Anesthesia and pain medicine最新文献

{"title":"Comment on \"Effects of immediate extubation in the operating room on long-term outcomes in living donor liver transplantation: a retrospective cohort study\".","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.17085/apm.25253","DOIUrl":"10.17085/apm.25253","url":null,"abstract":"","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"124-125"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159992","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}

{"title":"Anesthesia for uterine transplantation.","authors":"Ja Eun Lee, Gaab Soo Kim","doi":"10.17085/apm.25385","DOIUrl":"10.17085/apm.25385","url":null,"abstract":"<p><p>Uterine transplantation (UTx) represents a groundbreaking fertility-restorative procedure for women with absolute uterine factor infertility. Since the first successful live birth in 2014, the field has advanced rapidly, supported by accumulating clinical experience and evolving surgical techniques. As a complex and multidisciplinary operation, UTx requires meticulous coordination among specialties such as gynecology, transplant surgery, reproductive medicine, and anesthesiology. Anesthesiologists play a pivotal role in maintaining physiological stability throughout the surgical process, from donor organ retrieval to recipient graft implantation, reperfusion, and immediate postoperative recovery. This review examines the historical background, current status, and future directions of UTx, with a particular emphasis on anesthetic management. Key aspects include preoperative assessment and intraoperative management strategies. Additionally, the review discusses anesthetic considerations for pregnancy and cesarean delivery following successful transplantation. As clinical programs expand, anesthetic protocols must continue to adapt based on emerging evidence, collaborative research, and increasing procedural experience. Through comprehensive perioperative care, anesthesiologists contribute significantly to the success of UTx and the realization of childbirth in women previously considered infertile.</p>","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"38-50"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159986","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}

{"title":"Hemidiaphragmatic paresis with anterior suprascapular nerve block: clinical implications.","authors":"Raghuraman M Sethuraman","doi":"10.17085/apm.25391","DOIUrl":"10.17085/apm.25391","url":null,"abstract":"","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"126-128"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159928","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}

{"title":"Corrigendum to: Clinical roles of point-of-care ultrasonography in airway management.","authors":"Hyungseok Seo, Chung-Sik Oh, Geun Joo Choi, Jung-Bin Park","doi":"10.17085/apm.25346.e1","DOIUrl":"10.17085/apm.25346.e1","url":null,"abstract":"","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"137-138"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12897342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159942","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}

{"title":"Perioperative management of multidrug-resistant-colonized cardiac surgery patients: are we overestimating the risk?","authors":"Alessandro Strumia, Despoina Koulenti, Maria Benedetto, Jessica Aceto, Antonio Nenna, Lorenzo Schiavoni, Silvia Santoro, Giuseppe Pascarella, Mario Lusini, Raffaele Barbato, Massimiliano Carassiti, Alessia Mattei","doi":"10.17085/apm.25305","DOIUrl":"10.17085/apm.25305","url":null,"abstract":"","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"121-123"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159930","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}

{"title":"Response to: Hemidiaphragmatic paresis with anterior suprascapular nerve block: clinical implications.","authors":"Sandeep Diwan, Anju Gupta","doi":"10.17085/apm.26520","DOIUrl":"10.17085/apm.26520","url":null,"abstract":"","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"21 1","pages":"129-130"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159925","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}

{"title":"Management of broken catheter during neuroplasty using epidural balloon catheter for lumbar spinal stenosis - A case report.","authors":"Minsoo Kim, Byeongmun Hwang","doi":"10.17085/apm.25233","DOIUrl":"10.17085/apm.25233","url":null,"abstract":"<p><strong>Background: </strong>Breakage of balloon-less Racz neuroplasty catheters is a rare complication of neuroplasty; however, shearing of balloon catheters during epidural neuroplasty has not been reported.</p><p><strong>Case: </strong>Herein, we report a case of a broken epidural balloon catheter during neuroplasty. A 76-year-old female underwent percutaneous epidural neuroplasty (PEN) using a Racz catheter, epidural steroid injection, and medial branch block for lumbar spinal stenosis 6 months ago. However, her symptoms did not improve. Subsequently, we performed a PEN using an inflatable balloon catheter. During the procedure, the epidural balloon catheter became trapped, broke, and could not be retrieved. Subsequently, the patient complained of leg pain and numbness. Therefore, surgery was performed to remove the broken catheter, resolving the leg pain and numbness.</p><p><strong>Conclusions: </strong>This case report supports the surgical removal of broken catheters to avoid the aggravation of symptoms and the development of neurological deficits.</p>","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":" ","pages":"415-420"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208257","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}

