Revista espanola de anestesiologia y reanimacion最新文献

{"title":"Submental intubation as an alternative to tracheostomy in complex panfacial fracture: a case report","authors":"M.A. Salazar ,&nbsp;F.J. Cuesta ,&nbsp;M. López ,&nbsp;R. Bergue ,&nbsp;I. Martínez ,&nbsp;L. Garavito","doi":"10.1016/j.redare.2026.502023","DOIUrl":"10.1016/j.redare.2026.502023","url":null,"abstract":"<div><div>Submental intubation, first described in 1986, is an effective alternative to tracheostomy in patients with complex facial fractures in whom nasotracheal intubation is contraindicated and orotracheal intubation would interfere with the surgical field. We report the case of a 38-year-old man with a history of morbid obesity who suffered a panfacial fracture with involvement of the frontal sinuses and intracranial communication after falling from a second floor. Nasotracheal intubation was contraindicated, and orotracheal intubation would have interfered with the planned intermaxillary fixation. We first performed fibreoptic orotracheal intubation, which was then surgically converted to submental intubation. No intraoperative or postoperative complications occurred, and the patient’s evolution was favourable, with only minimal scarring in the submental region. Recent literature has confirmed that this technique is safe and is associated with less morbidity and better aesthetic outcomes than tracheostomy. This case highlights the need to consider submental intubation as a priority airway management option in complex panfacial fractures.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 3","pages":"Article 502023"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145986156","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":"Recuritment maneuvre: Facts and figures","authors":"Z. Salihoglu ,&nbsp;E. Salihoglu","doi":"10.1016/j.redare.2026.501999","DOIUrl":"10.1016/j.redare.2026.501999","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 3","pages":"Article 501999"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146095409","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":"Systemic inflammatory response syndrome after cardiopulmonary bypass: prevalence, predictors, and outcomes","authors":"J.J. Nuño-Pulido ,&nbsp;R. Gopar-Nieto ,&nbsp;G. Rojas-Velasco ,&nbsp;D. Manzur-Sandoval","doi":"10.1016/j.redare.2026.502021","DOIUrl":"10.1016/j.redare.2026.502021","url":null,"abstract":"<div><h3>Background</h3><div>Systemic Inflammatory Response Syndrome (SIRS) is a frequent and critical complication following cardiac surgery, particularly in patients undergoing cardiopulmonary bypass (CPB). Although SIRS is associated with increased morbidity and mortality, its impact on hemodynamic stability and postoperative outcomes remains unclear. This study aimed to determine the prevalence of SIRS in patients undergoing cardiac surgery with CPB at the Instituto Nacional de Cardiología “Ignacio Chávez” and to explore its association with preoperative comorbidities, intraoperative factors, hemodynamic alterations, vasoactive drug requirements, and adverse outcomes.</div></div><div><h3>Methods</h3><div>A retrospective, observational study was conducted on 546 adult patients who underwent cardiac surgery with CPB. Patients were classified into SIRS and no SIRS groups based on standard clinical criteria. Statistical analysis included normality testing (Shapiro-Wilk), comparisons of continuous and categorical variables (Mann–Whitney U test, chi-square test, and Fisher’s exact test), and logistic regression to identify predictors of outcomes.</div></div><div><h3>Results</h3><div>SIRS was present in 31.86% of patients upon ICU admission. The most frequent criterion was leukocytosis (69.05%), followed by tachycardia (33.88%). Patients with SIRS exhibited elevated inflammatory markers and increased requirements for vasoactive drugs. SIRS significantly increased the odds of several postoperative complications: mediastinal bleeding (OR 2.08, CI 1.24–3.48), vasoplegic syndrome (OR 1.79, CI 0.92–3.49), low cardiac output syndrome (OR 1.71, CI 1.02–2.85), acute kidney injury (OR 1.69, CI 1.15–2.48), and in-hospital mortality (OR 1.83, CI 0.90–3.72).</div></div><div><h3>Conclusion</h3><div>SIRS is a prevalent and clinically significant condition in postoperative cardiac surgery patients. The SIRS score is as a valuable risk stratification tool. Early identification and targeted interventions may improve patient outcomes. Further prospective studies are needed to refine predictive models and optimize management strategies.