Journal of Anesthesia最新文献_第3页

Violations of protocols of non-inferiority trials occur frequently. 违反非劣效性试验方案的情况经常发生。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-08-13 DOI: 10.1007/s00540-024-03391-9

Raghuraman M Sethuraman

引用次数: 0

Agreement between non-invasive and invasive arterial blood pressure during surgery in the prone position: an error grid analysis. 俯卧位手术期间无创和有创动脉血压的一致性：误差网格分析。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-08-13 DOI: 10.1007/s00540-024-03385-7

Takashi Juri, Koichi Suehiro, Masayo Takai, Daisuke Nakada, Kanae Takahashi, Yohei Fujimoto, Takashi Mori

{"title":"Agreement between non-invasive and invasive arterial blood pressure during surgery in the prone position: an error grid analysis.","authors":"Takashi Juri, Koichi Suehiro, Masayo Takai, Daisuke Nakada, Kanae Takahashi, Yohei Fujimoto, Takashi Mori","doi":"10.1007/s00540-024-03385-7","DOIUrl":"https://doi.org/10.1007/s00540-024-03385-7","url":null,"abstract":"Purpose: Prone position has recently gained renewed importance as a treatment for acute respiratory distress syndrome and spine and brain surgeries. Our study aimed to perform an error grid analysis to examine the clinical discrepancies between arterial blood pressure (ABP) and non-invasive blood pressure (NIBP) in the prone position and to investigate the risk factors influencing these differences.Methods: Error grid analysis was performed retrospectively on 1389 pairs of 100 consecutive prone positioning cases. This analysis classifies the difference between the two methods into five clinically relevant zones, from \"no risk\" to \"dangerous risk\". Additionally, multivariable ordinal logistic regression analysis was conducted to evaluate the relationship between the risk zones of mean blood pressure (MBP), as classified by error grid analysis and the covariate of interest.Results: Error grid analysis showed that the proportions of measurement pairs in risk zones A-E for systolic blood pressure were 96.8%, 3.2%, 0.1%, 0%, and 0%, respectively. In contrast, the MBP proportions were 74.0%, 25.1%, 0.9%, 0.1%, and 0%. Multivariable ordinal logistic regression analysis revealed that the position of arms (next to the head) was a significant factor (adjusted odds ratio: 4.35, 95% CI: 2.38-8.33, P < 0.001).Conclusion: Error grid analysis revealed a clinically unacceptable discrepancy between ABP and NIBP for MBP during prone positioning surgery. The position of the arms next to the head was associated with increased clinical discrepancy between the two MBP measurement methods.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975708","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

Reply to the letter by Yoshida K, et al. 回复 Yoshida K 等人的信

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-08-11 DOI: 10.1007/s00540-024-03388-4

S Katsuda, T Ito, Y Horikoshi, T Funyu, A Hazama, T Shimizu, K Shirai

引用次数: 0

Pulmonary vein stump thrombosis and organ infarction after lung lobectomy. 肺叶切除术后肺静脉残端血栓形成和器官梗死。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-08-10 DOI: 10.1007/s00540-024-03389-3

Teiji Sawa, Pipat Saeyup, Mao Kinoshita, Atsushi Kainuma, Satoru Ogawa, Fumimasa Amaya, Koichi Akiyama

{"title":"Pulmonary vein stump thrombosis and organ infarction after lung lobectomy.","authors":"Teiji Sawa, Pipat Saeyup, Mao Kinoshita, Atsushi Kainuma, Satoru Ogawa, Fumimasa Amaya, Koichi Akiyama","doi":"10.1007/s00540-024-03389-3","DOIUrl":"https://doi.org/10.1007/s00540-024-03389-3","url":null,"abstract":"Lung resection surgery, which is performed as a treatment for lung cancer and metastatic lung tumors, is currently conducted via minimally invasive techniques such as video-assisted thoracoscopic surgery and robot-assisted methods. Postoperative complications related to this surgery, such as pulmonary vein thrombosis and cerebral and other organ infarctions, have been increasingly reported. The primary cause of these complications is thrombus formation in the pulmonary vein stump. Statistical data on the site of lung lobectomy have indicated that surgeries involving the left upper lobe are most frequently associated with embolic complications. Although this issue has not received considerable attention in anesthesiology, the importance of prevention and treatment in postoperative management is growing. The role of anesthesiologists in preventing these complications is critical. These roles involve careful fluid management to avoid hypercoagulable states, consideration of early postoperative anticoagulation therapy, assessment of the suitability of epidural anesthesia for postoperative anticoagulation, and improvement of hospital-wide safety systems and monitoring of high-risk patients. Anesthesiologists need to understand the pathology and risk factors involved and play an active role in preventing and treating these complications through effective collaboration with thoracic surgeons and the in-hospital stroke team.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912787","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

Development of long-acting local anesthetics: a long way from basic research to clinical application. 长效局部麻醉剂的开发：从基础研究到临床应用的漫长道路。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-08-09 DOI: 10.1007/s00540-024-03387-5

Yutaka Oda

引用次数: 0

Letter to the article by Hassabelnaby et al. 致 Hassabelnaby 等人文章的信

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-08-06 DOI: 10.1007/s00540-024-03372-y

Jing Yuan, Bin Shi, Lufei Huang

引用次数: 0

Patient-controlled epidural analgesia: opioid vs. NSAID dilemma. 患者自控硬膜外镇痛：阿片类药物与非甾体抗炎药的两难选择。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-08-05 DOI: 10.1007/s00540-024-03384-8

