Journal of anesthesia and translational medicine最新文献

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Perioperative multivariate analysis and risk prediction of acute kidney injury after cardiac surgery: Based on dynamic temperature changes during cardiopulmonary bypass. 心脏手术后急性肾损伤围手术期多因素分析及风险预测:基于体外循环期间动态体温变化。
Journal of anesthesia and translational medicine Pub Date : 2025-05-26 eCollection Date: 2025-06-01 DOI: 10.1016/j.jatmed.2025.04.001
Xinlong Zhang, Wanxia Li, Jinyi Shi, Zhou Zhou, Zhixiang Li, Rui Ding, Chen Chen, Meijun Zhou, Jialin Yin, Hongwei Shi, Yanna Si, Jianjun Zou
{"title":"Perioperative multivariate analysis and risk prediction of acute kidney injury after cardiac surgery: Based on dynamic temperature changes during cardiopulmonary bypass.","authors":"Xinlong Zhang, Wanxia Li, Jinyi Shi, Zhou Zhou, Zhixiang Li, Rui Ding, Chen Chen, Meijun Zhou, Jialin Yin, Hongwei Shi, Yanna Si, Jianjun Zou","doi":"10.1016/j.jatmed.2025.04.001","DOIUrl":"10.1016/j.jatmed.2025.04.001","url":null,"abstract":"<p><strong>Background: </strong>Temperature variations during cardiopulmonary bypass (CPB) may significantly contribute to the development and progression of acute kidney injury (AKI) after cardiac surgery. We tested the hypothesis that temperature time-series variables during CPB are associated with AKI after cardiac surgery.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of the data from 2041 patients. The primary outcome of interest in this study was cardiac surgery-associated AKI. By analyzing time-series nasopharyngeal temperature (Tnp) monitored intraoperatively with multiple categories, we obtained indicators reflecting the duration and depth of hypothermia. We used univariate and multivariate logistic regression analyses to identify perioperative factors associated with the outcome and construct a prediction model, which was evaluated in terms of discrimination and calibration.</p><p><strong>Results: </strong>Mild hypothermia (32-34 °C) was independently associated with a reduced risk of AKI compared to other temperature categories. The proportion of the duration with temperature at 32-34 °C during CPB (CPB_32-34 °C_DurProp) demonstrated the greatest predictive value for AKI compared to other temperature-related characteristics. We found age, preoperative creatinine, history of hypertension, intraoperative blood loss, intraoperative transfusion of allogeneic blood, and the use of left ventricular assist device (LVAD) were risk factors for the development of AKI. In contrast, preoperative hemoglobin, intraoperative urine output, and CPB_32-34 °C_DurProp were protective factors.</p><p><strong>Conclusions: </strong>The proportion of duration of mild hypothermia (32-34 °C) during CPB was identified as an independent risk factor for AKI after cardiac surgery. A prediction model incorporating this factor demonstrated good predictive performance. This emphasizes the importance of maintaining mild hypothermia during CPB in reducing the risk of AKI in postoperative cardiac surgery patients.</p>","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"4 2","pages":"55-64"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611210","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
Myocardial infarction with non-obstructive coronary arteries in a patient undergoing nephrectomy under general anesthesia. 全麻下行肾切除术患者非阻塞性冠状动脉心肌梗死1例。
Journal of anesthesia and translational medicine Pub Date : 2025-05-24 eCollection Date: 2025-06-01 DOI: 10.1016/j.jatmed.2025.03.003
Xi Fang, Wei Mei
