Minerva anestesiologica最新文献

{"title":"Awake veno-venous extracorporeal membrane oxygenation: practical aspects and considerations.","authors":"Gianluca Paternoster, Pietro Bertini, Fabio Sangalli, Sabino Scolletta","doi":"10.23736/S0375-9393.24.18228-4","DOIUrl":"10.23736/S0375-9393.24.18228-4","url":null,"abstract":"<p><p>Veno-venous extracorporeal membrane oxygenation (ECMO) is a life-saving technique in the armamentarium of critical care medicine. It involves extracorporeal blood circulation outside the body, providing temporary respiratory support while allowing the lungs to heal. Traditionally, patients undergoing ECMO require sedation to minimize discomfort and facilitate mechanical ventilation. The \"awake ECMO\" concept emerged as a promising strategy to mitigate sedation-related complications and facilitate early mobilization in critically ill patients. In this article, we describe the potential advantages of awake ECMO and its role in preserving respiratory muscle function, enhancing rehabilitation prospects, and improving patient outcomes.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"92-100"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801248","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":"Combined saphenous (adductor canal) nerve block and sacral erector spinae plane block for total knee arthroplasty pain.","authors":"Francesco Marrone, Pierfrancesco Fusco, Saverio Paventi, Alessandra Villani, Marco Tomei, Carmine Pullano","doi":"10.23736/S0375-9393.24.18446-5","DOIUrl":"10.23736/S0375-9393.24.18446-5","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"105-107"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142469744","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":"Femoral nerve and lumbo-sacral erector spinae plane blocks in hip fracture: an alternative to neuraxial anesthesia?","authors":"Fabrizio Fattorini, Benedetto Alfonsi, Pierfrancesco Fusco, Carmine Pullano, Raffaele Perna, Francesco Marrone","doi":"10.23736/S0375-9393.24.18485-4","DOIUrl":"10.23736/S0375-9393.24.18485-4","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"110-112"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676187","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 impact of remimazolam compared to propofol on postoperative delirium: a systematic review and meta-analysis.","authors":"Xiaoming Xue, Xiangzheng Ma, Bing Zhao, Bo Liu, Jiaqi Zhang, Zhao Li, Huizhou Li, Xin Liu, Shuang Zhao","doi":"10.23736/S0375-9393.24.18338-1","DOIUrl":"10.23736/S0375-9393.24.18338-1","url":null,"abstract":"<p><strong>Introduction: </strong>The administration of benzodiazepines has been linked to the occurrence of postoperative delirium (POD) among patients undergoing surgery. In this review, we aim to appraise the current controversy regarding the role of remimazolam in POD.</p><p><strong>Evidence acquisition: </strong>A systematic review and meta-analysis of randomized controlled trials was conducted to examine the effects of remimazolam administration on postoperative delirium compared to propofol from inception to April 2024. We conducted a comprehensive search of PubMed, EMBASE, Cochrane Library, Web of Science, Wanfang, and ZhiWang Chinese databases. In the fixed-effects and random-effects statistical models, pooled risk ratios (RRs) or mean differences, 95% CIs, and P values were estimated for endpoints. The trial sequential analysis was used for sensitivity analysis.</p><p><strong>Evidence synthesis: </strong>Among the 479 records screened, 11 randomized controlled trials with 1682 patients were eligible for inclusion. POD did not differ between groups (RR,0.82; 95% CI 0.53-1.26; P=0.36; df=10; I²=42%). There were no statistically significant differences between groups in the incidence of nausea and vomiting, hypoxemia, and length of stay. However, remimazolam had a lower incidence of hypotension and bradycardia than propofol. Analyses of subgroups did not reveal a difference in delirium based on the type of surgery, assessment timing, or definition of cognitive impairment. This result has been supported by the trial sequential analysis.</p><p><strong>Conclusions: </strong>Based on the available evidence, perioperative remimazolam administration is not associated with a significant rise in the incidence of POD.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"70-79"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023963","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-frequency very low-tidal volume ventilation during very high-power short-duration ablation for pulmonary vein isolation. A case series of patients with atrial fibrillation.","authors":"Tomoyuki Saito","doi":"10.23736/S0375-9393.24.18400-3","DOIUrl":"10.23736/S0375-9393.24.18400-3","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"103-105"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624057","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":"Comparison of two approaches to quadratus lumborum block for postoperative analgesia in radical cystectomy: a randomized clinical trial.","authors":"Ghada M Aboelfadl, Abdelraheem M Elawamy, Ahmed H Othman, Hassan M Abdelbaky, Ahmed M Aboelfadl, Marwa M Abdelrady","doi":"10.23736/S0375-9393.24.18332-0","DOIUrl":"10.23736/S0375-9393.24.18332-0","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to evaluate the analgesic effects following radical cystectomy using two ultrasound guided quadratus lumborum block (QLB) techniques: anterior and intramuscular.</p><p><strong>Methods: </strong>Sixty patients aged 40-60 years old with ASA I, II were considered for this study. They were divided into two equal groups. Bilateral ultrasound guided QLB was performed via either the anterior (QLBa) or intramuscular (QLBi) approach with 2.5 mg/kg of 0.25% bupivacaine diluted to 20 mL of normal saline after surgery. The primary outcome was the time to the first request for analgesia, while the secondary outcomes were the dose of postoperative morphine consumption, numerical rating scale (NRS) at rest and on movement, Bromage Scale, adverse events, and patient satisfaction.