Minerva anestesiologicaPub Date : 2025-04-01Epub Date: 2024-11-12DOI: 10.23736/S0375-9393.24.18373-3
Jinwen Huang, Xia Liu, Lingkai Wang, Lei Zhu, Donggang He, Ruijuan Liu, Wenjun Yan
{"title":"Regional analgesia techniques following nephrectomy: a systematic review and network meta-analysis.","authors":"Jinwen Huang, Xia Liu, Lingkai Wang, Lei Zhu, Donggang He, Ruijuan Liu, Wenjun Yan","doi":"10.23736/S0375-9393.24.18373-3","DOIUrl":"10.23736/S0375-9393.24.18373-3","url":null,"abstract":"<p><strong>Introduction: </strong>This network meta-analysis (NMA) was performed to assess the relative efficacy and safety of various regional analgesic techniques used in patients undergoing partial nephrectomy or nephrectomy.</p><p><strong>Evidence acquisition: </strong>Randomized controlled trials (RCTs) evaluating different regional analgesia techniques in patients who underwent partial nephrectomy or nephrectomy were retrieved from databases, including PubMed, Embase, Web of Science, and the Cochrane Library, from inception to January 2024. The NMA was made by using Stata 15.1 softwares. The certainty of evidence was assessed by using CINeMA.</p><p><strong>Evidence synthesis: </strong>We included 27 trials with 1852 patients and 14 techniques. Postoperative resting pain scores within 24 hours were decreased by erector spinae plane block (ESPB), thoracic paravertebral block (TPVB), intrathecal morphine (IM), retrolaminar block (RLB). Postoperative movement pain scores within 24 hours were decreased by ESPB, TPVB, lateral quadratus lumborum block (QLB-L), transversus abdominis plane block. Postoperative opiates consumption within 24 hours were decreased most by QLB-L, followed by transmuscular QLB (QLB-TM), TPVB, and IM. Postoperative nausea and vomiting (PONV) were decreased by RLB, anterior QLB approach at the lateral supra-arcuate ligament (QLB-LSAL). Length of hospital stay were decreased by TPVB, ESPB.</p><p><strong>Conclusions: </strong>This available evidence suggests that ESPB and TPVB are more likely to reduce pain scores within 24 hours and shorten the length of hospital stay. QLB-L and QLB-TM are more likely to reduce the cumulative opiates consumption within 24 hours. RLB and QLB-LSAL are more likely to decrease the incidence of PONV. The wound infiltration (WI), intraperitoneal instillation (IPI), and WI+IPI are less likely to be effective.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"314-324"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624058","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}
Minerva anestesiologicaPub Date : 2025-04-01Epub Date: 2024-12-20DOI: 10.23736/S0375-9393.24.18617-8
Volkan Özen, Engin I Turan, Beyzanur Aydoğdu, Ayça S Şahin
{"title":"Modified thoracoabdominal nerves block through perichondrial approach block for pediatric kidney transplantation.","authors":"Volkan Özen, Engin I Turan, Beyzanur Aydoğdu, Ayça S Şahin","doi":"10.23736/S0375-9393.24.18617-8","DOIUrl":"10.23736/S0375-9393.24.18617-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"350-351"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864878","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}
Minerva anestesiologicaPub Date : 2025-04-01Epub Date: 2025-02-26DOI: 10.23736/S0375-9393.25.18674-4
Khaled A Sarhan, Reem Mohamed, Mohammed El Ghobashy, Manar Elkholy, Ramy Alkonaiesy, Kareem Nawwar, Nazmy Seif
{"title":"Ultrasound-guided ulnar versus radial artery cannulation in children undergoing major non-cardiac surgery: a randomized controlled non-inferiority trial.","authors":"Khaled A Sarhan, Reem Mohamed, Mohammed El Ghobashy, Manar Elkholy, Ramy Alkonaiesy, Kareem Nawwar, Nazmy Seif","doi":"10.23736/S0375-9393.25.18674-4","DOIUrl":"10.23736/S0375-9393.25.18674-4","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"356-358"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502319","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}
Minerva anestesiologicaPub Date : 2025-04-01Epub Date: 2025-01-30DOI: 10.23736/S0375-9393.24.18659-2
Engin I Turan, Volkan Özen, Taylan Kirdan, Arda Ayas