{"title":"Myocardial infarction with non-obstructive coronary arteries in a patient undergoing nephrectomy under general anesthesia.","authors":"Xi Fang, Wei Mei","doi":"10.1016/j.jatmed.2025.03.003","DOIUrl":"10.1016/j.jatmed.2025.03.003","url":null,"abstract":"<p><strong>Background: </strong>Myocardial infarction with non-obstructive coronary arteries (MINOCA) is an uncommon but clinically significant condition, particularly during the perioperative period. Its diagnosis is challenging under general anesthesia due to nonspecific signs and limited patient communication. However, few cases of perioperative MINOCA have been reported to date, and clinical awareness remains limited.</p><p><strong>Case presentation: </strong>A 56-year-old living-related kidney donor with no history of cardiovascular disease was scheduled to undergo nephrectomy under general anesthesia. The induction of anesthesia was uneventful. Electrocardiography (ECG) monitoring demonstratedF the presence of ST-segment elevation approximately 90 min after the start of the surgery. The heart rate (HR) was increased to 90-100 bpm, and despite the administration of a large dose of catecholamines, it remained difficult to maintain the systolic arterial blood pressure (ABP) over 90 mmHg. The patient was transferred to the intensive care unit (ICU) at the end of the surgery. Standard 12-lead ECG revealed aST-segment depression in v1-v4. Moreover, the cardiac troponin I (cTnI) and N-terminal pro-brain natriuretic peptide (NT-proBNP) levels had increased to critical values. Emergency coronary angiography revealed 40 % stenosis in the opening and proximal regions of the left anterior descending (LAD) artery; no stenosis was observed in the other branches of the coronary arteries. After ruling out perioperative anaphylaxis, hypovolemia, and pulmonary embolism, the patient was diagnosed with MINOCA intraoperatively. The patient was extubated 24 h postoperatively under stable hemodynamic conditions. The cTnI and NT-proBNP levels were also restored to the normal range nine days after the operation.</p><p><strong>Conclusions: </strong>Diagnosis of MINOCA indicates that an ischemic mechanism is responsible for the myocyte injury; however, its causes are complex and occult. Hemodynamics and ECG findings should be closely monitored intraoperatively as they play a crucial role in the early diagnosis of MINOCA. Prompt diagnosis and management may limit myocardial damage and improve outcomes.</p>","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"4 2","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611282","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
Safety and feasibility of a rapid reversible induction strategy in anesthesia induction. 快速可逆诱导策略在麻醉诱导中的安全性和可行性。
Journal of anesthesia and translational medicine Pub Date : 2025-05-19 eCollection Date: 2025-06-01 DOI: 10.1016/j.jatmed.2025.03.002
Xiaoying Chi, Yichen Fan, Xiao Zhang, Yi Qin, Jie Xiao, Zhenling Huang, Diansan Su
{"title":"Safety and feasibility of a rapid reversible induction strategy in anesthesia induction.","authors":"Xiaoying Chi, Yichen Fan, Xiao Zhang, Yi Qin, Jie Xiao, Zhenling Huang, Diansan Su","doi":"10.1016/j.jatmed.2025.03.002","DOIUrl":"10.1016/j.jatmed.2025.03.002","url":null,"abstract":"<p><strong>Background: </strong>Unexpected airway management challenges during anesthesia induction-particularly \"Cannot Intubate, Cannot Ventilate\" (CICV) scenarios-pose significant risks of hypoxemia and hemodynamic instability. Rapid reversal of anesthesia to restore adequate spontaneous ventilation represents a critical clinical objective. Our research focuses on developing safe and rapidly reversible induction strategies, which aim to provide alternative solutions for difficult airway management before the onset of irreversible intubation or ventilation failure.</p><p><strong>Methods: </strong>High-flow oxygen inhalation (40 L·min<sup>-1</sup>) and FiO<sub>2</sub> (100 %) were administered preoperatively for five minutes. During anesthesia induction, target controlled infusion was performed with remifentanil 4 ng·mL<sup>-1</sup> and propofol 4 μg·mL<sup>-1</sup>, and rocuronium 0.6 mg·kg<sup>-1</sup> was injected intravenously. Subsequently, the oxygen flow was adjusted to 60 L·min<sup>-1</sup>, with the patients' jaws lifted after the patients had lost consciousness. A direct laryngoscope was used for laryngoscopy and grading. The tracheas of patients with Cormack-Lehane (CL) grade I-II were intubated directly. For the patients with CL grade III-IV, sugammadex (16 mg·kg<sup>-1</sup>) was administered and TCI was stopped. Then conscious intubation was performed after the patients were fully awake. The primary outcome was the rate of reversion success within 15 min from induction.