Minerva anestesiologica最新文献_第9页

Ultrasound-guided serratus posterior superior intercostal plane block for unilateral dorsal thoracic myofascial pain. 超声引导下锯肌后上肋间平面阻滞治疗单侧胸背肌筋膜疼痛。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-04-01 Epub Date: 2025-02-18 DOI: 10.23736/S0375-9393.24.18622-1

Mihrican Sayan, Ozan Sayan, Mesut Erbas

引用次数: 0

The care relationship and medically assisted suicide: where are we heading? 护理关系与医疗辅助自杀：我们将走向何方？

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-04-01 DOI: 10.23736/S0375-9393.25.19073-1

Alberto Giannini

引用次数: 0

New insights into the use of dexamethasone-dexmedetomidine as perineural adjuvants in peripheral nerve and fascial blocks: an up-to-date narrative review. 地塞米松-右美托咪定作为周围神经辅助剂用于周围神经和筋膜阻滞的新见解：最新的叙述回顾。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-04-01 Epub Date: 2024-12-10 DOI: 10.23736/S0375-9393.24.18476-3

Francesco Marrone, Pierfrancesco Fusco, Eros Pilia, Laura B Colantonio, Carmine Pullano

{"title":"New insights into the use of dexamethasone-dexmedetomidine as perineural adjuvants in peripheral nerve and fascial blocks: an up-to-date narrative review.","authors":"Francesco Marrone, Pierfrancesco Fusco, Eros Pilia, Laura B Colantonio, Carmine Pullano","doi":"10.23736/S0375-9393.24.18476-3","DOIUrl":"10.23736/S0375-9393.24.18476-3","url":null,"abstract":"The discovery of the mechanism of action of local anesthetics, involving the blocking of sodium ion channels is considered a milestone in anesthesia. Potentially lethal toxic effects occur in the case of intravascular injection of local anesthetic (LA) or in case of exceeding dosages, as a result of systemic reabsorption. Attempts to prevent these life-threatening events have been made by developing novel LA and by adding adjuvants. The aim of this up-to-date review was to provide the newest insights on the two adjuvants dexamethasone and dexmedetomidine for regional anesthesia. The addition of perineural dexamethasone-dexmedetomidine combination has shown a faster onset, longer duration of action and increased intensity of neuronal blockade of regional anesthesia compared to perineural single adjunct. This is consistent with clinical studies (trials, observational studies and reports) of a marked prolongation of the local anesthetic effect. Nevertheless, further studies are needed to ascertain the full potential of this technique and all possible associated risks.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"325-333"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801270","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

A new three injection approach as a game changer for complete postoperative analgesia in total knee arthroplasty. 一种新的三次注射方法作为全膝关节置换术后完全镇痛的改变者。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.23736/S0375-9393.24.18672-5

Paolo Scimia, Luca Gentili, Giuseppe Sepolvere

引用次数: 0

How to optimize the images for regional anesthesia articles: defining the standards. 如何优化区域麻醉文章的图像：确定标准。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-04-01 DOI: 10.23736/S0375-9393.25.18707-5

Hadi U Yörükoğlu, Sevim Cesur, Can Aksu, Alparslan Kuş

引用次数: 0

Effectiveness of ChatGPT-4 in predicting the human decision to send patients to the postoperative intensive care unit: a prospective multicentric study. ChatGPT-4在预测人类是否将患者送至术后重症监护病房的有效性：一项前瞻性多中心研究

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-04-01 Epub Date: 2025-03-27 DOI: 10.23736/S0375-9393.24.18587-2

Engin I Turan, Abdurrahman E Baydemir, Ayça S Şahin, Funda G Özcan

{"title":"Effectiveness of ChatGPT-4 in predicting the human decision to send patients to the postoperative intensive care unit: a prospective multicentric study.","authors":"Engin I Turan, Abdurrahman E Baydemir, Ayça S Şahin, Funda G Özcan","doi":"10.23736/S0375-9393.24.18587-2","DOIUrl":"10.23736/S0375-9393.24.18587-2","url":null,"abstract":"Background: Postoperative ICU admission is crucial in surgical patient management, impacting morbidity and mortality outcomes. Traditional prediction methods, such as the ASA physical status classification, are subjective and prone to variability. This study evaluates the effectiveness of ChatGPT-4 in predicting postoperative ICU admission needs using comprehensive preoperative patient data.Methods: In this prospective multicentric study, data from 406 patients aged 18 and older were analyzed. Patients requiring emergency surgery and those with insufficient information were excluded. Preoperative data, including demographics, medical history, laboratory results, and imaging findings, were collected and anonymized. ChatGPT-4 was configured to predict ICU admission needs based on this data. The model's predictions were compared with actual ICU admissions using Chi-Square, confusion matrix, and one-sample t-tests.Results: ChatGPT-4 model predicted 128 patients for ward care and 278 for ICU admission. Among the predicted ICU cases, 160 were correctly identified as ICU, while 118 were observed to need ward care. The overall accuracy of the model was 0.645, with a specificity of 0.464, sensitivity of 0.860, and an F1 score of 0.690. A Chi-square Test revealed a significant result (P=0.000).Conclusions: The findings demonstrate that ChatGPT-4 can effectively predict postoperative ICU needs, providing a valuable tool for clinical decision-making. While the model showed strong agreement with actual ICU admissions, refinement is needed to improve the accuracy of ICU stay duration predictions. Integrating AI in preoperative assessments could enhance objectivity and efficiency, contributing to optimized patient care and resource allocation. Further validation across diverse patient populations is recommended.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"259-267"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143720530","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 effect of sacral erector spinae plane block on the quality of recovery after total hip arthroplasty: a prospective, randomized, controlled, multicenter study. 骶骨竖脊平面阻滞对全髋关节置换术后恢复质量的影响：一项前瞻性、随机对照、多中心研究。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-04-01 Epub Date: 2024-11-04 DOI: 10.23736/S0375-9393.24.18353-8

