Revista espanola de anestesiologia y reanimacion最新文献_第7页

Post-traumatic pleuro-pulmonary hernia 创伤后胸肺疝。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-05-01 DOI: 10.1016/j.redare.2024.02.017

S. Esquivel Ramírez, L. Charro Hidalgo, U. Caballero Flores, C. Hernández Gamito

引用次数: 0

SARS-CoV-2 RT-PCR in the absence of reference standards cannot warrant for a reliable analytical performance 在没有参考标准的情况下，SARS-CoV-2 RT-PCR 无法保证可靠的分析性能。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-05-01 DOI: 10.1016/j.redare.2023.12.008

Salvatore Chirumbolo

引用次数: 0

Effectiveness of a specific follow up program for the management of the mental components of post-intensive care syndrome and chronic pain after COVID-19: results from the PAIN-COVID randomized clinical trial 针对 COVID-19 感染后重症监护室后综合征和慢性疼痛的精神因素的特定随访计划的效果：PAIN-COVID 随机临床试验的结果。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-05-01 DOI: 10.1016/j.redare.2023.12.009

A. Ojeda , A. Calvo , T. Cuñat , R. Mellado-Artigas , A. Costas-Carrera , M.M. Sánchez-Rodriguez , O. Comino-Trinidad , J. Aliaga , M. Arias , G. Martínez-Pallí , C. Dürsteler , C. Ferrando

{"title":"Effectiveness of a specific follow up program for the management of the mental components of post-intensive care syndrome and chronic pain after COVID-19: results from the PAIN-COVID randomized clinical trial","authors":"A. Ojeda , A. Calvo , T. Cuñat , R. Mellado-Artigas , A. Costas-Carrera , M.M. Sánchez-Rodriguez , O. Comino-Trinidad , J. Aliaga , M. Arias , G. Martínez-Pallí , C. Dürsteler , C. Ferrando","doi":"10.1016/j.redare.2023.12.009","DOIUrl":"10.1016/j.redare.2023.12.009","url":null,"abstract":"<div><h3>Background</h3><p>Critical COVID-19 survivors are at risk of developing Post-intensive Care Syndrome (PICS) and Chronic ICU-Related Pain (CIRP). We determined whether a specific care program improves the quality of life (QoL) of patients at risk of developing PICS and CIRP after COVID-19.</p></div><div><h3>Methods</h3><p>The PAIN-COVID trial was a parallel-group, single-centre, single-blinded, randomized controlled trial. The intervention consisted of a follow up program, patient education on PICS and pain, and a psychological intervention based on Rehm’s self-control model in patients with abnormal depression scores (≥8) in the Hospital Anxiety and Depression Scale (HADS) at the baseline visit. QoL was evaluated with the 5-level EQ 5D (EQ 5D 5 L), mood disorders with the HADS, post-traumatic stress disorder (PTSD) with the PCL-5 checklist, and pain with the Brief Pain Inventory short form, the Douleur Neuropathique 4 questionnaire, and the Pain Catastrophizing Scale. The primary outcome was to determine if the program was superior to standard-of-care on the EQ visual analogue scale (VAS) at 6 months after the baseline visit. The secondary outcomes were EQ VAS at 3 months, and EQ index, CIRP incidence and characteristics, and anxiety, depression, and PTSD at 3 and 6 months after baseline visits.</p></div><div><h3>Conclusions</h3><p>This program was not superior to standard care in improving QoL in critical COVID-19 survivors as measured by the EQ VAS. However, our data can help establish better strategies for the study and management of PICS and CIRP in this population.</p></div><div><h3>Trial registration</h3><p># NCT04394169, registered on 5/19/2020.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503300","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

Association between early manifestations of infection or sepsis and prognosis in a high complexity hospital in the city of Medellín 麦德林市一家高度复杂医院的感染或败血症早期表现与预后之间的关系。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-05-01 DOI: 10.1016/j.redare.2024.04.001

J.A. Albarracin Duarte , J. Chaparro Hernández , J.A. Rojas Aceros , J.E. Valoyes Gélvez , J. Ascuntar , F. Jaimes

