Minerva anestesiologica最新文献_第7页

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 : 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

Understanding opioid free anesthesia through trials: a PICO tassonomy. 通过试验了解无阿片类药物麻醉：PICO tassonomy。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-10-01 DOI: 10.23736/S0375-9393.24.18448-9

Stefano Skurzak, Antonella Marzullo

引用次数: 0

Factors affecting decision-making process in organ donation in Italy. 影响意大利器官捐赠决策过程的因素。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-10-01 Epub Date: 2024-07-09 DOI: 10.23736/S0375-9393.24.18278-8

Francesca Leonardis, Roberto Cacciola

引用次数: 0

Mitochondrial abnormalities in septic cardiomyopathy. 脓毒症心肌病的线粒体异常。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-10-01 Epub Date: 2024-07-25 DOI: 10.23736/S0375-9393.24.18045-5

Fang Jin, Li-Jun Liu

引用次数: 0

Understanding the anatomy of pelvic fascia: implications for regional anesthesia. 了解骨盆筋膜的解剖结构：对区域麻醉的影响。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-09-26 DOI: 10.23736/S0375-9393.24.18290-9

Peiqi Shao, Zhangran Ai, Huili Li, Ruijuan Guo, Yun Wang

{"title":"Understanding the anatomy of pelvic fascia: implications for regional anesthesia.","authors":"Peiqi Shao, Zhangran Ai, Huili Li, Ruijuan Guo, Yun Wang","doi":"10.23736/S0375-9393.24.18290-9","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18290-9","url":null,"abstract":"The fascia, a continuous structure around the whole body across various anatomical locations, remains underexplored in regional anesthesia. The pelvic fascia is a particularly controversial and complicated anatomical structure. It holds significant relevance not only for surgeons but also in the realms of regional anesthesia and pain management. Many regional nerve blocking techniques in the pelvis are closely related to fascial anatomy, such as fascia iliaca compartment block, circum-psoas block, inferior hypogastric plexus block, and ganglion impar block. The continuity of fascia and interfascial spaces profoundly influences both the efficacy of blockades and the incidence of complications. A thorough understanding of pelvic fascia anatomy is crucial for understanding the potential pathways and barriers for spread of local anesthetics, enhancing analgesia, and minimizing side effects. Currently, a systematic discussion of pelvic fascia from the perspective of regional anesthesia and pain therapy is notably absent. This narrative review aims to consolidate knowledge on the anatomy of pelvic fascia pertinent to regional anesthesia and pain management, detailing relevant pelvic nerves, and associated peripheral nerve blocking techniques.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349866","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

Magnesium sulfate infusion for emergence agitation in adult patients after general anesthesia: a systematic review and meta-analysis of randomized controlled trials. 输注硫酸镁治疗全身麻醉后成人患者出现的躁动：随机对照试验的系统回顾和荟萃分析。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-09-26 DOI: 10.23736/S0375-9393.24.18221-1

Lucas R DE Freitas, Suzany L Martins, Pedro L Alencar, Vitor R Moraes, Gabriel D Condeixa, Mariana Gaya DA Costa

{"title":"Magnesium sulfate infusion for emergence agitation in adult patients after general anesthesia: a systematic review and meta-analysis of randomized controlled trials.","authors":"Lucas R DE Freitas, Suzany L Martins, Pedro L Alencar, Vitor R Moraes, Gabriel D Condeixa, Mariana Gaya DA Costa","doi":"10.23736/S0375-9393.24.18221-1","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18221-1","url":null,"abstract":"Introduction: Emergence agitation following general anesthesia poses significant risks to both patients and medical staff. While extensive research has explored the efficacy of magnesium sulfate (MgSO4) in managing pediatric emergence agitation, its effectiveness in adults remains uncertain. Therefore, this meta-analysis seeks to evaluate the efficacy of MgSO4 in mitigating emergence agitation following general anesthesia in adult populations.Evidence acquisition: A systematic search was conducted across PubMed, Embase, Cochrane Library, and Web of Science databases to identify randomized controlled trials (RCTs) comparing MgSO4 or placebo infusion during surgical procedures involving adult patients under general anesthesia. Key outcomes assessed included the incidence of emergence agitation, agitation severity scores, extubation duration, and postoperative nausea and vomiting (PONV). Statistical analyses were conducted using Review Manager 5.4.1 (Cochrane, London, UK), with heterogeneity evaluated using I2 statistics. Significance was defined at P<0.05 for Odds Ratios (OR), mean differences (MD), and standard mean differences (SMD).Evidence synthesis: Five RCTs encompassing 605 participants were included. MgSO4 resulted in a lower emergence agitation incidence (OR=0.29 [95% CI: 0.12;0.72]; P=0.007). There were no significant differences between groups for patient's agitation severity scores (SMD=-0.69 [95% CI: -1.82; 0.44]; P=0.23), extubation time (MD=1.16 [95% CI: -1.06; 3.37]; P=0.30), or PONV incidence (OR=0.52 [95% CI: 0.15-1.76]; P=0.29).Conclusions: Magnesium sulfate infusion during general anesthesia was associated with lower incidence of emergence agitation in adults. However, no significant differences were observed regarding emergence agitation severity scores, PONV, or extubation time.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349863","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

Efficacy of quadro-iliac plane block in single level lumbar discectomies: a case series for novel block. 单层腰椎间盘切除术中四髂平面阻滞的疗效：新型阻滞的病例系列。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-09-11 DOI: 10.23736/S0375-9393.24.18314-9

