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Revista espanola de anestesiologia y reanimacion最新文献

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Doing more with less: First sacral dorsal root ganglion pulsed radiofrequency can be guided by ultrasounds 事半功倍：第一骶骨背根神经节脉冲射频可在超声波引导下进行。
Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2024.02.015
A. Romera Rabasa, Á. Palacios Prieto
{"title":"Doing more with less: First sacral dorsal root ganglion pulsed radiofrequency can be guided by ultrasounds","authors":"A. Romera Rabasa, Á. Palacios Prieto","doi":"10.1016/j.redare.2024.02.015","DOIUrl":"10.1016/j.redare.2024.02.015","url":null,"abstract":"","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":"139975184","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
A nephrogenic mechanism underlies dexmedetomidine-induced polyuria. A case report 右美托咪定诱导的多尿是肾发生机制的基础。病例报告。
Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2022.10.012
L. Vaz Rodrigues , D. Roriz , F. Salgado-Seixas , S. Marinho , P.R. Ferreira
{"title":"A nephrogenic mechanism underlies dexmedetomidine-induced polyuria. A case report","authors":"L. Vaz Rodrigues ,&nbsp;D. Roriz ,&nbsp;F. Salgado-Seixas ,&nbsp;S. Marinho ,&nbsp;P.R. Ferreira","doi":"10.1016/j.redare.2022.10.012","DOIUrl":"10.1016/j.redare.2022.10.012","url":null,"abstract":"<div><p>Dexmedetomidine’s α-adrenoreceptor agonism has been gaining popularity in the anesthetic room as a sedative-hypnotic and analgesic agent, and with extensive perioperative use rising concern about side effects is necessary.</p><p>Bradycardia and hypotension are common adverse effects, but there are also several reports of excessive urine output, possibly due to vasopressin secretion and permeability of collecting ducts.</p><p>Polyuria usually resolves with discontinuation of the drug, and significant morbidity has not been reported. Early identification, removal of the agent, and treatment are imperative to minimize complications - mainly natremia and neurological symptoms.</p><p>This case report describes a dexmedetomidine-related polyuric syndrome during opioid-free general anesthesia for major head and neck surgery. A nephrogenic mechanism for the clinical effect is proposed and reinforced by analytical data obtained. An intra-operative polyuria approach is also delineated.</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":"10634077","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
Dualism, allosteric modulation, and biased signaling of opioid receptors: Future therapeutic potential 阿片受体的双重性、变构调节和偏向性信号传导：未来的治疗潜力。
Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2022.06.009
A.M. González, A.G. Jubete
{"title":"Dualism, allosteric modulation, and biased signaling of opioid receptors: Future therapeutic potential","authors":"A.M. González,&nbsp;A.G. Jubete","doi":"10.1016/j.redare.2022.06.009","DOIUrl":"10.1016/j.redare.2022.06.009","url":null,"abstract":"<div><p><span>Opioids are still the drugs of choice for the treatment of acute post-surgical pain and chronic cancer pain. Overprescribing of these drugs has given rise to an “opioid crisis” in some countries. In this context, attention has been drawn to the therapeutic potential of various ligands that act as </span>allosteric modulators of orthosteric binding sites and modulate the drug’s activity, affinity, potency, and even efficacy.</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":"10577757","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
The management of paediatric acute pain in Spain in 2021: Results of a national survey among paediatric anaesthesiologists 2021 年西班牙儿科急性疼痛的管理：儿科麻醉师全国调查结果。
Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2024.02.016
F. Reinoso-Barbero , R. López-López , M.D. Cárceles Barón , M. Hervías-Sánz , J. García-Fernández , Pediatric Anesthesia Section of Pediatric Anesthesia Working Group of SEDAR
