Revista Espanola de Anestesiologia y Reanimacion最新文献

{"title":"Delirium postoperatorio: de la evidencia internacional a la práctica en España. Una asignatura pendiente","authors":"E.M. Aldana , C. Aldecoa","doi":"10.1016/j.redar.2025.501920","DOIUrl":"10.1016/j.redar.2025.501920","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 7","pages":"Article 501920"},"PeriodicalIF":0.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722116","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}

{"title":"Reglas de predicción clínica en los pacientes con dolor neuropático periférico de etiología traumática tratados con parche de capsaicina al 8%","authors":"L. Monteagudo Moreno ,&nbsp;P. Cía Blasco ,&nbsp;M. Malo Urriés ,&nbsp;A. Nuez Polo ,&nbsp;C. Marín Zaldívar","doi":"10.1016/j.redar.2025.501880","DOIUrl":"10.1016/j.redar.2025.501880","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Neuropathic pain (NP) is a widespread, complex disorder that responds differently to pharmacological treatment. The aim of this study was to identify the baseline characteristics of good response to capsaicin 8% patch in patients with trauma-induced peripheral neuropathic pain (PNP).</div></div><div><h3>Materials and methods</h3><div>We performed a prospective, longitudinal, open-label study in 31 patients with PNP treated with 1-3 applications of the capsaicin 8% patch for 52 weeks. Response to treatment was defined as a reduction in the Visual Analogue Scale (VAS) score compared to baseline. Data from responders and non-responders were compared at the start (month 1) and end (month 12) of treatment. Logistic regression was used to identify predictors of treatment response.</div></div><div><h3>Results</h3><div>At month 1, responders (n<!--> <!-->=<!--> <!-->17) had significantly larger treatment areas (155.18 cm² vs. 59.21 cm²; <em>P</em>=.004) and reported greater pain relief with treatments received in the previous week in the brief pain questionnaire (34.7% vs. 14.3%; <em>P</em>=.023). At month 12, significant predictors included cold allodynia (OR 8; <em>P</em>=.030), positive for painful cold in the DN4 questionnaire (OR 7.936; <em>P</em>=.019), no penetrating pain (OR 16.800; <em>P</em>=.009), and pain interference with work score &lt;<!--> <!-->7.5 (OR 7.917; <em>P</em>=.019).</div></div><div><h3>Conclusions</h3><div>This study makes a significant contribution to the management of post-traumatic peripheral neuropathic pain by providing tools to personalize treatment and optimize available resources.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 7","pages":"Article 501880"},"PeriodicalIF":0.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721975","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}

{"title":"Explorar el rol de la citometría de flujo para la evaluación de las células endoteliales en la sepsis humana: una revisión sistemática","authors":"M. Bardají-Carrillo ,&nbsp;M. Martín-Fernández ,&nbsp;A. García-Concejo ,&nbsp;Á. Tamayo-Velasco ,&nbsp;D. Bernardo ,&nbsp;E. Tamayo","doi":"10.1016/j.redar.2025.501850","DOIUrl":"10.1016/j.redar.2025.501850","url":null,"abstract":"<div><h3>Introduction</h3><div>Given the key role of the endothelium in organ failure secondary to sepsis, we reviewed the available literature on the use of flow cytometry (FC) to analyse endothelial cells in human sepsis.</div></div><div><h3>Methods</h3><div>We systematically searched PubMed and Web of Science from inception until November 2024 to identify original research articles describing the use of FC to study human endothelial cells in sepsis.</div></div><div><h3>Results</h3><div>A total of 395 original articles were found; 36 met the inclusion criteria. Ten studied circulating mature (CEC) or progenitor (CEPC) endothelial cells. High CEC and/or CEPC counts correlated with higher mortality; CEC numbers were increased even before the onset of shock. Twenty-six manuscripts studied the phenotype of different human microvascular endothelial cells (HMEC), and showed that expression of adhesion molecules ICAM-1, VCAM-1 and E-selectin were increased in sepsis, but there was no evidence of their association with severity or mortality.</div></div><div><h3>Conclusion</h3><div>High CEC and CEPC counts correlate with sepsis severity and mortality, confirming that their assessment by FC can shed some light on early sepsis diagnosis.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 7","pages":"Article 501850"},"PeriodicalIF":0.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722123","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}

