Journal of Anesthesia最新文献_第10页

Vasopressors in obstetrics: guidelines and good practice. 产科用血管加压剂：指南和良好实践。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-07-15 DOI: 10.1007/s00540-024-03379-5

Ahmed M Hasanin, Rana M Zaki, Maha Mostafa

引用次数: 0

Radial artery catheterization using a novel T-type ultrasound probe: a single-center randomized study. 使用新型 T 型超声探头进行桡动脉导管检查：一项单中心随机研究。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-07-09 DOI: 10.1007/s00540-024-03376-8

Mitsutaka Edanaga, Tomohiro Chaki, Michiko Osuda, Michiaki Yamakage

{"title":"Radial artery catheterization using a novel T-type ultrasound probe: a single-center randomized study.","authors":"Mitsutaka Edanaga, Tomohiro Chaki, Michiko Osuda, Michiaki Yamakage","doi":"10.1007/s00540-024-03376-8","DOIUrl":"https://doi.org/10.1007/s00540-024-03376-8","url":null,"abstract":"Ultrasound guidance has been reported to facilitate radial artery catheterization compared with the palpation method. However, a recent meta-analysis showed that there was not significant differences in the first attempt success rate between the long-axis in-plane (LA-IP) method and the short-axis out-of-plane method. In 2023, we started using a novel T-type probe. We can recognize the needle first during the radial artery access with the short-axis view and then dose it with the long-axis view using the T-type probe. Therefore, we hypothesized that the T-type probe-guided method might heighten the first attempt success rate in radial artery catheterization, even for non-expert practitioners, compared with the LA-IP technique. One hundred and fifty adult patients, older than 20 years, ASA I to III, were randomly assigned to the T-type probe-guided group (Group T: n = 75) or the LA-IP group (Group L: n = 75). The primary outcome was the first attempt success rate. The first attempt success rate in Group T (49/71, 69%) was significantly higher than that in Group L (31/68, 46%) (p = 0.0062). The present study showed that the T-type probe might facilitate the radial artery catheterization rather than the LA-IP method.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558826","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}

引用次数: 0

Vasopressors against post-spinal anesthesia hypotension. 针对椎管内麻醉后低血压的血管加压药。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-07-09 DOI: 10.1007/s00540-024-03375-9

Christine T Vo, Grace Townsend, Alexandra L Regens, Amir L Butt

引用次数: 0

McGRATH^™ MAC size 1 vs. 2 blades: infant intubation time. McGRATH™ MAC 1 号刀片与 2 号刀片：婴儿插管时间。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-06-12 DOI: 10.1007/s00540-024-03357-x

Yuka Uchinami, Noriaki Fujita, Kazuyuki Mizunoya, Isao Yokota, Yuji Morimoto

引用次数: 0

Are there beneficial effects to hybrid anesthesia*? 混合麻醉*有好处吗？

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-06-01 Epub Date: 2024-03-29 DOI: 10.1007/s00540-024-03310-y

Kazuyoshi Hirota

{"title":"Are there beneficial effects to hybrid anesthesia*?","authors":"Kazuyoshi Hirota","doi":"10.1007/s00540-024-03310-y","DOIUrl":"10.1007/s00540-024-03310-y","url":null,"abstract":"As the COVID-19 pandemic increased the use of propofol in the intensive care unit for the management of respiratory sequelae and supply had become a major issue. Indeed, most hospitals in Japan were forced to use propofol only for induction of anesthesia with inhalational maintenance. Large amounts of propofol remain in the syringe which exacerbates the problems by increased waste. I propose that use of low dose propofol in combination with a low concentration inhaled anesthetic as an alternative and call this hybrid anesthesia. Several advantages of hybrid anesthesia are evident in the literature. Volatile anesthesia has several disadvantages such as cancer progression, emergence agitation, marked reduction in motor evoked potentials (MEP), laryngospasm with desflurane and postoperative nausea and vomiting (PONV). Volatile anesthesia exerts some beneficial actions such as myocardial protection and fast emergence with desflurane. In contrast, total intravenous anesthesia (TIVA) provides better survival in patients undergoing radical cancer surgery, reduction in emergence agitation, laryngospasm, PONV and better MEP trace Intraoperative awareness occurs more often during TIVA. When intravenous and volatile anesthesia are combined (hybrid anesthesia), the disadvantages of both methods may be offset by clear advantages. Thus, hybrid anesthesia may, therefore, be a viable anesthetic choice.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140318377","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}

