Revista espanola de anestesiologia y reanimacion最新文献_第5页

Giant polycystic liver disease with thoracic involvement: An anaesthesia and surgical challenge in liver transplantation 累及胸部的巨大多囊性肝病：肝移植的麻醉和手术挑战。

Revista espanola de anestesiologia y reanimacion Pub Date : 2026-05-01 Epub Date: 2026-02-20 DOI: 10.1016/j.redare.2026.502025

M. Arias Salazar , F.G. Mileo , G. Chullo , Y. Fundora , E. Quintana , J. Martínez

{"title":"Giant polycystic liver disease with thoracic involvement: An anaesthesia and surgical challenge in liver transplantation","authors":"M. Arias Salazar , F.G. Mileo , G. Chullo , Y. Fundora , E. Quintana , J. Martínez","doi":"10.1016/j.redare.2026.502025","DOIUrl":"10.1016/j.redare.2026.502025","url":null,"abstract":"<div><div>Polycystic liver disease is a rare inherited disorder that is usually associated with autosomal dominant polycystic kidney disease. Advanced forms of the disease can cause massive hepatomegaly, chest compression, and severe respiratory compromise. We present the case of a 46-year-old woman with hepatorenal polycystic disease who developed progressive dyspnoea, early satiety, and abdominal distension despite treatment with lanreotide. The CT scan revealed a liver measuring 14,200 cc, partial lung collapse, and mediastinal displacement. Given the risk of thoracic compression, an orthotopic liver transplant was performed using a sterno-laparotomy approach and femoro-portal veno-venous bypass to achieve haemodynamic stability during the anhepatic phase. The evolution was favourable, and the patient was discharged on day 11 and re-assessed at 6 months without incident. This case highlights the importance of multidisciplinary planning and the selective use of veno-venous bypass to ensure safe anaesthesia and surgical management in giant polycystic liver disease.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 5","pages":"Article 502025"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273714","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

Serial culture of ultrasound gels in relation to CDC/FDA alert: A transversal prevalence study of contamination in an anesthesia center 超声凝胶连续培养与CDC/FDA警报的关系：麻醉中心污染的横向流行研究。

Revista espanola de anestesiologia y reanimacion Pub Date : 2026-05-01 Epub Date: 2026-04-16 DOI: 10.1016/j.redare.2026.502104

X. Ormazabal Rementeria , G. Ojinaga García , J.L. Barrios Andrés

{"title":"Serial culture of ultrasound gels in relation to CDC/FDA alert: A transversal prevalence study of contamination in an anesthesia center","authors":"X. Ormazabal Rementeria , G. Ojinaga García , J.L. Barrios Andrés","doi":"10.1016/j.redare.2026.502104","DOIUrl":"10.1016/j.redare.2026.502104","url":null,"abstract":"<div><h3>Background and objective</h3><div>Ultrasound is essential in anaesthesiology, non-sterile multidose gels can cause nosocomial infection. Following the CDC/FDA safety alert published on 13 May 2025 regarding outbreaks of <em>Paraburkholderia fungorum</em> linked to contaminated gels, we determined the prevalence of microbial contamination in the ultrasound gels regularly used in our anaesthesia department.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional prevalence study based on the analysis of 37 ultrasound gel samples. Using convenience sampling, we collected 33 samples of gels in active use in various areas (operating rooms, resuscitation, interventional radiology room, and delivery room) together with 4 control samples (2 unopened multidose gels and 2 sterile single-dose gels). Infusion broth was inoculated with the samples and incubated at 37 °C for 10 days, after which they were tested for colonisation using the MALDI-TOF technique.</div></div><div><h3>Results</h3><div>Microorganisms were isolated in 6.1% (2/33) of the samples of multidose gels in active use, specifically, <em>Streptococcus parasanguinis</em> and <em>Staphylococcus pasteuri</em>, which were isolated in different batches of TransonicGel. No bacterial growth was found in samples from gel warmers (n = 3), electrode gels, or controls. None of the microorganisms isolated matched those listed in the hospital’s infection database.</div></div><div><h3>Conclusions</h3><div>The finding of 6.1% contamination shows the latent risk involved in using multidose gels. These results reinforce the importance of adhering to the CDC, ACEP, and ASRA guidelines, which recommend protecting patients by using only sterile single-dose gels and validated probe covers in all invasive ultrasound-guided procedures.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 5","pages":"Article 502104"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719254","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