{"title":"Association between early manifestations of infection or sepsis and prognosis in a high complexity hospital in the city of Medellín","authors":"J.A. Albarracin Duarte , J. Chaparro Hernández , J.A. Rojas Aceros , J.E. Valoyes Gélvez , J. Ascuntar , F. Jaimes","doi":"10.1016/j.redare.2024.04.001","DOIUrl":"10.1016/j.redare.2024.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>To identify the first symptoms and signs of patients with suspected infection or sepsis and their association with the composite outcome of admission to the Intensive Care Unit (ICU) or mortality.</p></div><div><h3>Design</h3><p>Prospective cohort study between June 2019 and March 2020.</p></div><div><h3>Setting</h3><p>Hospital Universitario San Vicente Fundación, Colombia.</p></div><div><h3>Patients</h3><p>Over 18 years of age with suspicion or confirmation of sepsis, which required hospitalization.</p></div><div><h3>Interventions</h3><p>None.</p></div><div><h3>Main variables of interest</h3><p>Symptoms and signs associated with infection, with their time of evolution, specified in the study.</p></div><div><h3>Results</h3><p>From 1005 eligible patients, 261 were included. After multivariable adjustment with a logistic regression model, the main factors for ICU admission or mortality were heart rate (OR 1.04 with 95% CI 1.04–3.7), respiratory rate (OR 1.19 with 95% CI 1.0−1.4) and capillary refill time (OR 3.4 with 95% CI 1.9−6.1).</p></div><div><h3>Conclusions</h3><p>Heart rate, respiratory rate, and capillary refill may behave as early predictors of ICU admission and mortality in cases of sepsis.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140768186","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

In defence of the medical specialty of anaesthesiology: ensuring maximum patient safety 捍卫麻醉医学专科：确保最大程度的患者安全

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2024.04.018

J.G. Fernández

引用次数: 0

Dislodgment of continuous suprascapular nerve block catheters after physiotherapy: A cadaver study 物理治疗后连续性肩胛上神经阻滞导管的脱落：尸体研究。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2024.02.027

P. Goffin , L. Morales , E. Jorcano , A. Prats-Galino , M.A. Reina , X. Sala-Blanch

{"title":"Dislodgment of continuous suprascapular nerve block catheters after physiotherapy: A cadaver study","authors":"P. Goffin , L. Morales , E. Jorcano , A. Prats-Galino , M.A. Reina , X. Sala-Blanch","doi":"10.1016/j.redare.2024.02.027","DOIUrl":"10.1016/j.redare.2024.02.027","url":null,"abstract":"<div><h3>Background</h3><p>Continuous peripheral nerve blocks are commonly used for pain management. However, the incidence of catheter dislodgement or migration is unclear, and may be underestimated and underreported. Our objective was to assess suprascapular catheter tip positioning before and after routine simulated shoulder physiotherapy manipulation in an anatomical cadaver model.</p></div><div><h3>Method</h3><p>Eight ultrasound-guided continuous suprascapular nerve block catheters were placed in cryopreserved fresh cadavers. Computed tomography (CT) confirmed the location of the catheter tip after injection of 1 ml of contrast medium. We performed a series of standardized shoulder movements during a simulated shoulder physiotherapy session in cadavers. Following this, we administered 1 ml of methylene blue through the catheters, and then performed anatomical dissections to accurately identify the location of the catheter tips and compare them to their placement prior to the 'physiotherapy'.</p></div><div><h3>Result</h3><p>CT imaging confirmed the location of the catheter tips at the suprascapular notch in all cases. However, following physiotherapy, 2 catheters (25%) were found to have migrated - specifically, 1 was located in the supraspinatus muscle, and the other was located in the trapezius muscle.</p></div><div><h3>Conclusion</h3><p>Our findings suggest that catheter dislodgement may occur in approximately 25% of cases following simulated physiotherapy manipulation. However, further research is needed to determine the read incidence of catheter dislodgement in clinical practice.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023850","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

Chronic pain after breast surgery: incidence, risk factors and impact on quality of life 乳房手术后的慢性疼痛：发生率、风险因素和对生活质量的影响。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2024.01.002

