M.V. Durán , R.N. Pérez , O. de laVarga Martínez , S.M. Fadrique , E.T. Gómez , R.B. Quiles
{"title":"Multicentre cohort study on the prevalence of postoperative delirium 48 h after surgery: “DELPO study” protocol","authors":"M.V. Durán , R.N. Pérez , O. de laVarga Martínez , S.M. Fadrique , E.T. Gómez , R.B. Quiles","doi":"10.1016/j.redare.2025.501727","DOIUrl":"10.1016/j.redare.2025.501727","url":null,"abstract":"<div><h3>Introduction</h3><div>Postoperative delirium (POD) is characterized by an acute, fluctuating change in the patient's cognitive capacity, including altered perceptions and inappropriate behavioural changes. Incidence ranges from 4% to 62%, depending on the population and the study. POD has been linked to an increase in morbidity and mortality and a decrease in quality of life.</div></div><div><h3>Methods</h3><div>We will perform a multicentre, observational, cross-sectional nationwide study in various Anaesthesiology, Resuscitation, and Pain Therapy units in Spain. Patients undergoing non-ambulatory surgery will be tested for the presence of delirium 48 h after surgery using the 4AT scale in the case of discharged patients, the CAM scale in hospitalised patients, and the CAM-ICU scale for patients in an Intensive Care Unit. We will also collect several variables associated with the risk of postoperative delirium. The relationship between preoperative nutritional status and POD will be assessed in the DELPO-NUT sub-study. The quality of life and survival of surgical patients one year after surgery will be evaluated in the DELPO-LIFE sub-study.</div></div><div><h3>Results</h3><div>Data collection will take place on two consecutive Tuesdays (14 and 21 November 2023), and results are expected during the first or second quarter of 2024.</div></div><div><h3>Conclusions</h3><div>Our objective is to determine the overall prevalence of POD in Spanish hospitals and the different risk factors that contribute to its appearance.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 501727"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442878","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":"Importance of training in anesthesia systems technology","authors":"J.J. Ariño Irujo","doi":"10.1016/j.redare.2025.501662","DOIUrl":"10.1016/j.redare.2025.501662","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 501662"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442893","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":"Anaesthesetic considerations in the perioperative management of patients with hereditary angioedema-FXII","authors":"P. García Robledo , J.C. García Ortiz","doi":"10.1016/j.redare.2025.501732","DOIUrl":"10.1016/j.redare.2025.501732","url":null,"abstract":"<div><div>Hereditary angioedema (HAE) is of interest to anaesthesiologists due to its impact on perioperative management. HAE manifests as episodic, self-limiting oedema in the deep subcutaneous or submucosal tissue that can be fatal if it involves the airway. It is usually caused by C1 esterase inhibitor deficiency. HAE episodes can be triggered by trauma, including surgical and medical procedures associated with mechanical trauma. Our understanding of HAE has evolved in recent years following the development of new genetic sequencing technologies that have made it possible to differentiate variants with normal C1 esterase inhibitor levels. In Spain, the most frequent of these is HAE due to a mutation in FXII, previously known as HAE type III. There are as yet no good quality studies on perioperative management and treatment of these patients. The admission of a patient with FXII-HAE for labour induction has given us the opportunity to review the perioperative management of these cases.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 501732"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442805","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}
S. Freitas Martín, J. Veganzones Ramos, S. Díaz Carrasco, L. Suárez Gonzalo
{"title":"Refractory hypoxaemia on extracorporeal CO2R: Case report and literature review","authors":"S. Freitas Martín, J. Veganzones Ramos, S. Díaz Carrasco, L. Suárez Gonzalo","doi":"10.1016/j.redare.2025.501769","DOIUrl":"10.1016/j.redare.2025.501769","url":null,"abstract":"<div><div>Extracorporeal carbon dioxide removal <em>(</em>ECCO<sub>2</sub>R) is increasingly used in clinical practice as a means of facilitating protective mechanical ventilation and reducing the risk of ventilator-induced lung injury (VILI) in patients with acute respiratory distress syndrome (ARDS). In some cases, however, ECCO<sub>2</sub>R can worsen hypoxaemia due to various pathophysiological mechanisms that need to be taken into consideration. We report a case of refractory hypoxaemia that required interruption of ECCO<sub>2</sub>R therapy.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 5","pages":"Article 501769"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733588","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}
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}
M.A. Gómez-Ríos , A.A.J. Van Zundert , M.A. Fernández-Vaquero
{"title":"The relentless pursuit of excellence in airway management","authors":"M.A. Gómez-Ríos , A.A.J. Van Zundert , M.A. Fernández-Vaquero","doi":"10.1016/j.redare.2025.501733","DOIUrl":"10.1016/j.redare.2025.501733","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 4","pages":"Article 501733"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143833441","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}
Ana Álvarez Bartolomé , Álvaro Mingote , María Casado Salcedo , Javier García Fernández
{"title":"Anaesthesia management in a patient with a cardiac contractility modulation device","authors":"Ana Álvarez Bartolomé , Álvaro Mingote , María Casado Salcedo , Javier García Fernández","doi":"10.1016/j.redare.2025.101636","DOIUrl":"10.1016/j.redare.2025.101636","url":null,"abstract":"<div><div>Cardiac contractility modulation (CCM) is a treatment based on electrical impulses that is used in patients with moderate-to-severe heart failure. This therapy has shown a small improvement in exercise tolerance and quality of life in heart patients. Guidelines on the management of implantable cardiac devices do not include any recommendations on CCM, and only 1 article refers to anaesthesia management in these patients. We present a case report on the anaesthesia management of a patient with a CCM device. We believe that it will become increasingly common for anaesthesiologists to encounter patients with similar devices in their routine practice.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 4","pages":"Article 101636"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434664","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":"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}
R. Navarro-Suay , L.E. Togores-Sánchez , R. García-Cañas , F. Gilsanz-Rodríguez
{"title":"History lessons for an uncertain future? Anaesthesiology and resuscitation during the Ifni-Sahara conflict (1957–1958)","authors":"R. Navarro-Suay , L.E. Togores-Sánchez , R. García-Cañas , F. Gilsanz-Rodríguez","doi":"10.1016/j.redare.2024.101648","DOIUrl":"10.1016/j.redare.2024.101648","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 4","pages":"Article 101648"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873722","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}