Revista espanola de anestesiologia y reanimacion最新文献

{"title":"Hemodynamic support prospective multicenter observational study of patients in shock treated with vasopressin: Protocol of the VASOPRESIN with vasopressin: VASOPRES Registry study protocol.","authors":"R García Álvarez, F Ramasco, J Nieves Alonso, L Mouriz, P Rama, I Bilbao, A Pérez Carbonell, M A Rodenas, F Ortega, M Vives, C A Calvo, M Taboada, A Azzam, M Merino, F Martínez, D Domínguez, C T de Llano, R Adalia, G Aguilar, C Aldecoa, B Mancha, A Reyes, M Giné, D Prendes, C García Fernánde, I de la Calle, M Cendrero, A Martínez López, J J Herrero, I de la Torre, E Kattan, G Hernández","doi":"10.1016/j.redare.2025.501768","DOIUrl":"10.1016/j.redare.2025.501768","url":null,"abstract":"<p><strong>Introduction: </strong>In cases of arterial hypotension and/or hypoperfusion that do not respond to fluid therapy, the administration of intravenous catecholamines, especially norepinephrine, is usually the treatment of choice. However, prolonged exposure to high doses of norepinephrine increases mortality, as well as the possibility of arrhythmias, organ damage, and tissue ischemia. An early multimodal vasopressor strategy, which involves adding vasopressin (a drug with a mechanism of action different from catecholamines) to low-dose norepinephrine, could improve the safety profile.</p><p><strong>Objectives: </strong>The main objective is to characterise the routine clinical practice of vasopressin (VASOPRES) use in the context of shock, collecting clinical, analytical and echocardiographic data.</p><p><strong>Materials and methods: </strong>The VASOPRES Registry is a prospective multicentre observational study, in which critical care anaesthesia units from all over Spain will participate, collecting data on patients over 18 years of age in whom treatment with vasopressin is initiated, regardless of the type of shock they present. The duration of the study is estimated at 24 months, starting from its approval by the Clinical Research Ethics Committee (CEIm).</p><p><strong>Results: </strong>Data collection started in July 2024 and is expected to end in July 2026.</p><p><strong>Ethics and publications: </strong>The Vasopres registry has already been approved by the Clinical Research Ethics Committee of the Hospital Universitario de La Princesa, Madrid (registration number 5596) in May 2024. The study is registered in ClinicalTrials.gov under the number NCT06422975 and in the Spanish Clinical Trials Register (REec) through the GESTO platform (Observational studys with authorized medicines) under the identification number 0083-2024-OBS. The results will be published in specialised journals and presented at conferences and congresses.</p><p><strong>Conclusions: </strong>The Vasopres Registry may provide insight into the uncertainties that still exist about the use of AVP as well as its use in routine clinical practice in various types of shock. Furthermore, it is also hoped that the results of this study will identify potential areas for improvement where more targeted research is needed.</p>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501768"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096614","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 \"A pain in the pocket: prevalence of pain in patients with implanted neuromodulation systems: A retrospective study\".","authors":"L Valero Verche, P Alfaro de la Torre","doi":"10.1016/j.redare.2025.501770","DOIUrl":"10.1016/j.redare.2025.501770","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501770"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096609","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":"Usefulness of Point-of-Care Ultrasound in the differential diagnosis of postoperative cervical oedema after posterior cervical spine surgery.","authors":"B Rodríguez Sánchez, I Fuertes Arenal, J J Algaba Jaramillo, P Morillas Sendin","doi":"10.1016/j.redare.2025.501666","DOIUrl":"10.1016/j.redare.2025.501666","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501666"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096616","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":"Anesthetic management in critical tracheal stenosis surgery using Tritube® and flow-controlled ventilation: A report of two cases.","authors":"P Cruz, A Puig, E de la Fuente, S González, M Rueda, M Portas","doi":"10.1016/j.redare.2025.501772","DOIUrl":"10.1016/j.redare.2025.501772","url":null,"abstract":"<p><p>Tracheal resection surgery for critical stenosis requires a highly specialized and mul-tidisciplinary team, with the primary objectives being adequate airway management, safeventilation, and optimal exposure of the surgical field. This necessitates effective commu-nication and coordination between the anaesthetic and surgical teams.