Journal of Clinical Anesthesia最新文献

{"title":"Racial and ethnic differences in acute post-operative pain management: Systematic review and meta-analysis","authors":"Anastasia Jones ,&nbsp;Erik J. Feldtmann ,&nbsp;Carlos Bellido ,&nbsp;Emily C. Coughlin ,&nbsp;Rahul S. Mhaskar ,&nbsp;Cameron R. Smith ,&nbsp;B. Lee Green ,&nbsp;Linda T. Le-Wendling","doi":"10.1016/j.jclinane.2025.111858","DOIUrl":"10.1016/j.jclinane.2025.111858","url":null,"abstract":"<div><h3>Background</h3><div>There are significant racial and ethnic differences in healthcare outcomes, including pain treatment.</div></div><div><h3>Objectives</h3><div>We conducted a systematic review and meta-analysis to investigate the racial and ethnic differences in acute pain treatment of surgical patients.</div></div><div><h3>Methods</h3><div>We searched PubMed, Embase, and Scopus databases for any studies that reported racial and ethnic minority groups and treating acute postoperative pain. Random-effect meta-analysis was used to compare the odds ratio of receipt of regional anesthesia among racial and ethnic groups.</div></div><div><h3>Results</h3><div>Non-White patients were 18 % less likely to have regional anesthesia for postoperative pain [OR 0.82 (95 % CI; 0.76, 0.9]. Racial minority groups had lower rates of regional anesthesia—Black patients with OR of 0.93 (95 % CI; 0.91, 0.95); Asian patients with OR of 0.84 (95 % CI; 0.81, 0.87); race indicated as Other with OR of 0.78 (95 % CI; 0.71, 0.86). Only 3 studies reported Native Hawaiian and Alaska Native groups and found higher rates of regional anesthesia. Hispanic patients were 20 % less likely to receive regional anesthesia [OR of 0.8 (95 % CI; 0.72, 0.87)].</div><div>Three studies found some differences in opioid administration associated with race and ethnicity. A formal meta-analysis was not possible because of the heterogeneity of follow-up and timepoint comparison.</div></div><div><h3>Conclusion</h3><div>There are racial and ethnic differences in the treatment of acute pain, especially in receipt of regional anesthesia. The most important step forward is the appropriate reporting of racial and ethnic demographic information. Further studies are warranted to understand the process by which differences arise in acute pain management.</div></div>","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"104 ","pages":"Article 111858"},"PeriodicalIF":5.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906881","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}

{"title":"Cerebrospinal fluid proteome of patients with persistent pain and/or postpartum depression after elective cesarean delivery: An exploratory prospective cohort study","authors":"Mary Yurashevich MD, MPH ,&nbsp;Michael Devinney MD, PhD ,&nbsp;Matthew W. Foster PhD ,&nbsp;Rachel Myers PhD ,&nbsp;Nicholas O'Grady MS ,&nbsp;Ru-Rong Ji PhD ,&nbsp;Ashraf S. Habib MBBCh, MSc, MHSc, FRCA ,&nbsp;Miles Berger MD, PhD","doi":"10.1016/j.jclinane.2025.111855","DOIUrl":"10.1016/j.jclinane.2025.111855","url":null,"abstract":"<div><h3>Background</h3><div>Persistent pain (&gt;2 months) after cesarean delivery (CD) can affect up to 20 % of patients, and is associated with increased risk for postpartum depression (PPD). Preoperative identification of patients at risk for persistent pain and PPD remains a challenge due to poorly understood underlying mechanisms. To better understand these potential mechanisms, here, we examined the preoperative cerebrospinal (CSF) proteome for changes associated with persistent pain or PPD at 3 months post-CD.</div></div><div><h3>Methods</h3><div>Eighty patients undergoing elective CD under neuraxial anesthesia were recruited. We collected baseline demographics, obstetric data, and Edinburgh Postnatal Depression Scale (EPDS) scores. EPDS and pain scores were also obtained at 3 months post-CD. CSF was collected before spinal anesthetic placement. Liquid chromatography coupled with tandem mass spectrometry was used to study the CSF proteome.</div></div><div><h3>Results</h3><div>63 patients completed clinical follow-up, however only 61 of the patients had adequate preoperative CSF sample for analysis. Of these 61 patients, 21 developed pain or PPD at 3 months post-CD (14 had persistent pain alone and 7 had PPD alone). Over 1600 proteins were quantified in each CSF sample. Forty-three of these proteins were nominally differentially expressed in patients with persistent pain and/or PPD vs those with neither disorder.</div><div>Pathway analysis showed a downregulation of the complement and coagulation cascades in the preoperative CSF of patients who later developed persistent pain or PPD 3 months after CD.</div></div><div><h3>Conclusions</h3><div>These results suggest that the CSF complement and coagulation cascades may play a role in patients who develop postpartum pain or PPD 3 months later.</div></div>","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"104 ","pages":"Article 111855"},"PeriodicalIF":5.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906460","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}

