Minerva anestesiologica最新文献_第4页

Individualized positive end-expiratory pressure in laparoscopic surgery: a randomized controlled trial. 腹腔镜手术中的个性化呼气末正压：随机对照试验。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-11-01 DOI: 10.23736/S0375-9393.24.18209-0

Muqiao Cheng, Fengying Xu, Wei Wang, Weiwei Li, Ran Xia, Haiying Ji, Shunan Lv, Xueyin Shi, Chengmi Zhang

{"title":"Individualized positive end-expiratory pressure in laparoscopic surgery: a randomized controlled trial.","authors":"Muqiao Cheng, Fengying Xu, Wei Wang, Weiwei Li, Ran Xia, Haiying Ji, Shunan Lv, Xueyin Shi, Chengmi Zhang","doi":"10.23736/S0375-9393.24.18209-0","DOIUrl":"10.23736/S0375-9393.24.18209-0","url":null,"abstract":"Background: The reduction in functional residual capacity (FRC) is a significant pathological factor in the development of postoperative pulmonary complications. Appropriate positive end-expiratory pressure (PEEP) is critical to preserve FRC during mechanical ventilation. Our previous study suggests that using driving pressure-guided PEEP can reduce postoperative pulmonary complications. In this study, we hypothesize that individualized PEEP can increase immediate postoperative FRC and improve lung ventilation.Methods: This single-centered, randomized controlled trial included a total of 91 patients scheduled for laparoscopic surgery for colorectal carcinoma. Patients were randomly assigned to receive individualized PEEP guided by minimum driving pressure or a fixed PEEP of six cmH<inf>2</inf>O. The primary outcome was postoperative FRC. Secondary outcomes included the incidence of postoperative pulmonary complications, postoperative Oxygenation Index, alveolar-arterial oxygen tension difference (P<inf>A-a</inf>O<inf>2</inf>), intrapulmonary shunt (Q<inf>S</inf>/Q<inf>T</inf>), and Respiratory Index, as well as lung ventilation measured by electrical impedance tomography.Results: The median value of PEEP in the individualized group was 14 cmH<inf>2</inf>O, with an interquartile range of 12-14 cmH<inf>2</inf>O. The postoperative FRC was significantly higher in the individualized PEEP group than that in the PEEP six cmH<inf>2</inf>O group (32.8 [12.8] vs. 25.0 [12.6] mL/kg, P=0.004). Patients receiving driving pressure-guided PEEP also had significantly higher Oxygenation Index, better ventilation distribution, and lower PA-aO<inf>2</inf>, Q<inf>S</inf>/Q<inf>T</inf>, and Respiratory Index.Conclusions: Driving pressure-guided PEEP can preserve postoperative FRC and provide better ventilation and oxygenation for patients undergoing laparoscopic colorectal surgery.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"90 11","pages":"969-978"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639003","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}

引用次数: 0

Combined awake intubation technique for predicted difficult airways in a patient with thyroid goiter. 预测甲状腺肿大患者困难气道的联合清醒插管技术。

IF 4.6 3区医学

Minerva anestesiologica Pub Date : 2024-11-01 Epub Date: 2024-08-05 DOI: 10.23736/S0375-9393.24.18262-4

Pasquale Rinaldi, Carmela Eziandio, Francesco Coletta, Maria E Porcelli, Giovanna Lauro, Antonio Tomasello, Romolo Villani

引用次数: 0

Serratus posterior superior intercostal plane block for postoperative analgesia in clavicle surgeries: new indications for a novel block. 用于锁骨手术术后镇痛的肋间上平面后方阻滞：新型阻滞（肋间上平面后方阻滞）的新适应症。

IF 4.6 3区医学

Minerva anestesiologica Pub Date : 2024-11-01 Epub Date: 2024-08-05 DOI: 10.23736/S0375-9393.24.18275-2

Engin I Turan, Sevde Işik, Abdurrahman E Baydemir, Ayça S Şahin

引用次数: 0

Ropivacaine and magnesium sulfate in sciatic nerve block at the popliteal level: randomized double-blind study. 罗哌卡因和硫酸镁在腘窝坐骨神经阻滞中的应用：随机双盲研究。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-10-31 DOI: 10.23736/S0375-9393.24.18126-6

Riccardo Pulitanò, Marco Giudice, Francesca LA Verde, Enrico DI Sabatino, Massimiliano Carassiti, Giuseppe Pascarella

{"title":"Ropivacaine and magnesium sulfate in sciatic nerve block at the popliteal level: randomized double-blind study.","authors":"Riccardo Pulitanò, Marco Giudice, Francesca LA Verde, Enrico DI Sabatino, Massimiliano Carassiti, Giuseppe Pascarella","doi":"10.23736/S0375-9393.24.18126-6","DOIUrl":"10.23736/S0375-9393.24.18126-6","url":null,"abstract":"Background: Following surgical procedures, over 80% of patients experience acute pain, with half of them expressing dissatisfaction with pain relief. The modern approach to surgical treatment and pain management increasingly relies on implementing multimodal analgesia, which includes the use of adjuvants in addition to long-acting local anesthetics (such as ropivacaine). This double-blind randomized study evaluated the analgesic effect of magnesium sulfate added to ropivacaine in the sciatic nerve block at the popliteal level for bunion correction surgery.Methods: In this double-blind study, fifty patients were enrolled and randomized in a 1:1 ratio to receive ropivacaine and MgSO<inf>4</inf> 200 mg or ropivacaine and physiological solution. The primary endpoint was the duration of sensory block.Results: A statistically significant difference was observed in the onset time for sensory block (9.2 minutes vs. 21.8 minutes, P<0.001) and its duration (18.2 hours vs. 13.9 hours, P<0.001) between the two groups. Between 12 and 24 hours postoperatively, the maximum NRS pain scores in the magnesium group were lower than those in the control group (IQR [range]) 2 (2-3.8 [0-6.5]) vs. 6.7 (5.6-7.9 [2.7-9.2], P<0.001). The need for additional opioids after 12-24 hours was significantly higher in patients in the physiological solution group compared to those in the magnesium group.Conclusions: Our results suggest that magnesium added to the local anesthetic extends sensory block duration, reduces postoperative pain, improves the quality of analgesia, decreases the need for additional opioids. Further studies are needed to confirm these preliminary findings.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546342","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}

