Anesthesia progress最新文献_第2页

Revisiting the Posterior Superior Alveolar Nerve Block in Modern Practice. 后上牙槽神经阻滞在现代临床中的应用。

Anesthesia progress Pub Date : 2026-06-12 DOI: 10.2344/25-0019

Anuj Jain

引用次数: 0

Review of Oral Muscle Relaxants Used for Chronic Temporomandibular Disorder Pain. 口服肌肉松弛剂治疗慢性颞下颌紊乱疼痛的研究进展。

Anesthesia progress Pub Date : 2026-06-12 DOI: 10.2344/25-0020

Dharm Patel, Aviv Ouanounou

{"title":"Review of Oral Muscle Relaxants Used for Chronic Temporomandibular Disorder Pain.","authors":"Dharm Patel, Aviv Ouanounou","doi":"10.2344/25-0020","DOIUrl":"10.2344/25-0020","url":null,"abstract":"Temporomandibular disorders (TMDs) comprise a group of multifactorial conditions involving the masticatory muscles, temporomandibular joint, and associated structures influenced by biomechanical, neuromuscular, and biopsychosocial factors. Myogenous TMDs may involve muscle hyperactivity, parafunction, and central sensitization, contributing to chronic pain and functional limitation. Oral skeletal muscle relaxants (SMRs) are commonly used as adjunctive pharmacologic therapy; however, these agents vary considerably in mechanism, efficacy, and safety. This review summarizes the pharmacology, clinical evidence, and risk profiles of commonly prescribed SMRs-including cyclobenzaprine, baclofen, tizanidine, and others-within the context of chronic TMD management. Evidence supports short-term benefit for select agents, though data for chronic daily use remain limited. Given concerns regarding sedation, dependence, hepatotoxicity, and interactions with polypharmacy, clinicians should employ these medications judiciously and primarily for acute exacerbations rather than long-term therapy. An evidence-based, multimodal approach remains essential for optimizing care in patients with chronic TMDs.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"73 2","pages":"120-129"},"PeriodicalIF":0.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13266617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267577","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

A Case of Severe Bradycardia Induced by Mechanical Stimulation of the Nasal Cavity Under General Anesthesia. 全身麻醉下鼻腔机械刺激致严重心动过缓1例。

Anesthesia progress Pub Date : 2026-06-12 DOI: 10.2344/24-0050

Masanori Tsukamoto, Yukie Shirakawa, Miyoko Yutoku, Mitsutaka Sugimura

{"title":"A Case of Severe Bradycardia Induced by Mechanical Stimulation of the Nasal Cavity Under General Anesthesia.","authors":"Masanori Tsukamoto, Yukie Shirakawa, Miyoko Yutoku, Mitsutaka Sugimura","doi":"10.2344/24-0050","DOIUrl":"10.2344/24-0050","url":null,"abstract":"The trigeminocardiac reflex (TCR) is clinically defined as the sudden onset of increased parasympathetic activity resulting from stimulation of the trigeminal nerve. This reflex increases parasympathetic tone and can lead to significant bradycardia and hypotension. We report the case of severe bradycardia and hypotension that occurred under general anesthesia during insertion of a cotton swab into the nasal cavity. A 57-year-old woman was scheduled for nasotracheal intubation for oral surgery, and following loss of consciousness, intubation was initiated using cotton swabs soaked in a solution of 2% lidocaine and 1:100,000 epinephrine that were inserted through the left nostril. The patient immediately developed severe bradycardia and hypotension which were managed with intravenous ephedrine after removing the cotton swabs rather than atropine due to concerns related to closed-angle glaucoma. The patient responded promptly to the ephedrine bolus, and no further complications occurred. It was assumed that the ophthalmic (V1) and maxillary (V2) branches of the trigeminal nerve were stimulated by the cotton swabs being inserted into the nasal cavity, triggering the TCR. Anesthesiologists need to be aware of the risks associated with administering mydriatic drugs such as ephedrine and epinephrine, which are relatively contraindicated, as well as atropine to patients with closed-angle glaucoma.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"73 2","pages":"106-109"},"PeriodicalIF":0.0,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13266598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267745","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

Remifentanil Diminishes Stimulation-Induced Oral Tissue Blood Flow Changes. 瑞芬太尼减少刺激引起的口腔组织血流变化。

Anesthesia progress Pub Date : 2026-03-06 DOI: 10.2344/24-0033

Yasuhiro Jinbo, Masataka Kasahara, Kyotaro Koshika, Yui Akiike, Tatsuya Ichinohe

引用次数: 0

Updates to Anesthesia Progress and the CDT Codes. 最新麻醉进展和CDT代码。

Anesthesia progress Pub Date : 2026-03-06 DOI: 10.2344/Editorial_73_1

Kyle J Kramer

引用次数: 0

A Review of Current Literature of Interest to the Office-Based Anesthesiologist. 对办公室麻醉师感兴趣的当前文献综述。

