Minerva anestesiologica最新文献

{"title":"Lumbosacral ESP block for hip fractures in the elderly: two cases in two centers.","authors":"Cristiano D'Errico, Fabrizio Fattorini, Simone Savino, Fioravante Giordano, Giorgio Ranieri, Rosanna Miccio, Renato Mazzarella, Andrea U DE Siena, Alessandra Gentili, Antonio Coviello, Giuseppe Lubrano","doi":"10.23736/S0375-9393.26.19987-8","DOIUrl":"10.23736/S0375-9393.26.19987-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"933-934"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840054","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 evolving landscape of pediatric necrotizing pneumonia.","authors":"José L Vázquez Martínez, Lydia Lozano Rincón","doi":"10.23736/S0375-9393.26.20445-5","DOIUrl":"10.23736/S0375-9393.26.20445-5","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"798-800"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664018","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":"Videolaryngoscopic Intubation and Difficult Airway Classification (VIDIAC) accuracy in the prediction of first-pass nasal intubation using a video laryngoscope.","authors":"Indubala Maurya, Ruchi Saxena, Ram G Maurya, Shruti Gupta, Archana Gautam, Asim Rasheed","doi":"10.23736/S0375-9393.25.19563-1","DOIUrl":"10.23736/S0375-9393.25.19563-1","url":null,"abstract":"<p><strong>Background: </strong>The Cormack-Lehane (CL) classification and the percentage of glottic opening (POGO) score are used for glottic views during direct laryngoscopy; however, no standard scoring exists for video-laryngoscopy. The Video Laryngoscopic Intubation and Difficult Airway Classification (VIDIAC) model was recently proposed to grade glottic views during video-laryngoscopy. This study aimed to evaluate the diagnostic accuracy of the VIDIAC score in predicting first-pass nasal intubation success using the Touren video laryngoscope in patients undergoing head and neck surgery.</p><p><strong>Methods: </strong>After ethical approval and clinical trial registration, patients aged 18-65 years, planned for surgery under general anesthesia with nasal intubation, were recruited. Patient with a mouth opening ≤2.5 cm, planned for awake intubation, emergency procedure or rapid sequence induction was excluded. Nasal intubation was done using an appropriate size flexible endotracheal tube using Touren VL. VIDIAC scoring was done on the best view of the glottis in a single attempt, without using an external laryngeal maneuver (ELM). Use of ELM, Magill forceps and any airway-related adverse events were noted.</p><p><strong>Results: </strong>A total of 131 participants completed the study. One hundred and twenty-one (92.4%) patients had successful first-pass nasal intubation. For first-pass nasal intubation, the sensitivity, specificity, positive predictive values and negative predictive values of the VIDIAC score were 92.6%, 70%, 97.5%, and 43.8%, respectively. The VIDIAC score demonstrated an area under the Receiver Operating Characteristic curve of 0.876 (95% CI: 0.728-1.000).</p><p><strong>Conclusions: </strong>With high sensitivity and positive predictive value, the VIDIAC score shows potential in predicting successful first-pass nasal intubation; however, low specificity and negative predictive value limit its overall clinical utility.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"801-807"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142762","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 anatomy of the deep rectus sheath block: a cadaveric model of the spread of local anesthetic injected in the preperitoneal space.","authors":"Sandeep Diwan, Francesco Marrone, Vijayaragavan Shanmugakani, Venkatesh Kempulraj, Eros Pilia, Carla Stecco, Pierfrancesco Fusco","doi":"10.23736/S0375-9393.26.19956-8","DOIUrl":"10.23736/S0375-9393.26.19956-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"918-922"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147593124","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":"Continuous quadroiliac plane block as an opioid-sparing strategy for nephrectomy analgesia.","authors":"Engin I Turan, Zehra P Turan, Muhammet S Başar, Volkan Özen, Bahadır Çiftçi, Selçuk Alver, Ayça S Şahin","doi":"10.23736/S0375-9393.26.19975-1","DOIUrl":"10.23736/S0375-9393.26.19975-1","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"924-925"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378129","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":"An innovative approach to knee analgesia in the era of enhanced recovery after surgery and opioid free anesthesia.","authors":"Sandeep Dey","doi":"10.23736/S0375-9393.26.19971-4","DOIUrl":"10.23736/S0375-9393.26.19971-4","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"793-795"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486595","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":"Necrotizing pneumonia in children: a comprehensive narrative review of current challenges and future perspectives.","authors":"Ivonne Portaccio, Marco Piastra, Savino Spadaro, Giuliano Ferrone, Geremia Zito Marinosci, Silvia Moggia, Giovanna Chidini, Maria M Bitondo, Ezio Bonanomi, Federico Visconti, Vincenzo Tipo, Marco Maglione, Antonietta Giannattasio, Tony C Morena, Enzo Picconi, Federica Tosi, Sonia Mensi, Maurizio Chioffi, Fabio Lecci, Orazio Genovese, Giorgio Conti, Giorgia Spinazzola","doi":"10.23736/S0375-9393.26.19635-7","DOIUrl":"10.23736/S0375-9393.26.19635-7","url":null,"abstract":"<p><p>Necrotizing pneumonia (NP) represents an uncommon but severe complication of community-acquired pneumonia (CAP) in children, characterized by the destruction of lung parenchyma and formation of multiple thin-walled cavities. Despite its rarity, the incidence of pediatric NP has increased substantially over the past two decades, creating major diagnostic and treatment challenges. The COVID-19 pandemic has further altered the epidemiological landscape, with unique patterns of respiratory pathogen circulation. This narrative review synthesizes current evidence on pediatric necrotizing pneumonia through a comprehensive literature search of PubMed/MEDLINE, Embase, Web of Science, and the Cochrane Library for articles published between January 1994 and January 2025. Search