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

Comments on the article "Mean airway pressure as a parameter of lung-protective and heart-protective ventilation" by Placenti A, Fratebianchi F. 对Placenti a、Fratebianchi F的文章《平均气道压力作为保肺保心通气的参数》的评议。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-22 DOI: 10.1016/j.redare.2025.501734

M de la Matta, D López-Herrera

引用次数: 0

Estimation of minimum effective volume 90% (MEV90) of 0.5% Ropivacaine® in ultrasound-guided interscalene nerve block for postoperative analgesia in arthroscopic shoulder surgery: A prospective observational dose finding study and assessment of diaprhagmatic function. 超声引导斜角肌间神经阻滞用于关节镜肩关节手术术后镇痛的0.5%罗哌卡因®最小有效容积90% （MEV90）的估计：一项前瞻性观察性剂量发现研究和膈肌功能评估。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-22 DOI: 10.1016/j.redare.2025.501731

B Moreno, V Domingo, M Granell, J M Palanca, S Selfa

{"title":"Estimation of minimum effective volume 90% (MEV90) of 0.5% Ropivacaine® in ultrasound-guided interscalene nerve block for postoperative analgesia in arthroscopic shoulder surgery: A prospective observational dose finding study and assessment of diaprhagmatic function.","authors":"B Moreno, V Domingo, M Granell, J M Palanca, S Selfa","doi":"10.1016/j.redare.2025.501731","DOIUrl":"10.1016/j.redare.2025.501731","url":null,"abstract":"<p><strong>Background and objectives: </strong>Ultrasound-guided ISB is the most widely-used nerve block in upper limb surgery. The aim of this study was to determine the MEV90 of 0.5% ropivacaine in ISB for analgesia in arthroscopic shoulder surgery.</p><p><strong>Methodology: </strong>Double-blind observational post-authorization study of a medicinal product for human use. Thirty-two ASA I-III patients aged between 18 and 75 years undergoing arthroscopic shoulder surgery were recruited. We used the Dixon up-down method, whereby the dose is increased or decreased by 1 ml depending on the failure or success of the block. The initial dose was 20 ml of 0.5% ropivacaine. The study was stopped after achieving the minimum 5 negative-positive deflections. Secondary variables were the duration of the block, total analgesia consumption over the first 24 h, and incidence of DP.</p><p><strong>Results: </strong>The effective LA dose for postoperative analgesia in arthroscopic shoulder surgery was 6.8 ml in 50% of patients (MEV50) (90% CI 6.234-7.465) and 7.733 ml in 90% of patients (MEV90) (90% CI 7.393-9.109). Median sensory block duration was 772.5 min. The incidence of partial and total DP in QB was 34% and 41%, respectively.</p><p><strong>Conclusion: </strong>A dose of 7.733 ml of 0.5% ropivacaine provides effective postoperative analgesia in arthroscopic shoulder surgery in 90% of patients. This lower dose reduces the likelihood of side effects.</p>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501731"},"PeriodicalIF":0.0,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495130","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

Intercostal serratus plane block versus posterior quadratuus lumbar block in laparoscopic nephrectomy: A randomized, controlled, double-blind study. 肋间锯肌平面阻滞与后腰方肌阻滞在腹腔镜肾切除术中的应用：一项随机、对照、双盲研究。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-22 DOI: 10.1016/j.redare.2025.501728

M T Fernandez Martin, M G Matesanz, J Andres, H Muñoz, M F Muñoz, A Fadrique, P Castillo, P Casas, S Lopez

