Minerva anestesiologica最新文献

{"title":"Effects of transcranial direct current stimulation on postoperative pain and opioid consumption in arthroplasty: a systematic review and meta-analysis.","authors":"Jianlei Li, Bin Shen, Jianjiang Liu, Fajia Wang","doi":"10.23736/S0375-9393.25.18744-0","DOIUrl":"10.23736/S0375-9393.25.18744-0","url":null,"abstract":"<p><strong>Introduction: </strong>To evaluate the effectiveness of transcranial direct current stimulation (tDCS) on acute postoperative orthopedic pain and opioid depletion following arthroplasty.</p><p><strong>Evidence acquisition: </strong>Two independent researchers searched PubMed, EMBASE, and the Cochrane Library databases from inception to May 2024 to identify eligible randomized controlled trials (RCTs). The methodological quality and potential biases of the included studies were assessed using the Cochrane risk of bias assessment tool, and the risk of bias and robustness of the literature were evaluated through funnel plots and sensitivity analyses. Additionally, statistical analysis of relevant outcome measures was conducted using STATA 17.0.</p><p><strong>Evidence synthesis: </strong>Preliminary screening yielded 417 articles, from which eight were selected for comprehensive analysis. Statistical analysis revealed that tDCS effectively alleviated acute postoperative pain following arthroplasty, whether during rest or movement. Additionally, tDCS was observed to reduce the consumption of opioid analgesics among patients, particularly in cases where the primary motor cortex (M1) was targeted for tDCS application.</p><p><strong>Conclusions: </strong>Based on low-level evidence, tDCS shows promise in alleviating acute postoperative pain following arthroplasty and reducing the consumption of opioid analgesics in patients after surgery. These findings suggest that tDCS could potentially serve as a valuable adjunctive therapy for managing postoperative pain in orthopedic patients, providing a possible alternative or complement to traditional analgesic methods. However, it is important to note that further research, including more RCTs, is needed to confirm and extend these findings.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"676-687"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225902","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":"Peripheral nerve block for acute limb ischemia related to shock in critical care settings: report of a preliminary experience.","authors":"Sylvain Diop, Camille Wirth, Jacques Thes, Olaf Mercier, Maïra Gaillard, François Stephan, Thibaut Genty","doi":"10.23736/S0375-9393.25.18916-5","DOIUrl":"10.23736/S0375-9393.25.18916-5","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"726-727"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143720534","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":"Artificial intelligence in hemodynamic management: promise, pitfalls, and ethical reflections.","authors":"Jan Zatloukal, Jan Benes","doi":"10.23736/S0375-9393.25.19174-8","DOIUrl":"10.23736/S0375-9393.25.19174-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"610-612"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285476","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":"Refractory hyperthermia and sleep disturbance following intrathecal drug delivery system implantation.","authors":"Jian Han, Huayue Liu, Jiapeng Deng, Rong Zeng, Qiong Wu, Tianyi DU, Zhenwu Zhang, Diyang Ling, Zheyin Wang, Juan Zhang","doi":"10.23736/S0375-9393.25.18926-8","DOIUrl":"10.23736/S0375-9393.25.18926-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"729-731"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002551","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":"Effect of perioperative intravenous infusion of dexmedetomidine on the quality of early and long-term postoperative recovery in patients undergoing thoracoscopic surgery: a randomized controlled trial.","authors":"Zhibiao Xu, Li Zhang, Yuyun Liu, Yuxiang Meng, Zijie Ling, Sumin Yuan, Ziwei Li, Teng Sun, Su Liu, Linlin Zhao","doi":"10.23736/S0375-9393.25.18716-6","DOIUrl":"10.23736/S0375-9393.25.18716-6","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effect of perioperative intravenous infusion of dexmedetomidine on the quality of early and long-term postoperative recovery in patients undergoing thoracoscopic surgery, and to further analyze its potential mechanism.</p><p><strong>Methods: </strong>A total of 80 patients were enrolled and randomized to dexmedetomidine group, which received perioperative intravenous infusion of dexmedetomidine and normal saline group, which received equivalent doses of normal saline. The primary outcome was total QoR-15 score on postoperative day 1. Secondary outcomes included total QoR-15 Score on postoperative day 2, day 3, day 7, month 1 and month 3 and the score of dimensions of QoR-15, NRS Score, incidence of moderate to severe pain, physical comfort score, hospital anxiety and depression scale score and adverse reactions on postoperative day 1, day 2, day 3, day 7, month 1 and month 3.</p><p><strong>Results: </strong>The total QoR-15 score of dexmedetomidine group on postoperative day 1 was significantly higher than that of saline group (127.1±7.3 vs. 118.4±9.3, P<0.001), the same as on postoperative day 2, day 3, day 7 and month 1 (all P<0.001). Further analysis of each dimension showed that the enhancement of total QoR-15 score on postoperative day 1, day 2, day 3 in dexmedetomidine group was mainly due to the improvement of pain and physical comfort (all P<0.0.05), which was consistent with NRS score, incidence of moderate to severe pain and physical comfort score (P<0.0.05). The increase of total QoR-15 score on day 7 was mainly due to the combined effect of pain, physical comfort, and emotional dimensions (all P<0.05). The enhancement of total QoR-15 score on postoperative month 1 was mainly due to an improvement in the emotional dimension, which was consistent with hospital anxiety and depression scale score (all P<0.05). In terms of adverse reactions, the incidence of nausea and vomiting on postoperative day 1 and day 2 was significantly reduced in the dexmedetomidine group (48.7% vs. 25.6%, 38.5% vs. 17.9%, both P<0.05), and there was no significance in other aspects (all P<0.05).</p><p><strong>Conclusions: </strong>Perioperative intravenous infusion of dexmedetomidine significantly improved the quality of recovery after thoracoscopic surgery without increasing the occurrence of adverse reactions, and the early enhancement may be mainly through the improvement of pain and physical comfort, the long-term enhancement may be mainly through the improvement of emotional state.