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Minerva anestesiologica最新文献

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Altered brain perfusion in sepsis: walking on the moon. 败血症的脑灌注改变：在月球上行走。
IF 2.9 3区 医学
Minerva anestesiologica Pub Date : 2024-09-01 Epub Date: 2024-06-14 DOI: 10.23736/S0375-9393.24.18189-8
Edoardo Picetti
{"title":"Altered brain perfusion in sepsis: walking on the moon.","authors":"Edoardo Picetti","doi":"10.23736/S0375-9393.24.18189-8","DOIUrl":"10.23736/S0375-9393.24.18189-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"725-726"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317622","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
Comparison of shoulder anterior capsular block and interscalene brachial plexus blocks: reply to Dr. Shakeri. 肩关节前囊阻滞与椎间臂丛阻滞的比较：回复 Shakeri 博士。
IF 2.9 3区 医学
Minerva anestesiologica Pub Date : 2024-09-01 Epub Date: 2024-06-26 DOI: 10.23736/S0375-9393.24.18261-2
Berna Caliskan, Ece Y Altinpulluk
{"title":"Comparison of shoulder anterior capsular block and interscalene brachial plexus blocks: reply to Dr. Shakeri.","authors":"Berna Caliskan, Ece Y Altinpulluk","doi":"10.23736/S0375-9393.24.18261-2","DOIUrl":"10.23736/S0375-9393.24.18261-2","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"833-834"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141450867","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
Has the role of troponin as a biomarker of cardiac complications after non-cardiac surgery been fully understood? 肌钙蛋白作为非心脏手术后心脏并发症的生物标志物，其作用是否已被充分认识？
IF 2.9 3区 医学
Minerva anestesiologica Pub Date : 2024-09-01 DOI: 10.23736/S0375-9393.24.18180-1
Giacomo Bacchetti, Daniele Orso, Tiziana Bove
{"title":"Has the role of troponin as a biomarker of cardiac complications after non-cardiac surgery been fully understood?","authors":"Giacomo Bacchetti, Daniele Orso, Tiziana Bove","doi":"10.23736/S0375-9393.24.18180-1","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18180-1","url":null,"abstract":"<p><p>Myocardial injury after non-cardiac surgery is a major issue with a rate of almost 20%, as suggested by the literature. Guidelines recommend screening patients undergoing non-cardiac surgery who have at least one cardiovascular risk factor. Clinical trials are characterized by a high degree of heterogeneity. Myocardial injury definitions vary among studies, and multiple troponin assays with different cut-offs are utilized. Myocardial injury has a poorly understood pathophysiology. While some studies only include troponin elevations that are thought to be caused by ischemia, others do not. Troponin elevation can be a result of patient-related factors and comorbidities, including age, chronic renal failure, and inflammatory status. Currently, there is no effective strategy to prevent perioperative myocardial injury, and there are no therapeutic options that significantly improve the outcome of patients with myocardial injury. We have focused on this topic and on perioperative myocardial injury to highlight the areas of research that remain unexplored.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"90 9","pages":"797-804"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290908","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
Management of anesthesia in children with autism spectrum disorders. 自闭症谱系障碍儿童的麻醉管理。
IF 2.9 3区 医学
Minerva anestesiologica Pub Date : 2024-09-01 DOI: 10.23736/S0375-9393.24.18420-9
Claudia Brogna, Marianna Moro, Marika Pane
{"title":"Management of anesthesia in children with autism spectrum disorders.","authors":"Claudia Brogna, Marianna Moro, Marika Pane","doi":"10.23736/S0375-9393.24.18420-9","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18420-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"90 9","pages":"719-721"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290910","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 GRIM Test could be useful in detecting fabricated data. GRIM 测试可用于检测伪造数据。
IF 2.9 3区 医学
Minerva anestesiologica Pub Date : 2024-07-31 DOI: 10.23736/S0375-9393.24.18328-9
Alessandro DE Cassai, Giulia Aviani Fulvio, Anna Bordin, Elia Citton, Paolo Navalesi
