Minerva anestesiologica最新文献

{"title":"Effects of different anesthesia methods on bleeding and prognosis in endoscopic sinus surgery: a meta-analysis and systematic review of randomized controlled trials.","authors":"Xiaoquan Wei, Mengsheng Yang, Dan Li, Zekun Lang, Haijun Zhang","doi":"10.23736/S0375-9393.25.18980-3","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18980-3","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this paper was to assess whether intravenous anesthesia and inhalation anesthesia will affect intraoperative bleeding and prognosis in patients with endoscopic sinus surgery.</p><p><strong>Evidence acquisition: </strong>The Cochrane Library, PubMed, Embase, and the Web of Science were systematically searched to identify relevant randomized controlled trials investigating the impact of various anesthesia methods on patients undergoing endoscopic sinus surgery from January 1, 1990, to July 1, 2024. The primary outcome measures comprised intraoperative blood loss and scoring systems evaluating bleeding in the surgical field. Secondary outcome measures included common postoperative complications such as nausea, vomiting, and pain, among others. Data synthesis was conducted using risk ratios or standardized mean differences, along with 95% confidence intervals. The original study protocol was prospectively registered with PROSPERO (CRD42022359773).</p><p><strong>Evidence synthesis: </strong>A total of 26 randomized controlled trials involving 1472 patients were included in this meta-analysis. Lower blood loss is found during intravenous anesthesia compared to inhalation anesthesia (SMD, 0.69; 95% CI, 0.21 to 1.18; P=0.005; I²=90%). The results of several scoring systems for assessing surgical field bleeding have shown the superiority of intravenous anesthesia. In addition, the duration of operation under intravenous anesthesia is shorter (SMD=0.15; 95% CI: 0.03 to 0.26; P=0.01; I²=46%). However, the risk of postoperative nausea and vomiting in the inhalation anesthesia group was lower than that in the intravenous anesthesia group (RR=0.72; 95% CI: 0.55 to 0.93; P=0.01; I²=0). Univariate meta-regression analysis indicated that age may be one source of heterogeneity.</p><p><strong>Conclusions: </strong>Intraoperative blood loss and operation time are more advantageous in intravenous anesthesia. Anesthesiologists and surgeons should make individualized decisions based on the patient's condition and formulate a comprehensive plan during the perioperative period to bring greater benefits to the patient.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626697","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":"Comparison of spinal anesthesia and general anesthesia in total hip and total knee arthroplasty: a meta-analysis and systematic review.","authors":"Rui Wang, Xin Liu, Zekun Lang, Yatao Liu, Yajun Zhang","doi":"10.23736/S0375-9393.25.19043-3","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19043-3","url":null,"abstract":"<p><strong>Introduction: </strong>Explore whether general anesthesia or spinal anesthesia is more beneficial for patients undergoing total hip replacement and total knee replacement. Offer new clinical evidence to guide the selection of the optimal anesthesia solution for total hip replacement and total knee replacement.</p><p><strong>Evidence acquisition: </strong>A systematic search was conducted in PubMed, Web of Science, Scopus and the Cochrane Library to find relevant studies from January 1^st, 2010 to November 31^st, 2024. Non-randomized, retrospective studies that reported mortality, postoperative pain, and other postoperative complications after comparing two anesthesia methods in total hip replacement and total knee replacement were included in this meta-analysis. Data were pooled using the risk ratio or standardized mean difference with 95% confidence interval. The fixed-effect model is used when the outcome heterogeneity is small, otherwise the random-effects model is used.</p><p><strong>Evidence synthesis: </strong>A total of 41 retrospective studies were included, involving 2,291,587 patients. Results show that spinal anesthesia significantly reduces the risk of postoperative mortality (RR=1.17; 95% CI: 1.04 to 1.32; P=0.008) and other complications, shortens the length of hospital stay (SMD=0.18; 95% CI: 0.12 to 0.23; P<0.00001), and has better analgesic effects. And the GRADE evidence evaluation results show that the main outcomes have a certain recommendation strength.</p><p><strong>Conclusions: </strong>In total hip replacement and total knee replacement, spinal anesthesia may be more beneficial to patients. Therefore, if contraindications to spinal anesthesia are excluded, spinal anesthesia should be used as much as possible, especially for some special populations, such as patients with poor basic conditions, based on our results, who should be more inclined to spinal anesthesia.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626696","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":"Adding quadro-iliac plane (QIP) block to thoracic erector spinae plane (ESP) block in a patient undergoing retroperitoneoscopic adrenalectomy.","authors":"Francesco Marrone, Michela Giulii Capponi, Simona Lolli, Lorenza Sbucafratta, Carmine Pullano, Serkan Tulgar","doi":"10.23736/S0375-9393.25.19306-1","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19306-1","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584325","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 6-S mnemonic for evaluation of mechanically ventilated patients.","authors":"Ahmed Hasanin, Mai A Madkour, Maha Mostafa","doi":"10.23736/S0375-9393.25.19314-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19314-0","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584326","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 pulsed radiofrequency of abnormal obliquus capitis inferior muscle in a patient with cervicogenic headache.","authors":"Qing Yuan, Jiao Zhang, Xulei Cui","doi":"10.23736/S0375-9393.25.19146-3","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19146-3","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553968","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":"Use of Tumguide® to confirm the correct positioning of a gastric tube after rapid-sequence