</p>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501772"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096603","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":"Postoperative anaemia is associated with poor long term postoperative outcomes after elective colorectal oncologic surgery within an enhanced recovery after surgery pathway","authors":"J. Ripollés-Melchor ,&nbsp;A. Abad-Motos ,&nbsp;M.L. Fuenmayor-Valera ,&nbsp;A. Ruiz-Escobar ,&nbsp;A. Abad-Gurumeta ,&nbsp;G. Paseiro-Crespo ,&nbsp;P. Fernández-Valdés-Bango ,&nbsp;A. León-Bretscher ,&nbsp;P. Soto-García ,&nbsp;C. Jericó-Alba ,&nbsp;J.A. García-Erce","doi":"10.1016/j.redare.2025.501724","DOIUrl":"10.1016/j.redare.2025.501724","url":null,"abstract":"<div><h3>Background</h3><div>Anaemia is an independent risk factor for poor perioperative outcomes after major abdominal surgery, and is associated with an increased risk of 30-day postoperative mortality after noncardiac surgery.</div></div><div><h3>Objective</h3><div>To investigate the frequency of postoperative anaemia and short- and long-term survival after colorectal oncologic surgery at a centre with a well-established Enhanced Recovery After Surgery (ERAS) program.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study of all patients undergoing elective colorectal oncologic surgery within an ERAS pathway at our institution between 2013 and 2017. Overall survival was calculated with the Kaplan-Meier log rank method and Cox proportional hazard regression based on anaemia at hospital discharge.</div></div><div><h3>Results</h3><div>A total of 680 patients were included. Patients with anaemia at discharge showed a lower overall survival at 5 years (53.9% vs. 44%, p 0.05). Patients who were anaemic at discharge had a lower 5-year overall survival (hazard ratio [HR] 95% CI 2.663 [1.619–4.379], p &lt; 0.001). Kaplan-Meier survival and Cox regression proportional hazard survival for overall survival in the combined preoperative, postoperative, and RBC transfusion model were 1.55 (1.038 2.318) p = 0.032.</div></div><div><h3>Conclusions</h3><div>The combined prognostic value of preoperative anaemia, postoperative anaemia, and blood transfusion created a 40.7% higher risk of not surviving 5 years.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 501724"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470398","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":"Underbody carbon-fiber contact warming versus underbody forced-air warming to prevent hypothermia during laparoscopic gynecologic surgery: A randomized trial","authors":"M. Chanzá ,&nbsp;M. Núñez ,&nbsp;M.C. Velasco ,&nbsp;C. Rodríguez-Cosmen ,&nbsp;A.C. Carpintero ,&nbsp;L. Gallart","doi":"10.1016/j.redare.2025.501689","DOIUrl":"10.1016/j.redare.2025.501689","url":null,"abstract":"<div><h3>Background</h3><div>Studies comparing intraoperative warming devices report discordant or out-of-date results. This trial compared two underbody warming devices.</div></div><div><h3>Methods</h3><div>Thirty patients undergoing elective prolonged laparoscopic gynecologic surgery were randomized to underbody warming by forced air (n = 15) or contact with a carbon fibre blanket (n = 15). The main outcome was esophageal temperature at the end of surgery. We also compared temperature throughout surgery and need for rescue warming, blood loss, fluids infused, urine output, and adverse events. Outcomes were compared with χ² or Fisher exact tests, t-tests, and mixed effects models as appropriate.</div></div><div><h3>Results</h3><div>No median (interquartile range) differences between forced-air and contact warming were found in initial or final temperatures (36.2 °C [36.0, 36.2] <em>vs</em> 36.3 °C [35.9, 36.6] and 36.6 °C [36.2, 36.8] <em>vs</em> 36.3 °C [35.6, 36.5]). Temperature slightly increased over time in the forced-air group and slightly decreased in contact group (0.11 °C/h (0.02, 0.19) <em>vs</em> −0.05 °C/h (−0.13, 0.03), <em>p</em> = 0.008). A single patient required rescue warming (in contact group after 4.75 h). Surgery took longer in the contact group (3.2 h [2.5, 3.8] <em>vs</em> 4.0 h [2.9, 5.6] h, <em>p</em> = 0.042). Two surgeons complained of dizziness related to ambient heat in the forced-air group. No differences were found in the remaining variables.</div></div><div><h3>Conclusions</h3><div>During use of the underbody forced-air and carbon-fibre warming devices tested, we recorded only very slight differences in temperature changes over the course of surgery. The variations can be considered clinically unimportant as no significant difference was evident at the end of surgery.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 501689"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442975","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":"External cephalic version and neuroaxial analgesia. A secondary analysis","authors":"H.J. Lacassie ,&nbsp;L. Basso ,&nbsp;L. Marfán ,&nbsp;M. Astete","doi":"10.1016/j.redare.2025.501663","DOIUrl":"10.1016/j.redare.2025.501663","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 501663"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434741","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":"Neuroanesthesiological management of carotid rupture in the endoscopic endonasal approach to the skull base","authors":"F. Iturri Clavero ,&nbsp;I. Ingelmo Ingelmo ,&nbsp;K. de Orte Sancho ,&nbsp;M.P. Valcarcel Fernández ,&nbsp;G. Catalán Uribarrena ,&nbsp;F. Valcarcel Martín ,&nbsp;O. Prieto Calderón ,&nbsp;E.M. González Díaz ,&nbsp;A. Uresandi Iruin","doi":"10.1016/j.redare.2025.501691","DOIUrl":"10.1016/j.redare.2025.501691","url":null,"abstract":"<div><div>The medical literature on perioperative anesthesiological care of carotid artery rupture in endoscopic endonasal skull base surgery is practically non-existent. This type of neurovascular injury combines a relatively low incidence with a non-negligible morbidity and mortality. It also requires coordinated multidisciplinary treatment to minimize brain injury induced by inadequate therapeutic management.