Minerva anestesiologica最新文献

{"title":"Predicting patient outcomes after major abdominal surgery: the role of shock index and heart rate.","authors":"Maha Mostafa, Ahmed Hasanin, Mahmoud Awad, Assem A Elbrashy, Heba Raafat","doi":"10.23736/S0375-9393.25.19134-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19134-7","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":"144475915","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":"Dexamethasone and dexmedetomidine as adjuvants to local anesthetic mixture in erector spinae plane block combined with serratus anterior plane block for thoracoscopic surgery: a prospective, randomized controlled trial.","authors":"Li Zhang, Zhibiao Xu, Yuyun Liu, Yuxiang Meng, Sumin Yuan, Zijie Ling, Ziwei Li, Su Liu, Hao Zhang, Linlin Zhao","doi":"10.23736/S0375-9393.25.18895-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18895-0","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the effect of dexamethasone and dexmedetomidine in erector spinae plane block combined with serratus anterior plane block for thoracoscopic postoperative analgesia.</p><p><strong>Methods: </strong>Ninety-six patients undergoing thoracoscopic surgery were randomly divided into group R (0.375% ropivacaine + saline diluted to 40 mL), group RS (0.375% ropivacaine + 10 mg dexamethasone + normal saline diluted to 40 mL), group RM (0.375% ropivacaine + 1 μg/kg dexmedetomidine + normal saline diluted to 40 mL), and group RSM (0.375% ropivacaine + 10 mg dexamethasone + 1 μg/kg dexmedetomidine + normal saline diluted to 40 mL). All four groups underwent ultrasound-guided erector spinae plane block combined with serratus anterior plane block within 30 minutes before anesthesia induction. The primary outcome was duration of effective analgesia, defined as the time from the onset of block to the first use of PCIA. Secondary outcomes included postoperative NRS scores, opioid consumption, rescue analgesia, quality of recovery, and adverse effects.</p><p><strong>Results: </strong>The duration of effective analgesia for group RSM (1770.0 [858.0] min) was significantly longer than group R (975.0 [471.5] min, P<0.001), group RS (1072.0 [695.0] min, P<0.05) and group RM (1340.0 [630.0] min, P<0.05). Group RSM also lowered postoperative pain scores, reduced opioid consumption and rescue analgesia, and improved quality of recovery compared with group R, group RS and group RM (all P<0.05). There was no significant difference in adverse effects, except that less nausea and vomiting were observed in group RSM (P<0.05).</p><p><strong>Conclusions: </strong>Dexamethasone and dexmedetomidine as adjuvants to local anesthetic mixture in erector spinae plane block combined with serratus anterior plane block could prolong the duration of effective analgesia after thoracoscopic surgery.</p>","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":"144475913","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":"Beyond rational vs. irrational: reply to Furlan and Giannini.","authors":"Davide Mazzon, Lucia Craxì, Mariassunta Piccinni, Daniele Rodriguez, Mariachiara Tallacchini, Giuseppe R Gristina","doi":"10.23736/S0375-9393.25.19273-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19273-0","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285477","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":"Modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) for liver transplantation.","authors":"Hande Gurbuz, Ahmet Kaciroglu, Mursel Ekinci, Osman S Guner, Can M Aydin","doi":"10.23736/S0375-9393.25.19137-2","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19137-2","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285479","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":"Artificial intelligence in hemodynamic management: promise, pitfalls, and ethical reflections.","authors":"Jan Zatloukal, Jan Benes","doi":"10.23736/S0375-9393.25.19174-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19174-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285476","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":"General anesthesia using remimazolam in an extremely preterm infant with myotonic dystrophy.","authors":"Shintaro Kurumada, Maki Inoue, Tomoyuki Saito","doi":"10.23736/S0375-9393.25.19202-X","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19202-X","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285478","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 and motor-sparing analgesia with the FRONT block after total hip arthroplasty.","authors":"Betül Kozanhan, Muhammed H Satici, Munise Yildiz, Mahmut S Tutar","doi":"10.23736/S0375-9393.25.19142-6","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19142-6","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225891","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 inhaled isoflurane in severe hepato-pulmonary syndrome for sedation and hypoxemia stabilization.","authors":"Vladimir L Cousin, Ramy Charbel, Clémence Marais, Luc Morin, Pierre Tissieres, Jordi Miatello","doi":"10.23736/S0375-9393.25.18962-1","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18962-1","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225906","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":"From static to dynamic ultrasound in the evaluation and treatment of chronic myofascial pain.","authors":"Pierfrancesco Fusco, Chiara Maggiani, Emanuele Nazzarro, Gian M Petroni, Francesca DE Sanctis, Carla Stecco, Walter Ciaschi","doi":"10.23736/S0375-9393.25.18902-5","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18902-5","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225903","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":"https://doi.org/10.23736/S0375-9393.25.18837-8","url":null,"abstract":"<p><strong>Introduction: </strong>It remains unclear whether surgical persons 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), 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":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-05","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}