induction of anesthesia.","authors":"Ryosuke Osawa, Shunsuke Saima, Naoi Tsurumachi","doi":"10.23736/S0375-9393.25.19196-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19196-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553969","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":"Enhancing multimodal analgesia after cesarean delivery: the role of the novel quadro-iliac plane block.","authors":"Francesco Marrone, Tommaso Sorrentino, Saverio Paventi, Carmine Pullano","doi":"10.23736/S0375-9393.25.19294-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19294-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553967","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":"Personalized predictive hemodynamic management for major oncologic surgery: effect of progressive implementation of monitoring of digital medical devices with artificial intelligence-based algorithms.","authors":"Gilda Pasta, Luciano Frassanito, Mariangela Calabria, Francesco Vassalli, Andrea Belli, Giulia Torricella, Arturo Cuomo, Francesca Bifulco","doi":"10.23736/S0375-9393.25.18937-2","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18937-2","url":null,"abstract":"<p><strong>Background: </strong>Avoiding intraoperative hypotension and maintaining an adequate cardiac output (CO) during surgery is crucial to ensure tissue oxygen delivery to the tissues and avoid excessive fluid administration. Assisted fluid management (AFM) is a \"decision-support\" system based on artificial intelligence (AI) that helps the clinician to manage fluids during major surgeries. Hypotension Prediction Index (HPI) is a predictive parameter of intraoperative hypotension. The aim of this study was to assess the relative contribution of different levels of technologic assistance (CO monitoring, CO plus HPI, and CO plus HPI and AFM) to the improvement of hemodynamic management, applied to comparable cohorts of non-cardiac surgical patients.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of consecutive patients undergoing major oncologic abdominal surgery, monitored with an arterial radial catheter progressively upgraded with three increasing levels of forecasting event technology. A personalized goal directed fluid therapy (GDT) protocol was applied in all groups. The primary outcome was the time-weighted average (TWA) mean arterial pressure (MAP) <65 mmHg among the three cohorts. Secondary outcomes were the percentage of monitoring time spent with stroke volume variation > 12% and with Cardiac Index (CI) <2 L/min/m².</p><p><strong>Results: </strong>Eighty-two consecutive patients were enrolled: 26 patients in the GDT group, 28 in the HPI group and 28 in the AFM group. TWA-MAP<65 mmHg was 1.13 (0.13-1.83) mmHg in the GDT group, 0.96 (0.26-1.85) mmHg in the HPI group, 0.42 (0.07-0.93) mmHg in the AFM group. Patients with AFM spent roughly 30% of the monitoring time with a CI<2 L/min/m² compared to less than 10% in the other two groups (Kruskal-Wallis P value 0.013).</p><p><strong>Conclusions: </strong>An increasing levels of artificial intelligence-based hemodynamic monitoring and decision-support tools shows a trend towards decreasing IOH, but it did not reach statistical significance.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528726","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":"Comparison of postoperative analgesic efficacy between PENG block and suprascapular nerve block in shoulder arthroscopy: a randomized controlled trial.","authors":"Ibrahim Topcu, Bilal Kasapoglu, Ozlem M Eksi, Yaser Pektas, Sema N Baki, Gokhan Sertcakacilar","doi":"10.23736/S0375-9393.25.18879-2","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18879-2","url":null,"abstract":"<p><strong>Background: </strong>Patients commonly experience moderate to severe pain following shoulder arthroscopy. It is possible to reduce opioid consumption and hospital stay by using regional analgesia techniques in pain management. Currently, the suprascapular nerve block (SSNB) is widely used as an effective method to provide analgesia in shoulder surgeries. The pericapsular nerve group (PENG) block, on the other hand, is a newly described technique, and there is insufficient clinical research regarding its postoperative analgesic efficacy. This study aimed to compare the analgesic efficacy of SSNB and PENG blocks following shoulder arthroscopy.</p><p><strong>Methods: </strong>In this prospective, randomized, controlled, single-center clinical trial, 74 patients undergoing shoulder arthroscopy were randomized into SSNB and PENG groups under ultrasound guidance. Postoperative pain was managed with tramadol HCl intravenous patient-controlled analgesia (PCA) and paracetamol as rescue analgesia. The primary outcome was postoperative pain scores. Secondary outcomes included cumulative opioid consumption during the first 36 hours postoperatively and patient satisfaction.</p><p><strong>Results: </strong>No statistically significant differences were found between the SSNB and PENG groups in terms of postoperative pain scores (P=0.307). Cumulative opioid consumption and patient satisfaction were also similar between the two groups (P=0.307, P=0.397, respectively). However, the PENG block group had significantly shorter procedure times and lower pain scores during the block procedure compared to the SSNB group (P=0.045, P=0.032, respectively).</p><p><strong>Conclusions: </strong>This study demonstrated that the PENG block, performed under ultrasound guidance, provided similar pain relief and opioid consumption reduction up to 36 hours postoperatively in various arthroscopic shoulder surgeries, including rotator cuff repair, Bankart repair, frozen shoulder, and impingement syndrome, compared to the SSNB. Given its shorter procedure time, less procedural pain, and similar clinical outcomes, the PENG block can be considered a good alternative to SSNB.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528725","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":"Oxidative color fade of flowmeter bobbins is a safety hazard.","authors":"Yevgeni Plotkin, Alexander Avidan","doi":"10.23736/S0375-9393.25.19157-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19157-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475914","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}