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Best Practice & Research-Clinical Anaesthesiology最新文献

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Lessons learned from big data (APRICOT, NECTARINE, PeDI) 从大数据中汲取的经验教训（亚太地区数据中心、NECTARINE、PeDI）
IF 4.8 3区 医学
Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-06-01 DOI: 10.1016/j.bpa.2024.04.006
Nicola Disma , Walid Habre , Francis Veyckemans
{"title":"Lessons learned from big data (APRICOT, NECTARINE, PeDI)","authors":"Nicola Disma ,&nbsp;Walid Habre ,&nbsp;Francis Veyckemans","doi":"10.1016/j.bpa.2024.04.006","DOIUrl":"10.1016/j.bpa.2024.04.006","url":null,"abstract":"<div><p>Big data in paediatric anaesthesia allows the evaluation of morbidity and mortality of anaesthesia in a large population, but also the identification of rare critical events and of their causes. This is a major step to focus education and design clinical guidelines. Moreover, they can help trying to determine normative data in a population with a wide range of ages and body weights. The example of blood pressure under anaesthesia will be detailed. Big data studies should encourage every department of anaesthesia to collect its own data and to benchmark its performance by comparison with published data. The data collection processes are also an opportunity to build collaborative research networks and help researchers to complete multicentric studies. Up to recently, big data studies were only performed in well developed countries. Fortunately, big data collections have started in some low and middle income countries and truly international studies are ongoing.</p></div>","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 2","pages":"Pages 111-117"},"PeriodicalIF":4.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in foetal anaesthesia 胎儿麻醉的进展
IF 4.8 3区 医学
Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-06-01 DOI: 10.1016/j.bpa.2024.04.008
Tom Bleeser , Arjen Brenders , Simen Vergote , Jan Deprest , Steffen Rex , Sarah Devroe
{"title":"Advances in foetal anaesthesia","authors":"Tom Bleeser ,&nbsp;Arjen Brenders ,&nbsp;Simen Vergote ,&nbsp;Jan Deprest ,&nbsp;Steffen Rex ,&nbsp;Sarah Devroe","doi":"10.1016/j.bpa.2024.04.008","DOIUrl":"https://doi.org/10.1016/j.bpa.2024.04.008","url":null,"abstract":"<div><p>Nowadays, widespread antenatal ultrasound screenings detect congenital anomalies earlier and more frequently. This has sparked research into foetal surgery, offering treatment options for various conditions. These surgeries aim to correct anomalies or halt disease progression until after birth. Minimally invasive procedures can be conducted under local anaesthesia (with/without maternal sedation), while open mid-gestational procedures necessitate general anaesthesia. Anaesthesia serves to prevent maternal and foetal pain, to provide immobilization, and to optimize surgical conditions by ensuring uterine relaxation. As early as 12 weeks after conception, the foetus may experience pain. Thus, in procedures involving innervated foetal tissue or requiring foetal immobilization, anaesthetic drugs can be administered directly to the foetus (intramuscular or intravenous) or indirectly (transplacental) to the mother. However, animal studies have indicated that exposure to prenatal anaesthesia might impact foetal brain development, translating these findings to the clinical setting remains difficult.</p></div>","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 2","pages":"Pages 93-102"},"PeriodicalIF":4.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141325539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Best practice & research clinical anaesthesiology; Preface evidence-based approach to paediatric anaesthesia 最佳实践与研究 临床麻醉学；序言 儿科麻醉的循证方法
IF 4.8 3区 医学
Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-06-01 DOI: 10.1016/j.bpa.2024.05.004
Julie Lauweryns MD
{"title":"Best practice & research clinical anaesthesiology; Preface evidence-based approach to paediatric anaesthesia","authors":"Julie Lauweryns MD","doi":"10.1016/j.bpa.2024.05.004","DOIUrl":"10.1016/j.bpa.2024.05.004","url":null,"abstract":"","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 2","pages":"Pages 91-92"},"PeriodicalIF":4.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advances in pediatric neuroanesthesia practices 小儿神经麻醉实践的进展
IF 4.8 3区 医学
Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-06-01 DOI: 10.1016/j.bpa.2024.04.005
Hubert A. Benzon , Carolyn G. Butler , Sulpicio G. Soriano
