Journal of Anesthesia最新文献_第9页

Correction: Involvement of anesthesiologists in pediatric sedation and analgesia outside the operating room in Japan: is it too late, or is there still time? 更正：日本麻醉师参与儿科手术室外镇静镇痛：是太晚了，还是还有时间？

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2025-01-09 DOI: 10.1007/s00540-024-03449-8

Soichiro Obara

引用次数: 0

Pitfalls in peripheral venous access under ultrasound guidance. 超声引导下外周静脉通路的陷阱。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2025-01-03 DOI: 10.1007/s00540-024-03452-z

Keisuke Yoshida, Yuki Yamazaki, Ko Kakinouchi, Takayuki Hasegawa, Satoki Inoue

引用次数: 0

Bridging old and new: obturator nerve block in the obturator canal to prevent obturator jerk during transurethral resection of bladder tumor. 架起新旧桥梁：经尿道膀胱肿瘤切除术中闭孔神经阻滞防止闭孔痉挛。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-12-22 DOI: 10.1007/s00540-024-03446-x

Hiroaki Murata

引用次数: 0

Errors and omissions in GA predictors for cesarean delivery. 剖宫产GA预测因子的误差和遗漏。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-12-20 DOI: 10.1007/s00540-024-03448-9

Grace Townsend, Lily Robistow, Amir L Butt, Aimee Pak

引用次数: 0

Enhancing acute normovolemic hemodilution in cardiac surgery: the role of remimazolam and hemodynamic stability. 心脏手术中增强急性等容血稀释：雷马唑仑和血流动力学稳定性的作用。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-12-09 DOI: 10.1007/s00540-024-03438-x

Eriko Kusudo, Shuji Kawamoto, Moritoki Egi

引用次数: 0

Ultrasound-guided obturator nerve block technique at the distal end of the obturator canal: case series and cadaver evaluation. 超声引导的闭孔神经阻滞技术在闭孔管远端：病例系列和尸体评价。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-12-02 DOI: 10.1007/s00540-024-03434-1

Takayuki Yoshida, Yousuke Nakano, Masaaki Kitada, Tatsuo Nakamoto

{"title":"Ultrasound-guided obturator nerve block technique at the distal end of the obturator canal: case series and cadaver evaluation.","authors":"Takayuki Yoshida, Yousuke Nakano, Masaaki Kitada, Tatsuo Nakamoto","doi":"10.1007/s00540-024-03434-1","DOIUrl":"https://doi.org/10.1007/s00540-024-03434-1","url":null,"abstract":"The obturator nerve variably gives off the anterior, posterior, and hip articular branches along its course; however, all branches invariably pass through the obturator canal. Herein, we describe our obturator nerve block technique, which promises to deliver local anesthetic directly into the obturator canal. We performed the obturator nerve block in six patients undergoing transurethral resection of bladder tumor under spinal anesthesia. We also evaluated the spread of dye in a cadaver. With patient placed in the lithotomy position, a linear ultrasound transducer was placed on the anterior part of the genitofemoral sulcus, oriented cephalad, to observe the external orifice of the obturator canal, which is present immediately posterior to the posterior end of the inferior margin of the superior pubic ramus and just medial to the body of the ischium. The needle tip was guided to this location, and 10 ml of 1.5% lidocaine was injected into the obturator canal. The procedure was repeated using 10-ml dye in a cadaver. No obturator jerks were observed during the transurethral resection of bladder tumors in all six cases. Cadaver examination confirmed the dye stained the obturator nerve, with retrograde spread into the pelvic cavity via the obturator canal.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769209","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

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 : 2024-12-01 Epub 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":"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":" ","pages":"879-883"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","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

Retrospective comparison of the effects of remimazolam and dexmedetomidine on postoperative delirium in elderly patients undergoing orthopedic surgery of the lower extremities under spinal anesthesia. 回顾性比较雷马唑仑和右美托咪定对在脊髓麻醉下进行下肢矫形手术的老年患者术后谵妄的影响。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-12-01 Epub Date: 2024-08-25 DOI: 10.1007/s00540-024-03386-6

