Minerva anestesiologica最新文献

{"title":"The FRONT block: pioneering a new era in anterior hip analgesia?","authors":"Tommaso Sorrentino, Francesco Marrone, Simona Lolli, Carmine Pullano, Pierfrancesco Fusco","doi":"10.23736/S0375-9393.25.19099-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19099-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017203","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":"Analgesic efficacy of a quadratus lumborum block and ilioinguinal-iliohypogastric block in cesarean deliveries: a randomized study.","authors":"Serpil Sehirlioglu, Dondu G Moralar, Gullu C Isik, Talal Cakmak, Tevfik Kacar","doi":"10.23736/S0375-9393.25.18513-1","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18513-1","url":null,"abstract":"<p><strong>Background: </strong>Quadratus lumborum block (QLB) and ilioinguinal-iliohypogastric nerve (II-IH) blocks are used as components of multimodal analgesia for postoperative pain relief following cesarean delivery. The aim of this prospective, randomized study was to compare the efficacy of a quadratus lumborum block and ilioinguinal-iliohypogastric block applied to patients who underwent cesarean delivery under spinal anesthesia on total opioid analgesic consumption and Numerical Rating Scale (NRS) scores within the first 24 hours postoperatively.</p><p><strong>Methods: </strong>Seventy pregnant women who underwent cesarean delivery under spinal anesthesia were analyzed. The women were randomized into the QLB group (N.=34) and the II-IH group (N.=36). Postoperatively, bilateral anterior quadratus lumborum block was applied to the QLB group and bilateral ilioinguinal-iliohypogastric block was applied to the II-IH group. Tramadol consumption, NRS scores, and drug side effects were recorded at 2, 4, 8, 12, and 24 hours postoperatively.</p><p><strong>Results: </strong>Total tramadol consumption within the first 24-hours was significantly lower in the QLB Group than in the II-IH Grup (41.2±65.7 vs. 94.4±95.5mg, respectively; P=0.013). The NRS Score was low in both groups, but there was no significant difference between the groups. We found that 67.6% of patients in the QLB group and 41.7% of patients in the II-IH group did not require rescue analgesia within the first 24 hours (P=0.029).</p><p><strong>Conclusions: </strong>Quadratus lumborum block and ilioinguinal-iliohypogastric blocks applied for postoperative analgesia after cesarean delivery are associated with a low NRS Score in the first 24 hours. Quadratus lumborum block is associated with lower opioid consumption than an ilioinguinal-iliohypogastric block, suggesting that a quadratus lumborum block is preferable in cesarean delivery.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002549","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":"Retrolaminar block for postoperative pain management in a pediatric patient undergoing circumcision and orchidopexy.","authors":"Engin I Turan, Selçuk Alver, Bahadır Çiftçi, Volkan Özen","doi":"10.23736/S0375-9393.25.19018-4","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19018-4","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027751","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":"Ultrasound-guided continuous stellate ganglion block for refractory ventricular electrical storm.","authors":"Paolo Scimia, Andrea Angelozzi, Stefano Troili, Manuel A Conti, Giuseppe Sepolvere, Luca Gentili","doi":"10.23736/S0375-9393.25.18987-6","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18987-6","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009266","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":"Serratus posterior inferior intercostal plane block for post-hysterectomy analgesia in a patient with multiple analgesic contraindications.","authors":"Fusun Karbancioğlu Canturk, Mehmet Canturk, Duygu Kocakulak, Sedef Elmas","doi":"10.23736/S0375-9393.25.19059-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19059-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032008","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":"Multiple chest wall interfascial plane blocks for awake pectoral debridement/excision and local flap surgery in high-risk patient.","authors":"Bahadir Ciftci, Sümeyye Yildiz, Hasan Kara, Burak Ozkan","doi":"10.23736/S0375-9393.25.18940-2","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18940-2","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017196","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":"Posterior quadratus lumborum block, a novel approach to treat chronic hip pain: a cohort study.","authors":"María T Fernandez Martin, Ignacio Aguado-Maestro, Jose A Aguirre","doi":"10.23736/S0375-9393.25.18749-X","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18749-X","url":null,"abstract":"<p><strong>Background: </strong>Hip osteoarthritis is a common disease, and the pain associated with it has a major impact on morbidity and quality of life. Therefore, the management of chronic hip pain requires a multimodal approach to improve joint function and quality of life. The aim of this study was to assess whether the posterior quadratus lumborum block (QLB) reduced pain and enhanced quality of life in patients suffering from chronic pain.