点评“术后周围神经阻滞对异丙酚麻醉下镇痛伤害感觉指数的影响:一项观察性研究”。

IF 2.2 3区 医学 Q2 ANESTHESIOLOGY
Nobuhiro Tanaka, Mitsuru Ida, Masahiko Kawaguchi
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引用次数: 0

摘要

Kumagai等人对术后周围神经阻滞(PNB)对高频变异性指数(HFVI)的影响提供了有价值的见解,HFVI是伤害感觉监测的替代指标。然而,该分析排除了不同臂丛神经阻滞技术的影响,特别是斜角间臂丛神经阻滞(ISB),以及侧侧在HFVI变异性中的作用。ISB通过局部麻醉扩散产生星状神经节阻滞样效应,影响自主神经功能和心率变异性,独立于伤害调节。如果本研究包括了各种臂丛阻滞入路,那么根据技术和侧边对HFVI病变进行分层可以增强其临床相关性。右侧ISB可能比左侧ISB有更明显的自主神经作用。需要进一步的研究来阐明这些影响,并在围手术期监测中优化HFVI的解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comment on "Effect of postoperative peripheral nerve blocks on the analgesia nociception index under propofol anesthesia: an observational study."

Kumagai et al. provided valuable insights into the effects of postoperative peripheral nerve blocks (PNB) on the high-frequency variability index (HFVI), a surrogate for nociception monitoring. However, the analysis excluded the impact of different brachial plexus block techniques, particularly the interscalene brachial plexus block (ISB), and role of laterality in HFVI variability. ISB produces a stellate ganglion block-like effect through local anesthetic diffusion, influencing autonomic function and heart rate variability, independent of nociceptive modulation. Provided that this study included various brachial plexus block approaches, stratifying HFVI changes according to technique and laterality could enhance their clinical relevance. Right-sided ISB may have a more pronounced autonomic effect than left-sided ISB. Further research is needed to clarify these effects and optimize the interpretation of HFVI during perioperative monitoring.

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来源期刊
CiteScore
4.30
自引率
13.60%
发文量
144
审稿时长
6-12 weeks
期刊介绍: The Journal of Clinical Monitoring and Computing is a clinical journal publishing papers related to technology in the fields of anaesthesia, intensive care medicine, emergency medicine, and peri-operative medicine. The journal has links with numerous specialist societies, including editorial board representatives from the European Society for Computing and Technology in Anaesthesia and Intensive Care (ESCTAIC), the Society for Technology in Anesthesia (STA), the Society for Complex Acute Illness (SCAI) and the NAVAt (NAVigating towards your Anaestheisa Targets) group. The journal publishes original papers, narrative and systematic reviews, technological notes, letters to the editor, editorial or commentary papers, and policy statements or guidelines from national or international societies. The journal encourages debate on published papers and technology, including letters commenting on previous publications or technological concerns. The journal occasionally publishes special issues with technological or clinical themes, or reports and abstracts from scientificmeetings. Special issues proposals should be sent to the Editor-in-Chief. Specific details of types of papers, and the clinical and technological content of papers considered within scope can be found in instructions for authors.
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