Soomin Lee, Chahyun Oh, Jinsik Jung, Boohwi Hong, Yumin Jo, Sunyeul Lee, ChaeSeong Lim, Sujin Baek, Myungjong Shin, Hyungseok Seo, Woosuk Chung

{"title":"Retrospective comparison of the effects of remimazolam and dexmedetomidine on postoperative delirium in elderly patients undergoing orthopedic surgery of the lower extremities under spinal anesthesia.","authors":"Soomin Lee, Chahyun Oh, Jinsik Jung, Boohwi Hong, Yumin Jo, Sunyeul Lee, ChaeSeong Lim, Sujin Baek, Myungjong Shin, Hyungseok Seo, Woosuk Chung","doi":"10.1007/s00540-024-03386-6","DOIUrl":"10.1007/s00540-024-03386-6","url":null,"abstract":"Purpose: Remimazolam is often used for perioperative sedation due to its rapid onset and offset. However, the possible association between remimazolam and postoperative delirium (POD) remains undetermined. The present study evaluated whether remimazolam increased the incidence of POD compared with dexmedetomidine in elderly patients undergoing orthopedic surgery of the lower extremities.Methods: This retrospective study included patients aged ≥ 65 years who had undergone orthopedic surgery of the lower extremities under spinal anesthesia from January 2020 to November 2022 and were sedated with continuous intravenous infusion of dexmedetomidine or remimazolam. The incidence of POD was assessed through a validated comprehensive review process of each patient's medical records. The effect of remimazolam on the occurrence of POD compared with dexmedetomidine was evaluated by propensity score weighted multivariable logistic models.Results: A total of 447 patients were included in the final analysis. The crude incidence of POD within 3 days after surgery was 7.5% (17/226) in the dexmedetomidine group and 11.8% (26/221) in the remimazolam group, increasing to 9.7% (22/226) and 15.8% (35/221), respectively (p = 0.073), within 5 days. The multivariable models showed that, compared with dexmedetomidine, intraoperative sedation with remimazolam significantly increased the occurrence of POD within 3 days (odds ratio [OR] 2.21, 95% confidence interval [CI] 1.31 to 3.82, p = 0.003) and 5 days (OR 2.10, 95% CI 1.32 to 3.40, p = 0.002).Conclusion: Compared with dexmedetomidine, remimazolam infusion may be associated with a higher risk of POD in elderly patients undergoing orthopedic surgery of the lower extremities under spinal anesthesia.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":"771-779"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055667","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

Median effective dose of spinal ropivacaine in combined spinal and epidural anesthesia for emergency cesarean delivery following failed vaginal delivery with epidural labor analgesia: a single-blind, sequential dose-finding study. 在硬膜外分娩镇痛阴道分娩失败后进行紧急剖宫产的脊髓和硬膜外联合麻醉中，脊髓罗哌卡因的中位有效剂量：一项单盲、顺序剂量摸底研究。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-12-01 Epub Date: 2024-08-28 DOI: 10.1007/s00540-024-03393-7