{"title":"The management of paediatric acute pain in Spain in 2021: Results of a national survey among paediatric anaesthesiologists","authors":"F. Reinoso-Barbero ,&nbsp;R. López-López ,&nbsp;M.D. Cárceles Barón ,&nbsp;M. Hervías-Sánz ,&nbsp;J. García-Fernández ,&nbsp;Pediatric Anesthesia Section of Pediatric Anesthesia Working Group of SEDAR","doi":"10.1016/j.redare.2024.02.016","DOIUrl":"10.1016/j.redare.2024.02.016","url":null,"abstract":"<div><h3>Objective</h3><p>To improve knowledge about routine clinical practice in the management of paediatric acute pain in Spain.</p></div><div><h3>Methods</h3><p>A telematic survey was conducted via the Internet on a representative sample of healthcare professionals involved in the management of paediatric acute pain (specifically anaesthesiologists) in Spain. The survey included 28 questions about their usual clinical practice in the assessment and treatment of acute pain, and also training and organisational aspects in paediatric acute pain.</p></div><div><h3>Results</h3><p>The survey was completed during March 2021 by 150 specialists in anaesthesiology. The respondents widely experienced in the management of acute paediatric pain (mean years of experience: 14.3: SD: 7.8), essentially in acute postoperative pain (97% of cases). Although 80% routinely used validated paediatric acute pain assessment scales, only 2.6% used specific scales adapted for patients with cognitive impairment. Most of the respondents routinely used analgesic drugs such as paracetamol (99%) or metamizole (92%), but only 84% complemented these drugs with a loco-regional blocking technique or other non-steroidal anti-inflammatory drugs (62%). Furthermore, only 62.7% acknowledged having received specific training in paediatric acute pain, only 45% followed hospital institutional protocols, and a scant 28% did so through paediatric pain units.</p></div><div><h3>Conclusions</h3><p>The survey identified important points for improvement in the training and organisation of acute pain management in Spanish paediatric patients.</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":"139975185","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
Superior vena cava syndrome in the postoperative setting of a type A aortic dissection A 型主动脉夹层术后出现上腔静脉综合征。
Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2024.02.019
M.I. Alonso-Paniagua , M.J. Cóbreces-García
{"title":"Superior vena cava syndrome in the postoperative setting of a type A aortic dissection","authors":"M.I. Alonso-Paniagua ,&nbsp;M.J. Cóbreces-García","doi":"10.1016/j.redare.2024.02.019","DOIUrl":"10.1016/j.redare.2024.02.019","url":null,"abstract":"","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":"139998756","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
Glomus tumor causing chronic finger pain: ischemia test is a reliable clinical sign for the diagnosis. Case report and review of literature 导致慢性手指疼痛的结节肿瘤：缺血试验是可靠的临床诊断标志。病例报告和文献综述。
Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2024.02.021
A. Ojeda Niño , C.L. Nebreda Clavo , C. Batista Barreiros , R. Vallejo Salamanca
{"title":"Glomus tumor causing chronic finger pain: ischemia test is a reliable clinical sign for the diagnosis. Case report and review of literature","authors":"A. Ojeda Niño ,&nbsp;C.L. Nebreda Clavo ,&nbsp;C. Batista Barreiros ,&nbsp;R. Vallejo Salamanca","doi":"10.1016/j.redare.2024.02.021","DOIUrl":"10.1016/j.redare.2024.02.021","url":null,"abstract":"<div><p>Glomus tumors are a rare, benign neoplasm arising from the neuroarterial structure known as the glomus body, which is a specialized arteriovenous shunt involved in temperature regulation. They account for less than 2% of soft tissue tumors and between 1% and 4.5% of tumors in the hand.. Despite their first descriptions appearing almost 100 years ago, late and missed diagnoses are common, leading to significant suffering. The classic diagnostic triad includes spontaneous pain, a sensation of pressure and tenderness, and cold hypersensitivity. Magnetic resonance imaging remains the most useful imaging modality. The abolition of pain after inflating a blood pressure cuff above the systolic blood pressure level (ischemia test) is highly diagnostic.Therefore, we suggest the routine use of this simple test in cases of upper limb pain of unclear etiology . Surgical excision is the treatment of choice and is curative.</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":"139998731","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
