Anesthesia and pain medicine最新文献_第7页

Grip strength as a simple method to predict postoperative delirium after lower extremity surgery in the elderly: a prospective diagnostic evaluation. 握力作为预测老年人下肢手术后谵妄的简单方法：一项前瞻性诊断评估。

IF 3.2

Anesthesia and pain medicine Pub Date : 2026-01-01 Epub Date: 2025-11-24 DOI: 10.17085/apm.25254

Hyo Sung Kim, Seok Kyeong Oh, Young Sung Kim, Hyun Ah Lee

{"title":"Grip strength as a simple method to predict postoperative delirium after lower extremity surgery in the elderly: a prospective diagnostic evaluation.","authors":"Hyo Sung Kim, Seok Kyeong Oh, Young Sung Kim, Hyun Ah Lee","doi":"10.17085/apm.25254","DOIUrl":"10.17085/apm.25254","url":null,"abstract":"Background: Grip strength (GS), an indicator of sarcopenia, declines with age and is associated with frailty, which increases the risk of postoperative delirium (POD). Assessing frailty in patients undergoing lower extremity surgery is challenging owing to limited mobility. We investigated whether GS, a simple screening tool, can independently predict POD and aimed to determine the most appropriate criteria for low GS in the Korean population.Methods: This prospective study included patients aged ≥ 65 years undergoing lower extremity surgery. Preoperative GS was measured, and sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia (AWGS) cut-offs and three other established criteria for GS weakness. POD was assessed with the Confusion Assessment Method for the Intensive Care Unit. Receiver operating characteristic (ROC) curves were used to evaluate the sensitivity and specificity of low GS in predicting POD. Logistic regression analysis was performed to identify variables independently associated with POD.Results: GS was measured in 150 patients with a median age of 73 years. POD was diagnosed in 17 patients (11.3%), 13 of whom had low GS. Among the four sarcopenia criteria, the AWGS showed the highest area under the ROC curve (0.796). Of the variables analyzed-including age, American Society of Anesthesiologists class, body weight, intraoperative opioid use, and postoperative pain-only low GS was identified as an independent predictor of POD (odds ratio: 15.543, P < 0.001).Conclusions: GS is a simple, reliable measure that may serve as an independent predictor of POD in elderly undergoing lower extremity surgery.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"101-110"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159970","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

Modern neuraxial labor analgesia: techniques, pharmacologic strategies, and maternal-fetal outcomes. 现代神经轴分娩镇痛：技术、药理学策略和母胎结局。

IF 3.2

Anesthesia and pain medicine Pub Date : 2026-01-01 Epub Date: 2026-01-30 DOI: 10.17085/apm.25459

Ae-Ryoung Lee

{"title":"Modern neuraxial labor analgesia: techniques, pharmacologic strategies, and maternal-fetal outcomes.","authors":"Ae-Ryoung Lee","doi":"10.17085/apm.25459","DOIUrl":"10.17085/apm.25459","url":null,"abstract":"Neuraxial labor analgesia (NLA) remains the gold standard for intrapartum pain management, providing superior analgesia, higher maternal satisfaction, and improved fetal safety compared with systemic or inhalational techniques. Recent advances in initiation methods- including epidural analgesia, combined spinal-epidural, and dural puncture epidural techniques-as well as optimized pharmacological regimens using low-concentration local anesthetics combined with lipophilic opioids, have improved analgesic onset, sacral coverage, and block uniformity while minimizing motor blockade. Modern maintenance strategies, particularly programmed intermittent epidural bolus administration with patient-controlled supplementation, further enhance analgesic quality and reduce local anesthetic consumption. NLA does not adversely affect obstetric outcomes, including labor duration, instrumental delivery, or cesarean section rates, and has no detrimental effect on Apgar scores, cord blood gas levels, or admission to the neonatal intensive care unit. Ultrasound guidance reduces technical complications such as unintended dural puncture and failure. Long-term maternal and offspring outcomes, including postpartum depression and childhood neurodevelopmental disorders, have shown no causal association with NLA after rigorous adjustment for confounding factors. Collectively, modern neuraxial techniques provide effective, individualized, and physiologically favorable analgesia throughout labor with improvements in short- and long-term outcomes. Ongoing improvements in pharmacological approaches, adjuvant selection, and delivery algorithms will improve the safety, efficiency, and personalization of obstetric anesthesia practice.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"13-26"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159988","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

