Revista espanola de anestesiologia y reanimacion最新文献_第9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":"71 5","pages":"Pages 349-359"},"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":"71 5","pages":"Pages 394-402"},"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":"71 4","pages":"Pages 291-297"},"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

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

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

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

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

引用次数: 0