Minerva anestesiologica最新文献

{"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":"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":"641-649"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","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":"Thoracic spinal anesthesia for awake sternal revision surgery: a novel approach.","authors":"Nezir Yilmaz","doi":"10.23736/S0375-9393.25.18955-4","DOIUrl":"10.23736/S0375-9393.25.18955-4","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"734-735"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625025","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":"From static to dynamic ultrasound in the evaluation and treatment of chronic myofascial pain.","authors":"Pierfrancesco Fusco, Chiara Maggiani, Emanuele Nazzarro, Gian M Petroni, Francesca DE Sanctis, Carla Stecco, Walter Ciaschi","doi":"10.23736/S0375-9393.25.18902-5","DOIUrl":"10.23736/S0375-9393.25.18902-5","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"724-726"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225903","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":"Highlights from the July-August 2025 issue.","authors":"Franco Cavaliere","doi":"10.23736/S0375-9393.25.19313-9","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19313-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 7-8","pages":"605-606"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144960729","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":"Transcranial direct current stimulation: trick or treat?","authors":"Peter Karpati","doi":"10.23736/S0375-9393.25.19213-4","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19213-4","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 7-8","pages":"619-620"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144960771","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 using transcutaneous nerve mapping as an adjunct to ultrasonography for lateral femoral cutaneous nerve block amongst post graduate trainees: a randomized control study.","authors":"Isra Hasnain, Hammad Usmani, Muazzam Hasan, Talat Ali","doi":"10.23736/S0375-9393.25.18703-8","DOIUrl":"10.23736/S0375-9393.25.18703-8","url":null,"abstract":"<p><strong>Background: </strong>Lateral femoral cutaneous nerve block is an effective treatment for meralgia paresthetica refractory to pharmacological therapy. Use of ultrasound has increased the success rate of the block. However, because of steep learning curve and anatomical variations in nerve morphology, the success rate varies amongst doctors. Recently, transcutaneous nerve mapping has been used for non-invasive localization of superficial nerves.</p><p><strong>Methods: </strong>Study was conducted to compare the efficacy of Lateral femoral cutaneous nerve block in patients of meralgia paresthetica by post graduate trainees in pain medicine. Fifty patients were randomly divided into two equal groups. Group U (N.=25) received a block using ultrasound alone, while patients in group TU (N.=25) received block using ultrasound combined with transcutaneous nerve mapping. The efficacy of the block was compared in terms of Neuropathic Pain Symptom Inventory scores, Global Pain Scale score, requirement of rescue analgesics and complication.</p><p><strong>Results: </strong>Both NPSI and GPS scores decreased over time, indicating pain improvement in both the groups. Group 'TU' consistently showed lower scores at all time points, suggesting a better response to treatment in terms of both neuropathic and global pain relief. The difference between groups became more prominent over time, particularly after two weeks for NPSI and six weeks for GPS. These findings indicate that Group TU had a more significant and sustained pain reduction compared to Group U.</p><p><strong>Conclusions: </strong>Ultrasound guided Lateral femoral cutaneous nerve block combined with transcutaneous nerve mapping resulted in significantly better reduction in pain scores in meralgia paresthetica.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 7-8","pages":"650-657"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144960763","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":"Survey on pediatric anesthetic techniques for penile surgery in Italy.","authors":"Paolo Rufini, Silvia Cumbo, Zaccaria Ricci","doi":"10.23736/S0375-9393.25.18922-0","DOIUrl":"10.23736/S0375-9393.25.18922-0","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"728-729"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772882","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":"Enhanced recovery protocols and the new frontiers in surgical specialties: emergency and pediatric surgery.","authors":"Marco Ceresoli, Luca Degrate, Eleonora Colciago, Federica Tosi, Chiara Fumagalli, Luca Gianotti","doi":"10.23736/S0375-9393.25.18841-X","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18841-X","url":null,"abstract":"<p><p>Enhanced recovery after surgery (ERAS) programs have been shown, in many types of operations and surgical specialties, to be the gold standard of perioperative patient care. This statement is sustained by strong evidence on the significant reduction of postoperative morbidity, duration of hospitalization, health-related costs, nurse working load, and improved patient satisfaction when the programs are fully implemented. However, in some fields of surgery, the evidence is still moderate because data collection and systematic research has begun few years ago. Emergency and pediatric surgery are a good example. This narrative review emphasis the available and published data and highlights the limitations of current research. Yet, several ERAS key domains both in emergency and pediatric surgery may be already implemented because the level of evidence is consolidated despite considering the peculiarity of these populations and the technical diversity of some operations.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 7-8","pages":"715-723"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144960756","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":"Electrical nerve stimulation for cutaneous nerves identification: new perspectives for an old technique.","authors":"Alessandro Ruggiero, Giuseppe Pascarella","doi":"10.23736/S0375-9393.25.19382-6","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19382-6","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"91 7-8","pages":"613-615"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144960773","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":"10.23736/S0375-9393.25.19028-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"607-609"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","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}