Anaesthesia and Intensive Care Medicine最新文献_第2页

Anaesthesia and artificial intelligence: current applications and future directions 麻醉与人工智能：当前应用与未来方向

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Anaesthesia and Intensive Care Medicine Pub Date : 2026-09-01 Epub Date: 2026-08-21 DOI: 10.1016/j.mpaic.2026.07.009

Caitlin Cunningham, Paul McConnell

{"title":"Anaesthesia and artificial intelligence: current applications and future directions","authors":"Caitlin Cunningham, Paul McConnell","doi":"10.1016/j.mpaic.2026.07.009","DOIUrl":"10.1016/j.mpaic.2026.07.009","url":null,"abstract":"<div><div>As the role of artificial intelligence (AI) is becoming increasingly present in our everyday lives, it is similarly growing rapidly in the field of anaesthesia and intensive care medicine. From administrative tools such as building rotas to research into robotic AI-assisted intubation. This article reviews current and emerging application of AI across operational support, risk assessment, closed loop monitoring and mechanical tasks such as airway management and peripheral nerve blockade.</div><div>The development of advanced neural networks has opened the doors for machine learning models (ML) to process and interpret complex patient data to prognosticate preoperative risk and predict difficult airways with accuracy. Intraoperatively, automated systems using real-time physiological feedback can continuously adjust drug infusions with the goal of staying within the patient's specific optimal dosage window. As a result, reducing oversedation and enhancing recovery time.</div><div>One step further in recent research has been the proposal of early robotic devices for tracheal intubation and image reconstruction tools for ultrasound-guided nerve blocks. Despite being in early stages and with numerous limitations about measurement of performance and validation against humans, there is promising evidence that there is potential for development.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"27 9","pages":"Pages 576-580"},"PeriodicalIF":0.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148940660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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An update on management of subarachnoid haemorrhage 蛛网膜下腔出血处理的最新进展

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Anaesthesia and Intensive Care Medicine Pub Date : 2026-09-01 Epub Date: 2026-08-20 DOI: 10.1016/j.mpaic.2026.08.001

Smiley Jagadeesan, Angelica Lindsey-Clark, Ugan Reddy

{"title":"An update on management of subarachnoid haemorrhage","authors":"Smiley Jagadeesan, Angelica Lindsey-Clark, Ugan Reddy","doi":"10.1016/j.mpaic.2026.08.001","DOIUrl":"10.1016/j.mpaic.2026.08.001","url":null,"abstract":"<div><div>Subarachnoid haemorrhage (SAH) is an acute life-threatening neurosurgical emergency associated with high rates of morbidity and mortality. Diagnosis is initiated with non-contrast computed tomography (CT) of the head and confirmed with vascular imaging. The key determinants of functional outcome include early brain injury, rebleeding of ruptured aneurysm and delayed cerebral ischaemia. Early management focuses on preventing secondary brain injury through optimization of cerebral perfusion and oxygenation and treatment of systemic complications. Prompt transfer to a specialist neuroscience centre for ongoing management is essential. Definitive treatment involves early securing of the aneurysm by either endovascular coiling or surgical clipping to reduce the risk of rebleeding. Despite advances in neurocritical care and endovascular techniques, SAH remains associated with significant long-term disability, and there remains a paucity of robust clinical evidence, with many interventions showing no benefit when tested in rigorous clinical trials. This review will discuss the epidemiology, initial stabilization, treatment strategies, long-term prognostic factors, the identification and management of post-aneurysmal SAH complications.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"27 9","pages":"Pages 556-565"},"PeriodicalIF":0.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148940662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Perioperative management of patients with cardiac implantable electronic devices 心脏植入式电子装置患者围手术期的处理

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Anaesthesia and Intensive Care Medicine Pub Date : 2026-09-01 Epub Date: 2026-08-21 DOI: 10.1016/j.mpaic.2026.07.001

Johnny CY Cheng, Jeffrey Yam

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Traumatic brain injury 创伤性脑损伤

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Anaesthesia and Intensive Care Medicine Pub Date : 2026-09-01 Epub Date: 2026-08-22 DOI: 10.1016/j.mpaic.2026.07.003

Mark Earl

{"title":"Traumatic brain injury","authors":"Mark Earl","doi":"10.1016/j.mpaic.2026.07.003","DOIUrl":"10.1016/j.mpaic.2026.07.003","url":null,"abstract":"<div><div>Traumatic brain injury is a leading cause of mortality and long-term disability worldwide. It encompasses a broad spectrum of conditions with pathophysiological heterogeneity. Clinical treatment practices are also heterogenous due to disparities in care between, and within, low- and high-income care settings. Extra-cranial injury, present in half of all patients with severe traumatic brain injury, often associated with high-energy trauma, can cause systemic organ dysfunction and exacerbate secondary brain injury. Preventing this through protocolized assessment and prompt resuscitation remain the focus of the initial phase of care. Neurocritical care management of traumatic brain injury is a complex and multifaceted process that requires continuous integration of intracranial and systemic physiological monitoring. Advances in multidimensional frameworks for the characterization of traumatic brain injury, including biomarkers and advanced neuroimaging, may help to individualize therapies. Challenges remain, healthcare inequalities in high-income countries are exacerbated by inadequate focus on low-energy falls in older patients and follow-up in mild traumatic brain injury. In this review, we summarize current approaches to the care of patients with moderate-to-severe injury, with particular emphasis on specialized neurocritical care, and discuss key areas of uncertainty and evolving practice.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"27 9","pages":"Pages 547-555"},"PeriodicalIF":0.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148940663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sustainability in anaesthetics and intensive care medicine 麻醉和重症监护医学的可持续性

