Revista Espanola de Anestesiologia y Reanimacion最新文献

{"title":"Evolución de la práctica médica: de la eminencia a la inteligencia artificial","authors":"H.S. Manzolillo , A. Espinosa , S. Benitez , 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}

{"title":"Bloqueo del plano serrato intercostal frente al bloqueo del cuadrado lumbar posterior en nefrectomía laparoscópica: estudio aleatorizado, controlado, doble ciego","authors":"M.T. Fernandez Martin ,&nbsp;M.G. Matesanz ,&nbsp;J. Andres ,&nbsp;H. Muñoz ,&nbsp;M.F. Muñoz ,&nbsp;A. Fadrique ,&nbsp;P. Castillo ,&nbsp;P. Casas ,&nbsp;S. Lopez","doi":"10.1016/j.redar.2025.501728","DOIUrl":"10.1016/j.redar.2025.501728","url":null,"abstract":"<div><h3>Background</h3><div>Even though laparoscopic nephrectomy improves the quality of postoperative recovery, it still causes moderate to severe pain. Our objective was to determine whether serratus intercostal plane block (SIPB) was noninferior to posterior quadratus lumborum block (QLB) in terms of pain control and quality of recovery.</div></div><div><h3>Methods</h3><div>This multicentre, controlled, randomized, blinded study had a sample size of 120 patients who were randomly assigned to SIPB, QLB, and control groups prior to scheduled laparoscopic nephrectomy. We collected the following variables: postoperative dynamic pain scores at 0, 6, 12, and 24<!--> <!-->hours, postoperative quality of recovery (QoR15), and total opioid consumption (fentanyl and morphine).</div></div><div><h3>Results</h3><div>Our results show that SIPB was non-inferior to QLB with regard to the primary endpoint (NRS 0.4/0.9) and quality of recovery (QoR15 112.7/106.85) (<em>P</em> .27). Opioid consumption (fentanyl <em>P</em> .37 and morphine <em>P</em> .9) was similar in the SIPB and QLB groups, and both groups were superior to controls in terms of intraoperative fentanyl consumption (<em>P</em> .001) and pain control (<em>P</em> &lt;.001).</div></div><div><h3>Conclusions</h3><div>SIPB and QLB showed adequate postoperative pain control, good quality of recovery and lower fentanyl consumption, especially compared to the control group.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 501728"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212855","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":"Intubación traqueal con videolaringoscopia: superando la barrera del lenguaje","authors":"M.A. Fernández-Vaquero ,&nbsp;A.A.J. van Zundert ,&nbsp;M.A. Gómez-Ríos","doi":"10.1016/j.redar.2024.501676","DOIUrl":"10.1016/j.redar.2024.501676","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 501676"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212258","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":"Rotura traqueal consecuencia de hematoma intramural aórtico sobreinfectado en prótesis de aorta ascendente","authors":"E. Pereda González,&nbsp;A. Cervera Puchades,&nbsp;M.J. Hernández-Cádiz,&nbsp;J. Moreno Pachón,&nbsp;J. de Andrés Ibáñez","doi":"10.1016/j.redar.2024.06.005","DOIUrl":"10.1016/j.redar.2024.06.005","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 101646"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212261","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":"Monitorización de la nocicepción mediante índice NoL y su implicación en la reducción de las complicaciones en cirugía abdominal laparoscópica (estudio SIMONE): protocolo de un estudio prospectivo, multicéntrico, observacional de cohortes","authors":"A.M. Pascual-Bellosta ,&nbsp;C. Aragón-Benedí ,&nbsp;S.M. Ortega-Lucea ,&nbsp;L. Mínguez-Braulio ,&nbsp;M. Buey-Aguilar ,&nbsp;A. Abad-Gurumeta ,&nbsp;E. Tamayo-Gómez ,&nbsp;J. Martinez-Ubieto ,&nbsp;Grupo de Estudio SIMONE","doi":"10.1016/j.redar.2025.501729","DOIUrl":"10.1016/j.redar.2025.501729","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Nociception monitoring allows for the titration of opioid drugs in the intraoperative period in order to avoid under- and overdosing of these drugs and their side effects in the patient's postoperative period. For this reason, a study has been designed with the aim of establishing whether the usefulness of the NoL® (Nociception Level) device for adequate intraoperative nociception monitoring can reduce postoperative complications.</div></div><div><h3>Material and methods</h3><div>Multicentre, observational, prospective cohort study that will include patients who underwent laparoscopic abdominal surgery under balanced general anaesthesia during one year in different hospital centres in order to assess the incidence of early and late postoperative complications and their relationship with the monitoring of nociception studied through the NoL device. Intraoperative pain management will be based on NoL values (visible NoL group) or hemodynamic parameters according to usual clinical practice (non-visible NoL group).</div></div><div><h3>Results</h3><div>Approval has been obtained from the Autonomous Research Ethics Committee of Aragon (C.I. EPA23/026, 19 April 2023). SIMONE study was registered at <span><span>www.clinicaltrials.gov</span><svg><path></path></svg></span> on 30 May 2024 (Identifier: NCT06437743).</div></div><div><h3>Conclusions</h3><div>The overall data will be published in peer-reviewed journals. The relevance of the SIMONE study lies in being the first nationwide to comprehensively evaluate opioid dosing, postoperative pain, early and late postoperative complications, and the length of hospital stay. A significant reduction in the incidence of postoperative complications such as nausea and vomiting is expected in the group with visible NoL monitoring.