Brazilian Journal of Anesthesiology最新文献

{"title":"Chronic pain after hospital discharge on patients hospitalized for COVID-19: an observational study","authors":"Guilherme Antonio Moreira de Barros,&nbsp;Douglas Inomata Cardoso da Silva,&nbsp;Mariana Lopes Amaral Barbosa,&nbsp;Rafael Abbud Soares,&nbsp;Rodrigo Leal Alves,&nbsp;Claudio Lucas Miranda,&nbsp;Paula Danieli Lopes da Costa,&nbsp;Paulo do Nascimento Júnior,&nbsp;Norma Sueli Pinheiro Módolo","doi":"10.1016/j.bjane.2023.08.001","DOIUrl":"10.1016/j.bjane.2023.08.001","url":null,"abstract":"<div><h3>Background</h3><p>There are few studies related to Coronavirus Disease 2019 (COVID-19) on the prevalence and nature of pain symptoms after hospital discharge, especially in individuals who develop moderate to severe disease forms. Therefore, this study aimed to evaluate the presence of chronic pain in patients discharged after hospitalization for COVID-19, and the relationship between the presence of chronic pain and intensive care stay, demographics, and risk factors for the worst Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) outcome.</p></div><div><h3>Methods</h3><p>A cross-sectional observational study was carried out on patients with COVID-19 who recovered after hospitalization. Patients were recruited at the least 3 months after discharge and their hospital's health files were prospected. The variables evaluated were demographics, the severity of SARS-CoV-2 infection (considering the need for intensive care), and the presence of chronic pain. The results were shown in a descriptive manner, and multivariate analysis expressed as Odds Ratios (ORs) and respective Confidence Intervals (CIs) for the outcomes studied. Statistical significance was set at <em>p</em> &lt; 0.05.</p></div><div><h3>Results</h3><p>Of 242 individuals included, 77 (31.8%) reported chronic pain related to COVID-19, with no correlation with the severity of infection. Female sex and obesity were associated with a higher risk for chronic pain with ORs of 2.69 (Confidence Interval [95% CI 1.4 to 5.0]) and 3.02 (95% CI 1.5 to 5.9). The limbs were the most affected areas of the body.</p></div><div><h3>Conclusion</h3><p>Chronic pain is common among COVID-19 survivors treated in hospital environments. Female sex and obesity are risk factors for its occurrence.</p></div>","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001423000829/pdfft?md5=8d4d50ec30d2cc45238c4f92efb24cff&pid=1-s2.0-S0104001423000829-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10339614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glucagon-Like Peptide-1 agonists in perioperative medicine: to suspend or not to suspend, that is the question","authors":"Florentino Fernandes Mendes ,&nbsp;Lorena Ibiapina M. Carvalho ,&nbsp;Maristela Bueno Lopes","doi":"10.1016/j.bjane.2024.844538","DOIUrl":"10.1016/j.bjane.2024.844538","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000605/pdfft?md5=0c6bfc46c94adc4e4ab92c070ba0981b&pid=1-s2.0-S0104001424000605-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual parental presence with coaching for reducing preoperative anxiety in children: a feasibility and pilot randomized controlled trial","authors":"Clyde T. Matava ,&nbsp;Martina Bordini ,&nbsp;Ben O’ Sullivan ,&nbsp;Gabriela Alcaraz Garcia-Tejedor ,&nbsp;Nan Gai ,&nbsp;Guy Petroz ,&nbsp;Conor Mc Donnell ,&nbsp;Fahad Alam ,&nbsp;Katie Brazel ,&nbsp;Monica Caldeira-Kulbakas","doi":"10.1016/j.bjane.2024.844533","DOIUrl":"10.1016/j.bjane.2024.844533","url":null,"abstract":"<div><h3>Background</h3><p>Preoperative anxiety in children causes negative postoperative outcomes. Parental presence at induction is a non-pharmacological strategy for relieving anxiety; nevertheless, it is not always possible or effective, namely when parents are overly anxious. Parental presence via video has been demonstrated to be useful in other contexts (divorce, criminal court). This study reports the feasibility of a randomized controlled trial to investigate the effect of video parental presence and parental coaching at induction on preoperative anxiety.</p></div><div><h3>Methods</h3><p>The study was a randomized, 2 × 2 factorial design trial examining parental presence (virtual vs. physical) and coaching (provided vs. not provided). Feasibility was assessed by enrollment rate, attrition rate, compliance, and staff satisfaction with virtual method with the NASA-Task Load Index (NASA-TLX) and System Usability Scale (SUS). For the children's anxiety and postoperative outcomes, the modified Yale Preoperative Anxiety Scale (mYPAS) and Post-Hospitalization Behavioral Questionnaire (PHBQ) were used. Parental anxiety was evaluated with the State-Trait Anxiety Inventory (STAI) questionnaire.</p></div><div><h3>Results</h3><p>A total of 41 parent/patient dyads were recruited. The enrollment rate was 32.2%, the attrition rate 25.5%. Compliance was 87.8% for parents and 85% for staff. The SUS was 67.5/100 and 63.5/100 and NASA-TLX was 29.2 (21.5–36.8) and 27.6 (8.2–3.7) for the anesthesiologists and induction nurses, respectively. No statistically significant difference was found in mYPAS, PHBQ and STAI.</p></div><div><h3>Conclusion</h3><p>A randomized controlled trial to explore virtual parental presence effect on preoperative anxiety is feasible. Further studies are needed to investigate its role and the role of parent coaching in reducing preoperative anxiety.