{"title":"Intertransverse process block: A narrative review","authors":"Xingxing Yu,&nbsp;Cunming Liu","doi":"10.1016/j.jclinane.2025.111857","DOIUrl":"10.1016/j.jclinane.2025.111857","url":null,"abstract":"<div><div>The intertransverse process block (ITPB) is a general term for a class of novel thoracic paraspinal nerve block techniques proposed in recent years, which can be divided into the mid-point transverse process to pleura block, multiple-injection costotransverse block, costotransverse foramen block and the subtransverse process interligamentary plane block. The four types of ITPB all target the retro-superior costotransverse ligament space, but slightly differ in terms of needle entry approach and needle tip target. ITPB is easy to locate, quick to perform, and provides reliable analgesic effects. Furthermore, this technique can effectively reduce the risk of pneumothorax, hematoma and intraspinal injection. Thus, it has been gradually used for anesthesia and analgesia in breast, cardiothoracic, abdominal and spinal surgeries, as well as for pain relief in trauma patients. However, due to the limited evidence base, its safety and efficacy remain inadequately understood, and few clinicians are proficient in performing ITPB. Further large-scale randomized controlled trials are required to validate its feasibility and superiority. This narrative review will summarize the anatomical basis, mechanism, operation methods, clinical application and shortcomings of ITPB to provide new ideas for multimodal analgesia.</div></div>","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"104 ","pages":"Article 111857"},"PeriodicalIF":5.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906920","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}

{"title":"Ultrasound assessment of preoperative gastric volume in fasted diabetic surgical patients: A prospective observational cohort study on the effects of glucagon-like peptide-1 agonists on gastric emptying","authors":"Christopher D. Wolla M.D. ,&nbsp;Travis J. Pecha M.D. ,&nbsp;Joel M. Sirianni M.D. ,&nbsp;Lexi M. Schorg B.S. ,&nbsp;Bethany J. Wolf Ph.D. ,&nbsp;Sylvia H. Wilson M.D.","doi":"10.1016/j.jclinane.2025.111853","DOIUrl":"10.1016/j.jclinane.2025.111853","url":null,"abstract":"<div><h3>Background</h3><div>Preoperative gastric ultrasound allows non-invasive qualitative and quantitative assessment of gastric contents aiding in preoperative risk assessment. We hypothesized that appropriately fasted diabetic surgical patients taking GLP-1 agonists would have higher gastric volumes than those not taking GLP-1 agonists.</div></div><div><h3>Methods</h3><div>This prospective, observational cohort study enrolled diabetic patients undergoing elective surgery, comparing those taking (<em>n</em> = 106) and not taking (<em>n</em> = 100) GLP-1 agonists. The primary outcome was gastric volume assessed via gastric ultrasound in the right lateral decubitus position. Secondary outcomes included presence of a full stomach (solids/thick liquids or greater than 1.5 mL/kg clear liquid), need for surgery delay, Perlas grade, and occurrence of intraoperative aspiration. The impact of GLP-1 agonist type, duration of use, and timing of last dose on gastric volume was also examined.</div></div><div><h3>Results</h3><div>Diabetic patients on GLP-1 agonists had significantly higher median gastric volumes compared to patients not on GLP-1 agonists (0.61 mL/kg vs 0.16 mL/kg, <em>P</em> &lt; 0.001) and increased odds of a full stomach (OR 11.3, 95 % CI 5.2–24.7, <em>P</em> &lt; 0.0001). GLP-1 agonist use correlated with higher Perlas grades (<em>P</em> &lt; 0.001). Gastric volumes were significantly higher with GLP-1 agonist use within 7 days of surgery relative to use within 7–14 days or more than 14 days from surgery (<em>P</em> &lt; 0.001 for both comparisons).</div></div><div><h3>Conclusions</h3><div>GLP-1 agonist therapy was associated with higher residual gastric volumes and higher risks of full stomachs in fasted diabetic patients. GLP-1 agonist use within 7 days of surgery was also associated with higher gastric volumes relative to holding therapy for over 7 days, supporting current consensus-based guidelines.</div></div>","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"104 ","pages":"Article 111853"},"PeriodicalIF":5.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902581","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}

