Revista espanola de anestesiologia y reanimacion最新文献

{"title":"Evolution of medical practice: From eminence to artificial intelligence","authors":"H.S. Manzolillo , Á. Espinosa , S. Benitez , J.R. Melchor","doi":"10.1016/j.redare.2025.501804","DOIUrl":"10.1016/j.redare.2025.501804","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 6","pages":"Article 501804"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056210","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}

{"title":"Comments on the article “Mean airway pressure as a parameter of lung-protective and heart-protective ventilation” by Placenti A, Fratebianchi F","authors":"M. de la Matta, D. López-Herrera","doi":"10.1016/j.redare.2025.501734","DOIUrl":"10.1016/j.redare.2025.501734","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 6","pages":"Article 501734"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495129","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}

{"title":"Efficacy of combining ultrasound-guided spermatic cord block with ilioinguinal nerve block for analgesia in pediatric inguinal herniotomy: A randomized controlled study","authors":"E.M. Elemam,&nbsp;I. Abdelbaser,&nbsp;K. Elbahrawy,&nbsp;M.M. Alseoudy,&nbsp;S. El Kenany","doi":"10.1016/j.redare.2025.501675","DOIUrl":"10.1016/j.redare.2025.501675","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>US-guided ilioinguinal nerve block (IINB) is a common analgesic regional technique in pediatric inguinal herniotomy, However, alone it could not provide complete analgesia for such surgery due to spare of the genital branch of the genitofemoral nerve (GFN) and some sympathetic fibers. Spermatic cord block (SCB) can block both of them. This study aimed to assess the analgesic effects of combining US-guided spermatic SCB and IINB in pediatric patients subjected to elective open inguinal herniotomies.</div></div><div><h3>Patients and methods</h3><div>A total of 50 male pediatric patients who underwent inguinal herniotomy were included in the current prospective, randomized, controlled study. Patients were randomly allocated to two groups: one group received IINB and the other received combined IINB and SCB. The number of patients who required rescue analgesia after surgery was the primary outcome parameter, whereas assessment of the intraoperative hemodynamic parameters (MAP: mean arterial pressure; HR: heart rate), total consumption of paracetamol, postoperative pain score, and occurrence of adverse events were the secondary outcome measures.</div></div><div><h3>Results</h3><div>The number of patients who needed rescue analgesia was significantly lower in IINB/SCB group (12%), than IINB group (41 %), <em>P</em> = 0.025. The median (interquartile range) total dose of paracetamol consumption was significantly lower in the IINB/SCB group [0 (0–0)] mg/kg than in the IINB group [0 (0–10)], <em>P</em> = 0.020. Pain score was significantly (<em>P</em> &lt; 0.05) lower in the IINB/SCB group than in the IINB group at all-time points. Both MAP and HR were significantly higher in the IINB group than in the IINB/SCB group during traction on hernial sac, <em>P</em> &lt; 0.05. Occurrence of adverse events was comparable in both groups.</div></div><div><h3>Conclusions</h3><div>Adding SCB to IINB can provide better quality of postoperative analgesia and more stable intraoperative hemodynamics in pediatric patients undergoing inguinal hernia repair.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 6","pages":"Article 501675"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143695031","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}

{"title":"Tracheal intubation with videolaryngoscopy: Bridging the language gap","authors":"M.A. Fernández-Vaquero ,&nbsp;A.A.J. van Zundert ,&nbsp;M.A. Gómez-Ríos","doi":"10.1016/j.redare.2025.501676","DOIUrl":"10.1016/j.redare.2025.501676","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 6","pages":"Article 501676"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143695033","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}

{"title":"Estimation of minimum effective volume 90% (MEV90) of 0.5% Ropivacaine® in ultrasound-guided interscalene nerve block for postoperative analgesia in arthroscopic shoulder surgery: A prospective observational dose finding study and assessment of diaprhagmatic function","authors":"B. Moreno ,&nbsp;V. Domingo ,&nbsp;M. Granell ,&nbsp;J.M. Palanca ,&nbsp;S. Selfa","doi":"10.1016/j.redare.2025.501731","DOIUrl":"10.1016/j.redare.2025.501731","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Ultrasound-guided ISB is the most widely-used nerve block in upper limb surgery. The aim of this study was to determine the MEV90 of 0.5% ropivacaine in ISB for analgesia in arthroscopic shoulder surgery.</div></div><div><h3>Methodology</h3><div>Double-blind observational post-authorization study of a medicinal product for human use. Thirty-two ASA I-III patients aged between 18 and 75 years undergoing arthroscopic shoulder surgery were recruited. We used the Dixon up-down method, whereby the dose is increased or decreased by 1 ml depending on the failure or success of the block. The initial dose was 20 ml of 0.5% ropivacaine. The study was stopped after achieving the minimum 5 negative-positive deflections. Secondary variables were the duration of the block, total analgesia consumption over the first 24 h, and incidence of DP.</div></div><div><h3>Results</h3><div>The effective LA dose for postoperative analgesia in arthroscopic shoulder surgery was 6.8 ml in 50% of patients (MEV50) (90% CI 6.234–7.465) and 7.733 ml in 90% of patients (MEV90) (90% CI 7.393–9.109). Median sensory block duration was 772.5 min. The incidence of partial and total DP in QB was 34% and 41%, respectively.</div></div><div><h3>Conclusion</h3><div>A dose of 7.733 ml of 0.5% ropivacaine provides effective postoperative analgesia in arthroscopic shoulder surgery in 90% of patients. This lower dose reduces the likelihood of side effects.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 6","pages":"Article 501731"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495130","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}