</div><div>This article presents a series of clinical recommendations and an algorithm for perioperative neuroanesthesiological care of this serious complication.</div><div>To prepare them, a group consisting of five neuroanesthesiologists, a neurosurgeon, an otorhinolaryngologist, a neuroradiologist, and a haematologist reviewed the limited literature on anesthesiological care of this complication. In addition, they adapted anesthesiological care in neurosurgical scenarios similar to the treatment of carotid artery rupture during endoscopic skull base surgery.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 501691"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442972","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":"Potentially modifiable ventilation factors associated with outcome in neurocritical care vs. non-neurocritical care patients: Rational and protocol for a patient-level analysis of PRoVENT, PRoVENT-iMiC and ENIO (PRIME)","authors":"S.C. Serafini ,&nbsp;R. Cinotti ,&nbsp;K. Asehnoune ,&nbsp;D. Battaglini ,&nbsp;C. Robba ,&nbsp;A.S. Neto ,&nbsp;L. Pisani ,&nbsp;G. Mazzinari ,&nbsp;E.M. Tschernko ,&nbsp;M.J. Schultz ,&nbsp;on behalf of the PRoVENT, the PRoVENT–iMiC and ENIO, investigators","doi":"10.1016/j.redare.2025.501690","DOIUrl":"10.1016/j.redare.2025.501690","url":null,"abstract":"<div><h3>Introduction</h3><div>Ventilator settings and ventilation variables and parameters vary between neurocritical care and non-neurocritical care patients. We aim to compare ventilation management in neurocritical care patients versus non–neurocritical care patients under invasive mechanical ventilation support, and to determine which factors related to ventilatory management have an independent association with outcome in neurocritical patients.</div></div><div><h3>Methods and analysis</h3><div>We meta-analyze harmonized individual patient data from three observational studies (‘PRactice of VENTilation in critically ill patients without ARDS’ [PRoVENT], ‘PRactice of VENTilation in critically ill patients in Middle–income Countries’ [PRoVENT–iMiC] and ‘Extubation strategies and in neuro–intensive care unit patients and associations with outcomes’ [ENIO]), pooled into a database named ‘PRIME’. The primary endpoint is all cause ICU mortality. Secondary endpoints are key ventilator settings and ventilation variables and parameters. To identify potentially modifiable and non–modifiable factors contributing to ICU mortality, a multivariable model will be built using demographic factors, comorbidities, illness severities, and respiratory and laboratorial variables. In analyses examining the impact of ventilatory variables on outcome, we will estimate the relative risk of ICU mortality for neurocritical and non-neurocritical care patients by dividing the study population based on key ventilator variables and parameters.</div></div><div><h3>Ethics and dissemination</h3><div>This meta-analysis will address a clinically significant research question by comparing neurocritical care with non–neurocritical care patients. As this is a meta-analysis, additional ethical committee approval is not required. Findings will be disseminated to the scientific community through abstracts and original articles in peer–reviewed journals. Furthermore, the PRIME database will be made accessible for further post–hoc analyses.</div></div><div><h3>Registration</h3><div>PROVENT, PROVENT–iMiC and ENIO, and the pooled database PRIME are registered at clinicaltrials.gov (<span><span>NCT01868321</span><svg><path></path></svg></span> for PRoVENT, <span><span>NCT03188770</span><svg><path></path></svg></span> for PRoVENT–iMiC, and <span><span>NCT03400904</span><svg><path></path></svg></span> for ENIO, and for PRIME is pending).</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 501690"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442974","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":"Three-dimensional transesophageal echocardiography for the differential diagnosis of recurrent mitral regurgitation","authors":"M. Pozo Albiol,&nbsp;M. López-Baamonde,&nbsp;S. Martínez Otero,&nbsp;S. Italiano","doi":"10.1016/j.redare.2025.101641","DOIUrl":"10.1016/j.redare.2025.101641","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 101641"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434748","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}