Journal of Anesthesia最新文献

{"title":"Re-modified thoracoabdominal nerves block through the perichondrial approach at the 9th intercostal space provides analgesia in the upper abdomen: a volunteer study.","authors":"Yuichi Ohgoshi, Aki Ando, Katsuhiro Aikawa, Izumi Kawagoe","doi":"10.1007/s00540-025-03560-4","DOIUrl":"https://doi.org/10.1007/s00540-025-03560-4","url":null,"abstract":"<p><p>We previously reported that administering local anesthetic into the space between the endothoracic fascia, diaphragm, and costodiaphragmatic recess (SEDIC) at the 10th intercostal space via the re-modified thoracoabdominal nerves block through the perichondrial approach (RM-TAPA) effectively anesthetizes the lower abdomen (T9-T12). However, the analgesic area obtained by RM-TAPA was distinct from prior reports of M-TAPA, which achieved broader analgesic effects from T4 to L1. The aim of this study was to verify the range of analgesic effects when local anesthetics are administered into the SEDIC at the 9th intercostal space, which was estimated to be close to the needle tip of the M-TAPA, in ten healthy volunteers. Each volunteer received 20 mL of 0.2% ropivacaine into the SEDIC at the 9th intercostal space, and sensory blockade was assessed 1 h post-injection using a pinprick test. RM-TAPA performed at the 9th intercostal space provided adequate analgesia from T6 to T10. The analgesic effect on the lateral cutaneous branches was more pronounced on the right side than on the left. These findings imply that optimizing needle position and injection site in RM-TAPA, tailored to specific surgical needs, represents a refinement in perioperative pain management strategies.</p>","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of quadro-iliac plane block and erector spinae plane block for postoperative analgesia management after single level lumbar discectomy surgery: a randomized, double-blind, controlled, prospective, multicenter study.","authors":"Engin İhsan Turan, Büşra Otlu Bıyıkoğlu, Volkan Özen, Selçuk Alver, Tarık Umutoğlu, Oğuzhan Cücü, Serdar Çevik, Bahadır Çiftçi, Ayça Sultan Şahin","doi":"10.1007/s00540-025-03556-0","DOIUrl":"10.1007/s00540-025-03556-0","url":null,"abstract":"<p><strong>Purpose: </strong>Effective postoperative analgesia management is critical for optimizing recovery and patient satisfaction following lumbar discectomy. Erector Spinae Plane Block (ESPB) is an established regional anesthesia technique with proven efficacy, while the novel Quadro-Iliac Plane Block (QIPB) has shown promise as an alternative approach. This study compares the analgesic efficacy, opioid-sparing potential, and safety of ESPB and QIPB in single-level lumbar discectomies.</p><p><strong>Method: </strong>This multicenter, prospective, randomized, double-blind study included 60 patients aged 18-65 years undergoing single-level lumbar discectomy. Patients were randomized into ESPB (n = 30) and QIPB (n = 30) groups. Both blocks were performed at the end of surgery, before the extubation under ultrasound guidance using 40 ml (0.25%) bupivacaine bilaterally. The primary outcome was postoperative pain assessed by the Numeric Rating Scale (NRS) at 12 h. Secondary outcomes included tramadol consumption, rescue analgesia requirements, hemodynamic parameters, and adverse events.</p><p><strong>Results: </strong>The primary outcome, 12-h NRS scores, did not differ significantly between groups (p > 0.05), indicating similar analgesic efficacy. Secondary outcomes-including total tramadol consumption (54.00 ± 49.03 mg for ESPB vs. 44.67 ± 44.16 mg for QIPB, p = 0.476), need for rescue analgesia, and incidence of nausea and vomiting-were also comparable. No motor block was observed in either group.</p><p><strong>Conclusion: </strong>Although QIPB did not demonstrate superiority over ESPB, it was found to be not inferior in analgesic effect and safety outcomes. These findings suggest that QIPB may be a reliable alternative to ESPB in lumbar discectomy procedures.</p>","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the ICU admission of patients with COVID-19 on the outcomes of patients without COVID-19 in the ICU: a retrospective cohort study.","authors":"Chikashi Takeda, Masaaki Sakuraya, Sachiko Tanaka-Mizuno, Kotaro Sakurai, Shinichi Kai, Toshiyuki Mizota, Moritoki Egi","doi":"10.1007/s00540-025-03549-z","DOIUrl":"https://doi.org/10.1007/s00540-025-03549-z","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to elucidate how the admission of patients with coronavirus disease-2019 (COVID-19) to the intensive care unit (ICU) impacts the mortality rate and management of patients without COVID-19 in the ICU, focusing on the condition of patients during and after ICU admission, which has not been sufficiently evaluated.