Minerva anestesiologica最新文献

{"title":"Comparing intubation distances between direct and video laryngoscopes using motion capture: a mannequin study.","authors":"Naoi Tsurumachi, Katsuhide Masui, Kazuki Doi, Shuse Matsuyama, Naoyuki Tsunoda, Tomoki Kiyono, Takashi Asai","doi":"10.23736/S0375-9393.25.18641-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18641-0","url":null,"abstract":"<p><strong>Background: </strong>There is a risk of exposure to aerosols and secretions from the patient during tracheal intubation, particularly in patients with infectious disease or during cardiopulmonary resuscitation. We hypothesized that, compared with a direct laryngoscope, the use of a videolaryngoscope would reduce this risk by increasing the intubation distance between the upper airways of the patient and the intubator during tracheal intubation.</p><p><strong>Methods: </strong>As a cross-over design, we continuously measured the intubation distance, using a motion capture system, between a direct laryngoscope and two videolaryngoscopes (McGrath MAC (McG) and Airway Scope (AWS)), during simulated tracheal intubation in an intubation mannequin. Ten anesthesiologists participated. In Situation 1, a mannequin was placed on a table to simulate in-hospital tracheal intubation. In Situation 2, it was placed on the floor to simulate out-of-hospital tracheal intubation. The primary outcome was the shortest intubation distance.</p><p><strong>Results: </strong>All tracheal intubations were successful. In Situation 1, the shortest intubation distance was significantly shorter with the direct laryngoscope (20.8 cm) than with the McG (44.2 cm; P=0.007), or with the AWS (42.9 cm; P=0.005). In Situation 2, the shortest intubation distance was significantly shorter with the direct laryngoscope (18.8 cm) than with the McG (30.0 cm; P=0.007), or with the AWS (38.8 cm; P=0.013).</p><p><strong>Conclusions: </strong>Using a videolaryngoscope would extend the intubation distance, in both in-hospital and out-of-hospital intubations, compared with a direct laryngoscope. Therefore, using a videolaryngoscope may reduce the risk of infection from patient to intubator.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 6","pages":"506-514"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690785","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 perioperative analgesia in hip fractures surgery: quadro-iliac plane block.","authors":"Francesco Marrone, Tommaso Sorrentino, Carmine Pullano, Serkan Tulgar","doi":"10.23736/S0375-9393.25.18801-9","DOIUrl":"10.23736/S0375-9393.25.18801-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"592-595"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143720524","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":"Preoperative evaluation of glottis and trachea using mixed reality technology in neurosurgical patients.","authors":"Balaji Vaithialingam, Satish Rudrappa","doi":"10.23736/S0375-9393.25.18852-4","DOIUrl":"10.23736/S0375-9393.25.18852-4","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"596-598"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567747","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":"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":"515-523"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","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":"No significant association between anesthetics administered during delivery and autism spectrum disorder: a Mendelian randomization study.","authors":"Wanhua Zhou, Dandan Zhou, Lu Li, Xiaofei Wang, Zemin Xun","doi":"10.23736/S0375-9393.25.18663-X","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18663-X","url":null,"abstract":"<p><strong>Background: </strong>Autism spectrum disorder (ASD) has a complex etiology. Anesthesia during childbirth may influence the ASD risk, but the available data remain conflicting. This study aimed to explore the associations between anesthetics administered during delivery and the development of ASD.</p><p><strong>Methods: </strong>A two-sample Mendelian randomization (MR) design was used to determine the association between anesthetics exposure during delivery and ASD using summary data from genome-wide association studies (GWAS). Analysis was conducted using the inverse variance weighted (IVW), weighted median, weighted mode, and MR-Egger regression methods. Heterogeneity among instrumental variables (IVs) was assessed using Cochran's Q-test. Horizontal pleiotropy was evaluated using the MR-Egger regression method. Mendelian randomization pleiotropy residual sum and outlier (MR-PRESSO) was used to detect horizontal pleiotropy and outliers. The robustness and consistency of the results were tested using the leave-one-out method.</p><p><strong>Results: </strong>There were no statistically significant associations between the use of anesthesia during childbirth and the risk of ASD (P=0.153 for general anesthesia; P=0.295 for epidural/caudal anesthetics; P=0.609 for spinal anesthetics; P=0.889 for epidural or caudal and spinal anesthetics; P=0.441 for other anesthetics). The Q test and MR-Egger analysis indicated that the results were homogeneous and not influenced by horizontal pleiotropy, thus demonstrating their robustness. The MR-PRESSO analysis suggested no horizontal pleiotropy effects but one outlier; excluding the outlier did not change the conclusions. The leave-one-out analysis also supports the robustness of the results.