</p><p><strong>Results: </strong>The mean time to first request for analgesia was significantly prolonged in group QLBa (14.7±1.33 hours) compared to group QLBi (9.8±0.72 hours) (P<0.001). NRS either at rest or on movement were not statistically significant until six hours postoperatively. At 10, 12, and 14 h, Group QLBi had a significantly higher NRS Score at rest and on movement (P<0.001). Group QLBa had a significantly lower total morphine consumption (5.37±0.49 mg) compared to Group QLBi (6.4±0.77 mg) (P<0.001). The QLBa had higher patient satisfaction than the QLBi.</p><p><strong>Conclusions: </strong>Compared with QLBi, bilateral ultrasound guided QLBa provided a longer time to the first analgesic request, less postoperative opioid consumption, lower NRS at rest and on movement, and higher patients' satisfaction after radical cystectomy under general anesthesia.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"36-44"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801264","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 rectus sheath block\" or \"anterior transversalis fascia block\"? Investigating the mechanism of a novel ultrasound-guided technique.","authors":"Vito Torrano, Vincenzo Serafini, Alessandro De Cassai","doi":"10.23736/S0375-9393.24.18477-5","DOIUrl":"10.23736/S0375-9393.24.18477-5","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"108-109"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624054","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":"Is the femoral nerve affected by iliopsoas block? A cadaveric volume study.","authors":"Yunus O Atalay, Bahar Tekin, Gamze Ansen, Elif K Koc, Tumay U Yanaral, Bayram U Sakul, Haci A Alici","doi":"10.23736/S0375-9393.24.18452-0","DOIUrl":"10.23736/S0375-9393.24.18452-0","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"107-108"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349862","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":"Clinical application and progress in preoxygenation techniques.","authors":"Chunling Yan, Xiaolu Sun, Yanxia Sun, Mingzhang Zuo, Zhen Hua","doi":"10.23736/S0375-9393.24.18355-1","DOIUrl":"10.23736/S0375-9393.24.18355-1","url":null,"abstract":"<p><strong>Introduction: </strong>Airway management is often a life-saving procedure for patients. However, during airway management, difficult ventilation and difficult intubation are not always predictable. Preoxygenation, a crucial technique to improve oxygen reserves, plays a vital role in preventing hypoxemia during anesthesia induction. Preoxygenation technology and equipment are not monolithic. With the development of preoxygenation equipment and technology, the effect of preoxygenation has been improved, and it can be applied to different clinical settings.</p><p><strong>Evidence acquisition: </strong>We conducted a literature search (PubMed and Scopus) in October 2023 with a starting date of January 1985, repeated in August 2024, to identify relevant articles. Key search terms included: 'preoxygenation,' 'high-flow nasal oxygenation,' 'non-invasive ventilation,' 'obese patients,' 'pediatric patients,' and 'elderly patients.'</p><p><strong>Evidence synthesis: </strong>The abstracts of identified articles were assessed for relevance, along with screening of their references for further relevant publications. A full-text review of 219 articles was undertaken, of which 77 were included in the final review.</p><p><strong>Conclusions: </strong>Preoxygenation is really effective, and different preoxygenation equipment and technology can be applied in different clinical settings to improve the oxygen reserve of patients, thereby ensuring patient safety and improving patient outcome.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"80-91"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801251","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":"Effect of perioperative magnesium sulfate on neurological outcome in neurosurgical patients: a randomized double-blind controlled trial.","authors":"Isabel Gracia, Neus Fàbregas, Paola Hurtado, Nicolás DE Riva, Teresa Boget, Georgina Casanovas, Laura Oleaga, Núria Bargalló, Josep González, Jordi Rumià, Javier Tercero, Marta García-Orellana, Enrique Carrero, Gabriel Pujol-Fontrodona, Gemma Cabedo, Eugenia Pujol-Ayach, Ricard Valero","doi":"10.23736/S0375-9393.24.18401-5","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18401-5","url":null,"abstract":"<p><strong>Background: </strong>Supplemental magnesium sulfate has a potential neuroprotective role in acute brain injury. It is safe, widely available, and inexpensive. This study evaluated the effect of perioperative intravenous administration of magnesium sulfate on brain damage caused by neurosurgery.</p><p><strong>Methods: </strong>Prospective randomized double-blind controlled study. Fifty adult patients undergoing supratentorial neurosurgery (25 were assigned to magnesium sulfate group and 26 to the control group). On arrival to the operating room, the intervention group received intravenous magnesium sulfate, 4 g bolus in 100 mL of 0.9% saline solution lasting 20 min followed by 20 g in 1000 mL saline lasting 24 h. The control group received the same volume of saline. Serum S100B-protein levels 2 h after surgery was the primary outcome. Secondary outcomes were neuron-specific enolase, magnetic resonance imaging (MRI) parameters, neuropsychological testing, Glasgow Outcome Scale, and mortality, during hospital stay and at six and 12 months after surgery.</p><p><strong>Results: </strong>Statistically significant differences in the primary outcome were not found. At six months, MRI showed a mean surgical cavity volume of 10.0 cm³ (95% confidence interval [CI] 4.4-15.6) in the magnesium group vs. 26.9 cm³ (95% CI 13.8-39.9) in controls (P=0.02), gliosis/edema in 55% vs. 90.5% (P=0.014), and contrast enhancement around the cavity in 33.3% vs. 80% (P=0.041), respectively. Patients in the magnesium group showed better scores in some neuropsychological tests. There were no relevant adverse effects in magnesium group.</p><p><strong>Conclusions: </strong>Neurosurgical patients treated with supplemental magnesium sulfate showed macroscopic improvement in some MRI parameters related to blood-brain barrier permeability and better performance in some focal cognitive domain.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 1-2","pages":"45-57"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542692","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}