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

Any news on the pharmacological treatment of trigeminal neuralgia?

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2025.501668

A. Alcántara Montero , C. Álamo González

引用次数: 0

Seldinger’s technique: If resistance appears, brain over brawn

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2025.101631

M. López-Baamonde, A. Capdevila, E. Lacoba, M. Magaldi

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Clinical study on the predictive utility of high flow CPAP in weaning from prolonged mechanical ventilation in critical paediatric surgery patients 高流量CPAP预测小儿外科危重患者长时间机械通气后脱机的临床研究。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2024.501658

S. Cabezudo Ballesteros, P. Sanabria Carretero, L. Castro Parga, A. Martín Vega, L. López García, F. Reinoso Barbero

{"title":"Clinical study on the predictive utility of high flow CPAP in weaning from prolonged mechanical ventilation in critical paediatric surgery patients","authors":"S. Cabezudo Ballesteros, P. Sanabria Carretero, L. Castro Parga, A. Martín Vega, L. López García, F. Reinoso Barbero","doi":"10.1016/j.redare.2024.501658","DOIUrl":"10.1016/j.redare.2024.501658","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Weaning paediatric patients from mechanical ventilation (MV) often results in extubation failure (EF) (14%-22%) and 2% of patients will require tracheostomy (2%).</div></div><div><h3>Methods</h3><div>We performed an observational study in 115 critically ill patients in whom a novel high-flow CPAP (CPAP-ANRI) system was connected to the tracheal tube during ventilation (CPAP + TI). After extubation, the same system was connected to various interfaces.</div></div><div><h3>Results</h3><div>Mean (± SD) age was 31 ± 49 months, PRISM-III score was 2.9 ± 2.4, and duration of intermittent positive pressure ventilation with tracheal intubation (IPPV + TI) was 6 ± 5.6 days followed by CPAP + TI for 1.4 ± 1.7 days. The initial rate of EF was 10.4% for either haemodynamic (<em>n</em> = 4) or respiratory (<em>n</em>= 8) reasons, although the final rate of EF requiring tracheostomy was only 0.8%. After progressing from IPPV + TI to CPAP + TI, PO<sub>2</sub>/FiO<sub>2</sub> values in successfully extubated patients immediately increased by 27% (<em>p</em> < 0.0003) vs only 13% (<em>p</em> > 0.3) in patients presenting EF. Switching to CPAP + TI increased the percentage of patients with pO<sub>2</sub>/FiO<sub>2</sub> > 200, particularly in patients with heart disease, in whom >30% increase in pO<sub>2</sub>/FiO<sub>2</sub> over baseline had a positive predictive value for successful extubation (AUC = 0.708; <em>p</em> = 0.056).</div></div><div><h3>Conclusions</h3><div>The CPAP-ANRI device is a simple respiratory aid that is highly effective in optimizing cardiopulmonary interaction to facilitate weaning from MV and identifying most cases in which extubation is likely to be successful.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 2","pages":"Article 501658"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873716","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

Cardiopulmonary arrest in liver transplantation surgery: Perioperative beta-blockade implication in the cirrhotic patient

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2025.101645

R.C. Vela Pascual, J.M. Pérez Peña, A. Elvira Rodríguez, M. Power Esteban, C. Jimeno Fernández, J.A. Varela Cabo

引用次数: 0

Prevalence of burnout syndrome in European and North American anesthesiologists: A systematic review and meta-analysis

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2025.501665

E. Gili-Ortiz , D. Franco-Fernández , O. Loli-Aznarán , M. Gili-Miner

{"title":"Prevalence of burnout syndrome in European and North American anesthesiologists: A systematic review and meta-analysis","authors":"E. Gili-Ortiz , D. Franco-Fernández , O. Loli-Aznarán , M. Gili-Miner","doi":"10.1016/j.redare.2025.501665","DOIUrl":"10.1016/j.redare.2025.501665","url":null,"abstract":"<div><h3>Aims</h3><div>The prevalence of burnout syndrome dimensions in anesthesiologists show notable international differences. In this study, mean prevalences of European and North American anesthesiologists are compared.</div></div><div><h3>Methods</h3><div>Quantitative systematic review (meta-analysis) following the PRISMA and MOOSE criteria. Only studies made with the Maslach Burnout Inventory that includes a Human Services Survey (MBI-HSS) were included. The quality of the studies was evaluated with a modified Newcastle-Ottawa scale, which was used in the meta-regression analyzes together with the Healthcare Access and Quality Index (HAQI) and Gross National Income (GNI) indicators for each country. Publication bias due to small size studies was evaluated with the Egger test.</div></div><div><h3>Results</h3><div>The means of Emotional Exhaustion and Depersonalization were lower in anesthesiologists from Western Europe than in those from Eastern Europe and North America, but the differences were only statistically significant in the Emotional Exhaustion dimension. Meta-regression results were not statistically significant in any of the burnout dimensions for any of the three moderating variables. The test for publication bias was not statistically significant in any of the three dimensions.</div></div><div><h3>Conclusions</h3><div>Based on the results of the meta-analysis and the information from the included studies, social and organizational factors are the most important etiological factors that explain the differences in prevalence. Some of them are related specifically to Eastern Europe and other factors are more relevant in North America. These differences are discussed in this paper.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 2","pages":"Article 501665"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043995","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