{"title":"Application of generative artificial intelligence chatbots in the field of anesthesia","authors":"A. Barroso ,&nbsp;R. Casans","doi":"10.1016/j.redare.2025.501667","DOIUrl":"10.1016/j.redare.2025.501667","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 6","pages":"Article 501667"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143695028","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}

{"title":"Tracheal rupture resulting from superinfected aortic intramural hematoma in ascending aortic prosthesis","authors":"E. Pereda González,&nbsp;A. Cervera Puchades,&nbsp;M.J. Hernández-Cádiz,&nbsp;J. Moreno Pachón,&nbsp;J. de Andrés Ibáñez","doi":"10.1016/j.redare.2025.101646","DOIUrl":"10.1016/j.redare.2025.101646","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 6","pages":"Article 101646"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143695034","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}

{"title":"Should the definition of neuropathic pain be updated?","authors":"A. Alcántara Montero","doi":"10.1016/j.redare.2025.501751","DOIUrl":"10.1016/j.redare.2025.501751","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 6","pages":"Article 501751"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016322","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}

{"title":"Effect of caffeine on respiratory rate, recovery time, and brain wave activity during emergence from sevoflurane anaesthesia in rats","authors":"B.M. Çam ,&nbsp;H. Topçu ,&nbsp;E.S. Tiryaki ,&nbsp;G. Arslan","doi":"10.1016/j.redare.2025.501730","DOIUrl":"10.1016/j.redare.2025.501730","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether caffeine affects the respiratory rate, recovery time, and brain slow-wave (theta and delta) activity during emergence from sevoflurane anaesthesia in rats.</div></div><div><h3>Methods</h3><div>Male Sprague-Dawley rats (<em>n</em> = 16) were randomly divided into two groups: control (saline) and caffeine (75 mg/kg). After tripolar electrode implantation, rats were placed in an anaesthesia induction chamber and brain electrocorticographic wave activity was recorded. Anaesthesia was induced with 4% sevoflurane (4 L/min O2) for 5 min, and once all the rats were asleep, sevoflurane concentration was reduced to 3% (4 L/min O2) for anaesthesia maintenance. Saline or caffeine was injected intraperitoneally 10 min before discontinuing anaesthesia. After sevoflurane was stopped, the rats were removed from the chamber, and the respiratory rate, tail clamp response, and the righting reflex (full emergence) were observed and noted. The frequency and amplitude of theta and delta waves (from baseline) and the frequency of theta oscillations were calculated from ECoG recordings.</div></div><div><h3>Results</h3><div>Caffeine administration increased the respiratory rate during sevoflurane anaesthesia; however, no significant difference vs controls was observed during full emergence. The time to tail clamp response and righting reflex, theta oscillations, and the frequency and amplitude of slow waves decreased with caffeine.</div></div><div><h3>Conclusions</h3><div>Acute administration of caffeine accelerates the emergence from sevoflurane anaesthesia by affecting the central nervous system. There is evidence that prolonged emergence from anaesthesia increases postoperative delirium, therefore intraoperative caffeine may reduce this risk.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 6","pages":"Article 501730"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143695029","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}

{"title":"Intercostal serratus plane block versus posterior quadratuus lumbar block in laparoscopic nephrectomy: A randomized, controlled, double-blind study","authors":"M.T. Fernandez Martin ,&nbsp;M.G. Matesanz ,&nbsp;J. Andres ,&nbsp;H. Muñoz ,&nbsp;M.F. Muñoz ,&nbsp;A. Fadrique ,&nbsp;P. Castillo ,&nbsp;P. Casas ,&nbsp;S. Lopez","doi":"10.1016/j.redare.2025.501728","DOIUrl":"10.1016/j.redare.2025.501728","url":null,"abstract":"<div><h3>Background</h3><div>Even though laparoscopic nephrectomy improves the quality of postoperative recovery, it still causes moderate to severe pain. Our objective was to determine whether serratus intercostal plane block (SIPB) was noninferior to posterior quadratus lumborum block (QLB) in terms of pain control and quality of recovery.</div></div><div><h3>Methods</h3><div>This multicentre, controlled, randomized, blinded study had a sample size of 120 patients who were randomly assigned to SIPB, QLB, and control groups prior to scheduled laparoscopic nephrectomy. We collected the following variables: postoperative dynamic pain scores at 0, 6, 12, and 24 h, postoperative quality of recovery (QoR15), and total opioid consumption (fentanyl and morphine).</div></div><div><h3>Results</h3><div>Our results show that SIPB was non-inferior to QLB with regard to the primary endpoint (NRS 0.4/0.9) and quality of recovery (QoR15 112.7/106.85) (<em>p</em> 0.27). Opioid consumption (fentanyl <em>p</em> 0.37 and morphine <em>p</em> 0.9) was similar in the SIPB and QLB groups, and both groups were superior to controls in terms of intraoperative fentanyl consumption (<em>p</em> 0.001) and pain control (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>SIPB and QLB showed adequate postoperative pain control, good quality of recovery and lower fentanyl consumption, especially compared to the control group.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 6","pages":"Article 501728"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495131","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}