Minerva anestesiologica最新文献_第5页

A new three injection approach as a game changer for complete postoperative analgesia in total knee arthroplasty.

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-27 DOI: 10.23736/S0375-9393.24.18672-5

Paolo Scimia, Luca Gentili, Giuseppe Sepolvere

引用次数: 0

Transesophageal echocardiography monitoring for liver transplantation: where are we now?

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-23 DOI: 10.23736/S0375-9393.24.18483-0

Jacopo Belfiore, Michele Checchi, Niccolò Castellani Nicolini, Pietro Bertini, Dmitri Bezinover, Lorenzo DE Marchi, Giandomenico Biancofiore

{"title":"Transesophageal echocardiography monitoring for liver transplantation: where are we now?","authors":"Jacopo Belfiore, Michele Checchi, Niccolò Castellani Nicolini, Pietro Bertini, Dmitri Bezinover, Lorenzo DE Marchi, Giandomenico Biancofiore","doi":"10.23736/S0375-9393.24.18483-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18483-0","url":null,"abstract":"Intraoperative hemodynamic monitoring is crucial for managing patients with end-stage liver disease (ESLD) undergoing orthotopic liver transplantation (OLT) due to their complex cardiovascular and pulmonary abnormalities. Traditionally, pulmonary artery catheterization (PAC) has been the standard for hemodynamic monitoring during OLT. However, the use of transesophageal echocardiography (TEE) has increased due to its real-time visualization of cardiac and vascular structures, which aids in managing hemodynamic instability during the three surgical phases of OLT: pre-anhepatic, anhepatic, and neo-hepatic. TEE provides dynamic assessment of preload, afterload, and cardiac output and has been shown to detect complications such as right and left ventricular dysfunction, intracardiac thrombus, and pulmonary embolism. Although TEE in patients with ESLD poses risks, particularly in the presence of esophageal varices, studies show a low incidence of complications when performed by experienced operators. Focused TEE protocols have proven effective in detecting common causes of hemodynamic instability with fewer views. This review summarizes the applications and safety considerations of TEE during OLT.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023977","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

Erector spinae plane block with warm saline solution in posterpetic neuralgia: the genesis of pain and the link with the fascial system.

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-23 DOI: 10.23736/S0375-9393.24.18555-0

Gian M Petroni, Andrea Sanapo, Francesca DE Sanctis, Emanuele Nazzarro, Walter Ciaschi, Chiara Maggiani, Stefano Meloncelli, Carla Stecco, Pierfrancesco Fusco

引用次数: 0

Association with perceived stress and feasibility of an app for patient-reported stressor experiences during treatment in an intensive care unit: a nonrandomized controlled study (ICU Feel Better App).

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 DOI: 10.23736/S0375-9393.24.18331-9

Laura Hancke, Nick Schmid, Henning Krampe, Claudia Denke, Vivian Mauersberger, Patrick Heeren, Maximilian M Wunderlich, Enrico Dähnert, Felix Balzer, Claudia D Spies

