European Journal of Anaesthesiology最新文献

{"title":"Catheter design in dural puncture epidural analgesia: Clinical association or mechanistic evidence?","authors":"Ling Li, Zhe Peng","doi":"10.1097/EJA.0000000000002489","DOIUrl":"https://doi.org/10.1097/EJA.0000000000002489","url":null,"abstract":"","PeriodicalId":11920,"journal":{"name":"European Journal of Anaesthesiology","volume":"43 11","pages":"930-931"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149106001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-time peri-operative data integration and clinical decision support: an open interoperable platform for patient data.","authors":"Jona Joachim, Thibaut Chamoux, Jade Perdereau, Valentin Iovène, Thomas Moreau, Jérôme Cartailler, Fabrice Vallée","doi":"10.1097/EJA.0000000000002422","DOIUrl":"10.1097/EJA.0000000000002422","url":null,"abstract":"<p><strong>Introduction: </strong>Modern intensive care units (ICU) and operating rooms (OR) generate vast quantities of physiological data, yet this information is often underused due to architectural barriers and lack of interoperability, a failure to integrate data from multiple devices. While imaging data has achieved global standardisation, continuous physiological time series remain fragmented and inaccessible for scientific use, limiting multicentric collaboration and the development of robust artificial intelligence (AI) models.</p><p><strong>Methods: </strong>We developed an open, interoperable peri-operative data platform compliant with General Data Protection Regulation. The platform integrates data from multiple sources, including patient monitors, syringe pumps, ventilators, EEG systems, and laboratory values, using Apache Kafka for real-time data streaming and a hybrid long-term storage architecture. Data governance was ensured through on-premise storage, anonymisation protocols, and ethical approvals.</p><p><strong>Results: </strong>Since March 2019, the platform has recorded data from 118 915 patients across 77 OR and ICU beds, encompassing waveform and numeric channels. The database includes data from various clinical specialties, such as bowel surgery, otolaryngology, neurosurgery, gynaecology, interventional neuroradiology, and orthopaedics. It encompasses cardiac output monitoring (3458 patients), ventilation data (56 212 patients), advanced ECG analysis (78 091 patients), and EEG recordings (9862 patients). Syringe pump data, collected since February 2023, includes 7096 cases.</p><p><strong>Discussion: </strong>The platform demonstrates the feasibility of creating a scalable, vendor-neutral infrastructure for peri-operative data, enabling both real-time clinical applications and long-term research. By adhering to open standards, it supports secure, cross-institutional collaboration while preserving data integrity. However, challenges remain in standardising data quality and expanding data volume to improve model generalisability.</p><p><strong>Conclusions: </strong>This work provides a reproducible blueprint for building interoperable peri-operative data platforms, enabling both real-time clinical decision support and large-scale research. By combining real-time acquisition with durable storage and open standards, the platform transforms fragmented physiological data into a shared resource for precision medicine and clinical equity.</p>","PeriodicalId":11920,"journal":{"name":"European Journal of Anaesthesiology","volume":" ","pages":"875-881"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multisensory virtual reality reduces postoperative delirium in elderly patients undergoing laparoscopic gastrointestinal surgery: Interpreting a multicomponent intervention.","authors":"Sibel Önen Özdemir","doi":"10.1097/EJA.0000000000002487","DOIUrl":"https://doi.org/10.1097/EJA.0000000000002487","url":null,"abstract":"","PeriodicalId":11920,"journal":{"name":"European Journal of Anaesthesiology","volume":"43 11","pages":"931-932"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149106035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain management after hallux valgus repair surgery: an updated systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations.","authors":"Maria Paz Sebastian, Salem Shawaf, Deepshri Sureshkumar, Supriya D'Souza","doi":"10.1097/EJA.0000000000002483","DOIUrl":"https://doi.org/10.1097/EJA.0000000000002483","url":null,"abstract":"","PeriodicalId":11920,"journal":{"name":"European Journal of Anaesthesiology","volume":"43 11","pages":"926-927"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149106031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to: universal videolaryngoscopy: universal solution or selective strategy?","authors":"Manuel Á Gómez-Ríos, André A J Van Zundert, Alistair F McNarry, J Adam Law, Carin A Hagberg","doi":"10.1097/EJA.0000000000002440","DOIUrl":"https://doi.org/10.1097/EJA.0000000000002440","url":null,"abstract":"","PeriodicalId":11920,"journal":{"name":"European