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Bloqueo del ganglio impar para el dolor crónico relacionado con el cáncer: revisión de la literatura actual 神经节阻滞治疗慢性癌症相关疼痛：现有文献综述
IF 0.9
Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-10-01 DOI: 10.1016/j.redar.2024.01.004
J. Oliveira , G. Bem , A. Agrelo
{"title":"Bloqueo del ganglio impar para el dolor crónico relacionado con el cáncer: revisión de la literatura actual","authors":"J. Oliveira ,&nbsp;G. Bem ,&nbsp;A. Agrelo","doi":"10.1016/j.redar.2024.01.004","DOIUrl":"10.1016/j.redar.2024.01.004","url":null,"abstract":"<div><div>Oncologic chronic pain is often difficult to control, especially in anatomical areas with multiple and complex innervation, such as the pelvic/perineal region. The ganglion impar block (GIB) is a procedure with growing interest and varied applicability. It has been used in several benign and malignant causes of pelvic and perineal pain refractory to pharmacological treatment. We conducted a review of all articles published in PUBMED® until the 30th of October 2022 regarding GIB in oncologic pain. 19 articles were identified with a total of 278 patients. Both chronic cancer pain and chronic postcancer treatment pain patients were included. We reviewed the various techniques, approaches, and therapeutic options that were employed. No serious adverse effects were reported. GIB appears to be an effective and safe procedure that should be considered in patients with intractable perineal cancer-related pain.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 8","pages":"Pages 608-618"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425061","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
Factores de riesgo para PPC en cirugía abdominal laparoscópica no robótica frente a la laparoscópica robótica (LapRas): Razonamiento y protocolo mediante un análisis a nivel de paciente de LAS VEGAS y AVATaR 非机器人腹腔镜与机器人腹腔镜腹部手术（LapRas）中CLP的风险因素：利用 LAS VEGAS 和 AVATaR 进行的患者层面分析得出的理由和方案
IF 0.9
Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-10-01 DOI: 10.1016/j.redar.2024.01.008
{"title":"Factores de riesgo para PPC en cirugía abdominal laparoscópica no robótica frente a la laparoscópica robótica (LapRas): Razonamiento y protocolo mediante un análisis a nivel de paciente de LAS VEGAS y AVATaR","authors":"","doi":"10.1016/j.redar.2024.01.008","DOIUrl":"10.1016/j.redar.2024.01.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Postoperative pulmonary complications (PPC) vary in different surgical techniques. We aim to compare the incidence of PPCs after laparoscopic non-robotic versus laparoscopic robotic abdominal surgery.</div></div><div><h3>Methods and analysis</h3><div>LapRas (Risk Factors for PPCs in Laparoscopic Non-Robotic vs Laparoscopic Robotic Abdominal Surgery) analyses harmonized data from two observational studies on abdominal surgery patients and PPCs: Local ASsessment of VEntilatory management during General Anaesthesia for Surgery (LAS VEGAS), and Assessment of Ventilation during general AnesThesia for Robotic surgery (AVATaR). The primary endpoint is the occurrence of one or more PPC within the first five postoperative days. Secondary endpoints include the occurrence of each individual PPC, hospital length of stay, and in-hospital mortality. Logistic regression models will be used to identify risk factors for PPCs in laparoscopic non-robotic versus laparoscopic robotic abdominal surgery. We will investigate whether differences in the occurrence of PPCs between the groups are driven by differences in duration of anaesthesia and/or the intensity of mechanical ventilation.</div></div><div><h3>Ethics and dissemination</h3><div>This analysis will address a clinically relevant research question by comparing laparoscopic and robotic surgery. No additional ethical committee approval is required for this meta-analysis. Data will be shared with the scientific community in the form of abstracts and original articles submitted to peer-reviewed journals.</div></div><div><h3>Registration</h3><div>The registration of this post-hoc analysis is pending; individual studies that were merged into the study database were registered at clinicaltrials.gov: LAS VEGAS with identifier <span><span>NCT01601223</span><svg><path></path></svg></span>, AVATaR with identifier <span><span>NCT02989415</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 8","pages":"Pages 592-600"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140763806","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
Abordaje transcava para inserción de endoprótesis aórtica. Un nuevo reto anestésico 经腔途径植入主动脉内假体。新的麻醉挑战
IF 0.9
Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-10-01 DOI: 10.1016/j.redar.2023.09.006
{"title":"Abordaje transcava para inserción de endoprótesis aórtica. Un nuevo reto anestésico","authors":"","doi":"10.1016/j.redar.2023.09.006","DOIUrl":"10.1016/j.redar.2023.09.006","url":null,"abstract":"<div><div>The treatment of acute aortic syndrome has been benefited in recent years from the huge progress in endovascular techniques, compared to classical surgical treatment, by open surgery. Nevertheless, for endovascular treatment to be successful, it is essential for the patient to present adequate vascular access. Those cases with unfavourable vascular anatomy make it necessary to consider open surgery with significant morbidity, or even to reject surgery. A new approach to the abdominal aorta has recently been described as an indication for these patients with impossibility of other vascular access and absolute or relative contraindication to the transthoracic approach.</div><div>The anesthetic management of the aortic syndrome is well known and, even though there are a variety of options, all of them have proven safety and efficacy. The implementation of new surgical approaches and new possible complications imply a challenge for the anesthesiologist which, for now, has little or none scientific evidence.</div><div>We present the first case of transcaval aortic endoprosthesis implantation in Spain, its anesthetic implications, and a review of the literature.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 8","pages":"Pages 623-626"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140464787","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