</p></div>","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000551/pdfft?md5=776d4a86a65a53da9d93fdbd32bc3ca0&pid=1-s2.0-S0104001424000551-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing pediatric anesthesia in Brazil: reflections on research and education","authors":"Norma Sueli Pinheiro Módolo ,&nbsp;Débora de Oliveira Cumino ,&nbsp;Luciana Cavalcanti Lima ,&nbsp;Guilherme Antonio Moreira de Barros","doi":"10.1016/j.bjane.2024.844535","DOIUrl":"10.1016/j.bjane.2024.844535","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000575/pdfft?md5=5bc5c48058de86b4f91cba5b82e692d5&pid=1-s2.0-S0104001424000575-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the bite: understanding and managing post-arboviral pain","authors":"Durval Campos Kraychete ,&nbsp;Vinicius Borges Alencar ,&nbsp;Eduardo Silva Reis Barreto ,&nbsp;César Romero Antunes Júnior ,&nbsp;Liliane Elze Falcão Lins-Kusterer ,&nbsp;Guilherme Antonio Moreira de Barros ,&nbsp;André P. Schmidt","doi":"10.1016/j.bjane.2024.844526","DOIUrl":"10.1016/j.bjane.2024.844526","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000484/pdfft?md5=60234ea7af8be55ddaf7f06a4d32cd2f&pid=1-s2.0-S0104001424000484-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges of organizing pediatric anesthesia in low and middle-income countries","authors":"Anelise Schifino Wolmeister ,&nbsp;Tom G. Hansen ,&nbsp;Thomas Engelhardt","doi":"10.1016/j.bjane.2024.844525","DOIUrl":"10.1016/j.bjane.2024.844525","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000472/pdfft?md5=4f9251fbab58e5241e635de7583defe1&pid=1-s2.0-S0104001424000472-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unravelling the analgesic effects of perioperative magnesium in general abdominal surgery: a systematic review and meta-analysis of randomized controlled trials","authors":"Yasin Avci,&nbsp;Manikandan Rajarathinam,&nbsp;Neha Kalsekar,&nbsp;Qutaiba Tawfic,&nbsp;Sarah Krause,&nbsp;Derek Nguyen,&nbsp;Eric Liu,&nbsp;Mahesh Nagappa,&nbsp;Yamini Subramani","doi":"10.1016/j.bjane.2024.844524","DOIUrl":"10.1016/j.bjane.2024.844524","url":null,"abstract":"<div><h3>Background</h3><p>Prior research has established the effectiveness of magnesium in relieving postoperative pain. This article aims to evaluate magnesium sulfate for perioperative analgesia in adults undergoing general abdominal surgery under general anesthesia.</p></div><div><h3>Objective</h3><p>The primary aim was to assess pain scores at 6 and 24 hours postoperatively in patients receiving magnesium sulfate vs. the control group. Secondary outcomes were postoperative opioid consumption, perioperative complications, and time to rescue analgesia.</p></div><div><h3>Methods</h3><p>A comprehensive database search identified studies comparing magnesium sulfate with control in adults undergoing general anesthesia for general abdominal surgery. Using random-effects models, data were presented as mean ± Standard Deviation (SD) or Odds Ratios (OR) with corresponding 95% Confidence Intervals (95% CI). A two-sided p-value &lt; 0.05 was considered statistically significant.</p></div><div><h3>Results</h3><p>In total, 31 studies involving 1762 participants met the inclusion criteria. The magnesium group showed significantly lower postoperative pain scores at both early (within six hours) and late (up to 24 hours) time points compared to the control group. The early mean score was 3.1 ± 1.4 vs. 4.2 ± 2.3, and the late mean score was 2.3 ± 1.1 vs. 2.7 ± 1.5, resulting in an overall Mean Difference (MD) of −0.72; 95% CI −0.99, −0.44; p &lt; 0.00001. The magnesium group was associated with lower rates of postoperative opioid consumption and shivering and had a longer time to first analgesia administration compared to the saline control group.</p></div><div><h3>Conclusion</h3><p>Magnesium sulfate administration was linked to reduced postoperative pain and opioid consumption following general abdominal surgery.</p></div>","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000460/pdfft?md5=33e2a886bdf34943146a9689ef3dd2bf&pid=1-s2.0-S0104001424000460-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141289014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of cannabinoids in chronic pain management: clinical insights and challenges","authors":"André P. Schmidt","doi":"10.1016/j.bjane.2024.844523","DOIUrl":"10.1016/j.bjane.2024.844523","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000459/pdfft?md5=2273adb7f83a0a283088b7fb6bac566f&pid=1-s2.0-S0104001424000459-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ICERA: Increasing accessibility to medical education through structured international collaboration","authors":"Maxwell B. Baker ,&nbsp;Rafael Ortega ,&nbsp;Federico Bilotta ,&nbsp;Jennifer Wang ,&nbsp;Wendy Bernstein","doi":"10.1016/j.bjane.2024.844522","DOIUrl":"10.1016/j.bjane.2024.844522","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000447/pdfft?md5=47cc22fa23671b56d5ec960a69376d70&pid=1-s2.0-S0104001424000447-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141184608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and evaluation of an educational comic leaflet for pediatric anesthesia care","authors":"Fabiano Soares Carneiro ,&nbsp;Juliana Lacerda de Oliveira Campos ,&nbsp;Stephanie Bruna Camilo Soares de Brito ,&nbsp;Flávia Marques de Melo ,&nbsp;Eliane Cristina de Souza Soares","doi":"10.1016/j.bjane.2024.844521","DOIUrl":"10.1016/j.bjane.2024.844521","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000435/pdfft?md5=7d9afe94a31235f573129c8019277886&pid=1-s2.0-S0104001424000435-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141184562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}