Minerva anestesiologica最新文献

{"title":"Hepatic steatosis as a risk factor for postoperative delirium following hepatectomy: a retrospective cohort study.","authors":"Yuerou Feng, Yifan Ma, Yi Duan, Zhifeng Gao","doi":"10.23736/S0375-9393.26.19778-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.26.19778-8","url":null,"abstract":"<p><strong>Background: </strong>Postoperative delirium (POD) is a common complication following hepatectomy. However, there are no studies on the occurrence of POD in patients with hepatic steatosis undergoing hepatectomy. This study aimed to evaluate the incidence and risk factors for POD in patients with hepatic steatosis after hepatectomy, and investigate the related mechanisms.</p><p><strong>Methods: </strong>This study was a single-center, retrospective cohort study. Adult patients who underwent hepatectomy at Beijing Tsinghua Changgung Hospital between June 2021 and June 2025 were selected as the study subjects. Patients were divided into two groups: the hepatic steatosis (HS) group and the non-hepatic steatosis (NHS) group. The primary outcome was the incidence of POD, whereas the secondary outcomes included the length of intensive care unit (ICU) stay, total length of stay, and 90-day mortality rate after surgery. Propensity score matching analysis was performed between the two groups. Finally, univariate and multivariable stratified Cox proportional hazards models were used to identify independent risk factors for POD.</p><p><strong>Results: </strong>In the matched cohort, the incidence of POD was significantly greater in the HS group than in the NHS group (16.7% vs. 7.3%, P<0.001). There were no significant differences in the timing, location, or duration of POD between the two groups (P>0.05). The length of ICU stay (P<0.001) and total length of stay (P<0.05) were longer in the HS group than in the NHS group. The 90-day mortality rate was greater in the HS group than in the NHS group, although the difference was not statistically significant (6.3% vs. 2.7%, P=0.053). Multivariable stratified Cox regression analysis revealed that hepatic steatosis (HR: 2.57, 95% CI: 1.29-5.10, P=0.007), age (HR: 1.05, 95% CI: 1.01-1.09, P=0.013), and Child-Pugh class B/C (HR: 3.19, 95% CI: 1.34-7.59, P=0.009) were independent risk factors for the time to POD after hepatectomy.</p><p><strong>Conclusions: </strong>The incidence of POD was greater in patients with hepatic steatosis than in those without hepatic steatosis after hepatectomy. Whether preoperative optimization of liver status (e.g., a reduction in hepatic steatosis) can reduce the incidence of POD remains to be determined.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887896","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":"Anesthetic management of two children with dystrophic epidermolysis bullosa undergoing emergency abdominal surgery.","authors":"Taylan Kirdan, Gökçen Şahin Şener, Niyazi Mor, Volkan Özen","doi":"10.23736/S0375-9393.26.20511-4","DOIUrl":"https://doi.org/10.23736/S0375-9393.26.20511-4","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887898","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":"Comment on: Preoperative ondansetron lozenge for prevention of postoperative nausea and vomiting in pediatrics undergoing squint surgeries: a randomized controlled trial.","authors":"Muhammed N Koç, Ömer Keklicek","doi":"10.23736/S0375-9393.26.20477-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.26.20477-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887937","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 rhomboid intercostal plane block for posterior rib fracture pain in the intensive care unit.","authors":"Mehmet G Taflan, Elif S Özel","doi":"10.23736/S0375-9393.26.20440-6","DOIUrl":"https://doi.org/10.23736/S0375-9393.26.20440-6","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887920","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 analgesia management in a patient undergoing mitral valve replacement and Robicsek sternal closure: the missing piece of the puzzle is adding a rectointercostal block to the parasternal block.","authors":"Yahya Yildiz, Fatma P Ucar, Bahadir Ciftci","doi":"10.23736/S0375-9393.26.19985-4","DOIUrl":"10.23736/S0375-9393.26.19985-4","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"931-932"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513351","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":"High volume lumbar spinal anesthesia with hyperbaric ropivacaine and dexmedetomidine in transverse colon resection surgery: a substitute for general anesthesia?","authors":"Gian M Petroni, Carmine Pullano, Francesco Marrone, Eros Pilia, Pierfrancesco Fusco","doi":"10.23736/S0375-9393.26.19978-7","DOIUrl":"10.23736/S0375-9393.26.19978-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"927-928"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147593140","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 cadaveric study involving magnetic resonance and computed tomography imaging of a novel femoral ring block for knee analgesia.","authors":"Can Aksu, Hadi U Yörükoğlu, Abdullah Örs, Serdar Demiröz, Özgür Çakir, Sevim Cesur, Volkan Alparslan, Nur N Yucal, Jamil Dursunlu, Özgür Selek, Tuncay Çolak, Alparslan Kuş, Ercüment Çiftçi","doi":"10.23736/S0375-9393.26.19682-5","DOIUrl":"10.23736/S0375-9393.26.19682-5","url":null,"abstract":"<p><strong>Background: </strong>This study investigates a novel femoral ring block technique designed to enhance postoperative analgesia for knee surgeries. Due to the complex innervation of the knee and the significant postoperative pain resulting from surgical interventions, effective regional anesthesia techniques are essential. Traditional methods, such as femoral, genicular nerves, and adductor canal blocks, often require multiple injections and can lead to prolonged procedure times and patient discomfort. This research hypothesizes that a high-volume injection from the midline into the femur would result in a ring-like spread of anesthetic, effectively targeting critical nerves involved in knee innervation.