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 501729"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212191","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":"Efecto de la cafeína en la frecuencia respiratoria, el tiempo de recuperación y la actividad de onda cerebral durante la emergencia de la anestesia con sevoflurano en ratas","authors":"B.M. Çam ,&nbsp;H. Topçu ,&nbsp;E.S. Tiryaki ,&nbsp;G. Arslan","doi":"10.1016/j.redar.2025.501730","DOIUrl":"10.1016/j.redar.2025.501730","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether caffeine affects the respiratory rate, recovery time and brain slow-wave (theta and delta) activities during the recovery from sevoflurane anesthesia in rats.</div></div><div><h3>Methods</h3><div>Male Sprague-Dawley rats (n<!--> <!-->=<!--> <!-->16) were randomly divided into 2 groups: control (saline) and caffeine(75<!--> <!-->mg/kg). After tripolar electrode implantation, rats were placed in an anesthesia chamber and brain electrocorticographic wave activities began to be recorded. Anesthesia induction was provided with sevoflurane at 4% concentration (4<!--> <!-->L/min O₂) for 5<!--> <!-->min and when all of the rats became unconscious, sevoflurane concentration was reduced to 3% (4<!--> <!-->L/min O₂) for anesthesia maintenance. Saline or caffeine was intraperitoneally injected 10<!--> <!-->min before discontinuing the anesthesia. After the sevoflurane was cut off, the rats were removed from the gas-tight box and the durations of the respiratory rate, the tail clamp and the righting reflex (full-recovery) were observed and noted. Theta and delta wave numbers and amplitude (above basal activity) as well as the number of theta oscillations were calculated from electrocorticographic recordings.</div></div><div><h3>Results</h3><div>Caffeine administration increased the respiratory rate during sevoflurane anesthesia; however, no significant difference was seen compared to the control group during the full recovery period. The durations of the tail clamp and the righting reflex, theta oscillations, and slow-wave number and amplitude were decreased with the injection of caffeine.</div></div><div><h3>Conclusions</h3><div>Acute administration of caffeine accelerates the recovery from sevoflurane anesthesia by affecting the central nervous system. Considering that prolongation of the recovery period from anesthesia increases postoperative delirium, intraoperative caffeine use may reduce risks.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 6","pages":"Article 501730"},"PeriodicalIF":0.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212192","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":"Suzetrigina como analgésico no opioide: entre la necesidad y la evidencia científica","authors":"A. Alcántara Montero","doi":"10.1016/j.redar.2025.501858","DOIUrl":"10.1016/j.redar.2025.501858","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 8","pages":"Article 501858"},"PeriodicalIF":0.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134787","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":"Lesión renal aguda postoperatoria en cirugía mayor abdominal. Utilidad del biomarcador urinario [TIMP-2] × [IGFBP7] (NephroCheck®)","authors":"A. Lara-Jiménez ,&nbsp;P. Monedero ,&nbsp;G. Echarri","doi":"10.1016/j.redar.2025.501853","DOIUrl":"10.1016/j.redar.2025.501853","url":null,"abstract":"<div><h3>Background</h3><div>The urinary biomarker [TIMP-2]<!--> <!-->×<!--> <!-->[IGFBP7] enables the prediction of postoperative acute kidney injury (PO-AKI). Our study aimed to assess the incidence of PO-AKI in high-risk patients undergoing major abdominal surgery and to evaluate the impact of implementing KDIGO renal optimization measures in those with renal stress identified by [TIMP-2]<!--> <!-->×<!--> <!-->[IGFBP7].</div></div><div><h3>Materials and methods</h3><div>This was a prospective study including 182 patients who underwent major abdominal surgery. Perioperative data, [TIMP-2]<!--> <!-->×<!--> <!-->[IGFBP7] levels, and the implementation of KDIGO renal protection strategies in the ICU were collected. Predictors of PO-AKI were identified through multivariate analysis.</div></div><div><h3>Results</h3><div>The overall incidence of PO-AKI was 25.3%, reaching 42.7% in ICU patients. [TIMP-2]<!--> <!-->×<!--> <!-->[IGFBP7] showed moderate predictive ability (AUROC<!--> <!-->=<!--> <!-->.74), with a PO-AKI incidence of 47.5% in patients with elevated levels. Despite the implementation of KDIGO measures in the ICU, the incidence of PO-AKI in patients with elevated [TIMP-2]<!--> <!-->×<!--> <!-->[IGFBP7] was 65.6%. In multivariate analysis, the main predictors of PO-AKI were elevated [TIMP-2]<!--> <!-->×<!--> <!-->[IGFBP7] (OR<!--> <!-->=<!--> <!-->6.3; 95%<!--> <!-->CI: 2.6-15.6; <em>P</em> <!-->&lt;<!--> <!-->.001), male sex (OR<!--> <!-->=<!--> <!-->6.1; 95%<!--> <!-->CI: 1.9-19.6; <em>P</em> <!-->=<!--> <!-->.002), and ICU admission (OR<!--> <!-->=<!--> <!-->4.5; 95%<!--> <!-->CI: 1.5-13.6; <em>P</em> <!-->=<!--> <!-->.009).</div></div><div><h3>Conclusions</h3><div>PO-AKI is common after major abdominal surgery, particularly in ICU patients. The [TIMP-2]<!--> <!-->×<!--> <!-->[IGFBP7] biomarker allows for early identification of at-risk patients, although the implementation of KDIGO measures in the ICU did not significantly reduce its incidence.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 7","pages":"Article 501853"},"PeriodicalIF":0.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722121","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}