引用次数: 0

Complete anesthesia after unilateral sacral ESP block. 单侧骶骨 ESP 阻滞术后完全麻醉。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-10-31 DOI: 10.23736/S0375-9393.24.18399-X

Andrea Sanapo, Gian M Petroni, Francesca DE Sanctis, Pierfrancesco Fusco

引用次数: 0

An alternative of ultrasound-guided lumbar plexus block: a vertebral arch root method. 超声引导下腰椎神经丛阻滞的替代方法：椎弓根法。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-10-31 DOI: 10.23736/S0375-9393.24.18364-2

Junde Han, Shanshan Yu, Wenzong Ni

引用次数: 0

Efficacy of ultrasound-guided bilateral rectus sheath block vs. local anesthetic infiltration in gynecologic oncology patients undergoing midline laparotomy: a triple-blinded randomized controlled trial. 对接受中线开腹手术的妇科肿瘤患者进行超声引导下双侧直肠鞘阻滞与局麻药浸润的疗效对比：三重盲法随机对照试验。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-10-31 DOI: 10.23736/S0375-9393.24.18302-2

Merve Bulun Yediyildiz, Hülya Yilmaz Ak, İrem Durmuş, Kübra Taşkin, Esra Keles, Banu Çevik, Murat Api

{"title":"Efficacy of ultrasound-guided bilateral rectus sheath block vs. local anesthetic infiltration in gynecologic oncology patients undergoing midline laparotomy: a triple-blinded randomized controlled trial.","authors":"Merve Bulun Yediyildiz, Hülya Yilmaz Ak, İrem Durmuş, Kübra Taşkin, Esra Keles, Banu Çevik, Murat Api","doi":"10.23736/S0375-9393.24.18302-2","DOIUrl":"10.23736/S0375-9393.24.18302-2","url":null,"abstract":"Background: Postoperative pain is a serious problem in gynecological oncology patients. Rectus sheath block (RSB) is increasingly utilized as a part of multimodal analgesia. The purpose of this three blinded, randomized-controlled trial is to compare the analgesic efficacy of ultrasound-guided (US-guided) bilateral rectus sheath block (BRSB) and local anesthetic wound infiltration (LAWI) application in patients undergoing midline laparotomy for gynecologic cancer.Methods: This prospective, single-center, three-blinded, randomized clinical trial enrolled a total of 60 patients who underwent surgery through a midline laparotomy. Patients were randomly allocated into two groups and were administered either LAWI or BRSB with 20 mL of 0.25% bupivacaine just after the end of surgery. Both groups were compared for Numeric Rating Scale (NRS) pain scores, time to first analgesic requirement, total tramadol consumption.Results: Fifty-five patients (BRSB=28, LAWI=27) completed the study. The BRSB group had significantly lower NRS scores at 2, 6, 12, and 24th hours (P<0.001). The median (interquartile range, IQR) NRS scores for BRSB group were 3 (3-3) at 2nd hours, 3 (2-4) at 6th hours, 3 (2-4) at 12th hours and 3 (2-3) at 24th hours. For the LAWI group, the median (IQR) NRS scores were 4 (3-4) at 2nd hours, 4 (3-5) at 6th hours, 4 (3-4) at 12th hours and 4 (3-4) at 24th hours. The BRSB group had significantly less additional tramadol consumption than the LAWI group (P<0.001).Conclusions: The US-guided BRSB is a safe and feasible technique. This technique resulted in reduced postoperative pain scores, decreased tramadol usage, and prolonged pain relief compared to LAWI.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546340","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}

引用次数: 0

BRILMA block for analgesia in adolescent fibroadenoma excision. BRILMA 阻滞术用于青少年纤维腺瘤切除术的镇痛。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-10-31 DOI: 10.23736/S0375-9393.24.18552-5

Volkan Özen, Engin I Turan, Arda Ayas, Taylan Kirdan

引用次数: 0

Adopting the official name in scientific literature. 在科学文献中采用正式名称。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-10-31 DOI: 10.23736/S0375-9393.24.18507-0

Burhan Dost

引用次数: 0

Evaluating the safety and efficacy of repeated spinal anesthesia in multiple lower extremity surgeries: a case series of four patients. 评估多次下肢手术中重复脊髓麻醉的安全性和有效性：四例患者的病例系列。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-10-31 DOI: 10.23736/S0375-9393.24.18498-2

Abdurrahman E Baydemir, Engin I Turan, Ezgi Saçak, Funda G Özcan

引用次数: 0