{"title":"External oblique intercostal plane block (EOIPB) for cholecystectomy in a child with hereditary spherocytosis.","authors":"Engin I Turan, Volkan Özen, Taylan Kirdan, Arda Ayas","doi":"10.23736/S0375-9393.24.18659-2","DOIUrl":"10.23736/S0375-9393.24.18659-2","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"353-354"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066783","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":"The care relationship and medically assisted suicide: where are we heading?","authors":"Alberto Giannini","doi":"10.23736/S0375-9393.25.19073-1","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19073-1","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 4","pages":"247-250"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026244","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}
Minerva anestesiologicaPub Date : 2025-04-01Epub Date: 2024-12-10DOI: 10.23736/S0375-9393.24.18476-3
Francesco Marrone, Pierfrancesco Fusco, Eros Pilia, Laura B Colantonio, Carmine Pullano
{"title":"New insights into the use of dexamethasone-dexmedetomidine as perineural adjuvants in peripheral nerve and fascial blocks: an up-to-date narrative review.","authors":"Francesco Marrone, Pierfrancesco Fusco, Eros Pilia, Laura B Colantonio, Carmine Pullano","doi":"10.23736/S0375-9393.24.18476-3","DOIUrl":"10.23736/S0375-9393.24.18476-3","url":null,"abstract":"<p><p>The discovery of the mechanism of action of local anesthetics, involving the blocking of sodium ion channels is considered a milestone in anesthesia. Potentially lethal toxic effects occur in the case of intravascular injection of local anesthetic (LA) or in case of exceeding dosages, as a result of systemic reabsorption. Attempts to prevent these life-threatening events have been made by developing novel LA and by adding adjuvants. The aim of this up-to-date review was to provide the newest insights on the two adjuvants dexamethasone and dexmedetomidine for regional anesthesia. The addition of perineural dexamethasone-dexmedetomidine combination has shown a faster onset, longer duration of action and increased intensity of neuronal blockade of regional anesthesia compared to perineural single adjunct. This is consistent with clinical studies (trials, observational studies and reports) of a marked prolongation of the local anesthetic effect. Nevertheless, further studies are needed to ascertain the full potential of this technique and all possible associated risks.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"325-333"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801270","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}
Minerva anestesiologicaPub Date : 2025-04-01Epub Date: 2025-01-27DOI: 10.23736/S0375-9393.24.18672-5
Paolo Scimia, Luca Gentili, Giuseppe Sepolvere
{"title":"A new three injection approach as a game changer for complete postoperative analgesia in total knee arthroplasty.","authors":"Paolo Scimia, Luca Gentili, Giuseppe Sepolvere","doi":"10.23736/S0375-9393.24.18672-5","DOIUrl":"10.23736/S0375-9393.24.18672-5","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"354-356"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047025","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}
Hadi U Yörükoğlu, Sevim Cesur, Can Aksu, Alparslan Kuş
{"title":"How to optimize the images for regional anesthesia articles: defining the standards.","authors":"Hadi U Yörükoğlu, Sevim Cesur, Can Aksu, Alparslan Kuş","doi":"10.23736/S0375-9393.25.18707-5","DOIUrl":"10.23736/S0375-9393.25.18707-5","url":null,"abstract":"<p><p>With advances in technology, the image quality of ultrasound is increasing, in addition to the interest in regional anesthesia. Novel techniques to search for an ideal block are being described on an almost daily basis. Unfortunately, visual materials can be inadequate or may mislead readers of articles or social media. We believe that increasing awareness of the visuals to be employed in articles/books is of great importance, similar to matters such as patient safety, ethical rules, and the performance of high-quality clinical studies. This article describes the standards of the ultrasound, patient, and cadaver images used for regional anesthesia studies, as well as the issues that need to be considered for illustrations to be of a particular quality and for the subject under discussion to be easily comprehensible.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 4","pages":"334-342"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018270","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}