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

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 : 2024-12-19 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

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 : 2024-12-19 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":"Background: 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.Methods: 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.Results: 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; P = 0.713), nor in EBP requirement (18.8% vs 31.6%; RR 0.84; P = 0.387). Follow-up duration did not differ significantly between groups and no ITC-related complications were reported within 1 month.Conclusions: 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.Irb number: IIBSP-CEF-2022-146.","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501671"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","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

Pneumocephalus following a combined spinal-epidural technique: a case report. 脊髓-硬膜外联合技术后的脑气：1例报告。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-12-19 DOI: 10.1016/j.redare.2024.101628

I Martins de Carvalho, P Costa Antunes, A Nunes Miranda, J Marques Vinagre

引用次数: 0

Difficult airway due to multiple sclerotic fibromas in a patient with Cowden's syndrome. 考登综合征患者多发性硬化纤维瘤导致气道困难。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-12-19 DOI: 10.1016/j.redare.2024.101622

G Ballout, M López-Baamonde, L Gómez-López, R Berge, Raquel

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 : 2024-12-19 DOI: 10.1016/j.redare.2024.101632

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

引用次数: 0

Perioperative transfusion management in craniotomies: A national survey, a starting point for the evaluation of improvements in health care. 开颅手术围手术期输血管理：一项全国性调查，是评价卫生保健改善的起点。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-12-19 DOI: 10.1016/j.redare.2024.501661

P Hurtado, M Garcia-Orellana, A Martinez-Simon, G Pujol-Fontrodona, E Méndez, P Doménech-Asensi, A Pajares, A López-Gómez, L Valencia, M J Colomina, J Fernández-Candil

{"title":"Perioperative transfusion management in craniotomies: A national survey, a starting point for the evaluation of improvements in health care.","authors":"P Hurtado, M Garcia-Orellana, A Martinez-Simon, G Pujol-Fontrodona, E Méndez, P Doménech-Asensi, A Pajares, A López-Gómez, L Valencia, M J Colomina, J Fernández-Candil","doi":"10.1016/j.redare.2024.501661","DOIUrl":"10.1016/j.redare.2024.501661","url":null,"abstract":"Objective: To assess the perioperative management of haemostasis and transfusion practices in adult patients undergoing craniotomies.Method: Online questionnaire addressed to Spanish anaesthesiologists and promoted by the Neurosciences and Haemostasis, Transfusion Medicine and Fluid Therapy Sections of SEDAR. The questionnaire was sent by email and social media, and was active between June and October 2022.Results: We obtained 155 responses from 67 centres; 59.4% perform >100 craniotomies per year. 61.7% were regularly involved in neuroanaesthesiology. Only 21.9% of respondents had pre-anaesthesia assessment performed by a member of that section, and in most of them (83.0%) the assessment was performed ≤3 weeks in advance. Of the respondents with Patient Blood Management programmes, 58.2% had no specific protocols for craniotomies. 90.3% reported that haemoconcentrates are systematically reserved. A lower platelet limit of 100,000/µL is considered acceptable by 76.8%. 99.4% of respondents discontinued antiplatelet medication based on half-life. Only 23.9% respondents routinely discontinued non-steroidal anti-inflammatory drugs. The transfusion threshold for haemoglobin during surgical bleeding was <10 g/dL in 18.7%, <9 g/dL in 38.1%, <8 g/dL in 38.7% and <7 g/dL in 4.5%.Conclusions: Preoperative anaemia screening and treatment programmes are not implemented and blood product reserves are systematised in patients scheduled for craniotomy. Anti-aggregation therapy is discontinued according to the half-life of the drug without checking platelet functionality.","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501661"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873771","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

Patient Blood Management: A conceptual and analytical vision from the leadership in Spain. 病人血液管理：从西班牙领导层的概念和分析的眼光。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-12-18 DOI: 10.1016/j.redare.2024.501650

E Méndez-Arias, A Abad-Motos, M Barquero-López, R Delestal Aldaria, Á M Muñoz de Solano Palacios, A Pajares, S Aguilar López, I Fornet, M Quintana-Díaz, G Yanes, M J Colomina

{"title":"Patient Blood Management: A conceptual and analytical vision from the leadership in Spain.","authors":"E Méndez-Arias, A Abad-Motos, M Barquero-López, R Delestal Aldaria, Á M Muñoz de Solano Palacios, A Pajares, S Aguilar López, I Fornet, M Quintana-Díaz, G Yanes, M J Colomina","doi":"10.1016/j.redare.2024.501650","DOIUrl":"10.1016/j.redare.2024.501650","url":null,"abstract":"The evolution of blood saving programs to Patient Blood Management (PBM) represents a broader and more comprehensive approach to optimize the use of the patient's own blood, thus improving clinical outcomes and minimizing the risks associated with allogeneic blood transfusion with a holistic view of socio-economic sustainability. Implementing the strategies of the three PBM pillars in any hospital center involves a transversal change throughout the organization in which it can be very useful to apply the strategy defined by Kotter at the business level for change management. The support of renowned institutions such as the World Health Organization and the European Commission demonstrates the importance and urgency of implementing PBM programs, setting guidelines at an international level and supporting the adoption of effective strategies in the management of blood transfusion at a national and institutional level. In Spain, we need to have health managers at both the Hospital Management level and the Regional Health Services and/or Ministry of Health that provide the necessary resources for its proper implementation in the health system from primary care to hospital care and also the resources for the timely evaluation of the results.","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501650"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873770","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

