Revista espanola de anestesiologia y reanimacion最新文献_第2页

Preoperative haemoglobin as a predictor of in-hospital morbidity and 5-year mortality in colorectal cancer 术前血红蛋白作为结直肠癌住院发病率和5年死亡率的预测因子

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-05-01 DOI: 10.1016/j.redare.2025.501723

A. Herrero García , S.E. Denis Filippini , A. de la Fuente , E. Choolani Bhojwani , J. Sánchez González , M. Bailón Cuadrado , S. Veleda Belanche , V. Simó Fernández , J.A. García Erce , C. Aldecoa Álvarez-Santullano

{"title":"Preoperative haemoglobin as a predictor of in-hospital morbidity and 5-year mortality in colorectal cancer","authors":"A. Herrero García , S.E. Denis Filippini , A. de la Fuente , E. Choolani Bhojwani , J. Sánchez González , M. Bailón Cuadrado , S. Veleda Belanche , V. Simó Fernández , J.A. García Erce , C. Aldecoa Álvarez-Santullano","doi":"10.1016/j.redare.2025.501723","DOIUrl":"10.1016/j.redare.2025.501723","url":null,"abstract":"<div><h3>Background</h3><div>Colorectal cancer (CRC) is the third most diagnosed cancer worldwide. Preoperative anaemia is common in CRC patients undergoing surgery.</div></div><div><h3>Objective</h3><div>This study assesses the prevalence of preoperative anaemia and its impact on postoperative outcomes, and aims to establish a cut-off point for increased morbidity and mortality in a large prospective single centre cohort.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study of 1105 CRC patients (2014–2021). Anaemia was defined as per WHO criteria. Multivariate logistic regression and Kaplan-Meier survival analyses were used. The statistical significance level was set at <0.05.</div></div><div><h3>Results</h3><div>Preoperative anaemia was present in 45.3% of patients, and was associated with a higher incidence of perioperative complications (OR 2.76, p = 0.011) and lower 5-year survival (73% vs 87%, p < 0.001.</div></div><div><h3>Discussion/conclusions</h3><div>Preoperative anaemia, even when mild, is associated with a higher rate of complications, longer hospital stay, and a greater risk of 5-year mortality.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 501723"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461101","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

The relentless pursuit of excellence in airway management 不懈追求卓越的气道管理

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-04-01 DOI: 10.1016/j.redare.2025.501733

M.A. Gómez-Ríos , A.A.J. Van Zundert , M.A. Fernández-Vaquero

引用次数: 0

Hemidiaphragmatic elevation and cardiovascular collapse 半膈肌抬高和心血管衰竭。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-04-01 DOI: 10.1016/j.redare.2025.101637

E. Soto Garrucho, F. Federero Martínez, F. Polonio Enríquez

引用次数: 0

Anaesthesia management in a patient with a cardiac contractility modulation device 心脏收缩性调节装置患者的麻醉管理。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-04-01 DOI: 10.1016/j.redare.2025.101636

Ana Álvarez Bartolomé , Álvaro Mingote , María Casado Salcedo , Javier García Fernández

引用次数: 0

Literature search for healthcare management decision-making on how to increase productivity by performing more surgical cases in the same staffed time 医疗保健管理决策的文献检索如何通过在相同的人员时间内执行更多的手术病例来提高生产力。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-04-01 DOI: 10.1016/j.redare.2024.501656

F. Dexter , M.Á. Gómez-Ríos , R.H. Epstein

{"title":"Literature search for healthcare management decision-making on how to increase productivity by performing more surgical cases in the same staffed time","authors":"F. Dexter , M.Á. Gómez-Ríos , R.H. Epstein","doi":"10.1016/j.redare.2024.501656","DOIUrl":"10.1016/j.redare.2024.501656","url":null,"abstract":"<div><div>This report shows how the results of a literature search for studies on healthcare management decision-making can help anaesthesiologists improve operating room (OR) turnover. The Scopus database was searched to obtain relevant studies on increasing surgical case numbers. References and citations were then examined. The search identified strategies to reduce OR downtime time, facilitate overlapping surgeries, and optimize OR scheduling. Key findings show that reducing anaesthesia-controlled times alone is insufficient to reliably add extra surgical cases within an 8-hour workday. Instead, significant productivity gains are achieved by managing OR turnover times, using induction rooms, and revising workflows to maximize efficiency. Studies show that overlapping surgeries and strategic use of adjacent spaces can significantly increase the number of surgical cases performed daily. Most surgical growth is driven by accommodating low caseload surgeons across multiple specialties. Facilitating OR time access for these surgeons through flexible scheduling and re-sequencing of cases is crucial. Additionally, anaesthesiologists should be engaged in daily OR scheduling and case sequencing, particularly within 2 days of surgery. The dual goals are to increase OR utilization and reduce patient wait times. These results from the management case report underscores the importance of evidence-based OR management practices and proactive involvement of anaesthesiologists in scheduling decisions to enhance surgical productivity effectively.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 4","pages":"Article 501656"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857490","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