Journal of Anaesthesiology","volume":"43 11","pages":"917-918"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149106083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On the shoulders of killers: confronting the legacy of unethical medical research.","authors":"Yehuda Ginosar","doi":"10.1097/EJA.0000000000002455","DOIUrl":"https://doi.org/10.1097/EJA.0000000000002455","url":null,"abstract":"","PeriodicalId":11920,"journal":{"name":"European Journal of Anaesthesiology","volume":"43 11","pages":"871-874"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149106073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and predictors of new persistent benzodiazepine and Z-drug use after critical illness: a nationwide cohort study.","authors":"Tak Kyu Oh, In-Ae Song","doi":"10.1097/EJA.0000000000002395","DOIUrl":"10.1097/EJA.0000000000002395","url":null,"abstract":"<p><strong>Background: </strong>Benzodiazepines and Z-drugs (BZRA) are commonly prescribed sedative-hypnotics but carry risks of dependence and cognitive impairment when used long-term. Patterns of new persistent BZRA use among ICU survivors remain poorly characterised.</p><p><strong>Objective: </strong>To determine the 6-month incidence of new persistent BZRA use following ICU admission and to identify demographic, clinical and socioeconomic risk factors.</p><p><strong>Design: </strong>A retrospective, population-based cohort study.</p><p><strong>Setting: </strong>National Health Insurance Service claims data, Republic of Korea; 1 January 2020 to 31 December 31, 2022.</p><p><strong>Patients: </strong>Adults (≥ 18 years) admitted to any ICU during the study period who were BZRA-naive in the 12 months before admission and survived at least 180 days (final n  = 620 810).</p><p><strong>Interventions: </strong>None.</p><p><strong>Main outcome measures: </strong>New persistent BZRA use was defined as at least 4 consecutive weeks of BZRA prescriptions within 6 months after the index ICU admission, permitting refill gaps of 7 days or less. We estimated cumulative incidence and used multivariable logistic regression to evaluate predictors.</p><p><strong>Results: </strong>By 6 months, 94 293 patients (15.2%) met criteria for new persistent BZRA use. In the updated multivariable model, the odds ratios (ORs) for pre-ICU admission selective serotonin reuptake inhibitor (SSRI) use was 1.78 [95% confidence interval (CI), 1.74 to 1.82] and for opioid use 1.41 (95% CI, 1.38 to 1.43) (both P  < 0.001). Even after adjusting for these, pre-existing psychiatric disorders remained the strongest predictors: ORs insomnia = 2.06 (95% CI, 2.00 to 2.11), anxiety = 1.55 (95% CI, 1.51 to 1.59), depression = 1.32 (95% CI, 1.28 to 1.36) and bipolar disorder = 1.27 (95% CI, 1.23 to 1.30), all P values < 0.001. Female sex, socioeconomic disadvantage (as indicated by Medical Aid status) and extracorporeal membrane oxygenation support also independently increased the risk: ORs were 1.23 (95% CI, 1.21 to 1.24), 1.06 (95% CI, 1.03 to 1.10) and 1.07 (95% CI, 1.03 to 1.12), respectively.</p><p><strong>Conclusions: </strong>Nearly one in six ICU survivors developed new persistent BZRA use. Along with psychiatric comorbidities and female sex, pre-ICU exposure to SSRIs and opioids identified patients at particularly high risk.</p>","PeriodicalId":11920,"journal":{"name":"European Journal of Anaesthesiology","volume":" ","pages":"882-891"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between postoperative delirium in the postanaesthesia care unit and subsequent ward delirium: a retrospective cohort study.","authors":"Kyle R Adlaka","doi":"10.1097/EJA.0000000000002504","DOIUrl":"https://doi.org/10.1097/EJA.0000000000002504","url":null,"abstract":"","PeriodicalId":11920,"journal":{"name":"European Journal of Anaesthesiology","volume":"43 11","pages":"913-914"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149106012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical significance of catheter design during dural puncture epidural labour analgesia.","authors":"Grant E Manion, Anupa Parajuli, Aimee Pak, Amir L Butt","doi":"10.1097/EJA.0000000000002488","DOIUrl":"https://doi.org/10.1097/EJA.0000000000002488","url":null,"abstract":"","PeriodicalId":11920,"journal":{"name":"European Journal of Anaesthesiology","volume":"43 11","pages":"928-930"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Universal videolaryngoscopy: universal solution or selective strategy?","authors":"Ziheng Qi, Xian Liu","doi":"10.1097/EJA.0000000000002492","DOIUrl":"https://doi.org/10.1097/EJA.0000000000002492","url":null,"abstract":"","PeriodicalId":11920,"journal":{"name":"European Journal of Anaesthesiology","volume":"43 11","pages":"916"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149106093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}