</p><p><strong>Conclusions: </strong>This MR study does not support an association between general, epidural/caudal, spinal, epidural/caudal and spinal, or other anesthetics during delivery and the occurrence of ASD, suggesting that concerns about ASD should not serve as a basis for decision-making regarding labor analgesia.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 6","pages":"494-505"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690787","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":"Should muscle mass now be routinely assessed in the Intensive Care Unit?","authors":"Tomasz Czarnik, Ryszard Gawda","doi":"10.23736/S0375-9393.25.19309-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19309-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 6","pages":"491-493"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690788","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":"Persistent pain and associated risk factors in previously hospitalized COVID-19 survivors: data from an Italian cross-sectional study.","authors":"Matteo Castaldo, Alessandro Viganò, Rocco Giordano, Brian D Ebbesen, Sara Guidotti, Alice Fiduccia, Carlo Pruneti, Michela DI Chiara, Natascia Caroccia, Maddalena Giannella, Paolo Pillastrini, Anna Ripamonti, César Fernández DE Las Peñas, Lars Arendt-Nielsen","doi":"10.23736/S0375-9393.25.18694-X","DOIUrl":"10.23736/S0375-9393.25.18694-X","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to investigate the prevalence and the characterization of post-COVID pain in an Italian cohort of previously hospitalized COVID-19 survivors. Furthermore, the study investigated risk factors for the presence of post-COVID pain at one year after the hospitalization.</p><p><strong>Methods: </strong>Subjects who agreed to participate received a telephonic interview, and if meeting the inclusion criteria, they were scheduled for a clinical assessment for post-COVID pain characteristics. They also fulfilled several questionnaires: the Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index, Central Sensitization Inventory (CSI), pain detect, Tampa Scale of Kinesiophobia, and Pain Catastrophizing Scale.</p><p><strong>Results: </strong>A sample of 246 subjects was included (36.6% women, age: 60.7± 14.5 years). Post-COVID pain prevalence was 26.2% (65 subjects), with musculoskeletal pain being the most common type (40 subjects, 16.2%). The multivariate analysis revealed that the number of post-COVID symptoms (WL=0.82, P<0.001), previous musculoskeletal pain (WL=0.82, P<0.001), HADS-D (WL=0.87, P<0.001), CSI (WL=0.84, P<0.001), obesity (WL=0.83, P=0.02), and previous neuropathic pain (WL=0.82, P=0.02) were risk factors associated with the presence of post-COVID pain. The model was able to correctly classify the 75.6% of post-COVID pain subjects and explained that 23% of the developing of post-COVID pain depends on the determined risk factors.</p><p><strong>Conclusions: </strong>The results of this study confirmed that post-COVID pain may still be present 18 months one year after the hospitalization, and several risk factors may be identified. These results underline that post-COVID pain may still be affecting COVID-19 survivors after 18 months, representing a major social health problem.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"533-545"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174106","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 randomized clinical trial comparing different combination of peripheral nerve blocks for intraoperative analgesia in patients on antithrombotic drugs undergoing hip fracture surgery: pericapsular nerve group (PENG) block versus femoral and obturator nerve block.","authors":"Francesca Gargano, Sabrina Migliorelli, Giuseppe Pascarella, Fabio Costa, Alessandro Strumia, Alice Bellezze, Alessandro Ruggiero, Massimiliano Carassiti","doi":"10.23736/S0375-9393.24.18534-3","DOIUrl":"10.23736/S0375-9393.24.18534-3","url":null,"abstract":"<p><strong>Background: </strong>Locoregional anesthesia is commonly used in orthopedic trauma surgery, particularly in elderly patients. We conducted a prospective, monocentric, randomized controlled trial to evaluate the anesthetic and analgesic efficacy of pericapsular nerve group (PENG) block in patients on antithrombotic drugs undergoing hip fracture surgery, comparing it with femoral and obturator nerve block (FNB+ONB).</p><p><strong>Methods: </strong>Forty patients were randomly allocated to receive a PENG block or FNB and ONB, both combined with wound infiltration (WI). The main outcome was pain, assessed using a Numeric Rating Scale (NRS) 30 minutes after the block, in Post Anesthesia Care Unit (PACU) and in the postoperative six, 12 and 24 hours. Secondary outcomes included intra and postoperative analgesic requirement, need to increase the level of sedation and postoperative complications.