Journal of Clinical Anesthesia最新文献_第4页

On the Cover - P. Wang et al. 在封面上- P.王等。

IF 5.1 2区医学

Journal of Clinical Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-06-04 DOI: 10.1016/S0952-8180(26)00126-1

引用次数: 0

Retraction notice to ‘A comparative study between propofol and dexmedetomidine as sedative agents during performing transcatheter aortic valve implantation’ [Journal of Clinical Anesthesia 32 (2016) 242–247] “异丙酚与右美托咪定在经导管主动脉瓣植入术中镇静作用的比较研究”撤回通知[Journal Clinical Anesthesia， 32(2016) 242-247]。

IF 5.1 2区医学

Journal of Clinical Anesthesia Pub Date : 2026-06-01 Epub Date: 2026-04-27 DOI: 10.1016/j.jclinane.2026.112176

Mohamed Khalil , Ahmed Al-Agaty , Osama Asaad , Mohsen Mahmoud , Amr S. Omar , Ahmed Abdelrazik , Mohamed Mostafa

引用次数: 0

“Further studies are needed”: Scientific convention or editorial evasion? A critical appraisal of an overused phrase in medical publishing “需要进一步研究”：科学惯例还是编辑回避？对医学出版中一个被滥用的短语的批判性评价。

IF 5.1 2区医学

Journal of Clinical Anesthesia Pub Date : 2026-04-01 Epub Date: 2026-02-05 DOI: 10.1016/j.jclinane.2026.112141

Zeynep Kayhan MD , Elvin Kesimci MD, PhD

引用次数: 0

Impact of different doses of remifentanil on postoperative pain and hyperalgesia: a prospective randomized controlled study and genotypic analysis 不同剂量瑞芬太尼对术后疼痛和痛觉过敏的影响：一项前瞻性随机对照研究和基因型分析。

IF 5.1 2区医学

Journal of Clinical Anesthesia Pub Date : 2026-04-01 Epub Date: 2026-03-30 DOI: 10.1016/j.jclinane.2026.112198

Zixuan Xu MD , Jiayi Zhang MD , Linyao Chen MD , Jianwen Ye MD , Yanan Wang MD , Lei Tan MD , Jiehao Sun MD

{"title":"Impact of different doses of remifentanil on postoperative pain and hyperalgesia: a prospective randomized controlled study and genotypic analysis","authors":"Zixuan Xu MD , Jiayi Zhang MD , Linyao Chen MD , Jianwen Ye MD , Yanan Wang MD , Lei Tan MD , Jiehao Sun MD","doi":"10.1016/j.jclinane.2026.112198","DOIUrl":"10.1016/j.jclinane.2026.112198","url":null,"abstract":"<div><h3>Background</h3><div>Remifentanil is commonly used for perioperative analgesia, but its role in postoperative pain and hyperalgesia is still debated. This study investigated the effect of different remifentanil doses on postoperative pain and hyperalgesia and the influence of SCN9A genetic variants on these outcomes.</div></div><div><h3>Methods</h3><div>A total of 268 patients who underwent laparoscopic surgery were included in the study. Eligible patients were randomly assigned to one of three groups: a high dose of remifentanil (Group H), a low dose of remifentanil (Group L), or no remifentanil (Group N). Postoperative pain intensity and mechanical pain thresholds were assessed after surgery, and side effects were recorded during follow-up. The single-nucleotide polymorphisms of SCN9A, rs16851799 and rs6746030, were also analyzed.</div></div><div><h3>Results</h3><div>There were no differences in postoperative pain scores among the three groups with different remifentanil doses (<em>P</em> = 0.969). However, the mechanical pain thresholds were significantly lower in Group H compared with the other groups postoperatively (<em>P</em> < 0.001). The A allele of rs6746030 was associated with higher pain scores (<em>P</em> = 0.002) and increased postoperative analgesic requirements (<em>P</em> = 0.013).</div></div><div><h3>Conclusions</h3><div>While high doses of remifentanil significantly induced detectable hyperalgesia in a laboratory phenomenon, RIH had zero clinical impact on the patient's actual pain experience or analgesic requirements after surgery. Additionally, the exploratory findings revealed that rs6746030 in SCN9A was a genetic marker for severe postoperative pain.</div></div>","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"111 ","pages":"Article 112198"},"PeriodicalIF":5.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147592524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Expression of Concern to: "Hydroxyethyl starch (HES) does not directly affect renal function in patients with no prior renal impairment" [Journal of Clinical Anesthesia, Volume 13, Issue 2, March 2001, Pages 103-111]. 关注的表达：“羟乙基淀粉（HES）不会直接影响无肾损害患者的肾功能”[Journal of Clinical Anesthesia, Volume 13, Issue 2, March 2001, Pages 103-111]。

