Minerva anestesiologica最新文献

{"title":"Efficacy of the quadro-iliac plane block in postoperative pain management for proximal femoral nail surgeries.","authors":"Engin I Turan, Abdurrahman E Baydemir, Ayça S Şahin","doi":"10.23736/S0375-9393.24.18506-9","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18506-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569059","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 effect of sacral erector spinae plane block on the quality of recovery after total hip arthroplasty: a prospective, randomized, controlled, multicenter study.","authors":"Muhammed H Satici, Mahmut S Tutar, Yasin Tire, Orhan Binici, Osman Çiçekler, Elif Korkmaz, Oğuzhan Pekince, Betül Kozanhan","doi":"10.23736/S0375-9393.24.18353-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18353-8","url":null,"abstract":"<p><strong>Background: </strong>Total hip arthroplasty, commonly performed to alleviate hip pain and enhance functionality in elderly patients, requires effective postoperative pain management to reduce opioid consumption and its associated side effects. A novel regional anaesthesia technique, the sacral erector spinae plane block, has the potential to enhance the quality of postoperative recovery significantly.</p><p><strong>Methods: </strong>This prospective, randomized, controlled multicenter study investigated the effects of the sacral erector spinae plane block on recovery quality in patients undergoing total hip arthroplasty. The study comprised 50 patients, divided into Group S (patients receiving patients receiving sacral erector spinae plane block [S-ESPB]) and Group C (patients getting just multimodal analgesia). The primary outcome measured was the Quality of Recovery-15 score 24 hours post-surgery. Secondary outcomes included postoperative numerical rating scale scores (A score of 0 indicates no pain, while 10 indicates the most severe pain), total consumption of rescue analgesics, time to first rescue analgesic administration, patient satisfaction, time to first ambulation, the occurrence of complications, and the need for antiemetics.</p><p><strong>Results: </strong>Group S had markedly higher quality of recovery-15 scores compared to Group C (Group S: median 117 percentiles [97-121]; Group C: median 89 percentiles [75-96]; P<0.001). Group S scored higher in postoperative pain, physical comfort, support, emotional state, and general quality of recovery-15 (P<0.001). Nevertheless, the physical independence category ratings were comparable across both groups (P=0.286).</p><p><strong>Conclusions: </strong>Sacral erector spinae plane block is a promising analgesic technique that enhances postoperative recovery and patient comfort in total hip arthroplasty.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569060","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":"Alternatives for erector spinae plane block: retrolaminar block and thoracolumbar interfascial plane block.","authors":"Wen-Yi Lai, Ching-Wei Chuang","doi":"10.23736/S0375-9393.24.18211-9","DOIUrl":"10.23736/S0375-9393.24.18211-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"1051-1052"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559117","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 need for consistent epidemiological data on chronic pain in Italy and beyond.","authors":"Franca Benini, Rossana Berardi, Laura Bogliolo, Fabio Borrometi, Francesco Cellini, Leonardo Consoletti, Gabriele Finco, Diego Fornasari, Marta Gentili, Gino Gobber, Pierangelo Lora Aprile, Ernesto Maranzano, Franco Marinangeli, Paola Miglioranzi, Alessia Violini","doi":"10.23736/S0375-9393.24.18288-0","DOIUrl":"10.23736/S0375-9393.24.18288-0","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"1060-1062"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759739","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 technique to exchange tracheal tubes using an Aintree Intubation CatheterTM over an airway exchange catheter.","authors":"Tetsuro Kimura","doi":"10.23736/S0375-9393.24.18273-9","DOIUrl":"10.23736/S0375-9393.24.18273-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"1057-1058"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559116","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":"Diagnostic value of circulating IL-6 in adult sepsis: a meta-analysis.","authors":"Kao Gan, Yun Chen, Lanting Tao, Jiqiang Li","doi":"10.23736/S0375-9393.24.18100-X","DOIUrl":"10.23736/S0375-9393.24.18100-X","url":null,"abstract":"<p><strong>Introduction: </strong>In recent years, numerous studies have been published on the diagnostic performance of circulating IL-6 levels in adult sepsis, but the conclusions are not consistent. This meta-analysis aims to systematically evaluate the accuracy of circulating IL-6 in the diagnosis of adult sepsis.</p><p><strong>Evidence acquisition: </strong>Literature on the diagnostic value of circulating IL-6 in adult sepsis published on CNKI, Wanfang Data, PubMed, Embase, Cochrane Library, and Web of Science were searched up to December 2023. QUADAS-2 scale was used to evaluate the quality of the included literature. Stata 15.0 statistical software was used for data processing. The pooled sensitivity, specificity, diagnostic odds ratio (DOR), positive likelihood ratio (PLR), and negative likelihood ratio (NLR) were calculated. The summary receiver operating characteristic curve (SROC) was drawn, with the area under the curve (AUC) calculated.</p><p><strong>Evidence synthesis: </strong>A total of 31 articles were included in this meta-analysis. The results of the meta-analysis showed that the combined sensitivity, specificity, DOR, PLR, and NLR of circulating IL-6 for the diagnosis of adult sepsis were 0.74 (95%CI: 0.69-0.78), 0.73 (95%CI: 0.68-0.78), 7.71 (95%CI: 5.66-10.52), 2.77 (95%CI: 2.29-3.35), 0.36 (95%CI: 0.30-0.43), respectively. The AUC was 0.80 (95%CI: 0.76-0.83).