Air vs. saline for epidural space identification: Why we should move away from air in obstetric analgesia 空气与生理盐水用于硬膜外间隙识别：为什么我们应该在产科镇痛中远离空气。

Revista espanola de anestesiologia y reanimacion Pub Date : 2026-05-01 Epub Date: 2026-02-20 DOI: 10.1016/j.redare.2026.502040

N. Brogly , E. Guasch , I. Valbuena Gómez , F. Gilsanz

引用次数: 0

Chylothorax after low-impact trauma: A rare complication unmasked in the surgical critical care unit 低冲击创伤后乳糜胸：外科重症监护病房中一种罕见的并发症。

Revista espanola de anestesiologia y reanimacion Pub Date : 2026-05-01 Epub Date: 2026-03-13 DOI: 10.1016/j.redare.2026.502039

J.J. Mateos, A. Calvo, P. Valero, P. Piñeiro

引用次数: 0

Comment on the article “Macklin effect in critically ill COVID-19 patients: A single-centre observational analysis” 对《新冠肺炎危重患者的麦克林效应：单中心观察分析》一文的评论。

Revista espanola de anestesiologia y reanimacion Pub Date : 2026-05-01 Epub Date: 2026-04-15 DOI: 10.1016/j.redare.2026.502003

S. Campbell-Silva

引用次数: 0

Perioperative neurocognitive disorder in non-cardicac surgery: A prospective single centre cohort trial 非心脏手术围手术期神经认知障碍：一项前瞻性单中心队列试验。

Revista espanola de anestesiologia y reanimacion Pub Date : 2026-05-01 Epub Date: 2026-04-28 DOI: 10.1016/j.redare.2026.502115

J.M. Rabanal Llevot , D. García López , A. Pozueta Cantudo , A. Suárez de la Rica , E. Maseda Garrido , P. Sánchez Juan

{"title":"Perioperative neurocognitive disorder in non-cardicac surgery: A prospective single centre cohort trial","authors":"J.M. Rabanal Llevot , D. García López , A. Pozueta Cantudo , A. Suárez de la Rica , E. Maseda Garrido , P. Sánchez Juan","doi":"10.1016/j.redare.2026.502115","DOIUrl":"10.1016/j.redare.2026.502115","url":null,"abstract":"<div><h3>Introduction</h3><div>Aging is a complex process that reduces the body’s functional reserve, with cognitive decline being its manifestation at the cerebral level. Cognitive impairment may worsen after surgery and anesthesia. The aim of this study is to describe the incidence of cognitive decline before and after surgery, as well as its associated factors in patients aged ≥65 years.</div></div><div><h3>Method</h3><div>This is a prospective and contextual, study on perioperative cognitive decline, using a convenience sample in a university hospital in Spain. Preoperative cognitive evaluation was performed using the Mini-Mental State Examination (MMSE), the Digit Span Test (both forward and backward), the Free and Cued Selective Reminding Test (FCRST), the Trail Making Test A and B, and the Digit Symbol Substitution Test. Postoperative evaluation was conducted using the abbreviated IQCODE interview.</div></div><div><h3>Results</h3><div>A total of 100 outpatients were studied (mean age 74.46 ± 6.49 yr). Forty-four patients (44%) had preoperative cognitive decline. Variables associated with preoperative cognitive decline included education level (OR 2.11), alcohol consumption (OR 3.37), Barthel Index (OR 2.29), and polypharmacy (OR 2.32), depression (OR 3.48), or COPD (OR 11.5). Following the IQCODE interview, 18% of patients exhibited postoperative cognitive decline.</div></div><div><h3>Conclusions</h3><div>Undiagnosed pre-existing cognitive dysfunction is very common in older patients awaiting surgery, and an important number experience worsening or new onset of cognitive decline following surgery.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 5","pages":"Article 502115"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825377","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

Angiotensin II in the treatment of distributive shock and identification of clinical profiles with greater therapeutic benefit 血管紧张素II在治疗弥散性休克和鉴定中具有较大的临床疗效。

Revista espanola de anestesiologia y reanimacion Pub Date : 2026-05-01 Epub Date: 2026-04-28 DOI: 10.1016/j.redare.2026.502116

