Revista Espanola de Anestesiologia y Reanimacion最新文献_第3页

La prolongación del intervalo QT en los pacientes con COVID-19 severa es multicausal y no se limita a los fármacos anti-SARS-CoV-2 严重 COVID-19 患者的 QT 延长有多种原因，并不局限于抗 SARS-CoV-2 药物。

IF 0.9

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-10-01 DOI: 10.1016/j.redar.2023.11.011

引用次数: 0

Encuesta nacional sobre la monitorización perioperatoria de anticoagulantes orales directos: encuesta MonACOD 直接口服抗凝剂围手术期监测全国调查：MonACOD 调查

IF 0.9

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-10-01 DOI: 10.1016/j.redar.2024.02.002

引用次数: 0

Eficacia del bloqueo retrolaminar ecoguiado frente al bloqueo paravertebral clásico en pacientes sometidos a hernioplastia inguinal unilateral: estudio controlado aleatorizado 在接受单侧腹股沟疝成形术的患者中，超声引导下椎后区阻滞与传统椎旁阻滞的疗效：随机对照研究。

IF 0.9

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-10-01 DOI: 10.1016/j.redar.2024.01.005

{"title":"Eficacia del bloqueo retrolaminar ecoguiado frente al bloqueo paravertebral clásico en pacientes sometidos a hernioplastia inguinal unilateral: estudio controlado aleatorizado","authors":"","doi":"10.1016/j.redar.2024.01.005","DOIUrl":"10.1016/j.redar.2024.01.005","url":null,"abstract":"<div><h3>Background</h3><div>In daily surgical practice, inguinal hernioplasty is a frequent procedure that is frequently accompanied by severe postoperative pain. Multiple regional blocks have been described for analgesia after such operations. Retrolaminar block (RLB) is a paravertebral block (PVB) variant that provides excellent analgesia and reduces the risk of complications. This prospective trial compared the analgesic efficacy of PVB and RLB in the inguinal hernioplasty.</div></div><div><h3>Methods</h3><div>The 56 patients included were randomly assigned into two equal groups according to the block performed under ultrasound guidance at the T12 level: PVB group (28 patients) and RLB (28 patients). Time until the first rescue analgesia was our primary outcome. Other outcomes included the time to perform the block, changes in intraoperative hemodynamic parameters, postoperative VAS, 24-hour morphine consumption, the level of patient satisfaction, and the incidence of block-related complications.</div></div><div><h3>Results</h3><div>Demographic data were comparable in the two groups. However, the time needed for the block was significantly shortened with the RLB (p<0.001). Patients in the PVB groups expressed better pain scores and lower opioid consumption. Additionally, the time to the first call for opioid analgesia showed a significant prolongation in association with the PVB. There was no discernible difference in the frequency of adverse events and recorded MAP and HR.</div></div><div><h3>Conclusion</h3><div>The PVB has a superior perioperative analgesic profile compared to the RLB, which manifested in the prolonged duration to the first rescue analgesics, better pain scores, and less opioid consumption, with no significant increase in block-related complications.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269443","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

Ácido úrico y daño renal agudo en pacientes con alto riesgo de desarrollar daño renal agudo sometidos a cirugía cardiaca: cohorte prospectiva multicéntrica 接受心脏手术的急性肾损伤高危患者的尿酸和急性肾损伤：前瞻性多中心队列。

IF 0.9

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-08-01 DOI: 10.1016/j.redar.2023.09.005

{"title":"Ácido úrico y daño renal agudo en pacientes con alto riesgo de desarrollar daño renal agudo sometidos a cirugía cardiaca: cohorte prospectiva multicéntrica","authors":"","doi":"10.1016/j.redar.2023.09.005","DOIUrl":"10.1016/j.redar.2023.09.005","url":null,"abstract":"<div><h3>Purpose</h3><p>It is unclear whether preoperative serum uric acid (SUA) elevation may play a role in the development of acute kidney injury (AKI) associated with cardiac surgery (CSA-AKI). We conducted a cohort study to evaluate the influence of preoperative hyperuricemia on AKI in patients at high risk for developing SC-AKI.</p></div><div><h3>Design</h3><p>Multicenter prospective international cohort study.</p></div><div><h3>Setting</h3><p>Fourteen university hospitals in Spain and the United Kingdom.</p></div><div><h3>Participants</h3><p>We studied 261 consecutive patients at high risk of developing CSA-AKI, according to a Cleveland score ≥4 points, from July to December 2017.</p></div><div><h3>Interventions</h3><p>None.</p></div><div><h3>Measurements and Main Results</h3><p>AKIN criteria were used for the definition of AKI. Multivariable logistic regression models and propensity score-matched pairwise analysis were used to determine the adjusted association between preoperative hyperuricemia (> = 7 mg/dL) and AKI. Elevated preoperative AUS (> = 7 mg/dL) was present in 190 patients (72.8%), whereas CSA-AKI occurred in 145 patients (55.5%). In multivariable logistic regression models, hyperuricemia was not associated with a significantly increased risk of AKI (adjusted Odds Ratio [OR]: 1.58; 95% confidence interval [CI]: 0.81-3; p = 0.17). In propensity score-matched analysis of 140 patients, the hyperuricemia group experienced similar adjusted odds of AKI (OR 1.05, 95% CI 0.93-1.19, p = 0.37).</p></div><div><h3>Conclusions</h3><p>Hyperuricemia was not associated with an increased risk of AKI in this cohort of patients undergoing cardiac surgery at high risk of developing CSA-AKI.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S003493562400015X/pdfft?md5=166e065b850d42f573a927e270fa6e1b&pid=1-s2.0-S003493562400015X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140462380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hernia diafragmática congénita tipo Morgagni-Larrey 莫加尼-拉雷型先天性膈疝