terms included \"necrotizing pneumonia,\" \"necrotising pneumonia,\" and \"cavitary pneumonia\" paired with \"child,\" \"pediatric,\" or \"paediatric,\" along with specific terms for etiology, diagnosis, treatment, and outcomes. We included English-language original research articles, systematic reviews, and case series with at least 10 patients. Streptococcus pneumoniae continues to dominate as the primary pathogen, accounting for 30-60% of cases, though the emergence of Mycoplasma pneumoniae as a major cause in Asia, with macrolide resistance exceeding 85%, presents new therapeutic challenges. Diagnostic approaches have evolved significantly, with lung ultrasound demonstrating comparable accuracy to CT (κ=0.85) while avoiding radiation exposure. Novel biomarkers including presepsin, copeptin, and fetuin-A show promise for early detection and prognostication. Treatment outcomes remain encouraging, with most cases (80%) successfully managed conservatively using prolonged antibiotics for a median duration of 28 days. Surgery is reserved for specific complications, and long-term outcomes are favorable with normal pulmonary function in 80-90% of children at one-year follow-up. While pediatric necrotizing pneumonia remains a serious condition, recent advances in non-invasive diagnostics, biomarker development, and understanding of post-pandemic epidemiology offer opportunities for improved outcomes. Future research should focus on validating AI-powered diagnostic tools, optimizing antimicrobial therapy in the era of resistance, and establishing evidence-based surgical intervention criteria. The integration of lung ultrasound as a radiation-free diagnostic modality represents a paradigm shift in pediatric pneumonia management.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"890-903"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663878","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 models for predicting ASA physical status classification: a systematic review and meta-analysis.","authors":"Burhan Dost, Engin I Turan, Esra Turunc, Yunus E Karapinar, Muzeyyen Beldagli, Alessandro DE Cassai","doi":"10.23736/S0375-9393.26.19775-2","DOIUrl":"10.23736/S0375-9393.26.19775-2","url":null,"abstract":"<p><strong>Background: </strong>The American Society of Anesthesiologists (ASA) physical status classification remains the cornerstone of preoperative risk assessment but is limited by its subjective nature and only moderate inter-rater reliability. Artificial intelligence (AI) models have recently been applied to automate ASA prediction; however, the magnitude and reliability of their agreement with that of clinicians remain unclear. This systematic review and meta-analysis aimed to quantitatively synthesize the current evidence regarding the diagnostic performance of AI-based ASA classification systems.</p><p><strong>Methods: </strong>A comprehensive search of the PubMed, Embase, Scopus, Web of Science, and CENTRAL (from inception to October 2025) databases was conducted. Eligible studies compared AI-predicted and clinician-assigned ASA classifications in real or simulated preoperative datasets. Study quality was assessed using the PROBAST+AI tool. The certainty of the evidence was graded using the GRADE framework. The primary outcome was inter-rater agreement measured using the quadratic weighted kappa (QWK); secondary outcomes included accuracy, sensitivity, and specificity. Random-effects meta-analysis and meta-regression analyses were performed.</p><p><strong>Results: </strong>Thirteen studies involving 402,336 cases were analyzed. The pooled QWK was 0.69 (95% CI 0.62-0.76), representing moderate-to-substantial agreement with human assessors. Pooled accuracy was 0.66, sensitivity 0.51, and specificity 0.78. Subgroup analysis showed significantly higher agreement for LLMs than for traditional ML models (P=0.04). Meta-regression revealed lower performance in studies combining adult and pediatric data.</p><p><strong>Conclusions: </strong>This meta-analysis demonstrated that AI systems, particularly LLMs, showed moderate-to-substantial concordance with clinicians in assigning ASA physical status classifications, suggesting their potential utility as reliable adjuncts for preoperative risk stratification.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"868-878"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148032744","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":"Catheter-assisted rectointercostal plane block after subcostal incision in a pediatric patient undergoing right nephrectomy for Wilms tumor surgery.","authors":"Zafer Gokkaya, Ergun Mendes, Kamil Darcin, Umitcan Unver, Yavuz Gurkan","doi":"10.23736/S0375-9393.26.19969-6","DOIUrl":"10.23736/S0375-9393.26.19969-6","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"922-923"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840133","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":"Fast but safe: speeding up clinical pathways in solid organ transplantation. An overview.","authors":"Alexandra Anderson, Gianni Biancofiore, Anabel Blasi, Hong Liang, Christine Nguyen-Buckley, Fuat H Saner, Gebhard Wagener","doi":"10.23736/S0375-9393.26.19708-9","DOIUrl":"10.23736/S0375-9393.26.19708-9","url":null,"abstract":"<p><p>Clinical pathways such as fast-track and enhanced recovery after surgery protocols have become integrated into transplant anesthesiology care in recent decades. These clinical pathways aim to improve patient outcomes through use of standardized, evidence-based perioperative interventions. In this paper we define the concepts of fast-track and ERAS in the context of transplant anesthesiology and review the origins of these concepts. Next, we discuss clinical pathways in three areas of transplantation: liver transplantation, kidney transplantation, and thoracic organ transplantation. In this expert opinion paper, we review current evidence and recommendations regarding fast-track and ERAS in these areas of transplantation and describe opportunities for future research and guideline development.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"904-914"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148150569","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}