Minerva anestesiologica最新文献

{"title":"Is surgical anesthesia possible with fascial plane blocks?. Combination of serratus posterior superior intercostal plane block and rhomboid intercostal block for sole anesthetic method of scapula surgery.","authors":"Bora Bilal, Bahadır Çiftçi, Ali Ahiskalioglu, Mustafa Özdemir, Selcuk Alver, Feyza Çalişir, Serkan Tulgar","doi":"10.23736/S0375-9393.25.18863-9","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18863-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005029","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":"Refractory hyperthermia and sleep disturbance following intrathecal drug delivery system implantation.","authors":"Jian Han, Huayue Liu, Jiapeng Deng, Rong Zeng, Qiong Wu, Tianyi DU, Zhenwu Zhang, Diyang Ling, Zheyin Wang, Juan Zhang","doi":"10.23736/S0375-9393.25.18926-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18926-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002551","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":"Enhanced recovery after surgery and the role of the anesthetist, road to implementation.","authors":"Marco Rossi, Luigi Tritapepe, Roberta Monzani, Fabio Sbaraglia, Filomena Della Sala, Rachele Simonte, Duccio Conti, Edoardo DE Robertis","doi":"10.23736/S0375-9393.25.18842-1","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18842-1","url":null,"abstract":"<p><p>Enhanced recovery after surgery (ERAS) is an interdisciplinary and multimodal approach to surgical patient management. Two primary objectives of the ERAS philosophy have been the standardization of practices and the reduction of variations in treatment. A notable achievement of ERAS has been its ability to enhance and combine into bundles elements that were already well-known but disconnected in clinical practice, such as preadmission, prehabilitation, and multimodal analgesia. Key concepts of ERAS pathways include multimodal, optimization, early and minimal; while the essential principles for success are research, education, and audit. Current literature suggests that a compliance rate of over 70% is associated with better clinical outcomes and improved survival rates. However, it is not yet possible to determine which specific elements are the most critical for ERAS outcomes, nor it is easy to demonstrate which combinations of items are best suited to individual patients. Three types of barriers (cultural, organizational, and structural) can be highlighted as opponents to ERAS implementation. The concept of partial ERAS is gaining increased interest. Adhering to ERAS protocols was not easy, as it required anesthetists to step outside the confines of the operating room, both physically and culturally, and to consciously assume the role of clinical support to surgeons and their patients. Through innovation, collaboration, and advocacy for their indispensable role, anesthetists can lead the evolution of perioperative medicine, ensuring that both patients and the profession thrive in the era of precision care and rapidly changing healthcare environments.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029219","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 perioperative intravenous infusion of dexmedetomidine on the quality of early and long-term postoperative recovery in patients undergoing thoracoscopic surgery: a randomized controlled trial.","authors":"Zhibiao Xu, Li Zhang, Yuyun Liu, Yuxiang Meng, Zijie Ling, Sumin Yuan, Ziwei Li, Teng Sun, Su Liu, Linlin Zhao","doi":"10.23736/S0375-9393.25.18716-6","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18716-6","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effect of perioperative intravenous infusion of dexmedetomidine on the quality of early and long-term postoperative recovery in patients undergoing thoracoscopic surgery, and to further analyze its potential mechanism.</p><p><strong>Methods: </strong>A total of 80 patients were enrolled and randomized to dexmedetomidine group, which received perioperative intravenous infusion of dexmedetomidine and normal saline group, which received equivalent doses of normal saline. The primary outcome was total QoR-15 score on postoperative day 1. Secondary outcomes included total QoR-15 Score on postoperative day 2, day 3, day 7, month 1 and month 3 and the score of dimensions of QoR-15, NRS Score, incidence of moderate to severe pain, physical comfort score, hospital anxiety and depression scale score and adverse reactions on postoperative day 1, day 2, day 3, day 7, month 1 and month 3.</p><p><strong>Results: </strong>The total QoR-15 score of dexmedetomidine group on postoperative day 1 was significantly higher than that of saline group (127.1±7.3 vs. 118.4±9.3, P<0.001), the same as on postoperative day 2, day 3, day 7 and month 1 (all P<0.001). Further analysis of each dimension showed that the enhancement of total QoR-15 score on postoperative day 1, day 2, day 3 in dexmedetomidine group was mainly due to the improvement of pain and physical comfort (all P<0.0.05), which was consistent with NRS score, incidence of moderate to severe pain and physical comfort score (P<0.0.05). The increase of total QoR-15 score on day 7 was mainly due to the combined effect of pain, physical comfort, and emotional dimensions (all P<0.05). The enhancement of total QoR-15 score on postoperative month 1 was mainly due to an improvement in the emotional dimension, which was consistent with hospital anxiety and depression scale score (all P<0.05). In terms of adverse reactions, the incidence of nausea and vomiting on postoperative day 1 and day 2 was significantly reduced in the dexmedetomidine group (48.7% vs. 25.6%, 38.5% vs. 17.9%, both P<0.05), and there was no significance in other aspects (all P<0.05).