A comparative evaluation of efficacy of lignocaine and dexmedetomidine to attenuate hemodynamic and airway responses to endotracheal extubation in elective coronary artery bypass graft surgery: a prospective randomized double-blind clinical study. 利多卡因和右美托咪定减轻择期冠状动脉搭桥手术气管内拔管后血流动力学和气道反应的疗效比较：一项前瞻性随机双盲临床研究。

IF 3.2

Anesthesia and pain medicine Pub Date : 2026-01-01 Epub Date: 2026-01-30 DOI: 10.17085/apm.25239

Mithilesh Kumar, Arvind Kumar, Mumtaz Hussain, Alok Kumar Bharti, Abhinav Kumar

{"title":"A comparative evaluation of efficacy of lignocaine and dexmedetomidine to attenuate hemodynamic and airway responses to endotracheal extubation in elective coronary artery bypass graft surgery: a prospective randomized double-blind clinical study.","authors":"Mithilesh Kumar, Arvind Kumar, Mumtaz Hussain, Alok Kumar Bharti, Abhinav Kumar","doi":"10.17085/apm.25239","DOIUrl":"10.17085/apm.25239","url":null,"abstract":"Background: Extubation is more stressful than intubation because it leads to unpredictable hemodynamic and airway responses. Therefore, in this study, we compared the efficacy of dexmedetomidine and lignocaine in attenuating hemodynamic and airway responses during extubation in patients undergoing on-pump coronary artery bypass graft (CABG) surgeries.Methods: Seventy patients, aged 18-65 years, classified as American Society of Anesthesiologists physical status III and IV, were scheduled for elective on-pump CABG surgery under general anesthesia and prepared for extubation in the cardiac postoperative recovery room. They were randomly assigned to one of two groups: Dexmedetomidine Group (Group D, n = 35) received an intravenous (IV) bolus of dexmedetomidine at a dose of 0.5 µg/kg, while Lignocaine Group (Group L, n = 35) received an IV bolus of lignocaine at a dose of 1.5 mg/ kg, administered 5 min before extubation. Heart rate (HR) and mean arterial pressure (MAP) were measured at several intervals: prior to drug administration and at various times post-extubation. Statistical analysis was performed using the chi-squared test and a repeated-measures analysis of variance with Bonferroni correction.Results: The mean HR in Group D significantly decreased from E1 to E20 when compared with A0 (P < 0.05) and from E5 to E20 when compared with A1 (P < 0.05). By contrast, Group L showed significant variations in HR, at various time intervals.Conclusions: A single dose of dexmedetomidine (0.5 µg/kg) given 5 min prior to extubation significantly reduced post-extubation HR and improved extubation quality compared with lignocaine (1.5 mg/kg) in patients undergoing on-pump CABG surgeries.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"91-100"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159960","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

Perioperative respiratory rehabilitation: evolving concepts and clinical applications. 围手术期呼吸康复：发展的概念和临床应用。

IF 3.2

Anesthesia and pain medicine Pub Date : 2026-01-01 Epub Date: 2026-01-30 DOI: 10.17085/apm.25338

Minhyung Rhee, Sanghon Park

{"title":"Perioperative respiratory rehabilitation: evolving concepts and clinical applications.","authors":"Minhyung Rhee, Sanghon Park","doi":"10.17085/apm.25338","DOIUrl":"10.17085/apm.25338","url":null,"abstract":"Postoperative respiratory rehabilitation is a comprehensive program designed to enhance both the physical and psychological states of patients with respiratory conditions. Various breathing techniques such as diaphragmatic breathing, pursed-lip breathing, coughing and huffing techniques, and the active cycle of breathing technique aid significantly in mucus clearance and improvement of respiratory function. Patient-specific posture training and exercises aimed at improving chest wall mobility can significantly reduce atelectasis and improve ventilatory parameters. Preoperative training with incentive spirometry and inspiratory muscle training has been shown to reduce rates of atelectasis and pneumonia postoperatively. Structured rehabilitation programs have demonstrated positive outcomes in enhancing patient quality of life and reducing symptoms of anxiety and depression. A multidisciplinary team involving physicians, nurses, and physiotherapists is essential for successful rehabilitation, addressing comprehensive patient needs. Personalized rehabilitation plans, considering individual patient conditions and surgical risk factors, are critical for achieving optimal rehabilitation outcomes. Respiratory rehabilitation is a vital component of postoperative care aimed at reducing pulmonary complications, enhancing respiratory function, and improving patient quality of life.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"27-37"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159973","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 to: Cold temperatures, hot risks: perioperative hypothermia in geriatric patients - a narrative review. 低温，热风险：老年患者围手术期低体温-叙述性回顾。