</p><p><strong>Conclusions: </strong>Circulating IL-6 has a good diagnostic value in adult sepsis, with moderate sensitivity and specificity. Therefore, IL-6 can provide a basis for the diagnosis of adult sepsis.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"90 11","pages":"1041-1050"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639000","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":"Highlights of the November 2024 issue.","authors":"Franco Cavaliere","doi":"10.23736/S0375-9393.24.18635-X","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18635-X","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"90 11","pages":"951-953"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639002","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":"Ciprofol versus propofol for adult sedation in gastrointestinal endoscopic procedures: a systematic review and meta-analysis.","authors":"Guilherme H Ortegal, Eduardo C Barbosa, Pedro C Faria, João V Couto, Guilherme C Silva, Márcio H Souza, Lucas N Ferreira, Vitor R Moraes, Maria C Campos, Luiza A Campos","doi":"10.23736/S0375-9393.24.18203-X","DOIUrl":"10.23736/S0375-9393.24.18203-X","url":null,"abstract":"<p><strong>Introduction: </strong>Although propofol is widely preferred as a sedative agent in gastrointestinal endoscopy, its use is commonly associated with hemodynamic adverse events. New sedatives, such as ciprofol, are emerging with promising results. Thus, we aimed to perform a systematic review and meta-analysis to compare efficacy-, safety-, and satisfaction-related outcomes between ciprofol and propofol for adult sedation in gastrointestinal endoscopy.</p><p><strong>Evidence acquisition: </strong>We systematically searched MEDLINE, Embase, and Cochrane databases for randomized controlled trials comparing sedation with ciprofol vs. propofol in adult patients undergoing gastrointestinal endoscopy. Risk ratios (RRs) and mean differences (MDs) with their 95% confidence intervals (95% CIs) were employed for dichotomous and continuous outcomes, respectively, using a random-effects model. We conducted all statistical analyses using R software (version 4.2.1).</p><p><strong>Evidence synthesis: </strong>We included six trials (1225 patients). The ciprofol group had a significantly lower risk of respiratory depression (RR 0.47; 95% CI 0.31, 0.71) and injection pain (RR 0.09; 95% CI 0.04, 0.20) compared with the propofol group, while there were no significant differences in other adverse events between both drugs. There were no significant differences between both groups in time-related outcomes, as well as in the probability of procedure success (RR 1.01; 95% CI 0.99, 1.03). Additionally, ciprofol provided a significantly higher patient satisfaction compared with propofol (MD 0.19; 95% CI 0.08, 0.31).</p><p><strong>Conclusions: </strong>This systematic review and meta-analysis demonstrated similar clinical efficacy and better safety profile of ciprofol compared with propofol for adult sedation in gastrointestinal endoscopies. Furthermore, patient satisfaction scores were higher with ciprofol.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"90 11","pages":"1013-1021"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639070","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":"Sex related differences in applied tidal volume with flow-controlled ventilation: a subgroup analysis.","authors":"Patrick Spraider, Julia Abram, Bernhard Glodny, Pia Tscholl, Tobias Hell, Judith Martini","doi":"10.23736/S0375-9393.24.18329-0","DOIUrl":"10.23736/S0375-9393.24.18329-0","url":null,"abstract":"<p><strong>Background: </strong>Flow-controlled ventilation (FCV) ensures a constant gas flow whereby precise determination of dynamic compliance is feasible. Accordingly, ventilator pressure settings can be adjusted to achieve the highest compliance. This setting will automatically adapt tidal volume to the functionally available lung volume as a personalized approach. This is in contrast to current ventilation settings, where fixed tidal volumes according to predicted body weight (PBW) are recommended. Aim of this subgroup-analysis was to determine whether applied tidal volume differs in male and female patients after compliance guided individualization of ventilation parameters.</p><p><strong>Methods: </strong>A sub-group analysis of 24 patients randomized to receive flow-controlled ventilation in cardiac surgery was performed. Linear mixed-effects model was used in order to investigate sex related differences in respiratory parameters.</p><p><strong>Results: </strong>Compliance guided pressure titration led to comparable pressure settings in male (N.=18) and female (N.=6) patients. In contrast, the applied tidal volume was significantly lower in female patients (8.6 vs. 9.9, 95% CI: -2.3 to -0.2 mL/kg PBW; P=0.029) compared to male individuals, due to a significantly lower compliance (49.3 vs. 70.3, 95% CI: -33.1 to -8.8 mL/cmH<inf>2</inf>O; P=0.003). Gas exchange parameters were comparable in either sex.</p><p><strong>Conclusions: </strong>Female patients were found to receive lower tidal volumes after compliance guided individualization compared to men during cardiac surgery. This finding may indicate that the functionally available lung volume in women is lower and thus using PBW may not adequately comply with sex related differences, which supports the use of a personalized ventilation strategy.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"90 11","pages":"997-1003"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639092","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":"Hip replacement using pericapsular nerve blocks in a high-risk patient.","authors":"Romualdo Del Buono, Andrea Tognù","doi":"10.23736/S0375-9393.24.18242-9","DOIUrl":"10.23736/S0375-9393.24.18242-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"1052-1054"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559119","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}