{"title":"Association with perceived stress and feasibility of an app for patient-reported stressor experiences during treatment in an intensive care unit: a nonrandomized controlled study (ICU Feel Better App).","authors":"Laura Hancke, Nick Schmid, Henning Krampe, Claudia Denke, Vivian Mauersberger, Patrick Heeren, Maximilian M Wunderlich, Enrico Dähnert, Felix Balzer, Claudia D Spies","doi":"10.23736/S0375-9393.24.18331-9","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18331-9","url":null,"abstract":"Background: Critically ill patients often experience substantial stress during their ICU treatment. The ICU Feel Better App is a novel mobile application that patients can use to evaluate ICU-related stressors during their stay. We aimed to investigate if using the app, without feedback to the ICU staff, would be associated with changes in perceived acute stress.Methods: This prospective cohort study used a before-and-after design. Data were collected at the beginning of ICU treatment (T1) and at discharge from ICU (T2). The comparison group (N.=20) received treatment as usual, i.e. standard critical care including assessment and treatment of pain and delirium. The App group (N.=20) used the ICU Feel Better App, which included 24 common ICU-related stressors, between T1 and T2. Secondary outcomes included app use extent and patients' ratings of acceptance and usability.Results: No significant differences were observed in clinical characteristics or stress levels between treatment groups at T1, T2, and from T1 to T2. Each app session averaged a median of 1.82 minutes (IQR: 1.54-2.66), with users averaging 8.5 sessions over 3.5 days, totaling 16.16 minutes of use (IQR: 9.72-27.51). Patients found the app highly usable and acceptable, with assistance needed in only one session for three users and no premature terminations.Conclusions: The lack of significant stress reduction suggests that the effectiveness of the app could be improved by incorporating feedback mechanisms to communicate patients' stressor evaluations to staff, prompting stress-reducing measures. Data on app use, acceptability, and usability indicate feasibility of the ICU Feel Better App.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 1-2","pages":"58-69"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542653","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

Effects of esketamine on postoperative pain and inflammatory factors in children undergoing tonsillectomy and adenoidectomy.

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 DOI: 10.23736/S0375-9393.24.18277-6

Yuchang Zhu, Xujian Wang, Lifeng Wang, Yi Zhang

{"title":"Effects of esketamine on postoperative pain and inflammatory factors in children undergoing tonsillectomy and adenoidectomy.","authors":"Yuchang Zhu, Xujian Wang, Lifeng Wang, Yi Zhang","doi":"10.23736/S0375-9393.24.18277-6","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18277-6","url":null,"abstract":"Background: This study aimed to observe the effect of esketamine on postoperative pain and inflammatory factors in children undergoing tonsillectomy and adenoidectomy.Methods: Eighty children scheduled for tonsillectomy and adenoidectomy were randomly divided into two groups using a random number table: an esketamine group (S-ketamine group, N.=40) and a control group (control group, N.=40). The primary outcome was the postoperative pain score, measured using the Face, Legs, Activity, Cry, and Consolability (FLACC) pain scale score. Secondary outcomes include the emergence agitation score (Pediatric Anesthesia Emergence Delirium [PAED]), the operation time, recovery time, postanesthesia care unit (PACU) stay time, adverse reactions within 48 h after operation, and the plasma C-reactive protein (CRP) and interleukin-6 (IL-6) concentrations.Results: At T1, T2, T3, T4, and T5, the FLACC pain scores of the S-ketamine group were significantly lower than those of the control group (15 min: 2.4±0.7 vs. 3.4±0.8, P<0.01; 1 h: 1.7±0.6 vs. 2.2±0.7, P<0.01; 6 h: 1.5±0.6 vs. 2.0±0.5, P<0.01; 12 h: 1.5±0.6 vs. 1.8±0.7, P<0.05; 24 h: 1.4±0.6 vs. 1.7±0.6, P<0.05). The PAED scores at T1 and T2 in the S-ketamine group were significantly lower than those in the control group (15 min: 4.0±0.9 vs. 6.4±1.3, P<0.01; 1 h: 1.7±0.6 vs. 2.1±0.5, P<0.01). Compared with T0, the plasma CRP and IL-6 concentrations at T3 in the two groups were significantly increased (P<0.01), but the increase in the S-ketamine group was significantly smaller than that in the control group at T3 (IL-6: 111.8±19.2 vs. 145.8±22.5, P<0.01; CRP: 1.2±0.5 vs. 1.5±0.5, P<0.01). The other outcomes were similar between the two groups.Conclusions: Esketamine used in pediatric tonsillectomy and adenoidectomy can effectively reduce postoperative FLACC, PAED score, and levels of inflammatory factors without increasing adverse reactions.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 1-2","pages":"18-25"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542693","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

Highlights of the January-February 2025 issue.