History lessons for an uncertain future? Anaesthesiology and resuscitation during the Ifni-Sahara conflict (1957–1958) 为不确定的未来吸取历史教训？伊夫尼-撒哈拉冲突期间的麻醉学和复苏（1957-1958）。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-04-01 DOI: 10.1016/j.redare.2024.101648

R. Navarro-Suay , L.E. Togores-Sánchez , R. García-Cañas , F. Gilsanz-Rodríguez

引用次数: 0

Clinical characteristics and prognostic implication of atrial fibrillation in the postoperative period of cardiac surgery with cardiopulmonary bypass 体外循环心脏手术术后心房颤动的临床特点及预后意义。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-04-01 DOI: 10.1016/j.redare.2025.501673

C.Y. Salinas-Ulloa , R. Gopar-Nieto , E. García-Cruz , G. Rojas-Velasco , D. Manzur-Sandoval

{"title":"Clinical characteristics and prognostic implication of atrial fibrillation in the postoperative period of cardiac surgery with cardiopulmonary bypass","authors":"C.Y. Salinas-Ulloa , R. Gopar-Nieto , E. García-Cruz , G. Rojas-Velasco , D. Manzur-Sandoval","doi":"10.1016/j.redare.2025.501673","DOIUrl":"10.1016/j.redare.2025.501673","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite the latest innovations in surgical and cardiopulmonary bypass techniques, atrial fibrillation remains a common occurrence in patients undergoing heart surgery, and has been shown to increase the incidence of intra- and postoperative complications. For this reason, it is among the top 10 research topics in cardiovascular surgery.</div></div><div><h3>Method</h3><div>Observational, analytical, retrospective study carried out at the largest cardiovascular centre in Mexico. Adult patients (>18 years) with no history of atrial fibrillation who underwent on-pump heart surgery between 1 January 2022 and 31 December 2023 were included. Variables that have previously been correlated with postoperative atrial fibrillation (POAF) were evaluated.</div></div><div><h3>Results</h3><div>A total of 544 patients were included. The incidence of POAF was 23.8%. Overall in-hospital mortality was 5.9%. There was a significant difference in age between patients that developed postoperative atrial fibrillation and those that maintained sinus rhythm (62 years vs 57 years, <em>p</em> = < 0.01). Using a univariate logistic regression model, we found that POAF significantly predicts the occurrence of hospital-acquired pneumonia (OR 3.12, 95% CI 1.61−6.02, <em>p</em> = <0.01) and the requirement for renal replacement therapy (OR 3.04, 95% CI 1.34−6.86, <em>p</em> = <0.01).</div></div><div><h3>Conclusions</h3><div>Atrial fibrillation is a common arrhythmia in the postoperative period of on-pump heart surgery, and is a predictor of adverse outcomes. Prevention, early detection and treatment of POAF may have prognostic implications.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 4","pages":"Article 501673"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426886","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

Utility of optic nerve sheath ultrasound during laparoscopic colorectal surgery 视神经鞘超声在腹腔镜结直肠手术中的应用。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-04-01 DOI: 10.1016/j.redare.2025.501672