</p><p><strong>Methods: </strong>Four lower extremity cadavers with no prior history of knee surgery were included in the study. To enhance visibility, two different solutions (methylene blue-acrylic green dye and saline-radio-opaque substance mixtures) were used to obtain two different colors, as determined by CT and MRI. The ring block was applied to both knees of each cadaver using the same technique and the same solution. The spread was monitored during the injections using real-time ultrasonography. CT and MRI scans were performed after the block applications. Following the imaging procedures, the cadavers were dissected.</p><p><strong>Results: </strong>Results demonstrated that this technique could potentially improve analgesia quality by effectively blocking multiple nerves with a single injection, thereby reducing the number of required injections and shortening block application time. In cadaveric dissections, the superior medial and lateral geniculate nerves, the vastus intermedius and vastus medialis nerves, and the saphenous nerve running along the adductor canal were stained.</p><p><strong>Conclusions: </strong>In conclusion, results demonstrated that six vital nerves for knee analgesia can be blocked with a single needle entry. The new ring block technique showed promising results as a more efficient approach to knee analgesia. Although further clinical researches are needed, this study lays the groundwork for future innovations in regional anesthesia for knee surgery.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"808-816"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513284","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":"Serratus posterior superior intercostal plane block for CT-guided percutaneous transthoracic lung biopsy in the prone position: a novel indication.","authors":"Çağdaş Baytar, Merve S Baytar, Bengü G Köksal Incegül","doi":"10.23736/S0375-9393.26.20085-8","DOIUrl":"10.23736/S0375-9393.26.20085-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"936-938"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148150594","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":"Deep iliacus plane block for postoperative analgesia after total hip arthroplasty.","authors":"Engin I Turan, Murat Atam, Zehra P Turan, Selçuk Alver, Bahadır Çiftçi, Volkan Özen, Ayça S Şahin","doi":"10.23736/S0375-9393.26.19951-9","DOIUrl":"10.23736/S0375-9393.26.19951-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"917-918"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840114","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":"Bibliometric analysis of international, English-language publication activity in anesthesiology, pain medicine, and intensive and emergency medicine over a 10-year interval.","authors":"Linus H Kutup, Eike S Debus, Reinhart T Grundmann","doi":"10.23736/S0375-9393.26.19721-1","DOIUrl":"https://doi.org/10.23736/S0375-9393.26.19721-1","url":null,"abstract":"<p><strong>Background: </strong>The present study aimed to clarify how English-language publication activity in anesthesiology, intensive care medicine, and pain medicine has evolved in publishing countries over a 10-year period, considering not only publication volume but also scientific impact and shifting research methodologies.</p><p><strong>Methods: </strong>A bibliometric analysis of 20,741 publications indexed in PubMed for the time periods 2008/09 and 2018/19 was performed across 30 journals. Journals were selected based on their impact factor (IF) in 2019. Publications were analyzed for total number, cumulative impact factors (CIF) - representing the sum of individual journal impact factors multiplied by the number of publications in each journal - study type, country of origin, and country output per million inhabitants.</p><p><strong>Results: </strong>From 2008/09 to 2018/19, total publication volume declined by 6.9% from 10,740 to 10,001, while CIF increased by 25.4% from 42,441.2 to 53,219.1. Clinical (Observational) studies were most frequent; meta-analyses and registry studies rose markedly (216.1% and 125.3%, respectively), while experimental studies and randomized controlled trials (RCTs) declined (-51.9% and -29.7%, respectively). The United States led in both publication count (2008/09: 3,267; 2018/19: 4,250) and CIF (2008/09: 14,256.4; 2018/19: 24,421.9). When adjusted to population, smaller countries including Denmark (2008/09: 31.1; 2018/19: 80.7), Switzerland (2008/09: 23.6; 2018/19: 42.1), and the Netherlands (2008/2009: 26.3; 2018/2019: 34.9) ranked highest. Germany - the only leading country showing declining publication output at 7.0% - demonstrated a concerning trend, while China (+83.6%) and Canada (+69.4%) showed exceptional growth.</p><p><strong>Conclusions: </strong>This study identifies a decline in publication volume alongside increased citation activity in high impact anesthesiology and intensive care medicine journals, largely driven by the dominance of clinical studies and a growing prevalence of meta-analyses and registry studies, suggesting a shift in research priorities. Reduced publication numbers likely result from increasing journal selectivity and redistribution of research output toward open-access and non-specialty journals. The country ranking is dominated by the USA and other English-speaking nations, which can be attributed to the English-language literature analyzed. However, smaller nations like Denmark and Switzerland lead in population-based ranking, revealing critical insights into research infrastructure and institutional support.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"92 9","pages":"879-889"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111823","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}