Environmental impact of volatile anesthetics at a high complexity teaching hospital from 2019 to 2022: A quantitative analysis 2019 - 2022年某高复杂性教学医院挥发性麻醉药环境影响的定量分析

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2024.501659

A.M. Obando Rondón , C.A. Triana-Schöonewolff , J.D. Guerra Toro , J.F. Parada-Márquez , N.A. Avila Ardila , A.F. Zuluaga Zuluaga

{"title":"Environmental impact of volatile anesthetics at a high complexity teaching hospital from 2019 to 2022: A quantitative analysis","authors":"A.M. Obando Rondón , C.A. Triana-Schöonewolff , J.D. Guerra Toro , J.F. Parada-Márquez , N.A. Avila Ardila , A.F. Zuluaga Zuluaga","doi":"10.1016/j.redare.2024.501659","DOIUrl":"10.1016/j.redare.2024.501659","url":null,"abstract":"<div><h3>Background</h3><div>The healthcare sector emits 5% of greenhouse gases worldwide, inhaled anaesthetic agents have contributed to this effect for years. Other countries measured and limited their use, leading to positive environmental changes. There is a lack of data on Colombia. This project aims to evaluate the environmental impact of desflurane, isoflurane, and sevoflurane between 2019 and 2022 in a hospital in Bogota.</div></div><div><h3>Methods</h3><div>A retrospective exploration of inhaled anaesthetic agents use was conducted using our hospital's pharmacy inventory between 2019 and 2022. ORACLE software tools were used, along with the amount of anaesthetics dispensed by the pharmacy. The CO<sub>2</sub> equivalent was calculated in kilograms using the global warming potential at 20 and 100 years.</div></div><div><h3>Results</h3><div>A total of 743 kg of inhaled anaesthetic agents was administered between 2019 and 2022. Sevoflurane accounted for 265.7 kg, Desflurane for 473.9 kg, while isoflurane was used in smaller quantities. There was a change in the trend between 2019/2020 and 2021/2022, with an increase of 69.3 kg in sevoflurane use and a decrease of 86.2 kg in desflurane use. The CO<sub>2</sub> emissions from desflurane decreased from 190.7 to 131.9 t over 20 years and from 711 to 492 t over 100 years.</div></div><div><h3>Conclusions</h3><div>The use of sevoflurane increased by 70%, whereas that of desflurane decreased by 31%. CO<sub>2</sub> emissions were reduced by 557 t in 20 years and 210 t in 100 years. The environmental impact of sevoflurane is 97% lower than desflurane in our OR’s.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 2","pages":"Article 501659"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873720","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

Cohort study to evaluate the pattern of analgesic prescription in adult patients undergoing ambulatory surgery

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2025.501664

L. Velasco , A. Calle , J. Coronel , A. Gallo , A. Reyes , M. Portas , L. Bermejo , A. Giménez , A. Ribed , M. Zaballos

{"title":"Cohort study to evaluate the pattern of analgesic prescription in adult patients undergoing ambulatory surgery","authors":"L. Velasco , A. Calle , J. Coronel , A. Gallo , A. Reyes , M. Portas , L. Bermejo , A. Giménez , A. Ribed , M. Zaballos","doi":"10.1016/j.redare.2025.501664","DOIUrl":"10.1016/j.redare.2025.501664","url":null,"abstract":"<div><h3>Introduction</h3><div>Postoperative pain in ambulatory surgery (AS) continues to be a recurrent problem despite anesthetic and surgical advances. Analgesic prescription and follow-up by patients at home may be a determining factor. Our objective was to evaluate analgesic prescription and its impact on the intensity of postoperative pain at 24 h and 7 days in an AS unit.</div></div><div><h3>Methods</h3><div>Retrospective cohort study of patients undergoing AS. Anthropometric data, ASA classification, surgery, anesthesia, analgesic prescription and postoperative pain. A telephone call was made by nurses to evaluate the DAP at 24 h and one week after surgery.</div></div><div><h3>Results</h3><div>A total of 875 patients, 62% women, aged 50 ± 17 years, were studied. Orthopedic (45.4%); head and neck (19.5%); general (10.6%); vascular (11.9%); plastic (2.4%) and gynecological (10.2%) surgery was performed. Multimodal analgesia was prescribed: 83.7%, combination of nonsteroidal anti-inflammatory drug (NSAID) + paracetamol + metamizole: 70.79%; opioid + paracetamol or NSAID or in monotherapy:13.1%; monotherapy with paracetamol (15%) or NSAID (1.15%). Some 62.45% were prescribed “if pain” and 61.87% had rescue analgesia. At 24 h the median (IQR) of pain on the self-assessing verbal scale was 3 (2–5) and at one week 2 (0–4). The presence of moderate-severe pain was 46% at 24 h and 31% at one week after surgery.</div></div><div><h3>Conclusions</h3><div>Our results show great variability in analgesic prescription with insufficient control of postoperative pain in ambulatory surgery. Although the multimodal analgesic strategy has been widely used, opioid prescription has been insufficient in surgeries associated with moderate to severe pain.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 2","pages":"Article 501664"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043992","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