</p><p><strong>Results: </strong>In total, 20 patients with CL grade 3-4 undergoing elective surgery needed reversion. The reversion success rate was 100 %. The shortest time to reversion was 333 s, the longest was 900 s, and the median time was 455 s. During the whole procedure, no hypoxia occurred, and acceptable hypercapnia appeared.</p><p><strong>Conclusions: </strong>The findings of this study demonstrate that the rapid reversible induction (RRI) strategy is both safe and technically feasible. Prompt reversal of anesthesia to restore spontaneous ventilation should be prioritized as a proactive intervention in cases of unanticipated difficult airways, before the situation progresses to a \"Cannot Intubate, Cannot Ventilate\" (CICV) crisis.</p>","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"4 2","pages":"42-49"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611220","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
What is new in cardiac anesthesia in 2024? 2024年心脏麻醉有什么新进展?
Journal of anesthesia and translational medicine Pub Date : 2025-04-12 eCollection Date: 2025-06-01 DOI: 10.1016/j.jatmed.2025.03.001
Zhaoyi Tang, Andrew Lin, Henry Liu, Manxu Zhao
{"title":"What is new in cardiac anesthesia in 2024?","authors":"Zhaoyi Tang, Andrew Lin, Henry Liu, Manxu Zhao","doi":"10.1016/j.jatmed.2025.03.001","DOIUrl":"10.1016/j.jatmed.2025.03.001","url":null,"abstract":"<p><p>Recent advances in cardiac anesthesia have led to improved patient care and safety. In 2024, there is a growing focus on patient-centered approaches aimed at improving overall outcomes. This includes the adoption of Enhanced Recovery After Surgery (ERAS) protocols to promote faster recovery and enhance patient satisfaction, multimodal pain management strategies to minimize opioid use while improving patient comfort, and conservative blood transfusion practices to mitigate risk and enhance the quality of patient care. The expansion of anesthesia practice beyond traditional operating rooms offers greater flexibility and efficacy in managing patients during diagnostic and therapeutic interventions. Technological innovations are also transforming the field. The role of pulmonary artery catheterization in perioperative cardiopulmonary function monitoring and management for high-risk patients remains a subject of debate. Concurrently, continuous assessment of cardiac and pulmonary function, coupled with the development of clinically relevant cardiac biomarkers, more specific medications, and enhanced monitoring devices, contributes to better management and perioperative outcomes. Furthermore, machine learning (ML) algorithms, artificial intelligence (AI) and virtual reality (VR) are playing an increasingly crucial role in training and improving clinical decision-making in complex cases. These innovations have the potential to further revolutionize cardiac anesthesia in the coming years.</p>","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"4 2","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13507988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835928","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
Anesthetic management of delayed malignant hyperthermia during scheduled right frontotemporal craniotomy. 右额颞叶开颅术中迟发性恶性高热的麻醉处理。
Journal of anesthesia and translational medicine Pub Date : 2025-03-27 eCollection Date: 2025-03-01 DOI: 10.1016/j.jatmed.2025.02.005
Ting Wang, Lizhen Wang, Xiang Huang, Fang Kang, Juan Li
