Revista Espanola de Anestesiologia y Reanimacion最新文献_第9页

Análisis cuantitativo de la dispersión y la variabilidad del bloqueo del nervio geniculado: correlaciones anatómicas e implicaciones clínicas 膝状神经阻滞的分散性和可变性定量分析：解剖学相关性和临床意义。

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-01-01 DOI: 10.1016/j.redar.2024.05.004

T. Cuñat , X. Sala-Blanch , P. Pietrantoni , J. Pomés , S. Pregnolato , A. Prats-Galino

{"title":"Análisis cuantitativo de la dispersión y la variabilidad del bloqueo del nervio geniculado: correlaciones anatómicas e implicaciones clínicas","authors":"T. Cuñat , X. Sala-Blanch , P. Pietrantoni , J. Pomés , S. Pregnolato , A. Prats-Galino","doi":"10.1016/j.redar.2024.05.004","DOIUrl":"10.1016/j.redar.2024.05.004","url":null,"abstract":"<div><h3>Background</h3><div>Despite advancements in anaesthesiology and regional anaesthesia, the three-dimensional spread of local anaesthetics is still poorly understood. This study investigates the pericapsular spread of radiopaque contrast after ultrasound-guided genicular nerve block in cadaveric knees using CT reconstruction. The aim is to assess the reproducibility, accuracy, and variability of this technique in order to improve safety and effectiveness.</div></div><div><h3>Methods</h3><div>We used a four-stage methodology that involved performing genicular nerve block on cadaveric knees, acquiring data using high-resolution ultrasound and helical CT imaging, performing segmentation and surface reconstruction of the CT images, and analysing the data quantitively to determine the spread of the infiltrate in each genicular nerve region. Coefficients of variation were calculated to estimate the spread and reproducibility of each genicular nerve block.</div></div><div><h3>Results</h3><div>Our results revealed significant variability in spread in all genicular nerve blocks, particularly around the recurrent genicular nerve. Despite this variability, the spread—particularly along the medial-lateral and anterior-posterior axes—showed moderate consistency. Furthermore, the regions covered by 80% of the spread closely matched the pericapsular distribution of the genicular nerves of the knee.</div></div><div><h3>Conclusions</h3><div>Notable variability in spread was observed in genicular nerve blocks, particularly around the recurrent genicular nerve. However, the spread showed moderate consistency and aligns closely with the pericapsular nerve distribution of the knee. Future studies should combine quantitative analysis with anatomical dissection to further investigate the involvement of the deep peroneal motor branch.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 1","pages":"Article 101640"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845058","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

Recirculación sanguínea durante la terapia continua de depuración renal debido a un trombo en la vena cava inferior 下腔静脉血栓导致的持续肾脏清除疗法期间的血液再循环

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-01-01 DOI: 10.1016/j.redar.2024.03.006

J. Carballo Fernández, A. González Pereira, M.T. Rey Rilo, O. Pato López

引用次数: 0

Manejo perioperatorio del paciente con fractura de cadera y tratamiento con fármacos anticoagulantes o antiagregantes. Recomendaciones de consenso de la sección de hemostasia de la SEDAR 髋部骨折患者的术后管理和抗凝或抗凝药物治疗。SEDAR止血科的协商一致建议

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-01-01 DOI: 10.1016/j.redar.2024.501651

C. Cassinello , R. Ferrandis , A. Gómez-Luque , F. Hidalgo , J.V. Llau , G. Yanes-Vidal , P. Sierra

{"title":"Manejo perioperatorio del paciente con fractura de cadera y tratamiento con fármacos anticoagulantes o antiagregantes. Recomendaciones de consenso de la sección de hemostasia de la SEDAR","authors":"C. Cassinello , R. Ferrandis , A. Gómez-Luque , F. Hidalgo , J.V. Llau , G. Yanes-Vidal , P. Sierra","doi":"10.1016/j.redar.2024.501651","DOIUrl":"10.1016/j.redar.2024.501651","url":null,"abstract":"<div><h3>Background</h3><div>Antiaggregant and anticoagulant therapy complicate the management of patients with osteoporotic hip fracture.</div></div><div><h3>Methods</h3><div>The haemostasis section of SEDAR established a working group to define an action plan for the management of antiaggregated or anticoagulated patients with an osteoporotic hip fracture. The suggested recommendations are based on evidence of best practices, and have been validated by a multidisciplinary group formed by 6 specialties.</div></div><div><h3>Results</h3><div>Early surgery reduces complications and mortality and improves patient comfort and functional recovery, with no difference in mortality between intradural and general anaesthesia.</div></div><div><h3>Conclusions</h3><div>Although uncertainties remain, it is recommended to perform surgery within 24-48hours of admission, adapting peripheral nerve blocks and type of anesthesia (neuraxial or general) an to the haemostatic conditions. A multimodal management of antithrombotics, and the optimisation of haemostasis, haemoglobin and venous thromboprophylaxis since admission are suggested.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 1","pages":"Article 501651"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143128022","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

Anestesia espinal continua para trasplante renal en una paciente de lupus con regurgitación mitral grave: informe de un caso 为一名患有严重二尖瓣返流的狼疮患者进行肾移植手术的连续脊髓麻醉：病例报告

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-01-01 DOI: 10.1016/j.redar.2024.01.009

A.A. Pires , M.J. Correia , J. Sousa

引用次数: 0

Perforación cardiaca y neumotórax izquierdo simultáneos como complicaciones de sonda de marcapasos transitorio 瞬态起搏导线并发的同时心脏穿孔和左侧气胸