{"title":"Ultrasound-guided stellate ganglion block in patients with electrical storm: A single-center case series","authors":"Jun Zhang ,&nbsp;Jingwen Liang ,&nbsp;Tieshuai Liu ,&nbsp;Xinru Lin ,&nbsp;Jiwen Li ,&nbsp;Shameera Sayer ,&nbsp;Yunhe Wang ,&nbsp;Qihong Shen ,&nbsp;Xin Yu ,&nbsp;Gang Chen","doi":"10.1016/j.jclinane.2025.111850","DOIUrl":"10.1016/j.jclinane.2025.111850","url":null,"abstract":"<div><h3>Study objective</h3><div>Increasing evidence suggests that stellate ganglion block (SGB) for the treatment of electrical storm (ES) shows encouraging effectiveness. This study aimed to evaluate the effects of SGB in patients with ES.</div></div><div><h3>Design</h3><div>A single-center case series.</div></div><div><h3>Setting</h3><div>Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University.</div></div><div><h3>Patients</h3><div>ES Patients with SGB treated between July 2023 and July 2024.</div></div><div><h3>Interventions</h3><div>Patients with ES received SGB.</div></div><div><h3>Measurements</h3><div>The primary outcomes included changes in sustained ventricular arrhythmias and anti-tachycardia pacing (ATP) or defibrillation shocks within 24 h before and after SGB. Effectiveness was defined as a ≥ 50 % reduction in these events post-block.</div></div><div><h3>Main results</h3><div>Between July 2023 and July 2024, 20 patients with ES underwent SGB. Among them, 60 % had persistent ES following catheter ablation, 20 % were diagnosed upon emergency admission, and 15 % developed ES after cardiac surgery.</div><div>Within 24 h of the first SGB, the median (interquartile range, IQR) number of sustained ventricular arrhythmias decreased from 4.5 (3.0–13.0) to 0 (0–1.0), (median difference = −5.5, 95 % confidence interval [CI] = −9.5 to −3.0, <em>p</em> = 0.001), with an effectiveness rate of 80.0 %. Similarly, ATP or shocks decreased from 1.5 (0–4.0) to 0 (0–0.75), (median difference = −2.0, 95 % CI = −4.5 to −0.5, <em>p</em> = 0.011), indicating an effectiveness rate of 78.6 %.</div><div>Compared to baseline levels, within 24 h after the last SGB, the median (IQR) number of sustained ventricular arrhythmias significantly decreased from 4.5 (3.0–13.0) to 0 (0–0.75), (median difference = −5.0, 95 % CI = −10.5 to −2.5, <em>p</em> = 0.004), achieving an effectiveness rate of 80.0 %. Likewise, ATP or shock events declined from 1.5 (0–4.0) to 0 (0–0), (median difference = −1.75, 95 % CI = −12.5 to −0.5, <em>p</em> = 0.028), reflecting an effectiveness rate of 86.7 %.</div><div>In this study, 10 % of patients experienced minor complications after SGB, including one case of hoarseness and another case of phrenic nerve block. Both fully recovered without sequelae.</div></div><div><h3>Conclusions</h3><div>SGB appears to be a safe and effective treatment that may provide temporary stabilization between the onset of ES and catheter ablation, while also aiding in the management of persistent ES post-catheter ablation and newly developed ES following cardiac surgery.</div></div>","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"104 ","pages":"Article 111850"},"PeriodicalIF":5.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895705","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}