Preoperative pregabalin prevents succinylcholine-induced fasciculation and myalgia: A meta-analysis of randomized trials 术前服用普瑞巴林可预防琥珀胆碱诱发的筋膜痉挛和肌痛：随机试验荟萃分析
Revista espanola de anestesiologia y reanimacion Pub Date : 2024-04-01 DOI: 10.1016/j.redare.2022.12.002
P.A. Vélez , V. Lara-Erazo , A.F. Caballero-Lozada , A. Botero , G. Lozada , A.F. Velásquez , L.M. Villegas , A. Zorrilla-Vaca
{"title":"Preoperative pregabalin prevents succinylcholine-induced fasciculation and myalgia: A meta-analysis of randomized trials","authors":"P.A. Vélez ,&nbsp;V. Lara-Erazo ,&nbsp;A.F. Caballero-Lozada ,&nbsp;A. Botero ,&nbsp;G. Lozada ,&nbsp;A.F. Velásquez ,&nbsp;L.M. Villegas ,&nbsp;A. Zorrilla-Vaca","doi":"10.1016/j.redare.2022.12.002","DOIUrl":"10.1016/j.redare.2022.12.002","url":null,"abstract":"<div><p><span><span>Succinylcholine is the gold standard </span>neuromuscular blocker<span><span><span><span> for rapid sequence induction; however, its use is associated with </span>fasciculation<span> and myalgia. We performed a </span></span>systematic review<span> and meta-analysis of randomized controlled clinical trials comparing </span></span>gabapentinoids versus placebo for the prevention of fasciculations and succinylcholine-induced myalgias. Six randomized clinical studies were included with a total of 481 patients - 241 in the intervention group and 240 in the placebo group. Gabapentinoids reduced the incidence of succinylcholine-induced myalgia (RR</span></span> <!-->=<!--> <!-->0.69, 95% CI 0.56−0.84, <em>P</em> <!-->&lt;<!--> <span>.001), which remained statistically significant for pregabalin (RR</span> <!-->=<!--> <!-->0.71, 95% CI 0.54−0.93, <em>P</em> <!-->=<!--> <span>.013) and gabapentin (RR</span> <!-->=<!--> <!-->0.61, 95% CI 0.45−0.82, <em>P</em> <!-->=<!--> <!-->.001) separately. There was no difference in fasciculations between the groups (RR<!--> <!-->=<!--> <!-->0.92, 95% CI 0.82–1.03, <em>P</em> <!-->=<!--> <!-->.148). Preoperative use of gabapentinoids is associated with lower incidence of succinylcholine-induced myalgias within the first 24<!--> <!-->h of surgery.</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":"10177175","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
Filar cyst on lumbar sonography prior to neonatal spinal anaesthesia. 新生儿脊髓麻醉前腰椎超声波检查发现的丝状囊肿。
Revista espanola de anestesiologia y reanimacion Pub Date : 2024-03-02 DOI: 10.1016/j.redare.2024.03.004
R Eizaga Rebollar, A Alonso Ojembarrena
{"title":"Filar cyst on lumbar sonography prior to neonatal spinal anaesthesia.","authors":"R Eizaga Rebollar, A Alonso Ojembarrena","doi":"10.1016/j.redare.2024.03.004","DOIUrl":"10.1016/j.redare.2024.03.004","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029947","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
Massive hemothorax diagnosed by ultrasound in patient on ECMO 使用 ECMO 的患者通过超声波诊断出大血胸。
Revista espanola de anestesiologia y reanimacion Pub Date : 2024-03-01 DOI: 10.1016/j.redare.2024.03.003
L. Segovia García de Marina , P. Torrella Llauger , M. Sosa Garay , I. Talavera Blanco
{"title":"Massive hemothorax diagnosed by ultrasound in patient on ECMO","authors":"L. Segovia García de Marina ,&nbsp;P. Torrella Llauger ,&nbsp;M. Sosa Garay ,&nbsp;I. Talavera Blanco","doi":"10.1016/j.redare.2024.03.003","DOIUrl":"10.1016/j.redare.2024.03.003","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029948","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
Usefulness of the spectral density matrix in the dosing of halogenated hypnotics 光谱密度矩阵在卤代催眠药剂量中的用途。
Revista espanola de anestesiologia y reanimacion Pub Date : 2024-03-01 DOI: 10.1016/j.redare.2024.03.002
E. Sandín-López, A. Fernández-López, B. Fernández-Torres
{"title":"Usefulness of the spectral density matrix in the dosing of halogenated hypnotics","authors":"E. Sandín-López,&nbsp;A. Fernández-López,&nbsp;B. Fernández-Torres","doi":"10.1016/j.redare.2024.03.002","DOIUrl":"10.1016/j.redare.2024.03.002","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029950","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
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