IF 3.2

Anesthesia and pain medicine Pub Date : 2026-01-01 Epub Date: 2026-01-30 DOI: 10.17085/apm.25294.e1

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

引用次数: 0

Triple-injection perisartorius block versus dual subsartorial block for total knee arthroplasty: a double-blinded randomized controlled study. 全膝关节置换术中三针锁骨周围阻滞与双缝下阻滞：一项双盲随机对照研究。

IF 3.2

Anesthesia and pain medicine Pub Date : 2026-01-01 Epub Date: 2026-01-30 DOI: 10.17085/apm.25224

Moustafa Abdelaziz Moustafa, Ahmad Samir Alabd, Aly Mahmoud Moustafa Ahmed

{"title":"Triple-injection perisartorius block versus dual subsartorial block for total knee arthroplasty: a double-blinded randomized controlled study.","authors":"Moustafa Abdelaziz Moustafa, Ahmad Samir Alabd, Aly Mahmoud Moustafa Ahmed","doi":"10.17085/apm.25224","DOIUrl":"10.17085/apm.25224","url":null,"abstract":"Background: Optimal pain control is essential after total knee arthroplasty (TKA). The primary aim was to determine whether the addition of a suprasartorial injection as part of the Triple Injection Peri-Sartorius (TIPS) block results in better visual analogue scale (VAS) scores than dual subsartorial Block (DSB).Methods: Eighty-eight patients scheduled for TKA were randomly assigned to two groups after induction of general anesthesia. Group DSB received femoral triangle block and distal adductor canal block. Group TIPS received DSB plus an injection superficial to the sartorius muscle within the duplicated layer of the fascia lata.Results: Demographic characteristics were insignificant. The resting VAS scores at 4, 8, and 12 h postoperatively were significantly lower in the TIPS group (median: 2, 2, and 1, respectively) than in the DSB group (median: 4, 3, and 2, respectively) (P < 0.001, 0.001, and 0.001, respectively). Dynamic VAS scores at 4, 8, and 12 h were significantly lower in the TIPS group (median: 3, 3, and 2, respectively) than in the DSB group (median: 4, 4, and 2, respectively) (P < 0.001, 0.001, and 0.005, respectively). Morphine consumption and time to first analgesic requirement were significantly lower in the TIPS group (P < 0.001). Timed Up and Go Test and the 30-s Chair Stand Test showed no significant differences.Conclusions: TIPS block provides superior postoperative analgesia after TKA compared with DSB evidenced by lower VAS scores and reduced opioid requirements postoperatively. Addition of a suprasartorial injection to DSB offers motor-sparing analgesia without compromising functional recovery.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"83-90"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159966","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

Utility of the tympanic membrane temperature probe for continuous core temperature monitoring during general anesthesia: in vitro laboratory validation and prospective observational study. 鼓膜温度探头在全身麻醉中持续监测核心温度的效用：体外实验室验证和前瞻性观察研究。

IF 3.2

Anesthesia and pain medicine Pub Date : 2026-01-01 Epub Date: 2025-11-12 DOI: 10.17085/apm.25252