J. Nieves-Alonso , R. García-Álvarez , A. Suárez-de-la-Rica

{"title":"Angiotensin II in the treatment of distributive shock and identification of clinical profiles with greater therapeutic benefit","authors":"J. Nieves-Alonso , R. García-Álvarez , A. Suárez-de-la-Rica","doi":"10.1016/j.redare.2026.502116","DOIUrl":"10.1016/j.redare.2026.502116","url":null,"abstract":"<div><div>The cornerstone of vasopressor treatment for distributive shock is norepinephrine; however, the administration of high doses is associated with significant adrenergic toxicity and increased morbidity and mortality. Angiotensin II, a recently approved physiological alternative to norepinephrine within a multimodal vasopressor strategy, has the advantage of rebalancing the renin-angiotensin-aldosterone system and reducing catecholamine doses. This review analyses the role of angiotensin II in distributive shock, exploring its pharmacodynamic characteristics and its impact on haemodynamic stability. The evidence collected to date has identified specific groups that derive clinical benefit, particularly patients with acute kidney injury, acute respiratory distress syndrome, or prior exposure to renin-angiotensin system inhibitors (angiotensin-converting enzyme inhibitors). Dynamic assessment tools, such as the AIMRITE (Angiotensin-II Initial MAP Response Index of Treatment Effect) index, may be useful for assessing early response to angiotensin II and supporting therapeutic decisions at an early stage. Ultimately, angiotensin II allows clinicians to implement personalised, safe therapeutic measures that are tailored to the complexity of the critically ill patient.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 5","pages":"Article 502116"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825342","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

Ultrasound-guided versus surgical deep serratus anterior plane block 超声引导与外科手术深层锯肌前平面阻滞。

Revista espanola de anestesiologia y reanimacion Pub Date : 2026-05-01 Epub Date: 2026-02-20 DOI: 10.1016/j.redare.2026.502042

M.M. ALseoudy

引用次数: 0

Ultrasound-guided versus surgical deep serratus anterior plane block 超声引导与外科手术深层锯肌前平面阻滞。

Revista espanola de anestesiologia y reanimacion Pub Date : 2026-05-01 Epub Date: 2026-02-20 DOI: 10.1016/j.redare.2026.502043

R.M. Sethuraman

引用次数: 0

External oblique intercostal plane block in open hepatobiliary surgery: A case series 开放肝胆手术中的外斜肋间平面阻滞：一个病例系列。

Revista espanola de anestesiologia y reanimacion Pub Date : 2026-05-01 Epub Date: 2026-04-02 DOI: 10.1016/j.redare.2026.502051

C. Garicano Goldaraz, L. Gómez de la Lastra, M. Amelburu Egoscozábal, C. Yarnoz, G. Oliver Juan, N. González Jorrín, A. Abad-Motos

{"title":"External oblique intercostal plane block in open hepatobiliary surgery: A case series","authors":"C. Garicano Goldaraz, L. Gómez de la Lastra, M. Amelburu Egoscozábal, C. Yarnoz, G. Oliver Juan, N. González Jorrín, A. Abad-Motos","doi":"10.1016/j.redare.2026.502051","DOIUrl":"10.1016/j.redare.2026.502051","url":null,"abstract":"<div><h3>Background and objective</h3><div>Analgesic management in subcostal laparotomy is a challenge, and has a direct impact on recovery and outcomes. The external oblique intercostal (EOI) block anaesthetises the anterior and lateral cutaneous branches of the ventral rami of the intercostal nerves, and both the puncture site and the local anaesthetic target are located outside the surgical field, blocking the anterior and lateral cutaneous branches of the ventral rami of the intercostal nerves.</div></div><div><h3>Materials and methods</h3><div>Observational, retrospective, single-centre study. Patients scheduled for open hepatobiliary surgery under general anaesthesia and intrathecal morphine were included. EOI block was performed before the incision as part of a multimodal analgesia strategy. After anaesthesia induction, with the patient supine, a 12−15 MHz linear transducer was placed over the sixth rib and an 80 mm needle was used to administer 20 ml of 0.25 % levobupivacaine on each side in the case of bilateral incisions or on one side in the case of unilateral incisions.</div></div><div><h3>Results</h3><div>Fifteen patients scheduled for open hepatectomy, pancreaticoduodenectomy, and open cholecystectomy were included. Pain rated on the visual numerical scale was 0 (0−0) out of a possible 5 (0–5) points on postoperative day 1. Twelve patients (80%) were able to move to a chair on postoperative day 1. Six (40%) required rescue morphine in the first 24 postoperative hours. The average dose administered was 1.4 mg (±2).</div></div><div><h3>Conclusions</h3><div>Single-shot EOI block is an effective, safe, and easily reproducible technique in a multimodal analgesic approach to major abdominal surgery.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 5","pages":"Article 502051"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619335","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