{"title":"The GRIM Test could be useful in detecting fabricated data.","authors":"Alessandro DE Cassai, Giulia Aviani Fulvio, Anna Bordin, Elia Citton, Paolo Navalesi","doi":"10.23736/S0375-9393.24.18328-9","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18328-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855994","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
Infiltration of local anesthetic in the Interspace between the popliteal artery and capsule of the posterior knee "IPACK block" versus adductor canal block "ACB" for pain relief after open wedge high tibial osteotomy: a randomized clinical trial. 在膝关节后侧腘动脉与关节囊之间的间隙浸润局麻药 "IPACK阻滞 "与内收肌管阻滞 "ACB "以缓解开放性楔形高胫骨截骨术后疼痛：一项随机临床试验。
IF 2.9 3区 医学
Minerva anestesiologica Pub Date : 2024-07-01 DOI: 10.23736/S0375-9393.24.17984-9
Ghada M Aboelfadl, Abdelraheem M Elawamy, Salwa H Ahmed, Fatma J Askar, Ahmad M Aboelfadl
{"title":"Infiltration of local anesthetic in the Interspace between the popliteal artery and capsule of the posterior knee \"IPACK block\" versus adductor canal block \"ACB\" for pain relief after open wedge high tibial osteotomy: a randomized clinical trial.","authors":"Ghada M Aboelfadl, Abdelraheem M Elawamy, Salwa H Ahmed, Fatma J Askar, Ahmad M Aboelfadl","doi":"10.23736/S0375-9393.24.17984-9","DOIUrl":"10.23736/S0375-9393.24.17984-9","url":null,"abstract":"<p><strong>Background: </strong>A high tibial osteotomy is usually associated with severe postoperative pain. Both adductor canal block (ACB) and interspace between the popliteal artery and capsule of the posterior knee (IPACK) have been described as effective block techniques for providing analgesia after knee surgeries, with few comparisons in wedge osteotomy cases. We aim to compare the postoperative analgesic profile of the previously mentioned two block techniques in patients undergoing tibial osteotomies.</p><p><strong>Methods: </strong>Sixty patients were enrolled in this randomized prospective trial (30 received IPACK and 30 received ACB). Both blocks were installed before the spinal anesthesia after infiltration of 2 mL lidocaine 2%. Twenty mL of bupivacaine 0.25% mixed with dexamethasone as anesthetic adjuvant were used for both blocks. The postoperative analgesic profiles were compared between the two groups.</p><p><strong>Results: </strong>Postoperative pain scores were lower in the IPACK group, and that decrease was evident throughout the first 10 hours postoperatively. Additionally, the duration of analgesia was much prolonged with the same block (487.50±82.39 vs. 301.93±92.06 minutes with ACB). There was a significant decline in postoperative analgesic consumption (1.27±0.45 vs. 1.8±0.61 gm, P=0.000), and a significant increase in the ambulation distance (19.10±0.60 vs. 17.73±0.45 m, P=0.000) with a significant decline in the duration of hospitalization (43.27±7.61 vs. 54±8.35 hours) in the IPACK group compared to the ACB group.</p><p><strong>Conclusions: </strong>IPACK is a superior block technique compared to ACB in patients undergoing high tibial osteotomy regarding postoperative analgesia, ambulation distance, and patient satisfaction with little rate of adverse events in both groups.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"90 7-8","pages":"618-625"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633888","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 unilateral single level sacral erector spinae plane block for total knee arthroplasty pain. 单侧单水平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 : 2024-07-01 Epub Date: 2024-02-29 DOI: 10.23736/S0375-9393.24.18046-7
Francesco Marrone, Carmine Pullano, Saverio Paventi, Marco Tomei, Pierfrancesco Fusco
{"title":"A unilateral single level sacral erector spinae plane block for total knee arthroplasty pain.","authors":"Francesco Marrone, Carmine Pullano, Saverio Paventi, Marco Tomei, Pierfrancesco Fusco","doi":"10.23736/S0375-9393.24.18046-7","DOIUrl":"10.23736/S0375-9393.24.18046-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"707-708"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139990589","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 for anesthesia and sedation in cardiac surgery and for cardiac patients undergoing non-cardiac surgery: a systematic-narrative hybrid review. 雷马唑仑用于心脏手术和接受非心脏手术的心脏病患者的麻醉和镇静：系统叙事混合综述。