引用次数: 0

Assessment of pre-extubating recurrent laryngeal nerve palsy using ultrasound in postoperative patients with esophageal cancer: a prospective observational study. 利用超声波评估食管癌术后患者拔管前的喉返神经麻痹：一项前瞻性观察研究。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-06-01 Epub Date: 2024-03-02 DOI: 10.1007/s00540-024-03315-7

Tomomi Kaneko, Takao Kato, Yuki Shiko, Yohei Kawasaki, Kaoru Koyama

{"title":"Assessment of pre-extubating recurrent laryngeal nerve palsy using ultrasound in postoperative patients with esophageal cancer: a prospective observational study.","authors":"Tomomi Kaneko, Takao Kato, Yuki Shiko, Yohei Kawasaki, Kaoru Koyama","doi":"10.1007/s00540-024-03315-7","DOIUrl":"10.1007/s00540-024-03315-7","url":null,"abstract":"Purpose: Ultrasound performed after extubation has been suggested to be useful for the diagnosis of recurrent laryngeal nerve (RLN) paralysis. However, the use of ultrasound for this purpose before extubation has not been examined. The aim of this study was to examine the versatility (interrater reliability) and usefulness of ultrasound for evaluating the movement of vocal cords before extubation.Methods: The subjects were 30 patients who underwent radical surgery for esophageal cancer from August 2020 to December 2021. An experienced examiner performed an ultrasound examination before and after elective extubation on the day after surgery to evaluate RLN paralysis and record videos. Bronchoscopy was then performed to make a definite diagnosis. Three anesthetists blinded to the diagnosis also evaluated the cases using the videos, and the versatility of the examination was determined using a kappa test.Results: The diagnostic accuracies of the examiner and three anesthetists were 76.7%, 50.0%, 53.3%, and 46.7%, respectively, and the kappa coefficients for the examiner with the anesthetists were 0.310, 0.502, and 0.169, respectively. The sensitivity, specificity, positive predictive value and negative predictive value for diagnosis of RLN paralysis by the examiner using ultrasound before extubation were 0.57, 0.95, 0.80, and 0.87, respectively.Conclusion: These results indicate a lack of versatility of the ultrasound examination based on the low kappa coefficients. However, with an experienced examiner, ultrasound can serve as a non-invasive examination that can be performed before extubation with high accuracy and specificity for diagnosis of postoperative RLN paralysis.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11096227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140012656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pharmacokinetic simulation can detect erroneous TOF counts. 药物动力学模拟可以检测出错误的 TOF 计数。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-06-01 Epub Date: 2024-03-02 DOI: 10.1007/s00540-024-03328-2

Shinju Obara, Ryota Suhara, Masahiro Murakawa

引用次数: 0

Reply to the letter. 回信。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-06-01 Epub Date: 2024-03-17 DOI: 10.1007/s00540-024-03336-2

Takashi Juri, Koichi Suehiro, Takashi Mori

引用次数: 0

Factors influencing abdominal compliance. 影响腹部顺应性的因素

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-06-01 Epub Date: 2024-03-11 DOI: 10.1007/s00540-024-03337-1

Betul Basaran, Rafet Yarimoglu

引用次数: 0

Letter to the article by Juri T, et al. 致 Juri T 等人文章的信

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-06-01 Epub Date: 2024-02-27 DOI: 10.1007/s00540-024-03331-7

Betul Kozanhan, Munise Yıldız, Mahmut Sami Tutar

引用次数: 0