</p><p><strong>Conclusions: </strong>Perioperative intravenous infusion of dexmedetomidine significantly improved the quality of recovery after thoracoscopic surgery without increasing the occurrence of adverse reactions, and the early enhancement may be mainly through the improvement of pain and physical comfort, the long-term enhancement may be mainly through the improvement of emotional state.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007196","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":"A novel and feasible option for postoperative analgesia in hernia repair surgery: quadro-iliac plane block.","authors":"Tommaso Sorrentino, Carmine Pullano, Francesco Marrone","doi":"10.23736/S0375-9393.25.19017-2","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19017-2","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031830","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":"Management of postoperative pain after cesarean section: advances in ultrasound-guided regional blocks.","authors":"Nicolas Brogly, Emilia Guasch","doi":"10.23736/S0375-9393.25.19016-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19016-0","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981624","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 FRONT block: pioneering a new era in anterior hip analgesia?","authors":"Tommaso Sorrentino, Francesco Marrone, Simona Lolli, Carmine Pullano, Pierfrancesco Fusco","doi":"10.23736/S0375-9393.25.19099-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19099-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017203","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":"Analgesic efficacy of a quadratus lumborum block and ilioinguinal-iliohypogastric block in cesarean deliveries: a randomized study.","authors":"Serpil Sehirlioglu, Dondu G Moralar, Gullu C Isik, Talal Cakmak, Tevfik Kacar","doi":"10.23736/S0375-9393.25.18513-1","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18513-1","url":null,"abstract":"<p><strong>Background: </strong>Quadratus lumborum block (QLB) and ilioinguinal-iliohypogastric nerve (II-IH) blocks are used as components of multimodal analgesia for postoperative pain relief following cesarean delivery. The aim of this prospective, randomized study was to compare the efficacy of a quadratus lumborum block and ilioinguinal-iliohypogastric block applied to patients who underwent cesarean delivery under spinal anesthesia on total opioid analgesic consumption and Numerical Rating Scale (NRS) scores within the first 24 hours postoperatively.</p><p><strong>Methods: </strong>Seventy pregnant women who underwent cesarean delivery under spinal anesthesia were analyzed. The women were randomized into the QLB group (N.=34) and the II-IH group (N.=36). Postoperatively, bilateral anterior quadratus lumborum block was applied to the QLB group and bilateral ilioinguinal-iliohypogastric block was applied to the II-IH group. Tramadol consumption, NRS scores, and drug side effects were recorded at 2, 4, 8, 12, and 24 hours postoperatively.</p><p><strong>Results: </strong>Total tramadol consumption within the first 24-hours was significantly lower in the QLB Group than in the II-IH Grup (41.2±65.7 vs. 94.4±95.5mg, respectively; P=0.013). The NRS Score was low in both groups, but there was no significant difference between the groups. We found that 67.6% of patients in the QLB group and 41.7% of patients in the II-IH group did not require rescue analgesia within the first 24 hours (P=0.029).</p><p><strong>Conclusions: </strong>Quadratus lumborum block and ilioinguinal-iliohypogastric blocks applied for postoperative analgesia after cesarean delivery are associated with a low NRS Score in the first 24 hours. Quadratus lumborum block is associated with lower opioid consumption than an ilioinguinal-iliohypogastric block, suggesting that a quadratus lumborum block is preferable in cesarean delivery.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002549","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":"Retrolaminar block for postoperative pain management in a pediatric patient undergoing circumcision and orchidopexy.","authors":"Engin I Turan, Selçuk Alver, Bahadır Çiftçi, Volkan Özen","doi":"10.23736/S0375-9393.25.19018-4","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19018-4","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027751","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":"Ultrasound-guided continuous stellate ganglion block for refractory ventricular electrical storm.","authors":"Paolo Scimia, Andrea Angelozzi, Stefano Troili, Manuel A Conti, Giuseppe Sepolvere, Luca Gentili","doi":"10.23736/S0375-9393.25.18987-6","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18987-6","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009266","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}