IF 5.1 2区医学

Journal of Clinical Anesthesia Pub Date : 2026-04-01 Epub Date: 2026-03-26 DOI: 10.1016/j.jclinane.2026.112177

引用次数: 0

Corrigendum to “Unmasking the silent threat: Navigating the myocardial injury in oncological surgery” [Journal of Clinical Anesthesia 108 (2026) 112063] “揭露无声的威胁：在肿瘤手术中导航心肌损伤”的更正[临床麻醉杂志108(2026)112063]。

IF 5.1 2区医学

Journal of Clinical Anesthesia Pub Date : 2026-04-01 Epub Date: 2025-12-25 DOI: 10.1016/j.jclinane.2025.112111

Zhen-Zhen Xu, Dong-Liang Mu

引用次数: 0

Editorial Board w/barcode 编辑委员会/条形码

IF 5.1 2区医学

Journal of Clinical Anesthesia Pub Date : 2026-04-01 Epub Date: 2026-04-25 DOI: 10.1016/S0952-8180(26)00090-5

引用次数: 0

On the Cover - B Dost et al 封面- B多斯特等人

IF 5.1 2区医学

Journal of Clinical Anesthesia Pub Date : 2026-04-01 Epub Date: 2026-04-25 DOI: 10.1016/S0952-8180(26)00088-7

引用次数: 0

Preoperative alcohol use disorders and adverse outcomes in surgical patients: A systematic review and meta-analysis 手术患者术前酒精使用障碍和不良后果：系统回顾和荟萃分析

IF 5.1 2区医学

Journal of Clinical Anesthesia Pub Date : 2026-04-01 Epub Date: 2026-03-31 DOI: 10.1016/j.jclinane.2026.112194

Nethmi Rajapakse , Eric Rubenzahl , Aparna Saripella , Jun Won Lee , Sara Mansouri , Shirley Fan , Marina Englesakis , Frances Chung

{"title":"Preoperative alcohol use disorders and adverse outcomes in surgical patients: A systematic review and meta-analysis","authors":"Nethmi Rajapakse , Eric Rubenzahl , Aparna Saripella , Jun Won Lee , Sara Mansouri , Shirley Fan , Marina Englesakis , Frances Chung","doi":"10.1016/j.jclinane.2026.112194","DOIUrl":"10.1016/j.jclinane.2026.112194","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the association between preoperative unhealthy alcohol use (UAU), including alcohol use disorder and hazardous/risky alcohol use, and postoperative outcomes in adult surgical patients.</div></div><div><h3>Methods</h3><div>The Ovid MEDLINE, Embase, and Cochrane databases were searched for English-language studies involving adults undergoing surgery. Eligible studies compared patients with preoperative UAU to those with no UAU and reported at least one postoperative outcome within 12 months. Preoperative alcohol exposure was determined using validated assessment tools or self-reported alcohol use disorder. Random-effects meta-analyses were conducted to calculate risk ratios (RRs) or mean differences (MDs) with 95% confidence intervals (CIs).</div></div><div><h3>Results</h3><div>Thirty-five studies (<em>n</em> = 18,472,205) met inclusion criteria, and 35 studies were included in the meta-analyses. Preoperative alcohol use disorder was associated with a higher risk of respiratory complications (RR 2.59, 95% CI 1.51–4.45; <em>P</em> = 0.0005), infections/wound complications (RR 1.71, 95% CI 1.37–2.15; <em>P</em> < 0.0001), longer length of hospital stay (mean difference 0.76 days, 95% CI 0.24–1.29; <em>P</em> = 0.004), and higher in-hospital mortality (RR 1.67, 95% CI 1.21–2.29; <em>P</em> = 0.002).</div></div><div><h3>Conclusion</h3><div>Surgical patients with alcohol use disorder were associated with worse postoperative outcomes, including higher rates of respiratory complications and infections, longer length of hospital stay and increased in-hospital mortality. These findings support screening for alcohol use and preoperative optimization including cessation support and postoperative monitoring.</div></div>","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"111 ","pages":"Article 112194"},"PeriodicalIF":5.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147592286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Beyond the operating room: Holistic support for frail surgical patients 超越手术室：为身体虚弱的外科病人提供全面的支持。

IF 5.1 2区医学

Journal of Clinical Anesthesia Pub Date : 2026-04-01 Epub Date: 2025-12-15 DOI: 10.1016/j.jclinane.2025.112095

Aubrey Samost-Williams MD, MS , Alparslan Turan MD , Victoria Tang MD, MAS

引用次数: 0