{"title":"Delirio postoperatorio en adultos mayores: un estudio de cohorte retrospectivo","authors":"J.A. Vélez-Restrepo ,&nbsp;P.A. Betancourt-Ángel ,&nbsp;J.D. Caicedo-Jaramillo ,&nbsp;F.D. Casas-Arroyave","doi":"10.1016/j.redar.2025.501855","DOIUrl":"10.1016/j.redar.2025.501855","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Postoperative delirium (POD) is an adverse outcome that has garnered significant interest in perioperative medicine, particularly in older adults, due to its association with increased morbidity, mortality, and health care costs. In Colombia, this disease is under-reported due to the lack of POD diagnosis and prevention protocols. The aim of this study was to determine the incidence and potential risk factors of POD, and its association with other postoperative complications.</div></div><div><h3>Materials and methods</h3><div>This retrospective cohort study was performed at a tertiary care hospital. Patients over 60<!--> <!-->years of age who underwent surgery between 2012 and 2019 were included. Random sampling was used to analyse electronic medical records to estimate the incidence of POD, risk factors, and postoperative complications within 7<!--> <!-->days of surgery.</div></div><div><h3>Results</h3><div>A total of 2535 patients were evaluated. The cumulative incidence of POD was 6.0% (95% confidence interval [CI]: 5.1%-6.9%), with most cases (67%) occurring within the first 3<!--> <!-->postoperative days. Risk factors associated with POD included a history of psychiatric disorders, preoperative opioid use, ASA (American Society of Anesthesiologists) class<!--> <!-->III/IV, vascular surgery, urgent or emergency surgery, and functional dependency. POD was also associated with higher in-hospital mortality (OR: 2.9; 95%<!--> <!-->CI: 1.66-5.07).</div></div><div><h3>Conclusion</h3><div>POD is common in patients aged over 60 undergoing surgery, particularly those that undergo urgent or emergency procedures and vascular surgery, who are ASA class &gt;<!--> <!-->III, functionally dependent, and present psychiatric disorders. POD is also associated with increased postoperative morbidity and mortality.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 7","pages":"Article 501855"},"PeriodicalIF":0.8,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722122","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}

{"title":"Estimación del volumen mínimo efectivo 90% (VME90) de Ropivacaína® al 0,5% en bloqueo interescalénico ecoguiado para analgesia postoperatoria en cirugía artroscópica de hombro: un estudio prospectivo observacional de determinación de dosis y evaluación de la función diafragmática","authors":"B. Moreno ,&nbsp;V. Domingo ,&nbsp;M. Granell ,&nbsp;J.M. Palanca ,&nbsp;S. Selfa","doi":"10.1016/j.redar.2025.501731","DOIUrl":"10.1016/j.redar.2025.501731","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Ultrasound-guided ISB is the most widely-used nerve block in upper limb surgery. The aim of this study was to determine the MEV90 of 0.5% ropivacaine in ISB for analgesia in arthroscopic shoulder surgery.</div></div><div><h3>Methodology</h3><div>Double-blind observational post-authorization study of a medicinal product for human use. Thirty-two ASA I-III patients aged between 18 and 75 years undergoing arthroscopic shoulder surgery were recruited. We used the Dixon up-down method, whereby the dose is increased or decreased by 1<!--> <!-->ml depending on the failure or success of the block. The initial dose was 20<!--> <!-->ml of 0.5% ropivacaine. The study was stopped after achieving the minimum 5 negative-positive deflections. Secondary variables were the duration of the block, total analgesia consumption over the first 24<!--> <!-->hours, and incidence of DP.</div></div><div><h3>Results</h3><div>The effective LA dose for postoperative analgesia in arthroscopic shoulder surgery was 6.8<!--> <!-->ml in 50% of patients (MEV50) (90% CI: 6.234.7.465) and 7.733<!--> <!-->ml in 90% of patients (MEV90) (90% CI: 7.393-9.109). Median sensory block duration was 772.5<!--> <!-->minutes. The incidence of partial and total DP in QB was 34% and 41%, respectively.</div></div><div><h3>Conclusion</h3><div>A dose of 7.733<!--> <!-->ml of 0.5% ropivacaine provides effective postoperative analgesia in arthroscopic shoulder surgery in 90% of patients. This lower dose reduces the likelihood of side effects.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 501731"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212193","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}