Uso de cannabinoides en el dolor agudo posoperatorio 使用大麻素治疗急性术后疼痛
IF 0.9
Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-10-01 DOI: 10.1016/j.redar.2023.11.004
{"title":"Uso de cannabinoides en el dolor agudo posoperatorio","authors":"","doi":"10.1016/j.redar.2023.11.004","DOIUrl":"10.1016/j.redar.2023.11.004","url":null,"abstract":"<div><div>Doubts about the efficacy of medicinal cannabis in the treatment of acute postoperative pain are well justified, at least in light of the information gathered from Google Scholar, Clinical Trials, PubMed, and Cochrane databases. The conflation of cannabis and cannabinoids engenders not only normative but also medical implications. Despite cannabinoids having evinced their efficacy in the treatment of various pathologies, they have yet to demonstrate such in the context of acute postoperative pain.</div><div>The burgeoning corpus of research on this subject does instill a modicum of hope in this regard; nevertheless, the manifold methodological approaches employed obfuscate the prospect of reaching unequivocal conclusions. Given the current status of this matter, this article abstains from making a definitive pronouncement either in favor of or against the role of pharmaceuticals incorporating cannabinoid compounds in the management of acute postoperative pain.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 8","pages":"Pages 601-607"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966335","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
Aneurisma del seno de Valsalva causante de cierre espontáneo de defecto del tabique ventricular congénito 瓦尔萨尔瓦窦动脉瘤导致先天性室间隔缺损自发闭合
IF 0.9
Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-10-01 DOI: 10.1016/j.redar.2023.03.009
{"title":"Aneurisma del seno de Valsalva causante de cierre espontáneo de defecto del tabique ventricular congénito","authors":"","doi":"10.1016/j.redar.2023.03.009","DOIUrl":"10.1016/j.redar.2023.03.009","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 8","pages":"Pages 631-632"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019993","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
Fracaso de la extubación: obstrucción de la vía aérea superior por chicle. Informe de un caso 拔管失败：口香糖导致上气道阻塞。病例报告
IF 0.9
Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-10-01 DOI: 10.1016/j.redar.2023.11.001
{"title":"Fracaso de la extubación: obstrucción de la vía aérea superior por chicle. Informe de un caso","authors":"","doi":"10.1016/j.redar.2023.11.001","DOIUrl":"10.1016/j.redar.2023.11.001","url":null,"abstract":"<div><div>Extubation failure can result from different complications, mostly well described in the literature such as laryngeal edema. Airway obstruction by foreign bodies is a less frequent and unexpected complication and its detection remains a challenge to healthcare professionals. In this case-report, we describe a patient admitted in an intensive care unit following a motor vehicle accident and who underwent an extubation failure and tracheostomy placement due to a misdiagnosed obstruction of a foreign body in the upper airway. Thus, screening of foreign bodies should be considered with a careful interpretation of medical imagery and clinical evaluation in these patients. Finally, cuff leak test, ultrasonography and videolaryngoscopy can be important adjuvants to the identification of suspected foreign bodies.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 8","pages":"Pages 619-622"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139886169","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
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
{"title":"Encuesta nacional sobre la monitorización perioperatoria de anticoagulantes orales directos: encuesta MonACOD","authors":"","doi":"10.1016/j.redar.2024.02.002","DOIUrl":"10.1016/j.redar.2024.02.002","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 8","pages":"Pages 628-630"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780332","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
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<!--> <!-->&lt;<!--> <!-->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":"71 8","pages":"Pages 584-591"},"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
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
{"title":"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","authors":"","doi":"10.1016/j.redar.2023.11.011","DOIUrl":"10.1016/j.redar.2023.11.011","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 8","pages":"Pages 627-628"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278933","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 (&gt; = 7 mg/dL) and AKI. Elevated preoperative AUS (&gt; = 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":"71 7","pages":"Pages 514-521"},"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
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