{"title":"Artificial intelligence in ultrasound-guided regional anesthesia: bridging the gap between potential and practice: a narrative review.","authors":"Yumin Jo, Sujin Baek, Donghyeon Baek, Chahyun Oh, Dongheon Lee, Boohwi Hong","doi":"10.17085/apm.25354","DOIUrl":"10.17085/apm.25354","url":null,"abstract":"<p><p>Ultrasound-guided regional anesthesia (UGRA) offers substantial benefits in perioperative pain management; however, it remains underutilized because of technical complexity and training demands. Assistive artificial intelligence (AI) has emerged as a promising solution to support UGRA by enhancing anatomical recognition, procedural accuracy, and user confidence. This narrative review outlines the AI development pipeline for nerve visualization, describes available commercial tools, and summarizes clinical evidence. Although these technologies have the potential to democratize UGRA and reduce interoperator variability, limitations remain, including data bias, narrow anatomical coverage, and lack of outcome-based validation. Future efforts should focus on standardized evaluation, clinician-centered design, and rigorous clinical trials to ensure safe and effective integration of AI into UGRA practice.</p>","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 4","pages":"357-370"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508574","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}

{"title":"Regional anesthesia techniques for the shoulder: clarifying the nomenclature.","authors":"Raghuraman M Sethuraman","doi":"10.17085/apm.25291","DOIUrl":"10.17085/apm.25291","url":null,"abstract":"","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 4","pages":"426-427"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508423","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}

{"title":"Comparison of the effects of remimazolam and inhalational anesthesia on postoperative recovery in patients undergoing general anesthesia: a systematic review and meta-analysis of randomized controlled trials.","authors":"Kiran Mahendru, Abhishek Kumar, Khushboo Pandey, Riniki Sarma","doi":"10.17085/apm.25203","DOIUrl":"10.17085/apm.25203","url":null,"abstract":"<p><strong>Background: </strong>Remimazolam is an ultra-short-acting benzodiazepine characterized by rapid onset and recovery with minimal accumulation after continuous infusion. This systematic review and meta-analysis aimed to evaluate whether remimazolam use results in better postoperative recovery as compared to inhalational anesthetics.</p><p><strong>Methods: </strong>Databases including MEDLINE, EMBASE, CENTRAL, Web of Science, Google Scholar, and Scopus were searched up to August 2024. Randomized controlled trials (RCTs) in adult patients comparing remimazolam with volatile agents were included. The primary outcome was incidence of postoperative nausea and vomiting (PONV) at 24 h. Secondary outcomes included use of rescue antiemetics and analgesics, pain scores, intraoperative hypotension, and other postoperative recovery parameters. Trial sequential analysis (TSA) was performed to validate the robustness of the primary outcome.</p><p><strong>Results: </strong>Twelve RCTs involving 853 patients were analyzed. Remimazolam significantly reduced the incidence of PONV (relative risk [RR] 0.51; 95% confidence interval [CI] 0.27-0.96; I² = 43%; P = 0.04) and need for rescue antiemetics (RR 0.30; 95% CI 0.10-0.89; I² = 0%; P = 0.03) compared to inhalational agents. No significant differences were found in postoperative pain scores (standardized mean difference -0.17; P = 0.11) or analgesic requirement (RR 0.95; P = 0.82). Remimazolam was associated with a significantly lower incidence of intraoperative hypotension (RR 0.58; P = 0.01). Time to extubation, sedation scores, and post-anesthesia care unit stay were comparable. TSA confirmed that the required information size for the primary outcome was reached, indicating statistical conclusiveness.</p><p><strong>Conclusions: </strong>Remimazolam use is associated with significantly reduced PONV, rescue antiemetic use, and intraoperative hypotension compared to inhalational agents. TSA confirms the robustness of these findings.</p>","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"20 4","pages":"393-405"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508330","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}