Minerva anestesiologica最新文献

{"title":"Acute onset oral edema with life-threatening dyspnea.","authors":"Atsushi Kobayashi, Shin Suzuki, Shingo Kawashima, Tetsuro Kimura, Hiroyuki Kinoshita","doi":"10.23736/S0375-9393.25.19397-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19397-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251916","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}

{"title":"Combined supra inguinal fascia iliaca and sacral erector spinae plane blocks for hip surgery in frail patient receiving antiplatelet therapy.","authors":"Luciano Frassanito, Luca Bray, Antonio Ingrosso, Daniele Allegretti, Davide Crupi, Daniele DE Padova, Mariangela Gozza, Alessandro Vergari","doi":"10.23736/S0375-9393.25.19441-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19441-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251898","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}

{"title":"Diagnosis and treatment of pheochromocytoma in pregnancy.","authors":"Silvia Poma, Rossana Lamastra, Chiara Baldi, Federica Broglia, Maria Ciceri, Marinella Fuardo, Federica Morgante, Simona Pellicori, Maria P Delmonte, Alessandro Locatelli","doi":"10.23736/S0375-9393.25.19461-3","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19461-3","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251968","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}

{"title":"Fiberoptic bronchoscopy-guided one-lung ventilation in neonates: a novel technique.","authors":"Ding Han, Shoudong Pan","doi":"10.23736/S0375-9393.25.19357-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19357-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251989","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}

{"title":"Peripheral nerve block analgesia after percutaneous nephrolithotomy: a systematic review and network meta-analysis.","authors":"Fei Deng, Ting Li, Huijuan Chen, Lei Zhu, Jilong Ma, Dongqing Ren","doi":"10.23736/S0375-9393.25.19210-9","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19210-9","url":null,"abstract":"<p><strong>Introduction: </strong>Percutaneous nephrolithotomy (PCNL) is a common surgical procedure for the removal of kidney stones. Adequate postoperative analgesia is crucial for enhancing recovery and minimizing complications. Peripheral nerve blocks (PNBs) have emerged as a promising method for managing postoperative pain in PCNL patients. This systematic review and network meta-analysis (NMA) aim to evaluate the efficacy of various PNBs for analgesia after PCNL.</p><p><strong>Evidence acquisition: </strong>A comprehensive literature search was conducted in electronic databases including PubMed, Embase, Web of Science, and the Cochrane Library up to April 2025. Randomized controlled trials (RCTs) that compared different PNBs or PNBs with no block after PCNL were included. The primary outcome was the total morphine consumption within the first 24 hours postoperatively. The NMA was performed using Stata 15.1 software.</p><p><strong>Evidence synthesis: </strong>We included 38 RCTs involving 2,339 patients and assessed seven analgesic techniques. The total morphine consumption was most significantly reduced by intercostal nerve block (ICNB), followed by peritubal infiltration (PI) and erector spinae plane block (ESPB). At 6 hours postoperatively, the resting Visual Analog Scale (VAS) scores were lower with ICNB, followed by PI and ESPB. At 12 hours, resting VAS scores decreased with paravertebral block (PVB), followed by ICNB and PI. At 24 hours, resting VAS scores were reduced by PVB, then epidural block (EB), and ICNB. For dynamic-induced pain at 6 hours, VAS scores were decreased by quadratus lumborum block (QLB), followed by ICNB and PI. At 12 hours, dynamic VAS scores were lower with ESPB, followed by ICNB and PI. At 24 hours, dynamic VAS scores decreased with PVB, followed by EB and ICNB. Postoperative nausea and vomiting (PONV) were reduced by ICNB, followed by PI and PVB. The time to first rescue analgesia was prolonged with ICNB, followed by QLB and PI. The number of patients requiring additional analgesics were decreased with ICNB, followed by PI and QLB.</p><p><strong>Conclusions: </strong>The NMA indicated that ICNB was likely the optimal technique for postoperative analgesia in patients undergoing PCNL. In contrast, the TAPB appears to be less effective.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251919","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}