{"title":"Advances in pediatric neuroanesthesia practices","authors":"Hubert A. Benzon ,&nbsp;Carolyn G. Butler ,&nbsp;Sulpicio G. Soriano","doi":"10.1016/j.bpa.2024.04.005","DOIUrl":"https://doi.org/10.1016/j.bpa.2024.04.005","url":null,"abstract":"<div><p>The field of pediatric neuroanesthesia has evolved with concurrent changes in pediatric neurosurgical practice. Ongoing pediatric neuroanesthesia investigations provide novel insights into developmental cerebrovascular physiology, neurosurgical technology, and clinical outcomes. Minimally invasive neurosurgical procedures appear to be associated with lower complication rates and length of stay. This review will discuss blood sparing techniques, regional anesthesia, and postoperative disposition. Collectively, these innovations appear to be safe in pediatric neurosurgical patients with potential benefits, but more data is needed for more definitive long-term outcomes.</p></div>","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 2","pages":"Pages 127-134"},"PeriodicalIF":4.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141325480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Update on perioperative fluids 围手术期液体的最新情况
IF 4.8 3区 医学
Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-06-01 DOI: 10.1016/j.bpa.2024.03.001
Katharina Röher , Frank Fideler
{"title":"Update on perioperative fluids","authors":"Katharina Röher ,&nbsp;Frank Fideler","doi":"10.1016/j.bpa.2024.03.001","DOIUrl":"10.1016/j.bpa.2024.03.001","url":null,"abstract":"<div><p>Adequate fluid management in the perioperative period in paediatric patients is essential for restoring and maintaining homeostasis and ensuring adequate tissue perfusion. A well-designed infusion regimen is crucial for preventing severe complications such as hyponatraemic encephalopathies. The composition of perioperative fluid solutions is now guided by an understanding of extracellular fluid physiology. Various crystalloid and colloidal products are available for use, but a comprehensive approach requires careful consideration of their drawbacks and limitations. Additionally, the unique characteristics of different patient groups must be taken into account. This review will provide the reader with physiological considerations for perioperative fluids and describe indications for perioperative intravenous fluid therapy in paediatric patients. The current evidence on perioperative fluid therapy is finally summarised in practical recommendations.</p></div>","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 2","pages":"Pages 118-126"},"PeriodicalIF":4.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521689624000156/pdfft?md5=d1c9b8fd48f80c82b60078cf4de9792d&pid=1-s2.0-S1521689624000156-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140281832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preoperative fasting in children. The evolution of recommendations and guidelines, and the underlying evidence 儿童术前禁食。建议和指南的演变及基本证据
IF 4.8 3区 医学
Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-06-01 DOI: 10.1016/j.bpa.2024.03.003
Peter Frykholm , Tom G. Hansen , Thomas Engelhardt
{"title":"Preoperative fasting in children. The evolution of recommendations and guidelines, and the underlying evidence","authors":"Peter Frykholm ,&nbsp;Tom G. Hansen ,&nbsp;Thomas Engelhardt","doi":"10.1016/j.bpa.2024.03.003","DOIUrl":"10.1016/j.bpa.2024.03.003","url":null,"abstract":"<div><p>This review discusses the evolution of preoperative fasting guidelines and examines the incidence of pulmonary aspiration of gastric contents and suggested treatments.</p><p>Nine guidelines developed by professional societies and published in peer-reviewed journals since 1994 were identified. The recommendations on preoperative fasting for various categories have undergone only small adaptations in the following three decades in pediatric anesthesia.</p><p>We found twelve published studies of the incidence of pulmonary aspiration, which ranges from 0.6 to 12 in 10,000 anesthetics in children. However, this variation reflects differences in the definition of aspiration as well as differences in study design. The main risk factors identified are emergency surgery, ASA physical status, and patient age. Several additional risk factors have been suggested, including non-compliance to fasting guidelines.</p><p>The duration of clear fluid fasting is not associated with an increased risk of pulmonary aspiration which may be reflected in future guideline updates in pediatric anesthesia.</p></div>","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 2","pages":"Pages 103-110"},"PeriodicalIF":4.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S152168962400017X/pdfft?md5=a0aad6773a06e5927e73755ab3a90817&pid=1-s2.0-S152168962400017X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140274506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What's new in pediatric critical care? 儿科重症监护有哪些新进展？
IF 4.8 3区 医学
Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-06-01 DOI: 10.1016/j.bpa.2024.03.004
R. Haghedooren , T. Schepens