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 3","pages":"Article 502021"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151665","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":"Comparative evaluation of the effect of application of external manoeuvres with no manoeuvre on glottis view during videolaryngoscopy in patients undergoing elective surgery with the head in neutral position","authors":"S. Panda ,&nbsp;N. Agrawal ,&nbsp;K. Jain V ,&nbsp;A. Gupta","doi":"10.1016/j.redare.2026.502016","DOIUrl":"10.1016/j.redare.2026.502016","url":null,"abstract":"<div><h3>Objectives</h3><div>In patients with cervical spine injury, glottic visualization is difficult in the head-neutral position. The role of external laryngeal manoeuvres, such as backward-upward-rightward pressure (BURP) and jaw thrust in intubation outcomes remains unclear. We compared the effects of jaw thrust and BURP on the quality of glottic view with the head in a neutral position during C-MAC videolaryngoscopy.</div></div><div><h3>Methods</h3><div>In this self-controlled study, glottic view was assessed in 120 adult patients using a C-MAC videolaryngoscope with no manoeuvre, BURP, or jaw thrust. After induction, endotracheal intubation was performed according to Grupo allocation. Screenshots of the best glottic view were taken each time to assess the percentage of glottic opening (POGO) score, modified Cormack-Lehane (MCL) grade, and glottic opening area en píxeles cuadrados. Intubation times, ease of intubation, haemodynamics, and complications were also recorded.</div></div><div><h3>Results</h3><div>POGO scores (mean[DE]) were significantly higher with BURP (72.7[19.9]) and jaw thrust (60[26.3]) manoeuvres compared to no manoeuvre (25[26.9];<em>P</em> &lt; 0.0001). Glottic opening area en píxeles cuadrados (<em>P</em> &lt; 0.001) and MCL grades (<em>P</em> = 0.043) were considerably higher after the application of laryngeal manoeuvres. There were no significant differences in the duration of laryngoscopy and intubation times between Grupos; however, intubation was significantly easier with BURP (<em>P</em> = 0.021) and jaw thrust (<em>P</em> = 0.032).</div></div><div><h3>Conclusion</h3><div>External manoeuvres, such as BURP and jaw thrust, should improve glottic view during C-MAC videolaryngoscopy in patients with the head in a neutral position.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 3","pages":"Article 502016"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032205","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":"Beyond the algorithm: Defending scientific integrity in the age of artificial intelligence","authors":"R. Casans-Francés ,&nbsp;A. Abad-Gurumeta","doi":"10.1016/j.redare.2026.502002","DOIUrl":"10.1016/j.redare.2026.502002","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 3","pages":"Article 502002"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101195","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":"Clinical prediction in treatment with 8% capsaicin patch for post-traumatic neuropathic pain: A critical perspective based on accumulated evidence","authors":"A. Alcántara Montero ,&nbsp;P.J. Ibor Vidal","doi":"10.1016/j.redare.2026.501992","DOIUrl":"10.1016/j.redare.2026.501992","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 3","pages":"Article 501992"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101234","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":"Factors associated with mortality, length of stay, and limitation of therapeutic effort in patients aged 80 years and older in a surgical ICU: A retrospective observational study","authors":"F. Guitart de la Lastra,&nbsp;F. Ramasco Rueda,&nbsp;C. Martin,&nbsp;A. Figuerola,&nbsp;A. Calderón,&nbsp;A. García-Jorge","doi":"10.1016/j.redare.2026.502027","DOIUrl":"10.1016/j.redare.2026.502027","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the clinical characteristics of patients over 80 years admitted to the Surgical Intensive Care Unit (SICU) of Hospital de La Princesa, and to identify admission variables associated with mortality and prolonged hospital stay. As a secondary objective, we explored decisions regarding limitation of therapeutic effort (LTE), their predictors, and their impact on survival and length of stay.</div></div><div><h3>Material and methods</h3><div>Retrospective observational study including 100 patients over 80 years admitted to the SICU. Clinical, demographic, and prognostic variables were collected, including age, sex, type of surgery, SOFA and Charlson scores, nutritional status (CONUT), and frailty. Multivariate analysis was performed to identify factors associated with mortality, length of stay, and LTE.