Ha Yeon Kim, Sang Kee Min, Hun Yi Park, Do Hyun Kim, Tae Kwang Kim

{"title":"Utility of the tympanic membrane temperature probe for continuous core temperature monitoring during general anesthesia: in vitro laboratory validation and prospective observational study.","authors":"Ha Yeon Kim, Sang Kee Min, Hun Yi Park, Do Hyun Kim, Tae Kwang Kim","doi":"10.17085/apm.25252","DOIUrl":"10.17085/apm.25252","url":null,"abstract":"Background: Continuous tympanic membrane temperature (T-TM) monitoring is minimally invasive and may be suitable for core temperature measurement during anesthesia. This study aimed to evaluate the accuracy and safety of T-TM compared to infrared tympanic thermometer temperature (T-IRT) and esophageal temperature (T-ESO).Methods: This study included both in vitro validation and a prospective observational study conducted at a tertiary hospital. In vitro agreement between T-TM and T-ESO over a temperature range of 32 to 42°C was assessed using Bland-Altman analysis. Clinically, 40 adults undergoing general anesthesia were under continuous T-TM and T-ESO monitoring, with T-IRT measured at three perioperative time points. Agreement was evaluated using Bland-Altman analysis, and temporal changes were assessed using repeated-measures analysis of variance. Hypothermia was defined as core temperature < 36.0°C. Safety was assessed using otoscopy before and after anesthesia.Results: In vitro, T-TM and T-ESO showed minimal mean bias (-0.01°C; 95% confidence interval [CI], -0.03 to 0.00°C), with limits of agreement (LoA) ranging from -0.22 to 0.20°C. Clinically, T-TM was comparable to T-IRT (mean bias: 0.04°C; 95% CI, 0.00 to 0.07°C; LoA: -0.33 to 0.41°C) but consistently higher than T-ESO as anesthesia progressed (mean differences: 0.31 to 0.80°C; P < 0.001). Hypothermia detection was lower with T-TM (37.5%) than with T-ESO (85.0%) (P < 0.001). No otological complications were observed.Conclusions: T-TM demonstrated excellent agreement with T-ESO in vitro and was comparable to T-IRT in clinical settings. However, it tended to yield slightly higher readings than T-ESO, which should be considered during perioperative temperature monitoring.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"111-120"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159936","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

Accidental epidural administration of sugammadex and ramosetron - A case report. 意外硬膜外给药糖麦酮和雷莫司琼1例。

IF 3.2

Anesthesia and pain medicine Pub Date : 2026-01-01 Epub Date: 2025-11-03 DOI: 10.17085/apm.25330

Ji Wook Kim, Taek Yong Ko, Donghee Kang

{"title":"Accidental epidural administration of sugammadex and ramosetron - A case report.","authors":"Ji Wook Kim, Taek Yong Ko, Donghee Kang","doi":"10.17085/apm.25330","DOIUrl":"10.17085/apm.25330","url":null,"abstract":"Background: Wrong-route administration of intravenous (IV) medications into the epidural space is a rare but potentially harmful event in anesthetic practice. Although various agents have been inadvertently injected via the epidural route, there have been no previous reports involving sugammadex or ramosetron.Case: We report the accidental epidural injection of sugammadex (200 mg) and ramosetron (0.3 mg) in a 69-year-old female under general anesthesia with thoracic epidural analgesia. Errors were recognized within 5 min. As the patient exhibited no immediate adverse effects, emergence from anesthesia proceeded with IV sugammadex administration. Six hours later, the patient developed mild right triceps weakness and bilateral C8 dermatomal tingling, which improved on postoperative day two. The patient was discharged without any neurological sequelae.Conclusions: Although the outcome was benign, this incident underscores the potential risks of wrong-route drug delivery and highlights the need for vigilance and preventive strategies in perioperative medication management.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"67-71"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159958","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

Comment on "Clinical roles of point-of-care ultrasonography in airway management". 对“即时超声检查在气道管理中的临床作用”的评论。

IF 3.2

Anesthesia and pain medicine Pub Date : 2026-01-01 Epub Date: 2026-01-30 DOI: 10.17085/apm.25448

Reena

引用次数: 0

From labor to surgery: expanding the role of programmed intermittent epidural bolus beyond obstetric. 从分娩到手术：扩大计划性间歇硬膜外输液在产科以外的作用。

IF 3.2

Anesthesia and pain medicine Pub Date : 2026-01-01 Epub Date: 2026-01-30 DOI: 10.17085/apm.25440

Yu Jeong Bang, RyungA Kang

引用次数: 0