Long-term mechanical circulatory support in cardiogenic shock secondary to acromegaly. Case report

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2025.101638

L.A. Salazar-Rojas , D.I. García-Gómez , R.E. Gonzalez-Vesga , C. Colmenares-Mejia

引用次数: 0

Use of vancomycin and acute kidney injury in critically ill patients with sepsis or septic shock: A retrospective observational cohort study 万古霉素在重症脓毒症或感染性休克患者中的应用和急性肾损伤：一项回顾性观察队列研究。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2024.501657

D. González-Delgado , M. Vives , P. Monedero , A. Aldaz

{"title":"Use of vancomycin and acute kidney injury in critically ill patients with sepsis or septic shock: A retrospective observational cohort study","authors":"D. González-Delgado , M. Vives , P. Monedero , A. Aldaz","doi":"10.1016/j.redare.2024.501657","DOIUrl":"10.1016/j.redare.2024.501657","url":null,"abstract":"<div><h3>Introduction</h3><div>The independent association of vancomycin with Acute Kidney Injury (AKI) in the critically ill patient with sepsis or septic Shock is controversial.</div><div>The aim of this study was to evaluate the incidence of AKI in a cohort of patients with sepsis or septic Shock with an adequate and strict monitoring of vancomycin, guided by the area under the concentration-time curve in relation to the minimum inhibitory concentration (AUC/MIC ratio).</div></div><div><h3>Material and methods</h3><div>Retrospective cohort study on 106 patients admitted to the ICU with a diagnosis of sepsis or septic shock with vancomycin treatment, consecutively from January 2017 to December 2019.</div><div>AKI was defined according to Kidney Disease Improving Global Outcomes criteria. Risk factors associated with AKI were determined by multivariable logistic regression analysis.</div></div><div><h3>Results</h3><div>In our cohort, 28 patients out of 106 (26%) developed AKI. ICU and 30-day mortality were 18% and 22%, respectively. After multivariable logistic regression adjusted analysis, chronic liver disease was associated with AKI.</div></div><div><h3>Conclusion</h3><div>In our retrospective cohort study on critical patients with sepsis and septic shock, treated with vancomycin adjusting the dose guided by a pharmacokinetic/pharmacodynamic monitoring to achieve the target AUC<sub>0-24</sub>/CMI ratio, the incidence of AKI was 26%.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 2","pages":"Article 501657"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence and risk factors of chronic post-thoracic surgery pain: A retrospective study 胸外科手术后慢性疼痛的发生率和风险因素：回顾性研究

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-01-01 DOI: 10.1016/j.redare.2024.101644

H. Rivera-Ramos, L. Larrañaga-Altuna, M. García-Olivera, M. Armengol-Gay, M. Soldevilla-García, S. Bermejo-Martínez

{"title":"Incidence and risk factors of chronic post-thoracic surgery pain: A retrospective study","authors":"H. Rivera-Ramos, L. Larrañaga-Altuna, M. García-Olivera, M. Armengol-Gay, M. Soldevilla-García, S. Bermejo-Martínez","doi":"10.1016/j.redare.2024.101644","DOIUrl":"10.1016/j.redare.2024.101644","url":null,"abstract":"<div><h3>Background</h3><div>Chronic post-thoracic surgery pain (CPTSP) is a common complication that affects a patient’s quality of life. Thoracotomy is associated with a high risk of chronic pain. Video-assisted thoracoscopy surgery (VATS) is a less traumatic option, but its role in the development of CPTSP is unclear. Regardless of the approach, there is evidence that demographic, psychosocial, or clinical factors also contribute to pain. The primary objective of this study is to determine the incidence of CPTSP in our hospital. The secondary objective is to identify possible risk factors related to CPTSP.</div></div><div><h3>Method</h3><div>Retrospective, single-centre observational study. The medical records of patients that underwent thoracic surgery between January 2016 and January 2020 were reviewed. The diagnosis of CPTSP was made by reviewing the postoperative visits 6 months after surgery. We analysed the relationship between CPTSP and a series of variables, and then constructed a multivariate binary logistic regression model with a significance level of <em>p</em> < 0.05.</div></div><div><h3>Results</h3><div>A total of 259 patients were analysed, 46.7% underwent VATS and 53.3% underwent thoracotomy. The overall incidence of CPTSP was 12%; 4.1% in VATS and 18.8% in thoracotomies. The multivariate model revealed that moderate-to-severe acute postoperative pain and a greater number of chest tubes were risk factors for CPTSP.</div></div><div><h3>Conclusion</h3><div>The incidence of CPTSP was 12% in our hospital. Patients with higher acute postoperative pain severity and several chest tubes were more likely to develop CPTSP.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 1","pages":"Article 101644"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632997","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