Journal of Anesthesia最新文献_第3页

Clinical relevance of different responses of elastic and muscular arteries in acute hemorrhage-perspectives from anesthesiologists. 急性大出血时弹性动脉和肌肉动脉不同反应的临床意义--来自麻醉师的观点。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-10-01 Epub Date: 2024-07-09 DOI: 10.1007/s00540-024-03371-z

Keisuke Yoshida, Shinju Obara, Tatsumi Yakushiji, Takahiro Hakozaki, Satoki Inoue

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 : 2024-10-01 Epub Date: 2024-08-09 DOI: 10.1007/s00540-024-03387-5

Yutaka Oda

引用次数: 0

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

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-10-01 Epub Date: 2024-06-01 DOI: 10.1007/s00540-024-03353-1

Mengjun Wu, Bin Shi

引用次数: 0

Association between general anesthesia in early childhood and neurodevelopment up to 4 years of age: the Japan Environment and Children's Study. 幼儿期全身麻醉与 4 岁前神经发育的关系：日本环境与儿童研究。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-10-01 Epub Date: 2024-06-07 DOI: 10.1007/s00540-024-03359-9

Takahisa Nagai, Yoshiko Yoda, Narumi Tokuda, Yasuhiro Takeshima, Munetaka Hirose, Masayuki Shima

{"title":"Association between general anesthesia in early childhood and neurodevelopment up to 4 years of age: the Japan Environment and Children's Study.","authors":"Takahisa Nagai, Yoshiko Yoda, Narumi Tokuda, Yasuhiro Takeshima, Munetaka Hirose, Masayuki Shima","doi":"10.1007/s00540-024-03359-9","DOIUrl":"10.1007/s00540-024-03359-9","url":null,"abstract":"Purpose: The effects of general anesthesia on neurodevelopment in children remain controversial. We explored the relationship between general anesthesia and neurodevelopment in children participating in the Japan Environment and Children's Study (JECS).Methods: This study enrolled children born between 37 and 41 weeks of pregnancy via single-vaginal delivery to pregnant women registered in the JECS between January 2011 and March 2014. Data were collected from mother-completed questionnaires and medical transcripts. Neurodevelopment in five domains was assessed every 6 months between 12 and 48 months of age, using the Ages and Stages Questionnaires. The associations between general anesthesia exposure during early childhood and neurodevelopment in children were evaluated at each time point. Adjusted odds ratios and 95% confidence intervals were estimated after covariate adjustment using logistic regression models.Results: Children who received general anesthesia before age 1 year had higher risks of neurodevelopmental delay in all five domains throughout the observational period. The largest risk was for gross motor delay at 18 months (adjusted odds ratio: 3.51; 95% confidence interval: 2.75-4.49). The effects on the incidence of neurodevelopmental delays after age 3 were not observed except for problem solving at 48 months. The risk of neurodevelopmental delay in children who first received general anesthesia after age 1 was considerably small.Conclusions: This study suggests that general anesthesia administration before age 1 is associated with neurodevelopmental delay during 1-4 years of age. The risk of general anesthesia after age 1 may be small.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11415522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141283779","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

Is remimazolam superior to propofol in TAVR procedure? 在 TAVR 手术中，瑞马唑仑是否优于异丙酚？

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-10-01 Epub Date: 2024-05-31 DOI: 10.1007/s00540-024-03356-y

Shingo Kawashima, Tetsuro Kimura, Hiroyuki Kinoshita

引用次数: 0

Letter to the article by Shirozu K, et al. 致 Shirozu K 等人文章的信

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-10-01 Epub Date: 2024-07-03 DOI: 10.1007/s00540-024-03373-x

Muhammed Halit Satıcı

引用次数: 0

Comparison of patient-controlled epidural analgesia and epidural morphine for post-cesarean section analgesia: experience from a tertiary center in China. 患者自控硬膜外镇痛与硬膜外吗啡用于剖宫产术后镇痛的比较：来自中国一家三级医疗中心的经验。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-10-01 Epub Date: 2024-07-09 DOI: 10.1007/s00540-024-03367-9

Huazhen Liu, Zhaojue Wang, Yuelun Zhang, Yangyang Zhang, Yu Zhang, Shuai Tang

{"title":"Comparison of patient-controlled epidural analgesia and epidural morphine for post-cesarean section analgesia: experience from a tertiary center in China.","authors":"Huazhen Liu, Zhaojue Wang, Yuelun Zhang, Yangyang Zhang, Yu Zhang, Shuai Tang","doi":"10.1007/s00540-024-03367-9","DOIUrl":"10.1007/s00540-024-03367-9","url":null,"abstract":"Purpose: To compare patient-controlled epidural analgesia (PCEA) and epidural morphine (EM) for post-cesarean section analgesia in real-world experience from China.Methods: Parturients receiving one dose of EM (1-2 mg), PCEA, or both EM and PCEA from Peking Union Medical College Hospital were retrospectively recruited. Logistic models were used to identify risk factors.Results: Of 1079 parturients enrolled, 919 (85.2%) parturients received only EM, 105 (9.7%) parturients received PCEA, and 55 (5.1%) parturients received both EM and PCEA. Significantly more parturients from EM group requested supplementary analgesia than those from PCEA and PCEA + EM group (583, 63.4% vs 52, 49.5% vs 25, 45.5%, P = 0.001) with more times of supplementary analgesia (1, IQR: 0-2 vs 0, IQR: 0-1 vs 0, IQR: 0-1 times, P < 0.001) and larger amounts of nonsteroidal anti-inflammatory drugs (NSAIDs) (50, IQR: 0-100 mg vs 0, IQR: 0-50 mg vs 0, IQR: 0-50 mg, P < 0.001). In multivariable Logistic regression for the supplementary analgesia risk, the application of PCEA (OR: 0.557, 95%CI 0.396-0.783, P = 0.001) and the use of NSAIDs intraoperatively (OR: 2.996, 95%CI 1.811-4.957, P < 0.001) were identified as independent predictors. A total of 1040 (96.4%) patients received prophylactic antiemetic therapy during surgery. Only 13 (1.2%) and 7 (0.6%) patients in our cohort requested antiemetic and antipruritic drugs, respectively.Conclusion: The use of PCEA was an independent protective factor for supplementary analgesia during the post-cesarean section. Prophylactic antiemetic therapy may reduce the side effects of post-cesarean analgesia.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558825","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