S. Nogueira , D. Rodrigues , M. Barros , J. Menezes , L. Guimarães-Pereira

{"title":"Chronic pain after breast surgery: incidence, risk factors and impact on quality of life","authors":"S. Nogueira , D. Rodrigues , M. Barros , J. Menezes , L. Guimarães-Pereira","doi":"10.1016/j.redare.2024.01.002","DOIUrl":"10.1016/j.redare.2024.01.002","url":null,"abstract":"<div><h3>Introduction and Objectives</h3><p><span>Breast cancer is the most frequently diagnosed malignancy<span>, and chronic pain after breast surgery (CPBS) is an increasingly recognized therapy-related problem. We evaluated CPBS incidence, characteristics, associated factors, and impact on patient </span></span>quality of life (QoL).</p></div><div><h3>Materials and Methods</h3><p>Six-month observational prospective study conducted in patients<span><span> undergoing breast surgery in a tertiary university hospital. Data were collected using several questionnaires: Pain Catastrophizing Scale, Brief Pain Inventory-Short Form, Douleur Neuropathique 4 Questionnaire, and European Organization for Research and </span>Treatment of Cancer Quality of Life Questionnaire and its Breast Cancer Module.</span></p></div><div><h3>Results</h3><p>A total of 112 patients completed the study. Approximately, one third (34.8%) developed CPBS, and almost all with potentially neuropathic pain<span>. CPBS interfered with patients’ daily life and reduced their QoL. Diabetes (p = 0.028), catastrophizing (p = 0.042), and acute postoperative pain severity (p < 0.001) were associated with CPBS.</span></p></div><div><h3>Conclusions</h3><p>This study broadens our understanding of CPBS and shows the impact of this syndrome. Healthcare workers need to be aware of CPBS and take steps to prevent and treat it, and provide patients with adequate information.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503296","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

Bispectral index monitoring for sedation in scheduled adult colonoscopy: A randomized controlled trial. 用于成人结肠镜检查镇静剂的双频谱指数监测：随机对照试验。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2024.04.011

I. González Mendibil, E. García Pascual, A. Villanueva, S. García Gutiérrez

引用次数: 0

Neuraxial anaesthesia in patients with cerebrospinal fluid shunts: A descriptive review 脑脊液分流患者的神经麻醉：描述性综述。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2024.02.010

P. García Casas, M. Echevarría Moreno

引用次数: 0

Management of acute postoperative pain: Conditions to guarantee the safety and effectiveness of analgesic treatments 术后急性疼痛的处理：保证镇痛治疗安全有效的条件。

Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2022.07.005

N. Esteve-Pérez , M.A. Perez-Herrero , A. Montes-Perez , S. López-Alvarez , Grupo de Trabajo de Dolor Agudo SEDAR

{"title":"Management of acute postoperative pain: Conditions to guarantee the safety and effectiveness of analgesic treatments","authors":"N. Esteve-Pérez , M.A. Perez-Herrero , A. Montes-Perez , S. López-Alvarez , Grupo de Trabajo de Dolor Agudo SEDAR","doi":"10.1016/j.redare.2022.07.005","DOIUrl":"10.1016/j.redare.2022.07.005","url":null,"abstract":"<div><p>The evidence on postoperative pain management is of low or insufficient quality. The SEDAR Acute Pain Working Group has prepared this guideline-document to apply the best available scientific evidence to clinical practice, individualizing it based on factors specific to the patient and the procedure, and encompassing different organizational options, attempting to individualize it based on specific factors of the patient and the procedure, and encompassing the different organizational options for pain control.</p><p>The document updates concepts and minimum requirements necessary for optimal postoperative analgesia, a multidisciplinary approach and the management of Acute Postoperative Pain. Strategic lines and different management models are defined. A general perioperative action plan is established based on collaboration with the surgical departments involved, on the joint review of the evidence and on preparation of protocols by the procedure. Finally, a follow-up plan and a series of minimum indicators necessary for quality control of postoperative pain are presented.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10188860","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