range of pharmacological treatment options which may assist the anesthesiologist in preventing emergence delirium among at-risk patients.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"S87-S95"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790770","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

Preoperative nutritional scores to predict mortality after liver transplantation: a retrospective cohort study. 预测肝移植术后死亡率的术前营养评分：一项回顾性队列研究。

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2024-10-25 DOI: 10.17085/apm.24045

Eun Jung Kim, Jin Ha Park, Soo Yeon Kim, Jin Sun Cho

{"title":"Preoperative nutritional scores to predict mortality after liver transplantation: a retrospective cohort study.","authors":"Eun Jung Kim, Jin Ha Park, Soo Yeon Kim, Jin Sun Cho","doi":"10.17085/apm.24045","DOIUrl":"10.17085/apm.24045","url":null,"abstract":"Background: Malnutrition is a well-known risk factor for mortality and morbidity. We investigated whether preoperative malnutrition, diagnosed using an objective nutritional index, was associated with postoperative mortality in patients undergoing liver transplantation (LT).Methods: This retrospective cohort observational study assessed the preoperative nutritional status of 440 patients who underwent LT, using the Nutritional Risk Index (NRI), Prognostic Nutritional Index (PNI), and Controlling Nutritional Status (CONUT) score. We evaluated the association between preoperative malnutrition and 3-year postoperative mortality using the Kaplan-Meier curve and log-rank test. In addition, we identified prognostic factors for mortality using Cox proportional hazard analysis.Results: Malnutrition was identified in 72.7% (n = 320), 66.1% (n = 291), and 97.3% (n = 428) of patients as assessed by the NRI, PNI, and CONUT score, respectively. The Kaplan- Meier survival curve demonstrated that mortality increased with the presence and severity of malnutrition risk, as assessed by the NRI and PNI, respectively; however, NRI was the only index identified as an independent risk factor for mortality, along with preoperative renal replacement therapy, platelet count, and C-reactive protein. After adjustment, lower NRI was associated with a higher risk of mortality (hazard ratio 0.97, 95% confidence interval 0.95- 0.99, P = 0.009). The malnutrition group (NRI ≤ 100) had a significantly greater incidence of postoperative acute kidney injury than that of the normal group.Conclusions: Preoperative NRI is an independent risk factor for mortality after LT, and therefore it would be a helpful tool for mortality risk stratification in patients undergoing LT.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"19 4","pages":"339-348"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607849","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

Children are not little adults: a special issue on pediatric anesthesia. 儿童不是小大人：儿科麻醉特刊。

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2024-10-28 DOI: 10.17085/apm.24134

Hee Young Kim

引用次数: 0

Neuromuscular blockade monitoring in pediatric patients. 儿科患者的神经肌肉阻滞监测。

Anesthesia and pain medicine Pub Date : 2024-10-01 Epub Date: 2024-10-30 DOI: 10.17085/apm.23158

Zehra Serpil Ustalar Ozgen

引用次数: 0