{"title":"The use of andexanet alfa for life-threatening hemorrhagic shock in a DOAC-treated patient due to atraumatic splenic rupture and unexpected diagnosis of visceral leishmaniasis.","authors":"Peggy Ruggiano, Silvia Stefanini, Germana Ruggiano, Maddalena Pazzi, Duccio Conti","doi":"10.23736/S0375-9393.25.19398-X","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19398-X","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251981","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}

{"title":"Tailored thoracic spinal anesthesia for laparoscopic management of acute abdominal emergency in a frail patient affected by advanced systemic sclerosis.","authors":"Paolo Scimia, Antonio DE Cato, Massimiliano L D'Agostino, Roberto Starnari, Luca Gentili","doi":"10.23736/S0375-9393.25.19502-3","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19502-3","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213042","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}

{"title":"The impact of intravenous infusion of tramadol and ondansetron vs. epidural analgesia on the quality of recovery after cesarean section: a prospective observational trial.","authors":"José D Jimenez-Santana, Guido Mazzinari, Carmen Alegre, Maria J Felip, Alejandro Gallego, Carlos Docampo, Roman Valko, Josep Duart, Abel Guiu, Nuria García-Gregorio, Oscar Díaz-Cambronero, Pilar Argente Navarro","doi":"10.23736/S0375-9393.25.19200-6","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19200-6","url":null,"abstract":"<p><strong>Background: </strong>Optimizing post-cesarean recovery is crucial to facilitate neonatal care and improve maternal well-being. Post-cesarean neuraxial analgesia regimes are widely used, but can be resource intensive, not always feasible nor effective. Tramadol, with its dual mechanism of action and favorable safety profile, may offer an alternative. This study compared a tramadol-based continuous intravenous analgesia regimen with an epidural-based regimen with local anesthetics in terms of functional recovery and postoperative outcomes.</p><p><strong>Methods: </strong>This prospective observational cohort study was carried out in women undergoing C-sections. Patients received either continuous intravenous infusion of tramadol and ondansetron (TRON) or patient-controlled epidural analgesia with ropivacaine (EPI). Patients were consecutively enrolled until the calculated sample size for each group was reached. The primary outcome was functional recovery at 24 hours, assessed using the Quality of Recovery-15 (QoR-15) scale. Secondary outcomes included recovery over 48 hours, obstetric-specific recovery (ObsQoR-10) at 24 hours, pain scores, adverse effects, and chronic pain at 90 days.</p><p><strong>Results: </strong>A total of 312 patients were analyzed (156 per group). QoR-15 scores were higher in TRON compared to EPI (adjusted mean difference (AMD): 8.6 [95% CI: 4.7-12.0]; P<0.001 at 24 h and 12.0 [95% CI: 5.8-15.0]; P<0.001 at 48 h). ObsQoR-10 scores also favored TRON (AMD: 13 [95% CI: 10-16]; P<0.001). Pain control was slightly better in the TRON group and adverse effects were more frequent in the EPI group.</p><p><strong>Conclusions: </strong>The TRON strategy offers an effective alternative for post-cesarean analgesia, with fewer side effects and easier postpartum care management. The addition of ondansetron likely played a key role.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131184","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}

{"title":"Effective postoperative analgesia with ultrasound-guided biceps femoris short head (BiFeS) block in arthroscopic medial meniscus repair, new indication for a novel block.","authors":"Abdurrahman E Baydemir, Engin I Turan, Funda G Özcan","doi":"10.23736/S0375-9393.25.19297-3","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19297-3","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131211","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}

{"title":"Effect of menstrual cycle phases on propofol requirement during esophagogastroduodenoscopy.","authors":"Fulya Yilmaz Barut, Murat Kaykaç","doi":"10.23736/S0375-9393.25.19394-2","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19394-2","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040423","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}