Yu Wei, Shanshan Ye, Rui Ma, Tao Xu

{"title":"Median effective dose of spinal ropivacaine in combined spinal and epidural anesthesia for emergency cesarean delivery following failed vaginal delivery with epidural labor analgesia: a single-blind, sequential dose-finding study.","authors":"Yu Wei, Shanshan Ye, Rui Ma, Tao Xu","doi":"10.1007/s00540-024-03393-7","DOIUrl":"10.1007/s00540-024-03393-7","url":null,"abstract":"Purpose: This study aimed to estimate the median effective dose of intrathecal isobaric ropivacaine without opioid required for adequate cesarean delivery anesthesia after epidural labor analgesia.Methods: Patients aged 20-40 years with American Society of Anesthesiology scores of I-II, body mass index ≤ 36, who underwent emergency cesarean delivery after failed vaginal delivery with epidural analgesia of a duration ≤ 6 h were included in the study. After removal of the epidural used for labor analgesia, a new combined spinal epidural was performed, and a dose of intrathecal isobaric ropivacaine without opioid was administered. The dose was determined using up-down methodology, with the starting patient's dose set to 12 mg. Adequate anesthesia, defined as a pinprick level no lower than T6 at 5 min after ropivacaine administration, resulted in the next patient receiving a dose of ropivacaine 1 mg higher, and inadequate anesthesia 1 mg lower. The primary outcome was the median (95% confidence interval (CI)) dose of spinal ropivacaine required for adequate cesarean delivery anesthesia.Results: Of the 46 patients included in the study, 40 were analyzed. The median spinal ropivacaine dose was 8.11 mg (95% CI 7.29-8.93 mg) by the Dixon and Mood method and 8.06 mg (95% CI 6.93-9.00 mg) by isotonic regression. Two patients had high spinal anesthesia.Conclusion: Our findings suggest that for 50% of patients undergoing cesarean delivery after failed vaginal delivery with epidural analgesia, an 8-mg spinal dose of isobaric ropivacaine without opioid provides an anesthesia level no lower than T6 at 5 min.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":"780-786"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080357","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

Remimazolam anesthesia in pediatric patients undergoing cardiac catheterization for congenital heart disease: a retrospective observational study. 对因先天性心脏病接受心导管检查的儿科患者进行雷马唑仑麻醉：一项回顾性观察研究。

IF 2.8 3区医学

Journal of Anesthesia Pub Date : 2024-12-01 Epub Date: 2024-08-17 DOI: 10.1007/s00540-024-03395-5

Maiko Hosokawa, Yurie Takahashi, Takahiro Ueno, Katsunori Oe, Kenichi Masui

{"title":"Remimazolam anesthesia in pediatric patients undergoing cardiac catheterization for congenital heart disease: a retrospective observational study.","authors":"Maiko Hosokawa, Yurie Takahashi, Takahiro Ueno, Katsunori Oe, Kenichi Masui","doi":"10.1007/s00540-024-03395-5","DOIUrl":"10.1007/s00540-024-03395-5","url":null,"abstract":"Background: Benzodiazepines are used in pediatric patients with congenital heart disease (CHD) because of their mild hemodynamic depressant effects. A novel short-acting benzodiazepine, remimazolam, is expected to be suitable for these patients. We examined the characteristics of remimazolam anesthesia in pediatric patients with CHD undergoing cardiac catheterization.Methods: This single-center retrospective study included pediatric patients undergoing cardiac catheterization for CHD. The primary outcome was the remimazolam dose for loss of consciousness. Secondary outcomes included the mean maintenance remimazolam dose, recovery time from anesthesia, predicted remimazolam concentration at emergence, decrease in blood pressure and heart rate, vasopressor administration during anesthesia, electroencephalogram index (bispectral index: BIS or patient state index: PSI), and life-threatening adverse events.Results: Thirty-nine patients, aged 2 months to 16 years, were included. Thirty-three patients received a median [interquartile] midazolam dose of 0.10 [0.10-0.10] mg.kg-1 in the pre-anesthesia room. The remimazolam dose for loss of consciousness was 0.34 [0.26-0.45] mg.kg-1. The mean maintenance dose was 1.0 [0.8-1.4] mg.kg-1.h-1. The recovery time was 15 [12-17] min. The predicted remimazolam concentration at emergence was 0.4-1.2 µg.ml-1 in 3-6-year-old patients. Blood pressure and heart rate decreased by 30% in 15 and 6 patients, respectively. Vasopressors were administered as a bolus in 8 patients. The BIS or PSI did not fall ≤ 60 or ≤ 50, respectively, in 51% of patients before tracheal intubation. No life-threatening adverse events were reported.Conclusions: Remimazolam is a good alternative anesthetic agent for pediatric patients undergoing cardiac catheterization for CHD.","PeriodicalId":14997,"journal":{"name":"Journal of Anesthesia","volume":" ","pages":"796-805"},"PeriodicalIF":2.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995814","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