</p><p><strong>Methods: </strong>This multicenter retrospective cohort study was conducted across 33 ICU facilities in Japan, using data from the Japanese Intensive Care Patient Database for fiscal years 2018-2020. Patients without COVID-19 were admitted to ICUs that also treated patients with COVID-19 during the study period. Of the 68,620 patients without COVID-19, 11,503 were admitted during the COVID-19 period. The primary outcome was in-hospital mortality. The secondary outcomes included ICU mortality, off-hour ICU discharge, ICU discharge with mechanical ventilation, and incidence of tracheotomy.</p><p><strong>Results: </strong>Adjusted analyses revealed no significant difference in in-hospital mortality (adjusted odds ratio [aOR] = 0.90; p = 0.071) but lower ICU mortality (aOR = 0.75; p = 0.001) during the COVID-19 period. The COVID-19 period was associated with increased off-hour ICU discharges (aOR = 1.37; p < 0.001), higher tracheotomy rates (aOR = 1.45; p = 0.018), and increased ICU discharges requiring mechanical ventilation (aOR = 1.21; p = 0.006). Moreover, ICU bed occupancy rates were lower in patients without COVID-19.</p><p><strong>Conclusion: </strong>In-hospital mortality in patients without COVID-19 during the COVID-19 period was not significantly different from that during the non-COVID-19 period. While ICU mortality decreased, the tracheostomy rate, rate of patients requiring ventilators at the time of ICU discharge, and rate of transfer to other facilities increased.</p>","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EEG nonlinear complexity as a POD biomarker: innovations, limitations, and translation trade-offs.","authors":"Qing-Feng Chen, Hui Ji","doi":"10.1007/s00540-025-03555-1","DOIUrl":"10.1007/s00540-025-03555-1","url":null,"abstract":"","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative pulmonary complications of desflurane- versus sevoflurane-based general anesthesia in patients with chronic obstructive pulmonary disease or asthma undergoing gastrointestinal cancer surgery: a nationwide retrospective cohort study.","authors":"Kanako Makito, Yuichiro Matsuo, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga","doi":"10.1007/s00540-025-03548-0","DOIUrl":"10.1007/s00540-025-03548-0","url":null,"abstract":"<p><strong>Purpose: </strong>Desflurane and sevoflurane are widely used for general anesthesia; however, it remains uncertain if sevoflurane might be preferable for patients with chronic respiratory inflammatory diseases. This study compared postoperative outcomes of desflurane and sevoflurane following gastrointestinal cancer surgery in patients with chronic obstructive pulmonary disease (COPD) or asthma.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study using the Japanese Diagnosis Procedure Combination database (April 2011-March 2022), identifying patients with COPD or asthma who underwent gastrointestinal cancer surgery. The primary outcome was postoperative pulmonary complications, including pneumonia, respiratory failure, mechanical ventilation > 24 h, and unplanned reintubation within 7 days after surgery. Secondary outcomes were in-hospital mortality and postoperative stay. We conducted propensity score overlap weighting and instrumental variable analyses adjusted for confounders.</p><p><strong>Results: </strong>We identified 24,243 COPD and 16,199 asthma patients. Propensity score overlap weighting showed no significant association between desflurane and increased postoperative pulmonary complications in COPD [adjusted risk difference (aRD) - 0.57%; 99% confidence interval (CI), - 1.8% to 0.60%] or asthma (aRD, - 0.62%; 99% CI, - 1.8% to 0.59%). In-hospital mortality did not differ significantly between groups in COPD (aRD, - 0.24%; 99% CI, - 0.76% to 0.29%) or asthma (aRD, 0.07%; 99% CI, - 0.45% to 0.59%). The postoperative stay also showed no significant association between the desflurane and sevoflurane groups.</p><p><strong>Conclusions: </strong>Desflurane-based anesthesia was not associated with increased postoperative pulmonary complications and mortality compared to sevoflurane in patients with chronic respiratory diseases undergoing gastrointestinal cancer surgery. However, further studies using reliable diagnostic criteria to assess COPD or asthma are warranted.</p>","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between body mass index and pain outcomes in elderly patients with chronic pain: A retrospective cohort study.","authors":"Tamaki Aihara, Yusuke Nagamine, Masaki Kitahara, Takahisa Goto","doi":"10.1007/s00540-025-03546-2","DOIUrl":"https://doi.org/10.1007/s00540-025-03546-2","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate the association between body mass index (BMI) and changes in pain scores among elderly patients with chronic pain. The pain disability assessment scale (PDAS) and the pain catastrophizing scale (PCS) were employed as assessment tools.