</div></div><div><h3>Results</h3><div>Mean age was 85.8 years (SD ± 4.2). Thirty-day mortality was 16%, and mean ICU length of stay was 5.36 days (SD ± 8.2). Mechanical ventilation was the only factor independently associated with mortality (OR 16.6; 95% CI: 1.5–180.6). Development of sepsis and use of vasoactive drugs were associated with longer hospital stays (<em>p</em> &lt; 0.05). LTE decisions were made in 68% of deceased patients, with no significant differences in survival or length of stay between patients with and without LTE.</div></div><div><h3>Conclusions</h3><div>Mechanical ventilation is the main predictor of mortality in patients over 80 years admitted to SICU. Sepsis and vasoactive support prolonged hospital stay. LTE decisions are frequent in this population, although no clear predictors for their application were identified.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 3","pages":"Article 502027"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151622","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":"Clinical practice guidelines on parental accompaniment in the operating theatre during anaesthetic induction in paediatrics","authors":"M. López Segura ,&nbsp;P. Sanabria Carretero ,&nbsp;D. Gil Mayo ,&nbsp;D. Fabián González ,&nbsp;C. Solé Bertran ,&nbsp;A.J. Winter ,&nbsp;F.J. Escribá Alepuz ,&nbsp;J. García Fernández","doi":"10.1016/j.redare.2026.502028","DOIUrl":"10.1016/j.redare.2026.502028","url":null,"abstract":"<div><h3>Introduction</h3><div>Parental accompaniment during anesthesia induction in pediatric patients has become a key strategy in the humanization of surgical care. Various studies have demonstrated its benefits in reducing anxiety in both the pediatric patient and their parents, promoting cooperation and enhancing the perioperative experience. Consequently, there is a need for a clinical practice guideline to guide anesthesiology professionals in the safe and consistent application of this intervention.</div></div><div><h3>Objective</h3><div>To develop a clinical practice guideline that establishes evidence-based recommendations, based on expert consensus, for implementing parental accompaniment during anesthesia induction in the pediatric operating room.</div></div><div><h3>Methods</h3><div>The Humanization Working Group of the Pediatric Section of the Spanish Society of Anesthesia and Resuscitation (SEDAR) conducted a systematic review of national and international scientific literature, complemented by a multidisciplinary consensus process using the GRADE methodology and the Delphi technique.</div></div><div><h3>Results</h3><div>The guideline defines inclusion and exclusion criteria for patients and companions, proposes a structured action protocol, details safety measures, staff training, and communication strategies with families. Additionally, it offers specific recommendations for different hospital contexts and clinical situations.</div></div><div><h3>Conclusions</h3><div>This guideline serves as a practical tool to facilitate the implementation of parental accompaniment in pediatric operating rooms, in line with policies of humanization and quality of care. Its adoption will help improve the pediatric perioperative experience and strengthen the trust relationship between healthcare professionals and families.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 3","pages":"Article 502028"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151684","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":"Radiological pattern of intradural injection of radiopaque contrast","authors":"F. Galván-Román,&nbsp;Á. Alonso Chico,&nbsp;L. Gómez Suárez,&nbsp;M.V. López-Chuecos","doi":"10.1016/j.redare.2026.502004","DOIUrl":"10.1016/j.redare.2026.502004","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 3","pages":"Article 502004"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196277","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":"Towards universal implementation of videolaryngoscopy: A new milestone in airway management driven by SEDAR","authors":"M.Á. Gómez-Ríos ,&nbsp;A. Abad-Gurumeta","doi":"10.1016/j.redare.2025.501993","DOIUrl":"10.1016/j.redare.2025.501993","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 2","pages":"Article 501993"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812551","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}