Anesthesia & Analgesia最新文献

Sleep Medicine for Anesthesia Trainees: Building the Value Proposition

Anesthesia & Analgesia Pub Date : 2025-02-14 DOI: 10.1213/ane.0000000000007109

Suzanne Beth Karan, Sveta Karelsky, Sullafa Kadura, Satya Krishna Ramachandran

引用次数: 0

Unintended Consequences: Is Sugammadex Changing the Way We Deliver Anesthesia?

Anesthesia & Analgesia Pub Date : 2025-02-14 DOI: 10.1213/ane.0000000000007116

Mary Lyn Stein, Joseph P. Cravero

引用次数: 0

Changing Times: Clear Liquids for Pediatric Patients

Anesthesia & Analgesia Pub Date : 2025-02-14 DOI: 10.1213/ane.0000000000007423

Naveen Nathan

引用次数: 0

Firearm Injuries: An American Disease

Anesthesia & Analgesia Pub Date : 2025-02-14 DOI: 10.1213/ane.0000000000007220

Richard P. Dutton, Evan Pivalizza, Frank Herbstreit

引用次数: 0

Direct Reinfusion of Shed Autologous Blood in Major Aortic Repair: An Intriguing Concept But Are We Putting the Cart Before the Horse?

Anesthesia & Analgesia Pub Date : 2025-02-14 DOI: 10.1213/ane.0000000000007174

Matthew A. Warner, Allan M. Klompas, Camille M. van Buskirk

引用次数: 0

Methadone and Respiratory Depression

Anesthesia & Analgesia Pub Date : 2025-02-14 DOI: 10.1213/ane.0000000000007415

Naveen Nathan

引用次数: 0

Encouraging Clear Fluids Up to 1 Hour Before Anesthesia

Anesthesia & Analgesia Pub Date : 2025-02-14 DOI: 10.1213/ane.0000000000007324

Nina Deutsch, Viviane G. Nasr

引用次数: 0

Regional Anesthesia and Pain Outcomes After Anterior Cruciate Ligament Reconstruction Surgery in Pediatric Patients: Society of Pediatric Anesthesia Improvement Network.

Anesthesia & Analgesia Pub Date : 2025-01-29 DOI: 10.1213/ane.0000000000007376

Kesavan Sadacharam,Tessa Mandler,Steven J Staffa,Sophie R Pestieau,Clinton Fuller,Matthew Ellington,J William Sparks,Allison M Fernandez,

{"title":"Regional Anesthesia and Pain Outcomes After Anterior Cruciate Ligament Reconstruction Surgery in Pediatric Patients: Society of Pediatric Anesthesia Improvement Network.","authors":"Kesavan Sadacharam,Tessa Mandler,Steven J Staffa,Sophie R Pestieau,Clinton Fuller,Matthew Ellington,J William Sparks,Allison M Fernandez,","doi":"10.1213/ane.0000000000007376","DOIUrl":"https://doi.org/10.1213/ane.0000000000007376","url":null,"abstract":"BACKGROUNDOptimal perioperative pain management is unknown for adolescent patients undergoing anterior cruciate ligament reconstruction (ACLR). The study aimed to determine the association of nerve blocks with short- and long-term pain outcomes and factors influencing self-reported neurological symptoms.METHODSWe performed a multisite, prospective observational study of adolescent patients undergoing ACLR. Perioperative data included demographics, block details, anesthetic, and surgical techniques. Self-reported surveys documented pain scores, medication use, and neurological symptoms at various time points after the surgery (postoperative day [POD] 1, POD 3, week 6, and month 6). Associations between different groups of peripheral nerve blocks (PNBs) and the absence of a block were analyzed for their effects on acute postoperative pain outcomes. In addition, factors influencing self-reported neurological outcomes were determined using both univariate and multivariate regression.RESULTSData from 519 subjects (aged 15 years, 55.7% female) showed that 23.9% of patients with anterior plus posterior nerve blocks (A+P PNB) reported severe postanesthesia care unit (PACU) pain scores, compared to 40% with no PNB and 38.3% with anterior PNB (A-PNB). Patients receiving A-PNB or A+P PNB had significantly lower intraoperative morphine equivalents (MEs) (0.49 mg/kg and 0.46 mg/kg, respectively) vs no block patients (0.61 mg/kg). Total PACU MEs were lower for any patient who received a PNB. Multivariable logistic regression analysis showed that patients who received A+P PNB or a hamstring autograft had lower POD 1 severe pain scores (odds ratio [OR] = 0.35; 95% confidence interval [CI], 0.15-0.84 and OR = 0.35; 95% CI, 0.15-0.83, respectively). Patients with PNBs with local anesthesia concentration (LAC) greater than 0.25% reported higher POD1 pain scores (OR = 2.14; 95% CI, 1.1-4.16) compared to those with lower LAC. Patients with PNB catheters had reduced POD 1 pain. Multivariable logistic regression analysis for numbness at week 6 revealed a greater odds of numbness for A-PNB with LAC >0.25% (OR = 5.13; 95% CI, 1.27-20.8). At month 6, patients receiving PNB with perineural steroid adjuvant were more likely to report numbness (dexamethasone OR = 5.93; 95% CI, 1.61-21.9, methylprednisolone OR = 11.3; 95% CI, 2.16-58.6).CONCLUSIONSPatients who received A+P PNB had lower postoperative pain scores than those who received no block. Additional studies are necessary to discern how PNB type, graft harvest site, LAC, and adjuvants influence pain control, persistent numbness, and weakness.","PeriodicalId":7799,"journal":{"name":"Anesthesia & Analgesia","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143062053","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

Whispers in the Operating Room: Anesthesia and Oriana Fallaci.

Anesthesia & Analgesia Pub Date : 2025-01-28 DOI: 10.1213/ane.0000000000007342

Rafael Ortega

引用次数: 0

Patient Blood Management Program Implementation and Assessment Tool: Measuring Compliance With Guidelines and World Health Organization 2021 Policy Brief.

Anesthesia & Analgesia Pub Date : 2025-01-28 DOI: 10.1213/ane.0000000000007364

Shannon L Farmer,Carleen Ellis,Jeffrey M Hamdorf,Darren Falconer,Kylie Symons,Claire McNally,Angie Monk,Michael F Leahy,Nolan McDonnell,Axel Hofmann

引用次数: 0