Kailee N May, Brice L Koons, Christine T Vo, Amir L Butt

引用次数: 0

May fascial blocks reduce chronic pain in Uniportal-VATS? Comment on "Uniportal video-assisted thoracic surgery versus open thoracotomy for chronic pain after surgery: a prospective cohort study". 筋膜阻滞可减轻单孔VATS术后慢性疼痛吗？关于 "单孔视频辅助胸腔镜手术与开胸手术治疗术后慢性疼痛：前瞻性队列研究 "的评论。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-08-04 DOI: 10.1007/s00540-024-03382-w

Punzo Giovanni, Nachira Dania

引用次数: 0

The combination of hydrogen gas and hydrogen-rich solution does not protect against ischemic spinal cord injury in rabbits. 结合使用氢气和富氢溶液并不能防止兔子缺血性脊髓损伤。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-08-01 Epub Date: 2024-03-17 DOI: 10.1007/s00540-024-03334-4

Atsuo Yamashita, Takehiko Fukui, Satoshi Yamashita, Kazuyoshi Ishida, Mishiya Matsumoto

{"title":"The combination of hydrogen gas and hydrogen-rich solution does not protect against ischemic spinal cord injury in rabbits.","authors":"Atsuo Yamashita, Takehiko Fukui, Satoshi Yamashita, Kazuyoshi Ishida, Mishiya Matsumoto","doi":"10.1007/s00540-024-03334-4","DOIUrl":"10.1007/s00540-024-03334-4","url":null,"abstract":"Purpose: This study aimed to determine whether the combination of H2 gas inhalation and administration of hydrogen-rich acetated Ringer's solution (HS) could protect against ischemic spinal cord injury in rabbits.Methods: In Experiment 1, rabbits were randomly assigned to a 1.2% H2 gas group, HS group, 1.2% H2 gas + HS group (combination group), or control group (n = 6 per group). The H2 concentration of HS was 0.65 mM. H2 was inhaled for 60 min, starting 5 min before reperfusion. HS (20 mL/kg) was divided into six bolus injections at 10-min intervals, starting 5 min before reperfusion. Spinal cord ischemia was produced by occluding the abdominal aorta for 15 min. Neurologic and histopathologic evaluations were performed 7 days after reperfusion. In Experiment 2, H2 concentrations in spinal cord tissue according to the administration of 1.2% H2 gas or HS were compared by measuring the electric current through a platinum needle electrode (n = 2). In Experiment 3, rabbits were assigned to a 2% H2 gas group or control group (n = 6 per group). Spinal cord ischemia was produced and neurologic and histopathologic evaluations were performed as in Experiment 1.Results: There were no significant differences among the groups in the neurologic and histopathologic outcomes in Experiments 1 and 3. Bolus administration of HS (10 mL) transiently increased the current to only 1/30th and 1/27th of the plateau current with 1.2% H2 gas inhalation in two animals.Conclusion: These results suggest that the combination of 1.2% H2 gas inhalation and administration of a hydrogen-rich solution does not protect against ischemic spinal cord injury and that the increase in H2 concentration in spinal cord tissue after administration of HS is very low compared to 1.2% H2 gas inhalation.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140143455","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

Protocolized oxytocin infusion for elective cesarean delivery: a retrospective before-and-after study. 在择期剖宫产中按规定输注催产素：一项前后对比的回顾性研究。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-08-01 Epub Date: 2024-03-22 DOI: 10.1007/s00540-024-03329-1

Azusa Nagai, Yuki Shiko, Shohei Noguchi, Yusuke Ikeda, Yohei Kawasaki, Yusuke Mazda

{"title":"Protocolized oxytocin infusion for elective cesarean delivery: a retrospective before-and-after study.","authors":"Azusa Nagai, Yuki Shiko, Shohei Noguchi, Yusuke Ikeda, Yohei Kawasaki, Yusuke Mazda","doi":"10.1007/s00540-024-03329-1","DOIUrl":"10.1007/s00540-024-03329-1","url":null,"abstract":"Purpose: To elucidate the clinical impact of the novel oxytocin protocol using a syringe pump with a stratified dose compared with the conventional practice of putting oxytocin into the bag.Methods: This is a retrospective cohort study. We collected the data of the patients who underwent elective cesarean delivery under neuraxial anesthesia between June 2019 and May 2020. The patients were allocated to two groups according to oxytocin administration methods; the control group (the attending anesthesiologist put oxytocin 5-10 units in the infusion bag and adjusted manually after childbirth) and the protocol group (the oxytocin protocol gave oxytocin bolus 1 or 3 units depending on the PPH risk, followed by 5 or 10 unit h-1 via a syringe pump). We compared the total amount of oxytocin within 24 h postpartum, estimated blood loss, and adverse clinical events within 24 h postpartum between the two groups.Results: During the study period, 262 parturients were included. Oxytocin doses of intraoperative and postoperative were significantly lower in the protocol group (9.7 vs. 11.7 units, intraoperative, 15.9 vs. 18 units, postoperative). The subgroup analyses showed that the impact was more remarkable in the low PPH risk than in the high PPH risk. The multivariate linear regression analyses also confirmed the difference. The groups had no significant difference in blood loss, requirement of additional uterotonics, and other adverse events.Conclusions: Our oxytocin infusion protocol significantly reduced oxytocin requirements in elective cesarean delivery under neuraxial anesthesia without increasing blood loss. However, we could not find other clinical benefits of the novel protocol.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11284190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140189771","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