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":"621-630"},"PeriodicalIF":2.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007196","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":"Comparison of postoperative analgesic efficacy between PENG block and suprascapular nerve block in shoulder arthroscopy: a randomized controlled trial.","authors":"Ibrahim Topcu, Bilal Kasapoglu, Ozlem M Eksi, Yaser Pektas, Sema N Baki, Gokhan Sertcakacilar","doi":"10.23736/S0375-9393.25.18879-2","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18879-2","url":null,"abstract":"<p><strong>Background: </strong>Patients commonly experience moderate to severe pain following shoulder arthroscopy. It is possible to reduce opioid consumption and hospital stay by using regional analgesia techniques in pain management. Currently, the suprascapular nerve block (SSNB) is widely used as an effective method to provide analgesia in shoulder surgeries. The pericapsular nerve group (PENG) block, on the other hand, is a newly described technique, and there is insufficient clinical research regarding its postoperative analgesic efficacy. This study aimed to compare the analgesic efficacy of SSNB and PENG blocks following shoulder arthroscopy.</p><p><strong>Methods: </strong>In this prospective, randomized, controlled, single-center clinical trial, 74 patients undergoing shoulder arthroscopy were randomized into SSNB and PENG groups under ultrasound guidance. Postoperative pain was managed with tramadol HCl intravenous patient-controlled analgesia (PCA) and paracetamol as rescue analgesia. The primary outcome was postoperative pain scores. Secondary outcomes included cumulative opioid consumption during the first 36 hours postoperatively and patient satisfaction.</p><p><strong>Results: </strong>No statistically significant differences were found between the SSNB and PENG groups in terms of postoperative pain scores (P=0.307). Cumulative opioid consumption and patient satisfaction were also similar between the two groups (P=0.307, P=0.397, respectively). However, the PENG block group had significantly shorter procedure times and lower pain scores during the block procedure compared to the SSNB group (P=0.045, P=0.032, respectively).</p><p><strong>Conclusions: </strong>This study demonstrated that the PENG block, performed under ultrasound guidance, provided similar pain relief and opioid consumption reduction up to 36 hours postoperatively in various arthroscopic shoulder surgeries, including rotator cuff repair, Bankart repair, frozen shoulder, and impingement syndrome, compared to the SSNB. Given its shorter procedure time, less procedural pain, and similar clinical outcomes, the PENG block can be considered a good alternative to SSNB.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528725","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":"Oxidative color fade of flowmeter bobbins is a safety hazard.","authors":"Yevgeni Plotkin, Alexander Avidan","doi":"10.23736/S0375-9393.25.19157-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19157-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475914","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":"Predicting patient outcomes after major abdominal surgery: the role of shock index and heart rate.","authors":"Maha Mostafa, Ahmed Hasanin, Mahmoud Awad, Assem A Elbrashy, Heba Raafat","doi":"10.23736/S0375-9393.25.19134-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19134-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475915","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":"Dexamethasone and dexmedetomidine as adjuvants to local anesthetic mixture in erector spinae plane block combined with serratus anterior plane block for thoracoscopic surgery: a prospective, randomized controlled trial.","authors":"Li Zhang, Zhibiao Xu, Yuyun Liu, Yuxiang Meng, Sumin Yuan, Zijie Ling, Ziwei Li, Su Liu, Hao Zhang, Linlin Zhao","doi":"10.23736/S0375-9393.25.18895-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18895-0","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the effect of dexamethasone and dexmedetomidine in erector spinae plane block combined with serratus anterior plane block for thoracoscopic postoperative analgesia.</p><p><strong>Methods: </strong>Ninety-six patients undergoing thoracoscopic surgery were randomly divided into group R (0.375% ropivacaine + saline diluted to 40 mL), group RS (0.375% ropivacaine + 10 mg dexamethasone + normal saline diluted to 40 mL), group RM (0.375% ropivacaine + 1 μg/kg dexmedetomidine + normal saline diluted to 40 mL), and group RSM (0.375% ropivacaine + 10 mg dexamethasone + 1 μg/kg dexmedetomidine + normal saline diluted to 40 mL). All four groups underwent ultrasound-guided erector spinae plane block combined with serratus anterior plane block within 30 minutes before anesthesia induction. The primary outcome was duration of effective analgesia, defined as the time from the onset of block to the first use of PCIA. Secondary outcomes included postoperative NRS scores, opioid consumption, rescue analgesia, quality of recovery, and adverse effects.</p><p><strong>Results: </strong>The duration of effective analgesia for group RSM (1770.0 [858.0] min) was significantly longer than group R (975.0 [471.5] min, P<0.001), group RS (1072.0 [695.0] min, P<0.05) and group RM (1340.0 [630.0] min, P<0.05). Group RSM also lowered postoperative pain scores, reduced opioid consumption and rescue analgesia, and improved quality of recovery compared with group R, group RS and group RM (all P<0.05). There was no significant difference in adverse effects, except that less nausea and vomiting were observed in group RSM (P<0.05).</p><p><strong>Conclusions: </strong>Dexamethasone and dexmedetomidine as adjuvants to local anesthetic mixture in erector spinae plane block combined with serratus anterior plane block could prolong the duration of effective analgesia after thoracoscopic surgery.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475913","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":"Beyond rational vs. irrational: reply to Furlan and Giannini.","authors":"Davide Mazzon, Lucia Craxì, Mariassunta Piccinni, Daniele Rodriguez, Mariachiara Tallacchini, Giuseppe R Gristina","doi":"10.23736/S0375-9393.25.19273-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.19273-0","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285477","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}