{"title":"¿Debería actualizarse la definición de dolor neuropático?","authors":"A. Alcántara Montero","doi":"10.1016/j.redar.2025.501751","DOIUrl":"10.1016/j.redar.2025.501751","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 501751"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212260","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}

{"title":"Aplicación de chatbots de inteligencia artificial generativa en el campo de la anestesia","authors":"A. Barroso ,&nbsp;R. Casans","doi":"10.1016/j.redar.2024.501667","DOIUrl":"10.1016/j.redar.2024.501667","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 501667"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212194","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}

{"title":"Evolución de la práctica médica: de la eminencia a la inteligencia artificial","authors":"H.S. Manzolillo ,&nbsp;A. Espinosa ,&nbsp;S. Benitez ,&nbsp;J. Ripollés-Melchor","doi":"10.1016/j.redar.2025.501804","DOIUrl":"10.1016/j.redar.2025.501804","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 501804"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212858","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}

{"title":"Eficacia de la combinación del bloqueo ecoguiado del cordón espermático y el bloqueo del nervio ilioinguinal para analgesia en herniotomía inguinal pediátrica: estudio controlado aleatorizado","authors":"E.M. Elemam,&nbsp;I. Abdelbaser,&nbsp;K. Elbahrawy,&nbsp;M.M. Alseoudy,&nbsp;S. El Kenany","doi":"10.1016/j.redar.2024.501675","DOIUrl":"10.1016/j.redar.2024.501675","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>US-guided ilioinguinal nerve block (IINB) is a common analgesic regional technique in pediatric inguinal herniotomy. However, alone it could not provide complete analgesia for such surgery due to spare of the genital branch of the genitofemoral nerve (GFN) and some sympathetic fibers. Spermatic cord block (SCB) can block both of them. This study aimed to assess the analgesic effects of combining US-guided spermatic SCB and IINB in pediatric patients subjected to elective open inguinal herniotomies.</div></div><div><h3>Patients and methods</h3><div>A total of 50 male pediatric patients who underwent inguinal herniotomy were included in the current prospective, randomized, controlled study. Patients were randomly allocated to two groups: one group received IINB and the other received combined IINB and SCB. The number of patients who required rescue analgesia after surgery was the primary outcome parameter, whereas assessment of the intraoperative hemodynamic parameters (MAP: mean arterial pressure; HR: heart rate), total consumption of paracetamol, postoperative pain score, and occurrence of adverse events were the secondary outcome measures.</div></div><div><h3>Results</h3><div>The number of patients who needed rescue analgesia was significantly lower in IINB/SCB group (12%) than IINB group (41%), <em>P</em> <!-->=<!--> <!-->.025. The median (interquartile range) total dose of paracetamol consumption was significantly lower in the IINB/SCB group [0 (0-0)] mg/kg than in the IINB group [0 (0-15)], <em>P</em> <!-->=<!--> <!-->0.02. Pain score was significantly (<em>P</em> <!-->&lt;<!--> <!-->0.05) lower in the IINB/SCB group than in the IINB group at all-time points. Both MAP and HR were significantly higher in the IINB group than in the IINB/SCB group during traction on hernial sac, <em>P</em> <!-->&lt;<!--> <!-->0.05. Occurrence of adverse events was comparable in both groups.</div></div><div><h3>Conclusions</h3><div>Adding SCB to IINB can provide better quality of postoperative analgesia and more stable intraoperative hemodynamics in pediatric patients undergoing inguinal hernia repair.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 501675"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212190","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}

{"title":"Comentarios sobre el artículo «Mean airway pressure as a parameter of lung-protective and heart-protective ventilation», de Placenti A, Fratebianchi F","authors":"M. de la Matta,&nbsp;D. López-Herrera","doi":"10.1016/j.redar.2025.501734","DOIUrl":"10.1016/j.redar.2025.501734","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 501734"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212259","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}