Muhammed H Satici, Mahmut S Tutar, Yasin Tire, Orhan Binici, Osman Çiçekler, Elif Korkmaz, Oğuzhan Pekince, Betül Kozanhan

{"title":"The effect of sacral erector spinae plane block on the quality of recovery after total hip arthroplasty: a prospective, randomized, controlled, multicenter study.","authors":"Muhammed H Satici, Mahmut S Tutar, Yasin Tire, Orhan Binici, Osman Çiçekler, Elif Korkmaz, Oğuzhan Pekince, Betül Kozanhan","doi":"10.23736/S0375-9393.24.18353-8","DOIUrl":"10.23736/S0375-9393.24.18353-8","url":null,"abstract":"Background: Total hip arthroplasty, commonly performed to alleviate hip pain and enhance functionality in elderly patients, requires effective postoperative pain management to reduce opioid consumption and its associated side effects. A novel regional anaesthesia technique, the sacral erector spinae plane block, has the potential to enhance the quality of postoperative recovery significantly.Methods: This prospective, randomized, controlled multicenter study investigated the effects of the sacral erector spinae plane block on recovery quality in patients undergoing total hip arthroplasty. The study comprised 50 patients, divided into Group S (patients receiving patients receiving sacral erector spinae plane block [S-ESPB]) and Group C (patients getting just multimodal analgesia). The primary outcome measured was the Quality of Recovery-15 score 24 hours post-surgery. Secondary outcomes included postoperative numerical rating scale scores (A score of 0 indicates no pain, while 10 indicates the most severe pain), total consumption of rescue analgesics, time to first rescue analgesic administration, patient satisfaction, time to first ambulation, the occurrence of complications, and the need for antiemetics.Results: Group S had markedly higher quality of recovery-15 scores compared to Group C (Group S: median 117 percentiles [97-121]; Group C: median 89 percentiles [75-96]; P<0.001). Group S scored higher in postoperative pain, physical comfort, support, emotional state, and general quality of recovery-15 (P<0.001). Nevertheless, the physical independence category ratings were comparable across both groups (P=0.286).Conclusions: Sacral erector spinae plane block is a promising analgesic technique that enhances postoperative recovery and patient comfort in total hip arthroplasty.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"278-285"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569060","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

Ultrasonography versus conventional palpation for epidural analgesia in pediatrics undergoing midabdominal urological operations: a randomized clinical trial. 在小儿接受中腹部泌尿外科手术时进行硬膜外镇痛的超声波检查和传统触诊：随机临床试验。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-04-01 Epub Date: 2024-11-26 DOI: 10.23736/S0375-9393.24.18414-3

Mohamed A Tolba, Mohammed Abaalkhayl, Ahmed A Shabaan, Sameh M El-Sherbiny, Maha A Abo-Zeid

{"title":"Ultrasonography versus conventional palpation for epidural analgesia in pediatrics undergoing midabdominal urological operations: a randomized clinical trial.","authors":"Mohamed A Tolba, Mohammed Abaalkhayl, Ahmed A Shabaan, Sameh M El-Sherbiny, Maha A Abo-Zeid","doi":"10.23736/S0375-9393.24.18414-3","DOIUrl":"10.23736/S0375-9393.24.18414-3","url":null,"abstract":"Background: Epidural block may be facilitated by ultrasound (US), particularly in pediatrics. Our goal was to compare pre-procedural US with traditional palpation for epidural block in pediatrics undergoing midabdominal urological procedures.Methods: A total of 110 patients (one to 12 years of age) with physical status Class I and II were enrolled in this study. Patients were randomly assigned to two equal groups (US and palpation; 55 subjects in each group) using the permuted block randomization method with randomly selected block sizes of four and six. Study subjects and outcomes evaluators were blinded to the study group. The primary outcome was the rate of successful epidural block at the first needle pass.Results: There was a significant increase in success rate of the epidural block at the first needle pass in US group compared with the palpation group, 80% and 47.3% respectively, 95% Confidence Interval (2.379-8.35), P value ˂0.001. The epidural space detection time was significantly shorter in the US group compared to the palpation group. No procedural complications (unintentional vascular puncture and epidural puncture) occurred in the two groups.Conclusions: Preprocedural US facilitated epidural block in pediatrics undergoing mid-abdominal urological operations compared with conventional techniques.","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"296-305"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716770","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

A novel and feasible option for perioperative analgesia in hip fractures surgery: quadro-iliac plane block. 髋部骨折围手术期镇痛的一种新颖可行的选择：股髂平面阻滞。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-03-27 DOI: 10.23736/S0375-9393.25.18801-9

Francesco Marrone, Tommaso Sorrentino, Carmine Pullano, Serkan Tulgar

引用次数: 0

Peripheral nerve block for acute limb ischemia related to shock in critical care settings: report of a preliminary experience. 周围神经阻滞治疗危重护理环境中与休克相关的急性肢体缺血：初步经验报告。

IF 2.9 3区医学

Minerva anestesiologica Pub Date : 2025-03-27 DOI: 10.23736/S0375-9393.25.18916-5

Sylvain Diop, Camille Wirth, Jacques Thes, Olaf Mercier, Maïra Gaillard, François Stephan, Thibaut Genty

引用次数: 0