</p><p><strong>Methods: </strong>After Ethical committee's approval (no. PI 21-PI104 on June 26,2021) and registration (Trial registration number: NCT04438265) we started this prospective cohort study. The sample size calculated were 200 patients (100 per group) suffering from chronic hip pain with poor response to previous treatments. The intervention group received posterior quadratus lumborum block as an analgesic technique and control group did not. Pain (NRS) and quality of life (WOMAC questionnaire) were assessed at baseline, three weeks, three and six months in both groups.</p><p><strong>Results: </strong>Demographic data showed no differences between groups. The QLB group showed significant improvements in pain and quality of life at three months compared to baseline (NRS mean 7/4; and WOMAC mean 59/35) (P value=0.001), while the control group scores remained unchanged (NRS 7/8; and WOMAC (61/61). At three months, 50 patients in the QLB group showed an improvement more than 50% in NRS and WOMAC scores (ten of those patients had an improvement for more than one year). We observed that patients with avascular necrosis showed a minor improvement. Only two adverse events were registered.</p><p><strong>Conclusions: </strong>Our results suggest that posterior QLB could represent a minimally invasive option in chronic hip pain.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027736","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":"Pneumothorax induced by oxygenation via oxygen cannula.","authors":"Yingqi Weng, Wenwen Lu, Yunlong Huang, Lu Lu","doi":"10.23736/S0375-9393.25.18951-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18951-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972098","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":"Effects of ultrasound-guided mid-point transverse process to pleura block on acute pain intensity and chronic pain incidence after laparotomic nephrectomy: a randomized controlled study.","authors":"Mohamed S Abdelghany, Naglaa K Mohamed, Alaa M Hagar, Aliaa M Belal","doi":"10.23736/S0375-9393.24.18608-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18608-7","url":null,"abstract":"<p><strong>Background: </strong>Following laparotomic nephrectomy, regional blocks may improve patients' analgesia profiles. This study aimed to evaluate the effect of the mid-point transverse process to pleura (MTP) block on patients' acute and chronic postoperative pain levels and their need for analgesics after laparotomic nephrectomy.</p><p><strong>Methods: </strong>Seventy patients of both genders, between the ages of 21and 65 years, categorized as ASA I, II and III by American Society of Anesthesiologists who were scheduled for partial or radical nephrectomy using the standard flank incision approach under general anesthesia were included and randomly assigned into two equal groups; group I (35 patients) received real MTP block with injection of 20 ml 0.5% bupivacaine plus 4 mg (1 mL) dexamethasone whereas group II (35 patients) received sham MTP block (2ml saline subcutaneous). The primary outcome was the postoperative NRS score. Secondary outcomes were morphine consumption on the first day after surgery, the onset of postoperative analgesic request, intraoperative fentanyl consumption, the incidence of perioperative complications, and chronic pain development three months following surgery.</p><p><strong>Results: </strong>At 30 minutes, 2, 4, 6, 8, 12, and 18 hours after surgery, the patients who received real US-guided MTP block reported significantly lower NRS pain scores. They also consumed significantly less morphine at 24 hours postoperatively, with a median IQR of 9 [6-9] mg, compared to 15 [12-15] mg in the control group. Also, the MTP block group had significantly prolonged analgesic request onset compared to the control group (P=0.000). Additionally, intraoperative fentanyl requirements were significantly reduced by MTP block (P=0.000). Three months following surgery, 40% of patients had developed chronic post-nephrectomy pain, in the control group compared to 17% of patients in the MTP block group (P=0.034).</p><p><strong>Conclusions: </strong>The preemptive US-guided MTP block improved analgesia quality, reduced the need for rescue analgesia, and provided safe and effective postoperative analgesia with no major side effects, including a lower incidence of chronic post-nephrectomy pain.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031924","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":"Dexmedetomidine and postoperative pain management: enhancing quality of life through effective analgesia.","authors":"Freda Richa, Hiba Kahi","doi":"10.23736/S0375-9393.25.19028-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19028-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009259","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}