Intraoperative goal-directed hemodynamic therapy targeting both arterial pressure and flow parameters using uncalibrated pulse contour techniques: A meta-analysis of randomized controlled trials. 术中目标导向的血流动力学治疗使用未校准的脉冲轮廓技术同时针对动脉压力和血流参数：一项随机对照试验的荟萃分析。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-12-18 DOI: 10.1016/j.redare.2024.501653

J Ripollés-Melchor, Á V Espinosa, P Fernández-Valdes-Bango, R Navarro-Pérez, A Abad-Motos, J V Lorente, M J Colomina, A Abad-Gurumeta, M I Monge-García

{"title":"Intraoperative goal-directed hemodynamic therapy targeting both arterial pressure and flow parameters using uncalibrated pulse contour techniques: A meta-analysis of randomized controlled trials.","authors":"J Ripollés-Melchor, Á V Espinosa, P Fernández-Valdes-Bango, R Navarro-Pérez, A Abad-Motos, J V Lorente, M J Colomina, A Abad-Gurumeta, M I Monge-García","doi":"10.1016/j.redare.2024.501653","DOIUrl":"10.1016/j.redare.2024.501653","url":null,"abstract":"Background: Goal-directed haemodynamic therapy (GDHT) aims to optimize haemodynamic variables. However, its effectiveness in reducing postoperative complications in major abdominal surgery, particularly when targeting both arterial pressure and flow variables, remains unclear. This meta-analysis addresses this by evaluating GDHT using uncalibrated pulse contour (uPC) methods.Methods: We conducted a systematic review and meta-analysis of randomized controlled trials (RCT) in adult patients undergoing major abdominal surgery who received GDHT using uncalibrated pulse contour (uPC) methods for cardiac output monitoring, with predefined targets for both blood flow and blood pressure. The primary outcome was postoperative complications; secondary outcomes included postoperative acute kidney injury (AKI), hospital length of stay (EH), intraoperative fluid administration and mortality.Results: Initial search retrieved 860 reports, with 12 RCTs (1367 patients) meeting the inclusion criteria. Our meta-analysis showed a significant reduction in postoperative complications (RR 0.78, 95% CI 0.68-0.90), AKI (RR 0.7, 95% CI 0.51-0.97), and hospital LOS (SMD -0.30, 95% CI -0.54 to -0.06) with uPC-guided GDHT. No significant differences were observed in intraoperative fluid volume and mortality.Conclusions: Implementing GDHT in major abdominal surgery with predefined arterial pressure and blood flow targets significantly reduces postoperative morbidity and hospital EH without increasing intraoperative fluid administration.","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501653"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873768","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

Gastric POCUS, an emergent tool in the assessment of perioperative fasting: Narrative review. 胃POCUS，围手术期禁食评估的新兴工具：叙述性回顾。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-12-17 DOI: 10.1016/j.redare.2024.501655

C Juliá-Romero, C Palau-Martí, A Tejedor-Bosqued

引用次数: 0

Perioperative anesthetic management and postoperative outcomes of patients treated with CyberKnife® robotic radiosurgery. CyberKnife®机器人放射手术患者的围手术期麻醉管理和术后结果。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-12-16 DOI: 10.1016/j.redare.2024.501652

D Gallego González, S Ramírez Pulgarín, K Marisancén Carrasquilla, Y A Colina Vargas, C Vera Marín, L F Botero Posada

{"title":"Perioperative anesthetic management and postoperative outcomes of patients treated with CyberKnife® robotic radiosurgery.","authors":"D Gallego González, S Ramírez Pulgarín, K Marisancén Carrasquilla, Y A Colina Vargas, C Vera Marín, L F Botero Posada","doi":"10.1016/j.redare.2024.501652","DOIUrl":"10.1016/j.redare.2024.501652","url":null,"abstract":"Background and objective: The CyberKnife® is a robotic stereotactic radiosurgery system designed for non-invasive treatment of tumor lesions. Some of these procedures are performed under sedation or general anesthesia, depending on the patient and the lesion being treated. The objective of this study is to describe the anesthetic management and postoperative outcomes of patients treated with CyberKnife® radiosurgery at a reference center for neurosurgery in the city of Medellín, Colombia.Methods: A descriptive, retrospective study was conducted on patients treated with CyberKnife® under sedation or general anesthesia between 2012 and 2022.Results: 75 patients were included, 56% of whom were female, with a median age of 59 years, primarily operated on for uveal melanomas (40%) and other tumor pathologies of the central nervous system; most frequently scheduled for a total of 5 radiosurgery sessions (66,7%), on an outpatient basis in 96% of cases. The main anesthetic technique used was balanced general anesthesia (76%) with sevoflurane, propofol, lidocaine, fentanyl. Neuromuscular relaxation was used in 58,7% of patients. Airway management was performed with a laryngeal mask in most cases (64%). The main minor side effects or complications identified were postoperative headache (22,7%), followed by intraoperative hypotension (18,7%) and bradycardia (16%). No major complications associated with anesthetic management were reported.Conclusions: Balanced general anesthesia with neuromuscular relaxation was the main anesthetic technique used for CyberKnife® radiosurgery. Despite the logistical difficulties in this type of procedure, no major complications during the perioperative period were found.","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501652"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857492","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