</p><p><strong>Results: </strong>We observed, except for 12 hours post-surgery, higher NRS values for PENG group compared to FNB + ONB group, with a median (IQR) NRS of 3 (2-4) vs. 2 (1-3.25) 30 minutes after the block, 1.5 (0-3.25) vs. 0 (0-1.25) at PACU, 1.5 (0-2) vs. 1 (0-2.25) at six hours, 1.5 (0-2) vs. 2 (1-2) at 12 hours, and 2 (0-2) vs. 1.5 (0-2) at 24 hours. Despite this, no result was statistically significant; all P>0.05. No differences were observed as regards other secondary outcomes.</p><p><strong>Conclusions: </strong>Our results suggest that PENG block is not inferior to FNB + ONB as anesthetic and analgesic technique in patients on antithrombotic drugs undergoing hip fracture surgery.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"524-532"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801244","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":"Postoperative outcomes of perioperative cognitive training: a systematic review and meta-analysis.","authors":"Rong-Rong Tang, Ya-Nan Lu, Si-Si Chen, Xue-Juan Zhang, Zhao-Rong Lu","doi":"10.23736/S0375-9393.25.18837-8","DOIUrl":"10.23736/S0375-9393.25.18837-8","url":null,"abstract":"<p><strong>Introduction: </strong>It remains unclear whether surgical patients can really benefit from cognitive training. This meta-analysis was performed to assess the efficacy of cognitive training in this population.</p><p><strong>Evidence acquisition: </strong>A literature search was performed in four databases: PubMed (Medline), Web of Science and Cochrane database, from inception to September 2024, on topics related to cognitive training in surgical persons.</p><p><strong>Evidence synthesis: </strong>Eighteen studies were eventually included. compared to the control group, cognitive training group significantly reduced the incidence of postoperative delirium (RR: 0.72; 95% CI: 0.55, 0.94) and postoperative cognitive dysfunction (RR: 0.72; 95% CI: 0.54, 0.95). There was improvement of anxiety (SMD: -1.87; 95% CI: -3.40, -0.35), depression (SMD: -1.17; 95% CI: -2.00, -0.34), and quality of life (SMD: 0.78; 95% CI: 0.22, 1.34). However, there was no statistical significance in cognitive function scores (SMD: 0.65; 95% CI: -0.97, 2.28), and memory scores (SMD: 1.09; 95% CI: -0.11, 2.29).</p><p><strong>Conclusions: </strong>Cognitive training had a positive impact on postoperative delirium, postoperative cognitive dysfunction, anxiety, depression, and quality of life among surgical patients. The application of cognitive training should be expanded to perioperative patients.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"555-563"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225904","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":"Body composition determined with computed tomography at ICU admission as a potential long-term outcome assessment tool in critically ill patients: a post-hoc analysis of a prospective, observational study.","authors":"Cristian Deana, Lorenzo Cereser, Luigi Nardone, Matteo Danielis, Vittorio Cherchi, Daniele G Biasucci, Michele Umbrello, Tommaso Piani, Francesca Lucchese, Luigi Vetrugno","doi":"10.23736/S0375-9393.25.18949-9","DOIUrl":"10.23736/S0375-9393.25.18949-9","url":null,"abstract":"<p><strong>Background: </strong>Body composition evaluated with computed tomography scan (CT) at intensive care unit (ICU) admission is a predictor of short-term mortality (six months). Little is known regarding long-term outcome. Our objective was to evaluate the potential predictor role of body composition at ICU admission evaluated with CT scan and long-term mortality (two years).</p><p><strong>Methods: </strong>Post-hoc analysis of a prospective observational study. Body composition evaluated at the level of the third lumbar vertebra (L3) was analyzed with dedicated software that automatically calculated the areas (cm²), determined the tissue composition by a Hounsfield unit (HU) and extracted fat component; all parameters were normalized to patient's height. Cox regression analysis was adopted to evaluate the association between statistically significant muscle parameters at univariate descriptive analysis and 2-years survival.</p><p><strong>Results: </strong>A total of fifty-one patients were evaluated for the analysis. Those who were alive at follow-up had a higher total muscle area compared to those who did not survive, 84.7 (68-99.4) versus 65.4 (59.2-84) cm² per meter of height (P=0.025). However, no significant difference in fat area was found between survivors and non-survivors' group: the former had a fat area of 16.3 (10.9-23.4) cm²/m and the latter had 25.2 (14.8-31.5) cm²/m (P=0.166). Total muscle area was significantly associated with two-year mortality, showing a hazard ratio of 1.03 (1.01-1.06, P=0.023).</p><p><strong>Conclusions: </strong>Total muscle but not fat area evaluated at L3 at ICU admission is a prognostic marker of mortality at long-term follow-up in critically ill patients.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 6","pages":"546-554"},"PeriodicalIF":2.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690784","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}