</p><p><strong>Methods: </strong>A single-center, retrospective cohort study was conducted at a university hospital multidisciplinary pain center from 2017 to 2020, involving 180 patients aged ≥ 65 years with noncancer pain persisting for at least 3 months. Patients were classified into three groups according to BMI: low (BMI < 18.5), standard (18.5 ≤ BMI < 25), and high (BMI ≥ 25). Initial, 3-month, and 6-month PDAS and PCS scores were collected and analyzed using mixed-effects models.</p><p><strong>Results: </strong>No significant differences were observed in PDAS scores across BMI groups. However, PCS scores were significantly higher in the low BMI group. Furthermore, no significant differences were detected in PDAS and PCS scores based on the interaction between BMI group and time point (month).</p><p><strong>Conclusion: </strong>Among elderly patients with chronic pain, the low BMI group exhibited a significantly higher PCS score, while PDAS scores did not vary based on the BMI group. No differences were detected in treatment-related changes over time across BMI groups.</p>","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concomitant using bulbocavernosus reflex and motor-evoked potential from the external anal sphincter improves continuous monitoring for urinary function assessment during untethering surgery in children.","authors":"Chinami Tone, Yuki Ogawa, Hironobu Hayashi, Sirima Phoowanakulchai, Tsunenori Takatani, Young-Soo Park, Masahiko Kawaguchi","doi":"10.1007/s00540-025-03550-6","DOIUrl":"10.1007/s00540-025-03550-6","url":null,"abstract":"<p><strong>Purpose: </strong>Intraoperative monitoring can be used to prevent postoperative urinary dysfunction due to surgical manipulation. However, preoperative neurological dysfunction and young age make monitoring challenging. Therefore, in this study, we evaluated the efficacy of combining two monitoring methods, the bulbocavernosus reflex (BCR) and motor-evoked potential from the external anal sphincter (EAS-MEP) in assessing urinary function in the same pediatric patients during untethering surgery.</p><p><strong>Methods: </strong>We retrospectively identified pediatric patients (aged < 6 years) who underwent BCR and EAS-MEP monitoring during untethering surgery between October 2013 and March 2022. Anesthesia was maintained using propofol or sevoflurane/opioid without neuromuscular blockade.</p><p><strong>Results: </strong>We identified 18 pediatric patients who underwent BCR and EAS-MEP monitoring during untethering surgery. Our results showed that the baseline success rates were 78%, 61%, and 89% for BCR, EAS-MEP, and the concomitant use of BCR and EAS-MEP, respectively. Furthermore, of the 18 pediatric patients, the two patients with new urinary dysfunction required postoperative urinary catheterization, and the three patients with worsened preoperative urinary dysfunction showed an increased frequency of catheterization. The accuracy of the BCR and EAS-MEP monitoring for the same patients was 93% and 91%, respectively.</p><p><strong>Conclusion: </strong>The accuracy of BCR and EAS-MEP monitoring is similar in pediatric untethering surgery, and the concomitant use of BCR and EAS-MEP improves continuous intraoperative monitoring compared with using only one method.</p>","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One-lung ventilation and right-sided double-lumen tubes: a national survey of current practice in Japan.","authors":"Taishi Saito, Kyosuke Takahashi, Yusuke Iizuka, Yuji Otsuka, Shigehiko Uchino, Masamitsu Sanui","doi":"10.1007/s00540-025-03547-1","DOIUrl":"https://doi.org/10.1007/s00540-025-03547-1","url":null,"abstract":"<p><strong>Background: </strong>One-lung ventilation (OLV) is an essential technique in thoracic surgery, and double-lumen endobronchial tubes (DLTs) are commonly used. While right-sided DLTs are useful in specific situations, few studies have investigated the prevalence of their use. This study aimed to investigate the current practice of OLV and right-sided DLT usage among anesthesiologists in Japan.</p><p><strong>Methods: </strong>A nationwide cross-sectional survey was conducted in September 2024, targeting 1444 hospitals certified by the Japanese Society of Anesthesiologists. Questionnaires were mailed to anesthesiology departments, inquiring about OLV practices, right-sided DLT usage, challenges, and desired improvements. Responses were collected via postal mail or web, and data were analyzed using descriptive statistics and Chi-square tests.</p><p><strong>Results: </strong>A total of 768 institutions responded (response rate: 53.2%). Among 761 valid responses, 74.9% performed OLV, and DLTs were the most frequently used device (94.7%). Approximately half (45.8%) of the institutions performing OLV reported never using right-sided DLTs. Frequently recognized challenges included insertion difficulty, positioning difficulty, and unfamiliarity, and 42.1% of institutions expressed a willingness to increase the use of right-sided DLTs if these challenges were resolved. Institutions with a higher annual volume of OLV cases tended to use right-sided DLTs more frequently, but the proportion of institutions unfamiliar with right-sided DLTs was not associated with the number of OLV cases performed.