Minerva anestesiologica最新文献

{"title":"Serratus posterior inferior intercostal plane block for post-hysterectomy analgesia in a patient with multiple analgesic contraindications.","authors":"Fusun Karbancioğlu Canturk, Mehmet Canturk, Duygu Kocakulak, Sedef Elmas","doi":"10.23736/S0375-9393.25.19059-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19059-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032008","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":"Multiple chest wall interfascial plane blocks for awake pectoral debridement/excision and local flap surgery in high-risk patient.","authors":"Bahadir Ciftci, Sümeyye Yildiz, Hasan Kara, Burak Ozkan","doi":"10.23736/S0375-9393.25.18940-2","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18940-2","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017196","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":"Posterior quadratus lumborum block, a novel approach to treat chronic hip pain: a cohort study.","authors":"María T Fernandez Martin, Ignacio Aguado-Maestro, Jose A Aguirre","doi":"10.23736/S0375-9393.25.18749-X","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18749-X","url":null,"abstract":"<p><strong>Background: </strong>Hip osteoarthritis is a common disease, and the pain associated with it has a major impact on morbidity and quality of life. Therefore, the management of chronic hip pain requires a multimodal approach to improve joint function and quality of life. The aim of this study was to assess whether the posterior quadratus lumborum block (QLB) reduced pain and enhanced quality of life in patients suffering from chronic pain.</p><p><strong>Methods: </strong>After Ethical committee's approval (no. PI 21-PI104 on June 26,2021) and registration (Trial registration number: NCT04438265) we started this prospective cohort study. The sample size calculated were 200 patients (100 per group) suffering from chronic hip pain with poor response to previous treatments. The intervention group received posterior quadratus lumborum block as an analgesic technique and control group did not. Pain (NRS) and quality of life (WOMAC questionnaire) were assessed at baseline, three weeks, three and six months in both groups.</p><p><strong>Results: </strong>Demographic data showed no differences between groups. The QLB group showed significant improvements in pain and quality of life at three months compared to baseline (NRS mean 7/4; and WOMAC mean 59/35) (P value=0.001), while the control group scores remained unchanged (NRS 7/8; and WOMAC (61/61). At three months, 50 patients in the QLB group showed an improvement more than 50% in NRS and WOMAC scores (ten of those patients had an improvement for more than one year). We observed that patients with avascular necrosis showed a minor improvement. Only two adverse events were registered.</p><p><strong>Conclusions: </strong>Our results suggest that posterior QLB could represent a minimally invasive option in chronic hip pain.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027736","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":"ERAS and the challenge of the new technologies.","authors":"Elena Bignami, Brigida Leoni, Tania Domenichetti, Matteo Panizzi, Luis A Diego, Valentina Bellini","doi":"10.23736/S0375-9393.25.18746-4","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18746-4","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) and all new technologies (NTs) into enhanced recovery after surgery (ERAS) protocols offers significant opportunities to address implementation challenges and improve patient care. Despite the proven benefits of ERAS, limitations such as resistance to change, resource constraints, and poor interdepartmental communication persist. AI can play a crucial role in overcoming ERAS implementation barriers by simplifying clinical plans, ensuring high compliance, and creating patient-centered approaches. Advanced techniques like machine learning and deep learning can optimize preoperative management, intraoperative phases, and postoperative recovery pathways. AI integration in ERAS protocols has the potential to revolutionize perioperative medicine by enabling personalized patient care, enhancing monitoring strategies, and improving clinical decision-making. The technology can address common postoperative challenges by developing individualized ERAS plans based on patient risk factors and optimizing perioperative processes. While challenges remain, including the need for external validation and data security, the authors suggest that the combination of AI, NTs, and ERAS protocols should become an integral part of routine clinical practice. This integration ultimately leads to improved patient outcomes and satisfaction in surgical care, transforming the perioperative medicine landscape by tailoring pathways to patients' needs.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029221","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":"Pneumothorax induced by oxygenation via oxygen cannula.","authors":"Yingqi Weng, Wenwen Lu, Yunlong Huang, Lu Lu","doi":"10.23736/S0375-9393.25.18951-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18951-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972098","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":"Effects of ultrasound-guided mid-point transverse process to pleura block on acute pain intensity and chronic pain incidence after laparotomic nephrectomy: a randomized controlled study.","authors":"Mohamed S Abdelghany, Naglaa K Mohamed, Alaa M Hagar, Aliaa M Belal","doi":"10.23736/S0375-9393.24.18608-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18608-7","url":null,"abstract":"<p><strong>Background: </strong>Following laparotomic nephrectomy, regional blocks may improve patients' analgesia profiles. This study aimed to evaluate the effect of the mid-point transverse process to pleura (MTP) block on patients' acute and chronic postoperative pain levels and their need for analgesics after laparotomic nephrectomy.</p><p><strong>Methods: </strong>Seventy patients of both genders, between the ages of 21and 65 years, categorized as ASA I, II and III by American Society of Anesthesiologists who were scheduled for partial or radical nephrectomy using the standard flank incision approach under general anesthesia were included and randomly assigned into two equal groups; group I (35 patients) received real MTP block with injection of 20 ml 0.5% bupivacaine plus 4 mg (1 mL) dexamethasone whereas group II (35 patients) received sham MTP block (2ml saline subcutaneous). The primary outcome was the postoperative NRS score. Secondary outcomes were morphine consumption on the first day after surgery, the onset of postoperative analgesic request, intraoperative fentanyl consumption, the incidence of perioperative complications, and chronic pain development three months following surgery.</p><p><strong>Results: </strong>At 30 minutes, 2, 4, 6, 8, 12, and 18 hours after surgery, the patients who received real US-guided MTP block reported significantly lower NRS pain scores. They also consumed significantly less morphine at 24 hours postoperatively, with a median IQR of 9 [6-9] mg, compared to 15 [12-15] mg in the control group. Also, the MTP block group had significantly prolonged analgesic request onset compared to the control group (P=0.000). Additionally, intraoperative fentanyl requirements were significantly reduced by MTP block (P=0.000). Three months following surgery, 40% of patients had developed chronic post-nephrectomy pain, in the control group compared to 17% of patients in the MTP block group (P=0.034).</p><p><strong>Conclusions: </strong>The preemptive US-guided MTP block improved analgesia quality, reduced the need for rescue analgesia, and provided safe and effective postoperative analgesia with no major side effects, including a lower incidence of chronic post-nephrectomy pain.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031924","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":"Dexmedetomidine and postoperative pain management: enhancing quality of life through effective analgesia.","authors":"Freda Richa, Hiba Kahi","doi":"10.23736/S0375-9393.25.19028-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19028-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009259","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":"Bilateral cervical plexus block in a pediatric patient undergoing thyroglossal duct cyst excision.","authors":"Nur N Yucal, Hadi U Yörükoğlu, Sevim Cesur Okan, Can Aksu, Arife Dilek Içli","doi":"10.23736/S0375-9393.25.18781-6","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18781-6","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031486","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":"Predicting surgical anesthesia for shoulder surgery: a sensorimotor scale for shoulder blocks.","authors":"Julián Aliste, Daniela Bravo, Sebastián Layera, Germán Aguilera, Hans Erpel, Álvaro Jara, Diego Mora, De Q Tran","doi":"10.23736/S0375-9393.25.19031-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19031-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002550","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":"Survey on pediatric anesthetic techniques for penile surgery in Italy.","authors":"Paolo Rufini, Silvia Cumbo, Zaccaria Ricci","doi":"10.23736/S0375-9393.25.18922-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18922-0","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772882","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}