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Anaesthesia and Intensive Care Medicine Pub Date : 2026-09-01 Epub Date: 2026-08-21 DOI: 10.1016/j.mpaic.2026.07.006

Eilidh EM Simpson, Paul McConnell

引用次数: 0

Neuromonitoring Neuromonitoring

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Anaesthesia and Intensive Care Medicine Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1016/j.mpaic.2026.07.002

Michaela Silver, Ugan Reddy

{"title":"Neuromonitoring","authors":"Michaela Silver, Ugan Reddy","doi":"10.1016/j.mpaic.2026.07.002","DOIUrl":"10.1016/j.mpaic.2026.07.002","url":null,"abstract":"<div><div>Despite advancements in neurosurgical and neurocritical care, patient outcomes following severe acute brain injury remain associated with high mortality and poor long-term functional recovery. Based on the concept the initial primary brain insult is irreversible, interventions focus on prevention and management of secondary brain injury. This encompasses a complex cascade of pathology, requiring dynamic surveillance of intracranial pressure, perfusion, oxygenation, metabolic status, and impending brain hypoxia or ischaemia. Although clinical assessment remains the foundation of neuromonitoring, various non-invasive and invasive techniques have been developed as adjuncts, particularly useful in the comatose critical care patient. Advancing techniques enable continuous monitoring of cerebral parameters, facilitating real-time bedside assessment and prompting early warning of neurological deterioration. Multimodal neuromonitoring allows integration of these metrics, presenting a more comprehensive depiction of cerebral pathophysiology, and a more nuanced approach to patient care. Currently, there is substantial centre-to-centre variation in modality combinations, and no consensus on a unified approach. The emerging use of artificial intelligence further enhances this field, yet significant barriers exist to widespread practical implementation. This article reviews current neuromonitoring techniques used in the critically ill brain-injured patient, evaluates ongoing advancements, and explores future directions.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"27 9","pages":"Pages 538-546"},"PeriodicalIF":0.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148940659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Self-assessment 自我评估

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Anaesthesia and Intensive Care Medicine Pub Date : 2026-09-01 Epub Date: 2026-08-22 DOI: 10.1016/j.mpaic.2026.08.002

Vijayanand Nadella

引用次数: 0

Pituitary disease and anaesthesia 垂体疾病和麻醉

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Anaesthesia and Intensive Care Medicine Pub Date : 2026-09-01 Epub Date: 2026-08-27 DOI: 10.1016/j.mpaic.2026.07.004

Elouise S Donaldson

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Principles of pressure transducers, resonance and frequency and their clinical application in measuring arterial blood pressure 压力传感器的原理、共振和频率及其在动脉血压测量中的临床应用

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Anaesthesia and Intensive Care Medicine Pub Date : 2026-09-01 Epub Date: 2026-08-20 DOI: 10.1016/j.mpaic.2026.07.007

Immerjeet Kular, Li Fang

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Physiology of starvation, exercise and stress response 生理饥饿，运动和应激反应

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Anaesthesia and Intensive Care Medicine Pub Date : 2026-08-01 Epub Date: 2026-07-24 DOI: 10.1016/j.mpaic.2026.06.008

Fazil M Madathanattu Poyil, Sandip Junghare

{"title":"Physiology of starvation, exercise and stress response","authors":"Fazil M Madathanattu Poyil, Sandip Junghare","doi":"10.1016/j.mpaic.2026.06.008","DOIUrl":"10.1016/j.mpaic.2026.06.008","url":null,"abstract":"<div><div>Understanding the physiological effects of starvation is highly important in critical care and anaesthesia for two major reasons. First, it aids in the recognition and management of patients with significant malnutrition, including the identification and prevention of refeeding syndrome. Second, it helps clinicians balance the risks and benefits of preoperative fasting, particularly as modern enhanced perioperative care pathways increasingly advocate perioperative carbohydrate loading.</div><div>Physiological changes occurring during the stress response have wide-ranging implications involving multiple organ systems. In response to stress, the hypothalamus initiates a cascade of neuroendocrine and metabolic changes that, although protective initially, can significantly disrupt normal physiological function. Therefore, strategies aimed at minimizing the stress response are crucial in the management of perioperative and critically ill patients, especially in conditions such as trauma, burns, and severe critical illness.</div><div>Physiological adaptations occur during anticipation of exercise, throughout exercise itself, and during the recovery period. A patient's exercise tolerance is closely associated with improved postoperative outcomes, as it reflects their cardiopulmonary reserve. The level of physical training should therefore be considered during anaesthetic assessment and perioperative management, since trained athletes often demonstrate physiological characteristics that differ significantly from those of sedentary individuals.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"27 8","pages":"Pages 510-515"},"PeriodicalIF":0.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148699345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0