IF 2.9 3区 医学
Minerva anestesiologica Pub Date : 2024-07-01 Epub Date: 2024-05-21 DOI: 10.23736/S0375-9393.24.17943-6
Jacopo D'Andria Ursoleo, Margherita Licheri, Gaia Barucco, Rosario Losiggio, Giovanna Frau, Marina Pieri, Fabrizio Monaco
{"title":"Remimazolam for anesthesia and sedation in cardiac surgery and for cardiac patients undergoing non-cardiac surgery: a systematic-narrative hybrid review.","authors":"Jacopo D'Andria Ursoleo, Margherita Licheri, Gaia Barucco, Rosario Losiggio, Giovanna Frau, Marina Pieri, Fabrizio Monaco","doi":"10.23736/S0375-9393.24.17943-6","DOIUrl":"10.23736/S0375-9393.24.17943-6","url":null,"abstract":"<p><strong>Introduction: </strong>Remimazolam, an ultra-short-acting benzodiazepine recognized and approved as an anesthetic and sedative in multiple countries, offers a distinctive pharmacokinetic profile, boasting advantages such as rapid onset, short action duration, and rapid recovery. These attributes may contribute to enhanced hemodynamic stability and a diminished risk of respiratory depression compared to other sedatives.</p><p><strong>Evidence acquisition: </strong>We conducted the first comprehensive systematically structured narrative review to evaluate the role and potential application of remimazolam in cardiac surgery. Twenty-one studies published from 2021 to 2023 delved into remimazolam's application in open cardiac surgery, cardiac catheterization or electrophysiology laboratories, and high-risk cardiovascular patients undergoing non-cardiac surgery.</p><p><strong>Evidence synthesis: </strong>Overall, remimazolam usage was apparently linked to potentially superior hemodynamic stability compared to other hypnotic drugs. However, findings regarding the reduction in postoperative delirium incidence with remimazolam and the doses of remimazolam for anesthesia induction and maintenance were inconsistent across the studies.</p><p><strong>Conclusions: </strong>Though remimazolam has demonstrated potential safety, efficacy, and ease-of-use for both anesthesia induction and maintenance in cardiac surgery patients and high-risk cardiovascular patients undergoing non-cardiac surgery, further research is imperative to delve into specific patient subgroups (e.g., the elderly or emergent procedures) so as to ascertain optimal dose ranges to suit diverse clinical scenarios.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"682-693"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070083","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 evolving landscape of airway management: a global perspective. 不断发展的气道管理：全球视角。
IF 2.9 3区 医学
Minerva anestesiologica Pub Date : 2024-07-01 Epub Date: 2024-06-14 DOI: 10.23736/S0375-9393.24.18224-7
Eric P Deflandre, Benjamin X Javillier
{"title":"The evolving landscape of airway management: a global perspective.","authors":"Eric P Deflandre, Benjamin X Javillier","doi":"10.23736/S0375-9393.24.18224-7","DOIUrl":"10.23736/S0375-9393.24.18224-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"592-594"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317625","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
Pursuing the ideal analgesic block for knee surgery: approaching the holy grail of ERAS programs? 追求膝关节手术的理想镇痛阻滞：接近 ERAS 计划的圣杯？
IF 2.9 3区 医学
Minerva anestesiologica Pub Date : 2024-07-01 DOI: 10.23736/S0375-9393.24.18299-5
Alfredo Abad-Gurumeta, Manuel Á Gómez-Ríos
{"title":"Pursuing the ideal analgesic block for knee surgery: approaching the holy grail of ERAS programs?","authors":"Alfredo Abad-Gurumeta, Manuel Á Gómez-Ríos","doi":"10.23736/S0375-9393.24.18299-5","DOIUrl":"10.23736/S0375-9393.24.18299-5","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":"90 7-8","pages":"595-597"},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633891","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
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