L. Alcover Navarro , C.S. Romero García , E. Mateo Rodríguez , P. Granero Castro , J. De Andrés Ibáñez

{"title":"Utility of optic nerve sheath ultrasound during laparoscopic colorectal surgery","authors":"L. Alcover Navarro , C.S. Romero García , E. Mateo Rodríguez , P. Granero Castro , J. De Andrés Ibáñez","doi":"10.1016/j.redare.2025.501672","DOIUrl":"10.1016/j.redare.2025.501672","url":null,"abstract":"<div><h3>Introduction</h3><div>Abdominal laparoscopic surgery to treat colorectal cancer has been shown to be more effective than open surgery in terms of mobility, hospital stay, tumour recurrence and long-term survival. This surgical approach requires pneumoperitoneum and the Trendelenburg position (35−45º), both of which have a negative effect on the cardiovascular system and can even change the cerebrovascular physiology, leading to an increase in intracranial pressure (ICP). Ultrasound measurement of optic nerve sheath (ONS) diameter has shown excellent correlation with invasive ICP measurement.</div></div><div><h3>Objective</h3><div>To correlate the increase in ONS diameter with surgical time and time to emergence after anaesthesia. The incidence of visual disturbances (visual acuity) and/or neurological complications (agitation, cognitive dysfunction) in the immediate postoperative period was also evaluated.</div></div><div><h3>Material and methods</h3><div>30 consecutive patients undergoing laparoscopic surgery for rectal or sigmoid adenocarcinoma were recruited. Pre-, intra- and postoperative ONS measurements were obtained and the Snellen test for visual acuity, Mini Mental Test for cognitive function, and the Richmond Agitation and Sedation Scale (RASS) were administered.</div></div><div><h3>Results</h3><div>ONS increased intraoperatively in both eyes compared to baseline. However, this was not correlated with total surgical time or time to emergence, and there was no statistically significant correlation between ONS and postoperative neurological or visual alterations.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 4","pages":"Article 501672"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426893","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

Intrathecal catheter after accidental dural puncture in obstetric patients: Safety and effectiveness reducing post-dural puncture headache 产科病人意外硬脑膜穿刺后鞘内置管：减少硬脑膜穿刺后头痛的安全性和有效性。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-04-01 DOI: 10.1016/j.redare.2024.501671

Gerard Moreno Giménez, Martha Cristina Melo Cruz, Marta Ferrándiz Mach, Sergi Sabaté Tenas

{"title":"Intrathecal catheter after accidental dural puncture in obstetric patients: Safety and effectiveness reducing post-dural puncture headache","authors":"Gerard Moreno Giménez, Martha Cristina Melo Cruz, Marta Ferrándiz Mach, Sergi Sabaté Tenas","doi":"10.1016/j.redare.2024.501671","DOIUrl":"10.1016/j.redare.2024.501671","url":null,"abstract":"<div><h3>Background</h3><div>Post-dural puncture headache (PDPH) after an accidental dural puncture (ADP) is a common complication in obstetric analgesia. It has been proposed that inserting an intrathecal catheter (ITC) after an ADP may reduce PDPH incidence and the need for therapeutic epidural blood patch (EBP). Our primary objective was to assess if the insertion of an ITC after an ADP reduces the incidence of PDPH in obstetric patients. Secondary objectives included evaluating EBP requirements and ITC-related complications.</div></div><div><h3>Methods</h3><div>We conducted a retrospective study of all obstetric patients with a documented ADP during their labour analgesia between January 2018 to December 2022. Data from the patients in whom an ITC was inserted and those with a repeated epidural were compared.</div></div><div><h3>Results</h3><div>Over our 5-year study period, 35 cases of ADP were documented. Of these, 16 patients (45.7%) received an ITC for 24 hours, while 19 (54.3%) underwent epidural re-siting. No significant difference was observed in PDPH incidence between ITC and re-sited epidural groups (62.5% vs 68.4%; RR 0.84; <em>P</em> = 0.713), nor in EBP requirement (18.8% vs 31.6%; RR 0.84; <em>P</em> = 0.387). Follow-up duration did not differ significantly between groups and no ITC-related complications were reported within 1 month.</div></div><div><h3>Conclusions</h3><div>Our findings align with previously reported literature, indicating a trend favoring ITC utilization. In addition to the potential benefit of reducing CPPD incidence, their use is safe and provides quality analgesia with rapid onset.</div></div><div><h3>IRB number</h3><div>IIBSP-CEF-2022-146.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 4","pages":"Article 501671"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873769","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

Erector spinae plane block for obstetric analgesia in a patient with factor XI deficiency: a case report 竖脊肌平面阻滞用于因子XI缺乏症患者产科镇痛1例报告。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-04-01 DOI: 10.1016/j.redare.2024.101632

P. Martín Serrano , A. Ferraz Pérez , C. Medina Hernández , V. Prieto Hidalgo

引用次数: 0