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-01-01 DOI: 10.1016/j.redar.2023.11.006

J.F. Muñoz Moreno, L. Segovia García de Marina, C.M. Marín Marín, L.J. Yuste Domínguez

引用次数: 0

Hipertensión intracraneal idiopática durante la gestación. A propósito de un caso 妊娠期特发性颅内高压。病例报告

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-01-01 DOI: 10.1016/j.redar.2024.03.003

D. Revuelta , M. López-Baamonde , M. Vendrell , A. Plaza , T. Cobo , M. Magaldi

{"title":"Hipertensión intracraneal idiopática durante la gestación. A propósito de un caso","authors":"D. Revuelta , M. López-Baamonde , M. Vendrell , A. Plaza , T. Cobo , M. Magaldi","doi":"10.1016/j.redar.2024.03.003","DOIUrl":"10.1016/j.redar.2024.03.003","url":null,"abstract":"<div><div>Idiopathic intracranial hypertension (IIH) is a condition characterized by elevated intracranial pressure (ICP) of unknown etiology, more prevalent in obese women of childbearing age. The management of IIH during pregnancy represents a multidisciplinary challenge, as medical treatment is contentious due to the fetal teratogenic risk, and the technically challenging placement of a ventriculoperitoneal shunt is hindered by the presence of the pregnant uterus. The goal of anesthetic management during childbirth is to maintain hemodynamic stability, cerebral perfusion pressure, and cerebral tissue oxygenation, while avoiding abrupt fluctuations in intracranial pressure. The choice of anesthetic technique is complex and depends on the assessment of risks and benefits associated with each technique, involving a decision between neuraxial anesthesia and general anesthesia.</div><div>We present the case of a pregnant woman with rapidly progressing IIH, approached in a multidisciplinary manner, whose anaesthetic management was technically challenging, resulting in a favourable outcome without subsequent complications.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 1","pages":"Article 101623"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762339","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

Efecto de propofol frente a sevoflurano en la oxigenación cerebral en la enfermedad de Moyamoya pediátrica. Estudio de espectroscopia de infrarrojo cercano 异丙酚与七氟醚对小儿 Moyamoya 病脑氧饱和度的影响。近红外光谱研究。

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-01-01 DOI: 10.1016/j.redar.2024.03.009

J.R. Seshan, I. Kapoor, H. Prabhakar, C. Mahajan

{"title":"Efecto de propofol frente a sevoflurano en la oxigenación cerebral en la enfermedad de Moyamoya pediátrica. Estudio de espectroscopia de infrarrojo cercano","authors":"J.R. Seshan, I. Kapoor, H. Prabhakar, C. Mahajan","doi":"10.1016/j.redar.2024.03.009","DOIUrl":"10.1016/j.redar.2024.03.009","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Anaesthesia during surgery for moyamoya disease (MMD) has different effects on cerebral physiology. Both sevoflurane and propofol have cerebral protective effects, albeit with different mechanisms. We used near infrared spectroscopy (NIRS) to observe the effect of sevoflurane and propofol on rSO<sub>2</sub> in paediatric patients undergoing MMD surgery.</div></div><div><h3>Materials and methods</h3><div>We included paediatric patients ASA grade I aged between 1 and 18 years undergoing surgery for MMD over a period of 1 year (from 1 April 2018 to 1 April 2019). Patients were randomized to 2 groups: Group S (sevoflurane) and Group P (propofol). NIRS values were recorded at 5 time points: T1 (baseline) T2 (after preoxygenation), T3 (after induction), T4 (end of surgery), T5 (after extubation). One-way ANOVA was used for intra-group comparisons and two-way repeated measures ANOVA with Bonferroni correction were used for inter-group comparisons. <em>P</em> value <0.05 was considered significant.</div></div><div><h3>Results</h3><div>A total of 20 patients were included in the study. The average age was 10.5±4.3 years. The mean baseline rSO<sub>2</sub> was 78.35±10.58 and 77.95±8.81 in the right and left hemispheres, respectively. In both groups, rSO<sub>2</sub> values increased between baseline and anaesthesia induction and fell slightly at the end of surgery. The inter-group analysis showed no statistically significant change between rSO<sub>2</sub> values.</div></div><div><h3>Conclusion</h3><div>Both sevoflurane and propofol maintain adequate rSO<sub>2</sub> levels in children undergoing surgery for MMD.</div><div>Clinical trial registration number: CTRI/2018/04/013229 registered on 12.04.2018.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"72 1","pages":"Article 101630"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411538","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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Comentario sobre: «Bloqueo costoclavicular con inyección única vs doble: ensayo de no inferioridad» 关于“单次注射与双次注射肋锁骨阻滞：非劣等试验”的评注

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-01-01 DOI: 10.1016/j.redar.2024.05.003

R.M. Sethuraman, S. Krishnakumar, S. Rajendran

引用次数: 0

Importancia de la formación en la tecnología de los sistemas de anestesia 麻醉系统技术培训的重要性

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-12-06 DOI: 10.1016/j.redar.2024.501662

J.J. Ariño Irujo

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Utilidad de la ecografía en el diagnóstico diferencial del edema cervical posoperatorio tras la cirugía de columna cervical posterior 超声在后颈椎手术后鉴别宫颈水肿诊断中的作用

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-12-06 DOI: 10.1016/j.redar.2024.501666

B. Rodríguez Sánchez , I. Fuertes Arenal , J.J. Algaba Jaramillo , P. Morillas Sendin

引用次数: 0