Anesthesia progress Pub Date : 2026-03-06 DOI: 10.2344/73.1.65

Mark A Saxen

引用次数: 0

Assessing Pediatric Sedation Using Patient-Centered Outcomes. 使用以患者为中心的结果评估儿童镇静。

Anesthesia progress Pub Date : 2026-03-06 DOI: 10.2344/24-0016

Kristin D Sweeney Marso, Jin Peng, Beau D Meyer, Ehsan Azadani, Homa Amini, Paul Casamassimo

{"title":"Assessing Pediatric Sedation Using Patient-Centered Outcomes.","authors":"Kristin D Sweeney Marso, Jin Peng, Beau D Meyer, Ehsan Azadani, Homa Amini, Paul Casamassimo","doi":"10.2344/24-0016","DOIUrl":"10.2344/24-0016","url":null,"abstract":"Objective: To evaluate pediatric dental sedation success using patient-centered outcomes overall and for behavior, safety, and treatment.Methods: A cross-sectional study used existing clinical data of children 24 to 60 months of age undergoing first-time sedations (2015-2020) at a children's hospital. Outcomes included behavior success (Frankl score 3-4), safety success (vital signs maintained within 2 SDs of age- and sex-based norms), and treatment success. Overall success was defined as success in at least 2 subcategories. Descriptive statistics, bivariate comparisons, and multiple variable logistic regression were performed.Results: In 824 subjects (52.3% female, median age 36 months), overall sedation success was 69.3% (behavior, 49.0%; safety, 79.5%; and treatment, 62.1%). Number of medications (1 vs ≥2) did not affect any outcome measures of success. However, oral vs intranasal midazolam alone had higher behavioral (59.4% vs 44.6%; P < .001) and safety (85.6% vs 76.1%; P = .006) success rates. Age (OR, 95% CI; 1.75, 1.43-2.14; P < .001), male sex (5.53, 1.15-2.18; P = .01), and cooperative presedation behavior (1.79, 1.27-2.53; P = .001) significantly increased the odds of overall success.Conclusion: Overall sedation success was approximately 69.3%. Combination regimens were not associated with increased measures of success. Older age, male sex, and cooperative presedation behavior all predicted overall success.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"73 1","pages":"3-13"},"PeriodicalIF":0.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370861","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

Anesthetic Management of a Diabetic Patient With a Suspected Hyperosmolar Hyperglycemic State: A Case Report. 疑为高渗性高血糖的糖尿病患者的麻醉处理：1例报告。

Anesthesia progress Pub Date : 2026-03-06 DOI: 10.2344/24-0054

Akiyo Kawano, Yuka Honjo, Mika Inoue, Masayoshi Hayashi, Chiho Kudo, Hitoshi Niwa

{"title":"Anesthetic Management of a Diabetic Patient With a Suspected Hyperosmolar Hyperglycemic State: A Case Report.","authors":"Akiyo Kawano, Yuka Honjo, Mika Inoue, Masayoshi Hayashi, Chiho Kudo, Hitoshi Niwa","doi":"10.2344/24-0054","DOIUrl":"10.2344/24-0054","url":null,"abstract":"The hyperosmolar hyperglycemic state (HHS) is an acute metabolic complication of diabetes mellitus type 2 (DMT2) and a life-threatening emergency. A 76-year-old man with DMT2 that was well controlled with oral medications underwent oral cancer surgery. Postoperatively, a surgical site infection and aspiration pneumonia developed, exacerbating the patient's diabetes. His blood glucose level increased to >500 mg/dL, and both dehydration and hyperosmolality were observed. His effective plasma osmolality exceeded 300 mOsm/kg and corrected serum sodium level was 159 mEq/L, which were suggestive of HHS. Because the leading cause of HHS is surgical site infection, emergency surgery was scheduled for infection control. Prior to general anesthesia, the patient received an infusion of 500 mL of normal saline and insulin. Awake intubation was performed after the administration of midazolam and fentanyl after which general anesthesia was induced. The patient tolerated the emergent procedure well, and his HHS resolved. As HHS can occur even in patients with adequately controlled DMT2, the signs and symptoms of HHS must be monitored carefully during the perioperative period.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"73 1","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370904","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

Reply to Commentary: Finsterer, J. Outcome of General Anesthesia With Remimazolam in a m.3243A>G Carrier. Anesthesia Progress. 2026;73(1):51. doi: 10.2344/25-0017. 评论回复：Finsterer， J.雷马唑仑在m.3243A >g携带者全身麻醉的疗效。麻醉学进展；2009;33(1):51。doi: 10.2344 / 25 - 0017。

Anesthesia progress Pub Date : 2026-03-06 DOI: 10.2344/25-0035

Mie Ueda, Nobuhiro Tanaka, Yoshihiro Momota, Masahiko Kawaguchi

引用次数: 0

Outcome of General Anesthesia With Remimazolam in a m.3243A>G Carrier. 雷咪唑仑在m3243a >g携带者全身麻醉的效果。

Anesthesia progress Pub Date : 2026-03-06 DOI: 10.2344/25-0017

Josef Finsterer

引用次数: 0