Best Practice & Research-Clinical Anaesthesiology最新文献_第2页

Cesarean delivery: Clinical updates

IF 4.7 3区医学

Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-09-01 DOI: 10.1016/j.bpa.2024.11.003

Allison Lee , Max Gonzalez Estevez , Agnès Le Gouez , Frédéric J. Mercier

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Postpartum hemorrhage assessment and targeted treatment

IF 4.7 3区医学

Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-09-01 DOI: 10.1016/j.bpa.2024.10.004

Allison A. Mootz , John J. Kowalczyk , Sebastian M. Seifert , Daniel Katz , Sharon C. Reale

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Managing cardiovascular disease in pregnant people: Defining the pregnancy heart team

IF 4.7 3区医学

Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-09-01 DOI: 10.1016/j.bpa.2024.10.001

Liliane Ernst , Marie-Louise Meng , Johanna Quist-Nelson , Dominica Zentner , Alicia T. Dennis

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Initiation and maintenance of neuraxial labour analgesia: A narrative review

IF 4.7 3区医学

Best Practice & Research-Clinical Anaesthesiology Pub Date : 2024-09-01 DOI: 10.1016/j.bpa.2024.10.005

Marie-Camille Vanderheeren , Marc Van de Velde , Eva Roofthooft

{"title":"Initiation and maintenance of neuraxial labour analgesia: A narrative review","authors":"Marie-Camille Vanderheeren , Marc Van de Velde , Eva Roofthooft","doi":"10.1016/j.bpa.2024.10.005","DOIUrl":"10.1016/j.bpa.2024.10.005","url":null,"abstract":"<div><div>Labour analgesia is a crucial aspect of obstetric anaesthesia, aiming to alleviate pain during childbirth while ensuring maternal and foetal safety. Over the past decade, advancements in labour analgesia techniques have evolved, impacting initiation, maintenance, and outcomes. We emphasize the longstanding importance of epidural analgesia while recognizing the growing significance of combined spinal-epidural and dural puncture epidural techniques for labour initiation. Analgesia maintenance is optimally achieved with an epidural bolus regimen, either manual boluses, programmed intermittent boluses or patient-controlled epidural analgesia. Utilizing high-volume, low-dose combinations of local anaesthetics with lipophilic opioids demonstrates synergistic effects, facilitating dose reduction and minimising adverse effects. Adjuvants can play a role in specific clinical contexts. The increasing significance of ultrasound guidance for procedural precision is highlighted. The intricate nature of labour pain management underscores the importance of both patient and clinician involvement in decision-making processes. Future advancements in this field have the potential to enhance the well-being of women as well as their newborns.</div></div>","PeriodicalId":48541,"journal":{"name":"Best Practice & Research-Clinical Anaesthesiology","volume":"38 3","pages":"Pages 168-175"},"PeriodicalIF":4.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094086","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

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

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 , Arjen Brenders , Simen Vergote , Jan Deprest , Steffen Rex , 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

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

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

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 , Tom G. Hansen , 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