{"title":"Anesthetic management of delayed malignant hyperthermia during scheduled right frontotemporal craniotomy.","authors":"Ting Wang, Lizhen Wang, Xiang Huang, Fang Kang, Juan Li","doi":"10.1016/j.jatmed.2025.02.005","DOIUrl":"10.1016/j.jatmed.2025.02.005","url":null,"abstract":"<p><strong>Background: </strong>Malignant hyperthermia is a critical complication that arises when certain anesthetics are administered to susceptible patients, posing a significant risk of mortality if not promptly identified and treated.</p><p><strong>Case presentation: </strong>We present a case of a 48-year-old male admitted for the excision of an intracranial tumor. The patient underwent orotracheal intubation under total intravenous anesthesia and non-depolarizing muscle relaxants. After intubation, anesthetic maintenance was achieved through the administration of sevoflurane and intravenous agents. During the initial stage, there was a gradual increase in the patient's heart rate and end-tidal carbon dioxide pressure (PetCO<sub>2</sub>). Five hours after anesthesia, sevoflurane administration was ceased, resulting in effective control of the condition. However, a subsequent episode of elevated blood pressure led to the re-administration of sevoflurane, causing a sharp rise in heart rate, PetCO<sub>2</sub> levels, and body temperature. The patient's oropharynx temperature peaked at 39.4 ℃, axillary temperature at 45.1 ℃, PetCO<sub>2</sub> level at 69 mmHg, and heart rate at 115 bpm. Due to no dantrolene, we used physical cooling through rapid infusion of ice-cold saline, which initiated a downward trend in core temperature, PetCO<sub>2</sub> levels, and heart rate within 1 h. Throughout the anesthesia process, no significant acidosis or hyperkalemia was observed. After completion of the surgery, the patient was admitted to the ICU with a stabilized oropharynx temperature of 37.8 ℃. Subsequently, the patient experienced febrile symptoms in the following days but was discharged safely on the third postoperative day. Genetic testing revealed homozygous mutations in the RYR1 gene, both in the patient and his son, confirming the occurrence of malignant hyperthermia during the operation.</p><p><strong>Conclusions: </strong>This case report details the diagnosis and management of a 48-year-old male patient with a homozygous RYR1 gene mutation who developed delayed malignant hyperthermia (MH) following sevoflurane anesthesia. Despite the absence of the specific antagonist dantrolene, the condition was successfully controlled through active symptomatic management. Postoperative genetic testing further confirmed that both the patient and his son carried the pathogenic RYR1 mutation, definitively establishing their MH susceptibility.</p>","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"4 1","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611252","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
Anesthesia for fetal interventions: Caring for mother and fetus prior to birth. 胎儿干预的麻醉:产前对母亲和胎儿的护理。
Journal of anesthesia and translational medicine Pub Date : 2025-03-27 eCollection Date: 2025-03-01 DOI: 10.1016/j.jatmed.2025.02.004
Olivia Nelson, Elaina E Lin
{"title":"Anesthesia for fetal interventions: Caring for mother and fetus prior to birth.","authors":"Olivia Nelson, Elaina E Lin","doi":"10.1016/j.jatmed.2025.02.004","DOIUrl":"10.1016/j.jatmed.2025.02.004","url":null,"abstract":"<p><p>Fetal surgery is an expanding domain in which the developing fetus receives therapeutic interventions aimed at reducing mortality and/or morbidity. It presents unique challenges to the anesthesiologist, as it involves managing two simultaneous patients and necessitates the integration of both obstetric and pediatric anesthesia. Fetal therapies range from minimally invasive techniques to open mid-gestation procedures to near-term procedures performed with the fetus partially delivered while on placental circulation. In this overview, we delineate the indications for fetal surgery, review the principles for administering anesthesia in these cases, and outline the anesthetic strategies for minimally invasive, open mid-gestation, and ex utero intrapartum treatment (EXIT) procedures.</p>","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"4 1","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611204","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