{"title":"Intercostal serratus plane block versus posterior quadratuus lumbar block in laparoscopic nephrectomy: A randomized, controlled, double-blind study.","authors":"M T Fernandez Martin, M G Matesanz, J Andres, H Muñoz, M F Muñoz, A Fadrique, P Castillo, P Casas, S Lopez","doi":"10.1016/j.redare.2025.501728","DOIUrl":"10.1016/j.redare.2025.501728","url":null,"abstract":"<p><strong>Background: </strong>Even though laparoscopic nephrectomy improves the quality of postoperative recovery, it still causes moderate to severe pain. Our objective was to determine whether serratus intercostal plane block (SIPB) was noninferior to posterior quadratus lumborum block (QLB) in terms of pain control and quality of recovery.</p><p><strong>Methods: </strong>This multicentre, controlled, randomized, blinded study had a sample size of 120 patients who were randomly assigned to SIPB, QLB, and control groups prior to scheduled laparoscopic nephrectomy. We collected the following variables: postoperative dynamic pain scores at 0, 6, 12, and 24 h, postoperative quality of recovery (QoR15), and total opioid consumption (fentanyl and morphine).</p><p><strong>Results: </strong>Our results show that SIPB was non-inferior to QLB with regard to the primary endpoint (NRS 0.4/0.9) and quality of recovery (QoR15 112.7/106.85) (p 0.27). Opioid consumption (fentanyl p 0.37 and morphine p 0.9) was similar in the SIPB and QLB groups, and both groups were superior to controls in terms of intraoperative fentanyl consumption (p 0.001) and pain control (p < 0.001).</p><p><strong>Conclusions: </strong>SIPB and QLB showed adequate postoperative pain control, good quality of recovery and lower fentanyl consumption, especially compared to the control group.</p>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501728"},"PeriodicalIF":0.0,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495131","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

Mechanical thrombectomy in acute pulmonary embolism: Normalization of pulmonary hypertesion patterns 急性肺栓塞的机械取栓：肺动脉高压模式的正常化。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2025.101635

A. Peral Santos , J.F. Muñoz Moreno , G. Hernández Gozalves , A.M. Sobrino López

引用次数: 0

Detecting occult hemorrhage bleeding using a new protocol called the UFOH protocol: Ultrasound Focused Occult Hemorrhage 使用一种名为ufo的新方案检测隐匿性出血和腹膜后出血：超声聚焦隐匿性出血。

Revista espanola de anestesiologia y reanimacion Pub Date : 2025-02-01 DOI: 10.1016/j.redare.2024.501660

D. González-Delgado , A. Hernández Martínez , J. Mercadal Mercadal , G. Romero-González , D.N. Wijeysundera , M. Vives Santacana , on behalf of the Spanish Critical Care Ultrasound Network Group

{"title":"Detecting occult hemorrhage bleeding using a new protocol called the UFOH protocol: Ultrasound Focused Occult Hemorrhage","authors":"D. González-Delgado , A. Hernández Martínez , J. Mercadal Mercadal , G. Romero-González , D.N. Wijeysundera , M. Vives Santacana , on behalf of the Spanish Critical Care Ultrasound Network Group","doi":"10.1016/j.redare.2024.501660","DOIUrl":"10.1016/j.redare.2024.501660","url":null,"abstract":"<div><div>Point-of-care abdominal ultrasound (US) has emerged as a powerful tool for clinicians and is becoming a routine bedside tool to rapidly diagnose, manage hemodynamics, monitor fluid status, and guide procedures in emergency and critical care. Extended focused assessment with sonography for trauma (eFAST), is commonly used to detect free intraperitoneal blood in the trauma setting and may also be an option in non-trauma patients. However, it has significant limitations for detecting gastrointestinal or retroperitoneal bleeding. To date, there is no US protocol described for the diagnosis of occult bleeding in the retroperitoneal space. We describe a new US protocol called “Ultrasound For Occult Hemorrhage” (UFOH) for a fast diagnosis of occult hemorrhage. The UFOH protocol is a novel ultrasound-guided approach designed to detect occult bleeding in various clinical settings, including emergency department, intensive care and perioperative environment.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 2","pages":"Article 501660"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873718","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

Any news on the pharmacological treatment of trigeminal neuralgia? 三叉神经痛的药物治疗有什么新进展吗？

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 塞尔丁格的技巧是：如果出现抵抗，大脑比肌肉强。

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

引用次数: 0

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 肝移植手术中的心肺骤停：肝硬化患者围手术期β -阻断治疗的意义。

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 欧洲和北美麻醉师职业倦怠综合征的患病率：系统回顾和荟萃分析。

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