</p><p><strong>Conclusion: </strong>OLV is widely practiced in Japan, primarily using DLTs, while the use of right-sided DLTs is limited. Concerns over technical difficulties and complications may hinder the use of right-sided DLTs.</p>","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between duration of intraoperative hypotension and postoperative delirium in patients undergoing head and neck cancer surgery with free flap reconstruction: a retrospective observational study.","authors":"Norihiko Obata, Daichi Fujimoto, Satoshi Mizobuchi","doi":"10.1007/s00540-025-03538-2","DOIUrl":"https://doi.org/10.1007/s00540-025-03538-2","url":null,"abstract":"<p><strong>Purpose: </strong>Postoperative delirium (POD) is a frequent complication after surgery, especially in elderly patients undergoing head and neck cancer surgery with free flap reconstruction. This study aimed to assess the associations between intraoperative hypotension (IOH), its duration, and occurrence of POD.</p><p><strong>Methods: </strong>This retrospective study included 239 patients aged 65 years or older who underwent head and neck cancer surgery with free flap reconstruction. IOH was defined at seven mean arterial pressure (MAP) thresholds, ranging from 55 to 85 mmHg, in 5 mmHg increments. The duration of each IOH was compared between patients with or without POD before and after initiation of microsurgery. Multivariate analysis was conducted to assess the independent association of each IOH duration with the risk of POD.</p><p><strong>Results: </strong>POD occurred in 43 (18.0%) of the 239 patients. Before the initiation of microsurgery, the cumulative duration of hypotension below MAP thresholds of < 70 to 80 mmHg was significantly longer in patients with POD. After the initiation of microsurgery, the cumulative duration of hypotension below MAP thresholds of < 55 to 85 mmHg was also significantly longer in patients with POD. In multivariate analysis, the cumulative duration of hypotension below MAP thresholds of 70, 75, and 80 mmHg before and after the initiation of microsurgery was independently associated with POD (p < 0.05 at each threshold).</p><p><strong>Conclusion: </strong>Prolonged IOH, particularly below MAP thresholds of 70, 75, and 80 mmHg, was significantly associated with POD in elderly patients undergoing head and neck cancer surgery with free flap reconstruction.</p>","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of cerebral oxygen saturation values determined by time-resolved spectroscopy and spatially resolved spectroscopy in pediatric patients with congenital heart disease.","authors":"Tomohiko Suemori, Takashi Yamada, Tatsuya Nagano, Masaaki Satoh, Mamoru Takeuchi","doi":"10.1007/s00540-025-03545-3","DOIUrl":"https://doi.org/10.1007/s00540-025-03545-3","url":null,"abstract":"<p><strong>Purpose: </strong>Time-resolved spectroscopy (TRS) has recently become clinically available and offers superior measurement accuracy over conventional spatially resolved spectroscopy (SRS). This study evaluated the feasibility of transitioning from the SRS-based INVOS 5100C to the TRS-based tNIRS-1 by comparing cerebral oxygen saturation measurements taken during pediatric cardiac surgery.</p><p><strong>Methods: </strong>We retrospectively analyzed data from 149 children (< 6 years) who had undergone cardiac surgery. We compared simultaneously measured cerebral tissue oxygen saturation (StO₂) (tNIRS-1) and regional cerebral oxygen saturation (rSO₂) (INVOS 5100C) after anesthesia induction. Both values were assessed against reference cerebral oxygen saturation (REF CX). Clinical decisions based on StO₂ and rSO₂ were also compared to current reference thresholds.</p><p><strong>Results: </strong>The Wilcoxon matched-pairs signed-rank test showed significantly lower StO₂ than rSO₂ (54.8 [48.9-61.0] vs. 69 [61-75], p < 0.0001); this observation was consistent across all age groups and cyanotic statuses. Bland-Altman analysis confirmed non-interchangeability (mean bias: - 13.1; limits: - 31.7 to 5.5). Compared with REF CX, rSO₂ more closely reflected true cerebral oxygenation (mean bias: - 5.7; limits: - 22.5 to 11.2) than StO₂ (mean bias: - 19.3; limits: - 36.5 to - 2.1). Most patients were classified as normal by rSO₂ but borderline by StO₂.</p><p><strong>Conclusion: </strong>A transition from INVOS 5100C to tNIRS-1 is not currently feasible due to clinically significant discrepancies. Therefore, it may be appropriate to either select the device based on the specific measurement objectives or use both devices in a complementary manner.</p>","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}