Impact of transcutaneous electrical acupoint stimulation combined with aromatherapy on postoperative nausea and vomiting in patients undergoing microvascular decompression surgery: A prospective randomized study. 经皮穴位电刺激联合芳香疗法对微血管减压手术患者术后恶心呕吐的影响:一项前瞻性随机研究。
Journal of anesthesia and translational medicine Pub Date : 2025-03-27 eCollection Date: 2025-03-01 DOI: 10.1016/j.jatmed.2025.02.001
Yiyuan Luo, Yu Zhang, Qiuyue Fu, Qixing Wu, Tao Zhu, Juan Li, Fang Kang
{"title":"Impact of transcutaneous electrical acupoint stimulation combined with aromatherapy on postoperative nausea and vomiting in patients undergoing microvascular decompression surgery: A prospective randomized study.","authors":"Yiyuan Luo, Yu Zhang, Qiuyue Fu, Qixing Wu, Tao Zhu, Juan Li, Fang Kang","doi":"10.1016/j.jatmed.2025.02.001","DOIUrl":"10.1016/j.jatmed.2025.02.001","url":null,"abstract":"<p><strong>Background: </strong>Microvascular decompression (MVD) surgery is frequently associated with severe postoperative nausea and vomiting (PONV). This prospective randomized trial aimed to evaluate the combined efficacy of transcutaneous electrical acupoint stimulation (TEAS) and aromatherapy on PONV in patients who underwent MVD surgery.</p><p><strong>Methods: </strong>180 patients who underwent MVD surgery were randomly allocated to each of the four groups: group T (TEAS), group A (aromatherapy), group TA (TEAS combined with aromatherapy), and group C (control). The primary outcome was the incidence of PONV at 24, 48, and 72 h after surgery.</p><p><strong>Results: </strong>We analyzed the data from 180 patients who completed the trial. During the postoperative 0-24 h, groups T, A, and TA significantly reduced the incidence of nausea compared to group C (31.11 % in group T, 28.89 % in group A, and 24.44 % in group TA <i>vs.</i> 60.00 % in group C; <i>P</i> < 0.008), and groups A and TA significantly reduced the incidence of vomiting (33.33 % in group A and 22.22 % in group TA <i>vs.</i> 62.22 % in group C; <i>P</i> < 0.008). During the postoperative 24-48 h, group TA indicated reduced incidence of nausea and vomiting compared to group C (<i>P</i> = 0.001, <i>P</i> = 0.004, respectively). Furthermore, there were no significant differences in the incidence of nausea and vomiting among four groups within the postoperative 48-72 h (<i>P</i> > 0.05).</p><p><strong>Conclusions: </strong>TEAS and aromatherapy are effective in treating nausea and vomiting following MVD surgery. However, the combined prophylaxis is not superior to either treatment alone.</p>","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"4 1","pages":"11-17"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611217","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
A Narrative Review on Multimodal Spinal Anesthesia: Old Technique and New Use. 多模态脊髓麻醉:旧技术与新应用述评。
Journal of anesthesia and translational medicine Pub Date : 2025-03-01 Epub Date: 2025-03-27 DOI: 10.1016/j.jatmed.2025.02.002
Doris Pierson, Rebecca Certoma, Joshua Hobbs, Xiaomei Cong, Jinlei Li
{"title":"A Narrative Review on Multimodal Spinal Anesthesia: Old Technique and New Use.","authors":"Doris Pierson, Rebecca Certoma, Joshua Hobbs, Xiaomei Cong, Jinlei Li","doi":"10.1016/j.jatmed.2025.02.002","DOIUrl":"10.1016/j.jatmed.2025.02.002","url":null,"abstract":"<p><p>Spinal anesthesia has a long history in providing safe and effective anesthesia and analgesia. Its continuous evolution in block placement techniques with or without ultrasound assistance, options of spinal needles, local anesthetics and adjuvants adopted based on spinal anesthesia onset rate, duration of action, and side effect profiles, makes spinal anesthesia an important modality in current early recovery after surgery for a broad-spectrum of surgical procedures including ambulatory lower extremity orthopedic procedures and major chest, abdominal, and spine surgeries.</p>","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"4 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056687","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
Interventional neuromodulation techniques for cervicogenic headache. 介入神经调节技术治疗颈源性头痛。
