Minerva anestesiologica最新文献_第6页

Awake veno-venous extracorporeal membrane oxygenation: practical aspects and considerations. 清醒静脉-静脉体外膜氧合：实践方面和考虑。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2024-12-10 DOI: 10.23736/S0375-9393.24.18228-4

Gianluca Paternoster, Pietro Bertini, Fabio Sangalli, Sabino Scolletta

引用次数: 0

Combined saphenous (adductor canal) nerve block and sacral erector spinae plane block for total knee arthroplasty pain. 联合隐神经（内收管）阻滞和骶骨竖脊平面阻滞治疗全膝关节置换术疼痛。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2024-10-22 DOI: 10.23736/S0375-9393.24.18446-5

Francesco Marrone, Pierfrancesco Fusco, Saverio Paventi, Alessandra Villani, Marco Tomei, Carmine Pullano

引用次数: 0

Femoral nerve and lumbo-sacral erector spinae plane blocks in hip fracture: an alternative to neuraxial anesthesia? 髋部骨折中的股神经和髂骶直立肌平面阻滞：神经麻醉的替代方案？

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2024-11-20 DOI: 10.23736/S0375-9393.24.18485-4

Fabrizio Fattorini, Benedetto Alfonsi, Pierfrancesco Fusco, Carmine Pullano, Raffaele Perna, Francesco Marrone

引用次数: 0

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. 在肺静脉隔离的超高功率短时消融过程中进行高频超低潮气量通气。心房颤动患者病例系列。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2024-11-11 DOI: 10.23736/S0375-9393.24.18400-3

Tomoyuki Saito

引用次数: 0

Comparison of two approaches to quadratus lumborum block for postoperative analgesia in radical cystectomy: a randomized clinical trial. 两种入路腰方肌阻滞用于根治性膀胱切除术术后镇痛的比较：一项随机临床试验。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2024-12-10 DOI: 10.23736/S0375-9393.24.18332-0

Ghada M Aboelfadl, Abdelraheem M Elawamy, Ahmed H Othman, Hassan M Abdelbaky, Ahmed M Aboelfadl, Marwa M Abdelrady

{"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":"Background: 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.Methods: 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.Results: 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.Conclusions: 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.","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}

引用次数: 0

The impact of remimazolam compared to propofol on postoperative delirium: a systematic review and meta-analysis.

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2025-01-23 DOI: 10.23736/S0375-9393.24.18338-1

Xiaoming Xue, Xiangzheng Ma, Bing Zhao, Bo Liu, Jiaqi Zhang, Zhao Li, Huizhou Li, Xin Liu, Shuang Zhao

{"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":"Introduction: 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.Evidence acquisition: 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.Evidence synthesis: 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.Conclusions: Based on the available evidence, perioperative remimazolam administration is not associated with a significant rise in the incidence of POD.","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}

引用次数: 0

"Deep rectus sheath block" or "anterior transversalis fascia block"? Investigating the mechanism of a novel ultrasound-guided technique. "深直肌鞘阻滞 "还是 "前横肌筋膜阻滞"？新型超声引导技术的机制研究。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2024-11-12 DOI: 10.23736/S0375-9393.24.18477-5

Vito Torrano, Vincenzo Serafini, Alessandro De Cassai

引用次数: 0

Is the femoral nerve affected by iliopsoas block? A cadaveric volume study. 髂腰肌阻滞会影响股神经吗？尸体体积研究。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2024-10-01 DOI: 10.23736/S0375-9393.24.18452-0

Yunus O Atalay, Bahar Tekin, Gamze Ansen, Elif K Koc, Tumay U Yanaral, Bayram U Sakul, Haci A Alici

引用次数: 0

Clinical application and progress in preoxygenation techniques. 预充氧技术的临床应用及进展。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2024-12-10 DOI: 10.23736/S0375-9393.24.18355-1

Chunling Yan, Xiaolu Sun, Yanxia Sun, Mingzhang Zuo, Zhen Hua

{"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":"Introduction: 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.Evidence acquisition: 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.'Evidence synthesis: 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.Conclusions: 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.","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}

引用次数: 0

Sacral plexus block: what if I cannot see the sciatic nerve?

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-01-01 Epub Date: 2025-01-23 DOI: 10.23736/S0375-9393.24.18286-7

Pierfrancesco Fusco, Emanuele Nazzarro, Gian M Petroni, Francesca DE Sanctis, Chiara Maggiani

引用次数: 0