{"title":"The effect of repeated maternal voice orientation on postoperative emergence agitation in children following tonsillectomy and adenoidectomy: A randomized controlled trial","authors":"Zeyang Wang MD ,&nbsp;Xiaohan Wang MD ,&nbsp;Yu Yang MD ,&nbsp;Xueqing He MD ,&nbsp;Wensen Jia MD ,&nbsp;Xiangyu Yao MD ,&nbsp;Xinfang Sheng MD ,&nbsp;Hao Jiao MD","doi":"10.1016/j.jclinane.2025.111851","DOIUrl":"10.1016/j.jclinane.2025.111851","url":null,"abstract":"<div><h3>Study objective</h3><div>Evaluate the efficacy of repeated maternal voice orientation in reducing the incidence of emergence agitation (EA) in pediatric patients undergoing elective tonsillectomy and adenoidectomy.</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Setting</h3><div>A tertiary hospital.</div></div><div><h3>Patients</h3><div>360 children aged 5–12 years undergoing elective tonsillectomy and adenoidectomy.</div></div><div><h3>Interventions</h3><div>Patients were randomized into three groups: maternal voice orientation group (Group O), maternal voice awakening group (Group A), and a control group (Group C) receiving silent recordings.</div></div><div><h3>Measurements</h3><div>The primary outcome was the incidence of EA, defined by a Pediatric Anesthesia Emergence Delirium (PAED) score of 12 or higher. Secondary outcomes included the severity of EA (PAED score &gt; 14), postoperative pain (assessed using FLACC and NRS scales), and recovery profiles in the Post-Anesthesia Care Unit (PACU).</div></div><div><h3>Main results</h3><div>Maternal voice orientation (Group O) significantly reduced the incidence of EA compared to the control group and Group A, especially notable in the 5–8 year subgroup. Group O showed the lowest PAED scores immediately post-extubation and at 10 min.</div></div><div><h3>Conclusions</h3><div>Repeated maternal voice orientation effectively reduces the incidence and severity of EA among pediatric patients, supporting its inclusion in pediatric anesthesia recovery protocols to improve postoperative outcomes.</div></div>","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"104 ","pages":"Article 111851"},"PeriodicalIF":5.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898555","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}

{"title":"Associations of intraoperative end-tidal CO2 levels with postoperative outcomes: The importance of considering cardiac output in complication risk","authors":"David Ferreira ,&nbsp;Francis Berthier","doi":"10.1016/j.jclinane.2025.111840","DOIUrl":"10.1016/j.jclinane.2025.111840","url":null,"abstract":"","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"104 ","pages":"Article 111840"},"PeriodicalIF":5.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868094","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}