Relationship between epidural catheter migration beneath the skin and subcutaneous fat thickness assessed using postoperative CT imaging: a retrospective cross-sectional study. 利用术后 CT 成像评估硬膜外导管向皮下移位与皮下脂肪厚度之间的关系：一项回顾性横断面研究。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-10-01 Epub Date: 2024-07-11 DOI: 10.1007/s00540-024-03374-w

Natsumi Sakamoto, Mitsuhiro Matsuo, Tomonori Takazawa

{"title":"Relationship between epidural catheter migration beneath the skin and subcutaneous fat thickness assessed using postoperative CT imaging: a retrospective cross-sectional study.","authors":"Natsumi Sakamoto, Mitsuhiro Matsuo, Tomonori Takazawa","doi":"10.1007/s00540-024-03374-w","DOIUrl":"10.1007/s00540-024-03374-w","url":null,"abstract":"Purpose: The causes of epidural catheter migration beneath the skin have not been previously investigated. We hypothesized that greater subcutaneous fat thickness might be associated with increased catheter migration beneath the skin.Methods: We conducted a retrospective cross-sectional study of patients who had undergone combined general and epidural anesthesia, selecting individuals who received thoracic and abdominal CT scans within the first 5 postoperative days. Needle depth was defined as the distance from the needle tip to the skin surface when the anesthesiologist determined that the needle tip had reached the epidural space. We measured the length of the epidural catheter from the skin surface to the epidural space (catheter length), and subcutaneous fat thickness (fat thickness) using CT imaging. Migration distance was calculated by subtracting needle depth from catheter length.Results: We analyzed 127 patients (72 males), all undergoing epidural catheter insertion in the left lateral decubitus position via a paramedian approach. The median age of the patients was 71 years. Epidural catheters were postoperatively found to substantially curve beneath the skin. Regression analysis revealed no significant influence of fat thickness on catheter length (regression coefficient 0.10, 95% confidence interval [CI]: - 0.17, 0.38). However, it indicated a positive correlation between fat thickness and needle depth (regression coefficient 0.50, 95% CI: 0.30, 0.70), and a negative correlation between fat thickness and migration distance (regression coefficient - 0.40, 95% CI: - 0.65, - 0.14).Conclusion: We found a negative correlation between epidural catheter migration beneath the skin and subcutaneous fat thickness. Anesthesiologists should be aware of the possibility of substantial subcutaneous curving of the catheter, especially in patients with scant subcutaneous fat.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579753","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

Quantitative and calculated estimated blood loss in cesarean deliveries for twin and singleton pregnancies: a retrospective analysis. 双胎和单胎剖宫产的定量和计算估计失血量：回顾性分析。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-10-01 Epub Date: 2024-07-04 DOI: 10.1007/s00540-024-03370-0

Rikako Takahashi, Yoko Sakai, Michiko Kinoshita, Yako Matsumoto, Yoshimi Nakaji, Katsuya Tanaka

{"title":"Quantitative and calculated estimated blood loss in cesarean deliveries for twin and singleton pregnancies: a retrospective analysis.","authors":"Rikako Takahashi, Yoko Sakai, Michiko Kinoshita, Yako Matsumoto, Yoshimi Nakaji, Katsuya Tanaka","doi":"10.1007/s00540-024-03370-0","DOIUrl":"10.1007/s00540-024-03370-0","url":null,"abstract":"Purpose: This study retrospectively assessed blood loss during cesarean deliveries for twin and singleton pregnancies using two distinct methods, quantitative estimation measured during cesarean sections and hematocrit-based calculated estimation.Methods: We included scheduled cesarean deliveries for twin or singleton pregnancies at ≥ 34 weeks of gestation. Quantitative blood loss was recorded based on the blood volume in the graduated collector bottle and by weighing the blood-soaked textiles during cesarean sections. The blood loss was calculated using the change in hematocrit levels before and after the cesarean delivery.Results: We evaluated 403 cases including 44 twins and 359 singletons. Quantitative blood loss during cesarean section was significantly higher in twin pregnancies than that in singleton pregnancies (1117 [440] vs 698 [378] mL; p < 0.001). However, no significant differences were observed in the calculated blood loss between the two groups on the day after delivery (487 mL [692 mL] vs 507 mL [522 mL]; p = 0.861). On post-delivery days 4-5, twin pregnancies were associated with a significantly higher calculated blood loss than singleton pregnancies (725 [868] mL vs 444 [565] mL, p = 0.041). Although a significant moderate correlation between quantitative and calculated blood loss was observed in singleton pregnancies (r = 0.473, p < 0.001), no significant correlation was observed between twin pregnancies (r = 0.053, p = 0.735).Conclusion: Quantitative blood loss measurements during cesarean section may be clinically insufficient in twin pregnancies. Incorporating blood tests and continuous assessments are warranted for enhanced blood loss evaluation, especially in twin pregnancies, owing to the risk of persistent bleeding.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498126","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 : 2024-10-01 Epub 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