Journal of anesthesia and translational medicine Pub Date : 2025-03-01 DOI: 10.1016/j.jatmed.2025.02.003
Natali Ariyoshi, Emily Qian, Rifat Abliz, Qiliang Chen
{"title":"Interventional neuromodulation techniques for cervicogenic headache.","authors":"Natali Ariyoshi, Emily Qian, Rifat Abliz, Qiliang Chen","doi":"10.1016/j.jatmed.2025.02.003","DOIUrl":"10.1016/j.jatmed.2025.02.003","url":null,"abstract":"<p><p>Cervicogenic headache is a debilitating secondary headache condition that reduces the quality of life for many. Its etiology involves pathologies in one or more of the complex cervical structures, such as cervical muscles, ligaments, facet joints, intervertebral discs, and C1-3 nerve roots. Mainstream conservative treatments, such as medication and physical therapy, are designed to address these underlying pathologies. In addition, recent advancements in neurostimulation techniques can aid in treatment-resistant or intolerant cases. This narrative review aims to critically evaluate the current treatment options for cervicogenic headaches, with a special emphasis on the efficacy of novel neuromodulation techniques and identifying their strength and limitations in treating cervicogenic headaches.</p>","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"4 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045595","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
Mapping the publication trends of synaptic plasticity in neuropathic pain: A bibliometric analysis. 绘制神经性疼痛中突触可塑性的出版趋势:文献计量学分析。
Journal of anesthesia and translational medicine Pub Date : 2024-12-31 eCollection Date: 2024-12-01 DOI: 10.1016/j.jatmed.2024.12.003
Xiaoling Peng, Zheng Li, Xiaoqian Jia, Anqi Zhang, Jihong Wang, Jie Ju, Feng Gao
{"title":"Mapping the publication trends of synaptic plasticity in neuropathic pain: A bibliometric analysis.","authors":"Xiaoling Peng, Zheng Li, Xiaoqian Jia, Anqi Zhang, Jihong Wang, Jie Ju, Feng Gao","doi":"10.1016/j.jatmed.2024.12.003","DOIUrl":"10.1016/j.jatmed.2024.12.003","url":null,"abstract":"<p><strong>Background: </strong>Neuropathic pain typically arises following injury or damage to the somatic nervous system, a chronic and debilitating condition with complex mechanisms. Synaptic plasticity, the changes in neuronal connection strength, has long been recognized to participate in the progression of neuropathic pain. Nevertheless, there has been a lack of bibliometric research on synaptic plasticity in neuropathic pain.</p><p><strong>Methods: </strong>A total of 688 papers were retrieved from the WoSCC databases and the software of Citespace, VOSviewer1.6.18 and the Online Analysis Platform of Literature Metrology (https://bibliometric.com/) were used to conduct bibliometric analysis.</p><p><strong>Results: </strong>The study provided an overview of research in the field and identified the most productive countries, institutions and authors. By analyzing the timelines of co-cited reference clusters and the citation bursts of co-cited references and keywords, it is evident that glia-neuron interaction and extracellular matrix mediated synaptic plasticity in neuropathic pain. Additionally, the up-to-date research trend and the constantly being discovered neurotransmitter and receptors were worth more attention. Two recent focal points in this field include microglia-related neuroinflammation and the central nucleus of the amygdala (CeA) plasticity in pain related emotional distress.</p><p><strong>Conclusions: </strong>The study provides a comprehensive overview of the research on neuropathic pain and synaptic plasticity through bibliometrics and knowledge-map analyses. It aims to offer an updated perspective and suggest future directions for scientific researchers in further investigations.</p>","PeriodicalId":519929,"journal":{"name":"Journal of anesthesia and translational medicine","volume":"3 4","pages":"188-201"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611279","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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