{"title":"Incidence, Severity, and Interference of Chronic Postsurgical Pain After Cesarean Delivery: A Systematic Review and Meta-analysis","authors":"Sarah Ciechanowicz MA, BMBCh, MRes ,&nbsp;Rebekah Reville Joy BA (Hons), PGCert ,&nbsp;Julia Kasmirski MD ,&nbsp;Lindsay Blake EdD, MLIS, AHIP ,&nbsp;Brendan Carvalho MBBCh ,&nbsp;Pervez Sultan MBChB, MD(Res)","doi":"10.1016/j.jclinane.2025.111832","DOIUrl":"10.1016/j.jclinane.2025.111832","url":null,"abstract":"<div><h3>Background</h3><div>Chronic postsurgical pain (CPSP) is a common complication following surgery. Cesarean delivery (CD) is the most performed inpatient surgery, however, the true incidence of CPSP after CD in contemporary practice is unknown. This systematic review and meta-analysis aimed to determine the incidence and severity of CPSP after CD and assess interference with maternal health-related quality of life (HR-QoL).</div></div><div><h3>Methods</h3><div>A 7-database literature search was used to identify observational and randomized controlled studies (RCTs) reporting the incidence of CPSP following CD (published January 2015 to August 2023). Included studies were added to the 29 studies identified from a prior review published in 2016. The primary outcome was incidence of CPSP (wound, scar or abdomen) between ≥3 to &lt;6 months, ≥6 to &lt;12, and ≥ 12 months. Secondary outcomes were incidence of chronic pain (back, pelvis or other residual); pain intensity at rest and movement-evoked, and chronic pain interference with maternal HR-QoL at each time interval.</div></div><div><h3>Results</h3><div>50 studies involving 13,149 patients were included. Meta-analysis with random-effects model (<em>n</em> = 9228; 9 RCTs and 20 observational) revealed an incidence of scar-specific CPSP of 16.7 % (C·I. 13.1 to 20.4 %; I² = 97.0 %; <em>p</em> &lt; 0.001) at ≥3 to &lt;6 months, 11.4 % (95 % CI 8.7 to 14.0 %; I² = 94.1 %; <em>P</em> &lt; 0.001) at ≥6 to &lt;12 months, and 8.8 % (95 % CI 6.6 to 11.0 %; I² = 97.3 %; P &lt; 0.001) at ≥12 months. Meta-regression analysis using publication year as the co-variate revealed a stable CPSP incidence from 2002 onwards. Between ≥6 to &lt;12 months, 51.2 % (95 % C·I: 18.7 to 83.8 %) and 13.5 % (95 % C·I: 0 to 27.1 %) of women had mild and severe pain at rest, respectively. CPSP interfered with HR-QoL in all 7 subdomains of the Brief Pain Inventory in the majority (&gt;50 %) of patients. Walking ability was impacted in 67.6 % (95 % CI 57.6 to 77.6 %; I² = 50 %) at ≥3 to &lt;6 months. Normal work was impacted in 69.4 % (95 % CI 59.3 to 79.6 %; I² = 18.6 %) and enjoyment of life in 79.5 % (67.1 to 91.9 %; I² = 59.3 %) at ≥6 to &lt;12 months. Therefore an estimated 10 % of patients experience CPSP after CD that interferes with daily life, work, social life and personal care. The GRADE quality of evidence was rated as very low for all outcomes.</div></div><div><h3>Conclusions</h3><div>CPSP after CD occurs in 16.7 % of patients at ≥3 to &lt;6 months postpartum and widely interferes with maternal HR-QoL domains in the majority of those affected. Further studies are required to explore potential mitigating factors and optimal treatment strategies.</div></div>","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"104 ","pages":"Article 111832"},"PeriodicalIF":5.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868095","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}

{"title":"Comparative analysis of ChatGPT and DeepSeek in dynamic clinical decision-making: A progressive scenario-based evaluation","authors":"Junyang Ma ,&nbsp;Wenhao Bu ,&nbsp;Mengjiao Wan ,&nbsp;Liqin Deng ,&nbsp;Jing Cheng","doi":"10.1016/j.jclinane.2025.111839","DOIUrl":"10.1016/j.jclinane.2025.111839","url":null,"abstract":"","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"104 ","pages":"Article 111839"},"PeriodicalIF":5.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858920","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}

{"title":"Letter to the Editor, “The effects of sodium-glucose transporter 2 inhibition on cardiac surgery-associated acute kidney injury: An open-label randomized pilot study”","authors":"Lili Jiang ,&nbsp;Zhe Peng","doi":"10.1016/j.jclinane.2025.111838","DOIUrl":"10.1016/j.jclinane.2025.111838","url":null,"abstract":"","PeriodicalId":15506,"journal":{"name":"Journal of Clinical Anesthesia","volume":"104 ","pages":"Article 111838"},"PeriodicalIF":5.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855300","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}