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 DOI: 10.23736/S0375-9393.25.18933-5

Franco Cavaliere

引用次数: 0

Coronary computed tomography angiography to predict myocardial injury in patients undergoing high-risk cancer surgery.

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 DOI: 10.23736/S0375-9393.24.18396-4

Cristina S Bittar, Isabela B Costa, Brunna Pileggi, Stéphanie I Rizk, Fernanda T Andrade, Eduardo A Osawa, Vinícius C Quintão, Thamara C Morais, Claudia M Simões, Giovanni Landoni, Xavier Monnet, Ludhmila A Hajjar

{"title":"Coronary computed tomography angiography to predict myocardial injury in patients undergoing high-risk cancer surgery.","authors":"Cristina S Bittar, Isabela B Costa, Brunna Pileggi, Stéphanie I Rizk, Fernanda T Andrade, Eduardo A Osawa, Vinícius C Quintão, Thamara C Morais, Claudia M Simões, Giovanni Landoni, Xavier Monnet, Ludhmila A Hajjar","doi":"10.23736/S0375-9393.24.18396-4","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18396-4","url":null,"abstract":"Background: Myocardial injury is one of the most common complications after surgery and is associated with increased mortality in high-risk patients. The aim of this study was to evaluate whether preoperative coronary computed tomography angiography can predict the occurrence of myocardial injury in cancer patients undergoing high-risk surgery.Methods: Patients diagnosed with solid tumors who possessed at least two cardiovascular risk factors and were scheduled for high-risk surgeries between August 2017 and July 2021 were included. All subjects underwent preoperative coronary computed tomography angiography, and troponin levels were measured immediately after surgery and daily within the first three days after surgery. The primary outcome was the occurrence of myocardial injury within 72 hours, defined as high-sensitivity troponin T values ≥0.014 ng/mL.Results: A total of 184 patients were included. The median age was 66 years (IQR: 60; 73 years). Myocardial injury occurred in 87 patients (48%). The logistic regression identified the following as myocardial injury predictors: bladder tumor (odds ratio [OR] 10.40 [95% confidence interval 95% CI] 2.51; 43.20, P=0.001), esophageal tumor (OR 7.39 [95% CI 2.27; 24.08], P=0.001), longer anesthesia time (OR 1.24 [95% CI 1.09; 1.43], P=0.002), calcium score of 401-1000 (OR 5.92 [95% CI 1.29; 27.08, P=0.022]), and calcium score >1000 (OR 4.62 [95% CI 1.18; 18.04, P=0.028]).Conclusions: In cancer patients undergoing high-risk surgery, high calcium score on coronary computed tomography angiography identified patients who developed postoperative myocardial injury. Coronary computed tomography angiography might be considered in the surgical risk stratification of this population.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 1-2","pages":"6-17"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542691","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

Preoperative coronary computed tomography angiography: in search for the right role.

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 DOI: 10.23736/S0375-9393.25.18917-7

Maged Y Argalious

引用次数: 0

A year in review in Minerva Anestesiologica 2024: Critical Care.

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 DOI: 10.23736/S0375-9393.25.18935-9

Franco Cavaliere, Gianni Biancofiore, Elena Bignami, Edoardo De Robertis, Alberto Giannini, Salvatore Grasso, Victoria A McCredie, Sabino Scolletta, Fabio S Taccone, Pierpaolo Terragni

引用次数: 0

Virtual reality hypnosis for sedation during urological procedures under spinal anesthesia: a preliminary clinical study. 在脊髓麻醉下进行泌尿外科手术时使用虚拟现实催眠进行镇静：一项初步临床研究。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2024-10-01 DOI: 10.23736/S0375-9393.24.18397-6

Fausto D'Agostino, Francesco Esperto, Antonio Testa, Mario Oliviero, Elisabetta C Stefani, Roberto M Scarpa, Rocco Papalia, Maria L Garo, Felice E Agrò

引用次数: 0