IF 0.9

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-08-01 DOI: 10.1016/j.redar.2023.05.006

引用次数: 0

Monitorización sonográfica de la vena cava inferior para la valoración de fenómenos embólicos durante la artroplastia de cadera 超声监测下腔静脉以评估髋关节置换术中的栓塞现象

IF 0.9

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-08-01 DOI: 10.1016/j.redar.2023.06.003

{"title":"Monitorización sonográfica de la vena cava inferior para la valoración de fenómenos embólicos durante la artroplastia de cadera","authors":"","doi":"10.1016/j.redar.2023.06.003","DOIUrl":"10.1016/j.redar.2023.06.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Embolic phenomena frequently occur during hip joint replacement surgery, and may lead to haemodynamic instability in frail patients. Transoesophageal ultrasound monitoring is rarely available in non-cardiac operating theatres, and cannot be performed in awake patients under spinal anaesthesia. The main objectives of this prospective exploratory study were to determine the feasibility of using an alternative ultrasound approach to monitor the inferior vena cava during hip replacement surgery, and to determine the intra- and interobserver reliability of the ultrasound findings.</p></div><div><h3>Method</h3><p>We conducted a prospective exploratory study in 20 patients undergoing cemented hip arthroplasty in the supine position under spinal anaesthesia and sedation. The inferior vena cava was assessed through a subcostal window at 10 intraoperative time points, and the findings were rated on a qualitative embolism severity scale. The ultrasound images were evaluated by 2 independent observers.</p></div><div><h3>Results</h3><p>An adequate subcostal window was obtained in 90% of cases. Intra- and inter-observer reliability was high (kappa index>0.80, p<0.001). Nearly all (95%) patients presented some degree of embolism, which was severe in 50% of cases.</p></div><div><h3>Conclusions</h3><p>Our study suggests that ultrasound assessment of embolic phenomena in the inferior vena cava through a subcostal window is reliable in 90% of cases. The qualitative embolic severity rating scale is highly reproducible and has high intra- and inter-observer reliability.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466167","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

Hiperlactacidemia en pacientes con estatus asmático. Análisis mediante el modelo de Stewart 哮喘状态患者的高乳酸血症。使用斯图尔特模型进行分析

IF 0.9

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-08-01 DOI: 10.1016/j.redar.2023.10.004

{"title":"Hiperlactacidemia en pacientes con estatus asmático. Análisis mediante el modelo de Stewart","authors":"","doi":"10.1016/j.redar.2023.10.004","DOIUrl":"10.1016/j.redar.2023.10.004","url":null,"abstract":"<div><h3>Background</h3><p>Patients with status asthmaticus (SA) frequently present with lactic acidosis (LA). Our goal is to identify the nature of LA using the Stewart physicochemical model and to identify the independent factors associated with LA in children with SA.</p></div><div><h3>Methods</h3><p>Analytical study of a retrospective cohort using a nested case-control design. Twenty-eight episodes of SA in 24 children were included. Patients admitted to a paediatric intensive care unit (PICU) for SA over a 9-year period were recruited consecutively. LA was analysed using the Stewart model and the Strong Ion Calculator. Data and were analysed using descriptive statistics and regression models were fitted in the general linear model.</p></div><div><h3>Results</h3><p>Hyperlacticaemia (Lact[mM/L]=3.905 [95% <span>C</span>I=3.018-4.792]) and acidosis (pH=7.294 [95% CI=7.241-7.339]) were observed in 18 episodes (15 patients; 62.5%). According to the Stewart model, acidosis was caused by a decrease in strong ion difference. Initially, pCO2 was high (pCO2[mmHg]=45.806 [95% CI=37.314-54.298]) but the net unmeasured ion (NUI) component was normal (NUI=-4,461 [95% CI=-3.51 - -5.412]), and neither changed significantly over the clinical course. There was no need to determine pyruvate, as the NUI was normal and the LA was type B (non-hypoxic, lactate / pyruvate <25). We observed a correlation (p=0.023) between LA and intramuscular epinephrine administered on arrival at hospital, but not between LA and the cumulative dose of nebulized salbutamol.</p></div><div><h3>Conclusions</h3><p>Most patients with SA presented LA. The Stewart model confirmed that LA is not hypoxic, probably due to sympathomimetic-related glycolysis.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278824","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

Conexiones NRFit en anestesia regional: evitando errores de medicación 区域麻醉中的 NRFit 连接：避免用药错误

IF 0.9

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-08-01 DOI: 10.1016/j.redar.2023.11.007

引用次数: 0

Compresiones torácicas como maniobra de rescate para mantener la apertura de la válvula aórtica durante el síndrome de distensión ventricular izquierdo en la oxigenación por membrana extracorpórea venoarterial 在静脉体外膜氧合治疗左心室扩张综合征期间，将胸外按压作为维持主动脉瓣开放的一种救援手段

IF 0.9

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-08-01 DOI: 10.1016/j.redar.2023.09.004

引用次数: 0

Papel de la oxigenación por membrana extracorpórea veno-venosa en cirugía traqueal y de carina: a propósito de 2 casos clínicos 静脉体外膜肺氧合在气管和气管手术中的作用：2 例报告回顾

IF 0.9

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-08-01 DOI: 10.1016/j.redar.2023.03.008

引用次数: 0