Engin I Turan, Cansu Aslan, Kübranur Berber, Onur Sarban, Ayça S Şahin

引用次数: 0

Effect of systemic lidocaine infusion on optic nerve sheath diameter during laparoscopic hysterectomy: a randomized controlled study. 腹腔镜子宫切除术中全身注射利多卡因对视神经鞘直径的影响：随机对照研究。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-09-01 DOI: 10.23736/S0375-9393.24.18204-1

Osama M Rehab, Mohammed S Elsharkawy, Doha M Bakr, Adel A Hassan

{"title":"Effect of systemic lidocaine infusion on optic nerve sheath diameter during laparoscopic hysterectomy: a randomized controlled study.","authors":"Osama M Rehab, Mohammed S Elsharkawy, Doha M Bakr, Adel A Hassan","doi":"10.23736/S0375-9393.24.18204-1","DOIUrl":"10.23736/S0375-9393.24.18204-1","url":null,"abstract":"Background: During laparoscopic hysterectomy (LH), the elevation of intra-abdominal and intra-thoracic pressures due to pneumoperitoneum (PP) results in an increase in intracranial pressure (ICP). The Trendelenburg position (TP) is an accentuating factor. This trial aimed to assess the effect of intravenous (IV) lidocaine infusion on optic nerve sheath diameter (ONSD), a widely accepted surrogate measure for ICP, during PP and TP.Methods: A randomized, placebo-controlled study was conducted on 66 patients scheduled for LH, equally divided into a lidocaine group and a saline group. ONSD, the primary outcome, was recorded before induction (T1), before PP initiation in the supine position (T2), five minutes (T3), 30 minutes (T4), and 60 minutes (T5) after PP and TP, and five minutes after termination of PP in the supine position (T6). Secondary outcomes included numerical rating scale (NRS) scores at arrival to the post-anesthesia care unit (PACU), 6, 12, and 24 hours after surgery, and postoperative adverse effects.Results: ONSD at T4 and T5 was significantly lower in the lidocaine group than in the saline group (T4: 4.94±0.43 mm vs. 5.27±0.37 mm; P =0.003, T5: 5.08±0.46 vs. 5.41±0.38 mm; P =0.004). The lidocaine group had significantly lower NRS values than the saline group only at PACU arrival (median [Q1-Q3]: 5 [4-6] vs. 6 [5-6.25]; P =0.016). Fewer patients in the lidocaine group experienced postoperative headache (P =0.029).Conclusions: IV lidocaine during LH can attenuate the ONSD distension, decrease pain scores at PACU arrival, and reduce the incidence of postoperative headache.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"90 9","pages":"727-738"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290907","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

Remimazolam versus propofol for endoscopy sedation in elderly patients: a systematic review, meta-analysis and trial sequential analysis. 雷马唑仑与异丙酚在老年患者内窥镜检查镇静方面的比较：系统综述、荟萃分析和试验序列分析。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-09-01 Epub Date: 2024-05-22 DOI: 10.23736/S0375-9393.24.18027-3

Marcela T Terres, Maria L Assis, Carlos B DA Silveira, Sara Amaral

{"title":"Remimazolam versus propofol for endoscopy sedation in elderly patients: a systematic review, meta-analysis and trial sequential analysis.","authors":"Marcela T Terres, Maria L Assis, Carlos B DA Silveira, Sara Amaral","doi":"10.23736/S0375-9393.24.18027-3","DOIUrl":"10.23736/S0375-9393.24.18027-3","url":null,"abstract":"Introduction: Procedural sedation is crucial in gastrointestinal endoscopy, where propofol is commonly used but may lead to cardiovascular and respiratory side effects. Remimazolam, a new drug, offers advantages such as rapid onset and recovery. The sedation protocols for this population vary, requiring tailored titration of sedatives. The comparative safety of these drugs in elderly patients undergoing procedural sedation remains unclear, as previous studies primarily focus on the general population. We aimed to compare the safety profiles of remimazolam and propofol in this context. in elderly patients undergoing procedural sedation for gastrointestinal endoscopy.Evidence acquisition: We searched MEDLINE, EMBASE and Cochrane Library for randomized controlled trials (RCTs) comparing propofol with remimazolam in elderly patients undergoing procedural sedation. Our outcomes were the incidence of adverse effects. A trial sequential analysis (TSA) was conducted on all outcomes to assess the adequacy of the sample size in supporting our findings.Evidence synthesis: We selected seven RCTs including 1499 patients, of whom 764 (50.96%) were randomized to receive remimazolam. Remimazolam exhibited a significantly lower risk of adverse events, including hypoxemia, respiratory depression, hypotension, bradycardia, and injection pain, compared to propofol. Incidences of PONV, dizziness and headache, did not significantly differ between the groups. The findings of the TSA indicated that our sample size was sufficiently large to render further studies inconsequential for most outcomes.Conclusions: Our findings suggest that in elderly patients having gastrointestinal endoscopy, remimazolam could be safer than propofol. This population may benefit from remimazolam's lower risk of adverse events, notably hypoxemia and respiratory depression.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"775-784"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076280","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

Percutaneous electrical nerve stimulation to treat persistent post-surgical pain after umbilical hernioplasty in a patient with cortisone-induced adipose tissue atrophy. 经皮神经电刺激治疗可的松诱发脂肪组织萎缩患者脐疝成形术后的持续性术后疼痛。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2024-09-01 Epub Date: 2024-06-04 DOI: 10.23736/S0375-9393.24.18117-5

Morena Calli, Ilaria Scaioli, Emanuele Piraccini, Stefano Maitan

引用次数: 0