{"title":"What's new in pediatric critical care?","authors":"R. Haghedooren ,&nbsp;T. Schepens","doi":"10.1016/j.bpa.2024.03.004","DOIUrl":"10.1016/j.bpa.2024.03.004","url":null,"abstract":"<div><p>Pediatric intensive care medicine is a rapidly evolving field of medicine, with recent publication of landmark papers specific for the pediatric population. Progress has been made in modes of mechanical ventilation, including noninvasive ventilation in pediatric ARDS and after extubation failure, with updated guidelines on ventilator liberation. Improved technology and advancements in hemodynamic support allow for better care of our patients with heart disease. Sepsis burden in children remains high and continued efforts are made to improve survival. A nutritional plan with a tailored approach, focusing on individualized needs, could offer benefits for our patients. Sedation practices and guidelines have been updated, focusing on minimizing delirium and facilitating early mobility. This manuscript highlights some of the most recent advances and updates.</p></div>","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 2","pages":"Pages 145-154"},"PeriodicalIF":4.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric regional anesthesia and acute pain management: State of the art 小儿区域麻醉和急性疼痛管理：最新技术
IF 4.8 3区 医学
Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-06-01 DOI: 10.1016/j.bpa.2024.05.003
Natalie R. Barnett , John G. Hagen , Deepa Kattail
{"title":"Pediatric regional anesthesia and acute pain management: State of the art","authors":"Natalie R. Barnett ,&nbsp;John G. Hagen ,&nbsp;Deepa Kattail","doi":"10.1016/j.bpa.2024.05.003","DOIUrl":"10.1016/j.bpa.2024.05.003","url":null,"abstract":"<div><p>Pediatric regional anesthesia has been in existence for over 125 years, but significant progress and widespread use has occurred in the last few decades, with the increasing availability of ultrasound guidance. Evidence supporting the safety of regional anesthesia when performed under general anesthesia has also allowed the field to flourish. Newer techniques allow for more precise nerve blockade and in general this has resulted in more peripheral blocks replacing central blocks, such as caudal epidurals and spinal anesthesia. Current controversial topics in the field include the method of obtaining loss of resistance when placing epidural catheters, the role of regional anesthesia in compartment syndrome and post-hypospadias repair complications, and utility of test doses.</p></div>","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 2","pages":"Pages 135-144"},"PeriodicalIF":4.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141055544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anesthetic considerations for perioperative ECMO in lung transplantation 肺移植围手术期 ECMO 的麻醉注意事项
IF 4.8 3区 医学
Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-03-01 DOI: 10.1016/j.bpa.2024.03.002
Julien Fessler , Jaromir Vajter , Archer Kilbourne Martin
{"title":"Anesthetic considerations for perioperative ECMO in lung transplantation","authors":"Julien Fessler ,&nbsp;Jaromir Vajter ,&nbsp;Archer Kilbourne Martin","doi":"10.1016/j.bpa.2024.03.002","DOIUrl":"10.1016/j.bpa.2024.03.002","url":null,"abstract":"<div><p>The care for lung transplantation patients is a complex, multidisciplinary coordination of physician and non-physician teams throughout the perioperative period. The diversity of etiologies of recipient end-stage lung disease further complicate care, as recipients often present with concomitant end-stage cardiac disease. Recently, the use of extracorporeal membrane oxygenation has become the mechanical circulatory support of choice to provide cardiopulmonary stability throughout the perioperative period. This review will focus specifically on the anesthetic considerations for perioperative extracorporeal membrane oxygenation in lung transplantation throughout preoperative bridge to transplantation, intraoperative management, and postoperative utilization.</p></div>","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 1","pages":"Pages 58-63"},"PeriodicalIF":4.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extracorporeal membrane oxygenation in thoracic surgery: A game changer! 体外膜肺氧合在胸外科手术中的应用：改变游戏规则！
IF 4.8 3区 医学
Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-03-01 DOI: 10.1016/j.bpa.2024.01.003
Lena Glowka, Wanda M. Popescu, Bhoumesh Patel
{"title":"Extracorporeal membrane oxygenation in thoracic surgery: A game changer!","authors":"Lena Glowka,&nbsp;Wanda M. Popescu,&nbsp;Bhoumesh Patel","doi":"10.1016/j.bpa.2024.01.003","DOIUrl":"https://doi.org/10.1016/j.bpa.2024.01.003","url":null,"abstract":"<div><p><span><span>The utilization of extracorporeal membrane oxygenation (ECMO) in complex </span>thoracic surgery has become more frequent in recent years due to advances in technology, increased availability, and improved outcomes. ECMO has emerged as a vital tool to facilitate thoracic surgery for patients who would have otherwise been deemed unsuitable candidates. It has redefined the boundaries of surgical possibility where conventional methods fall short. ECMO is typically employed in specific thoracic surgery where conventional ventilation is either inadequate or it interferes with the surgical field, and in procedures demanding both ventilatory and </span>hemodynamic support.</p></div>","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 1","pages":"Pages 47-57"},"PeriodicalIF":4.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141314789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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