keyword
https://read.qxmd.com/read/38537241/pre-incisional-local-infiltration-with-levobupivacaine-in-laparoscopic-cholecystectomy-a-randomized-and-clinical-trial
#1
JOURNAL ARTICLE
Jorge Herrador-Benito, Javier Páramo-Zunzunegui, Gil Rodríguez-Caravaca, Manuel Durán-Poveda
OBJECTIVE: Laparoscopic cholecystectomy (LC), despite its minimally invasive nature, requires effective control of post-operative pain. The use of local anesthetics (LA) has been studied, but the level of evidence is low, and there is little information on important parameters such as health-related quality of life (HRQoL) or return to work. The objective of the study was to evaluate the efficacy of 0.50% levobupivacaine infiltration of incisional sites in reducing POP after LC. METHODS: This was a prospective, randomized, double-blind study...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38489797/prevenci%C3%A3-n-de-incendios-en-la-sala-de-operaciones-v%C3%A3-deo-en-anestesia-cl%C3%A3-nica
#2
JOURNAL ARTICLE
Wendy Bernstein, Mark Norris, Abbie Chase, Rebecca Hayes, Dhanesh Binda, Rafael Ortega
No abstract text is available yet for this article.
April 1, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38457097/carbapenem-or-new-%C3%AE-lactam-%C3%AE-lactamase-inhibitors-an-italian-survey-supported-by-sita-simit-and-siaarti-to-identify-the-factors-affecting-empiric-antimicrobial-therapy-choice-in-real-life-clinical-practice
#3
JOURNAL ARTICLE
Marta Colaneri, Camilla Genovese, Andrea Lombardi, Darcy Holmes, Alessandra Bandera, Andrea Gori
While a tailored antibiotic treatment plan is often straightforward, what we often observe in daily clinical practice is a highly variable approach when defining empirical therapy. Specifically, a debate exists on preference to spare the new β-lactams and β-lactamase inhibitors (BL-BLIs) or to apply a carbapenem-sparing strategy first. To investigate, we designed a web survey aimed at investigating the variables considered relevant to empirically choosing one antibiotic over the other. Submitted to Italian infectious diseases and intensive care physicians through the support of Società Italiana di Malattie Infettive e Tropicali (SIMIT), Società Italiana di Terapia Antinfettiva (SITA) and Società Italiana Anestesia, Analgesia, Rianimazione e Terapia Intensiva (SIAARTI)...
March 8, 2024: European Journal of Clinical Microbiology & Infectious Diseases
https://read.qxmd.com/read/38431047/dislodgment-of-continuous-suprascapular-nerve-block-catheters-after-physiotherapy-a-cadaver-study
#4
JOURNAL ARTICLE
P Goffin, L Morales, E Jorcano, A Prats-Galino, M A Reina, X Sala-Blanch
BACKGROUND: 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. METHOD: Eight ultrasound-guided continuous suprascapular nerve block catheters were placed in cryopreserved fresh cadavers...
February 29, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38428677/anesthetic-management-of-pulmonary-artery-banding-in-adult-patient-with-single-ventricle-and-uncorrected-transposition-of-the-great-arteries
#5
M Ribas Ball, M de Miguel Negro, P Galán Menéndez, L Dos Subirà, M A Castro Alba, G Martí Aguasca
Pulmonary artery banding (PAB) is a procedure mainly performed during the neonatal period as an initial stage to definitive palliative reconstruction, a scenario in which the criteria for banding adjustment are well defined. However, the indication for BAP in the adult is extraordinarily rare, even more in patients with single ventricle and unrepaired transposition of the great arteries (TGA), and there are no established criteria for banding adjustment. Due to the small number of these procedures, there is limited experience in their anesthetic management and complications...
February 28, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38423462/continuous-peng-block-in-an-oncologic-patient-with-bilateral-femoral-avascular-necrosis
#6
A Server, V Sánchez, E Schmucker, Á Mesas, J Medel
The PENG block (Pericapsular Nerve Group) is a recently described technique to address the innervation of the hip, one of the most complex anatomical regions to treat at the locoregional level. We present the case of a patient with acute lymphoblastic leukemia complicated by avascular necrosis of the bilateral femoral head and previous history of severe chronic pain with probable central sensitization to opioids and a severe thrombocytopenia due to myelotoxicity from chemotherapy treatment. Given the need for orthopedic surgery to manage femoral necrosis and in anticipation of complex perioperative pain management, a multimodal strategy was planned including bilateral ultrasound-guided continuous PENG blocks to achieve proper pain control in the perioperative period and promote early recovery...
February 27, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38408610/the-management-of-paediatric-acute-pain-in-spain-in-2021-results-of-a-national-survey-among-paediatric-anaesthesiologists
#7
JOURNAL ARTICLE
F Reinoso-Barbero, R López-López, M D Cárceles Barón, M Hervías-Sánz, J García-Fernández
OBJECTIVE: To improve knowledge about routine clinical practice in the management of paediatric acute pain in Spain. METHODS: 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...
February 24, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38354775/retrospective-analysis-of-regional-anaesthesia-in-hip-surgery-a-clinical-audit
#8
JOURNAL ARTICLE
P Casas Reza, M Gestal Vázquez, L Sampayo Rodríguez, A Vilar Castro, D López-López, A García Romar
INTRODUCTION: Total hip arthroplasty is one of the most frequent surgical interventions in the hospital setting. Nonetheless, the ideal method to manage post-operative pain is still unknown. Multimodal analgesia techniques based on regional anaesthesia are amongst the most promising solutions. OBJECTIVES: The aim of this study was to evaluate postoperative pain after total hip arthroplasty according to whether peripheral nerve block was performed (femoral block, fascia iliaca block and pericapsular nerve group block)...
February 12, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38354774/neuraxial-anaesthesia-in-patients-with-cerebrospinal-fluid-shunts-a-descriptive-review
#9
REVIEW
P García Casas, M Echevarría Moreno
Neuraxial anesthesia in patients with cerebrospinal fluid (CSF) shunt devices has traditionally been associated with a high risk of complications. In order to gather all available evidence, a structured search was conducted to include published studies involving users of these devices, undergoing any form of neuraxial technique for obstetric or surgical procedures unrelated to them. Effectiveness of the technique and perioperative complications were assessed. Only case series and case reports (n = 72) were identified...
February 12, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38340791/spanish-society-of-anesthesiology-reanimation-and-pain-therapy-sedar-spanish-society-of-emergency-and-emergency-medicine-semes-and-spanish-society-of-otolaryngology-head-and-neck-surgery-seorl-ccc-guideline-for-difficult-airway-management
#10
M Á Gómez-Ríos, J A Sastre, X Onrubia-Fuertes, T López, A Abad-Gurumeta, R Casans-Frances, D Gómez-Ríos, J C Garzón, V Martínez-Pons, M Casalderrey-Rivas, M Á Fernández-Vaquero, E Martínez-Hurtado, R Martín-Larrauri, L Reviriego-Agudo, U Gutierrez-Couto, J García-Fernández, A Serrano-Moraza, L J Rodríguez Martín, C Camacho Leis, S Espinosa Ramírez, J M Fandiño Orgeira, M J Vázquez Lima, M Mayo-Yáñez, P Parente-Arias, J A Sistiaga-Suárez, M Bernal-Sprekelsen, P Charco-Mora
The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factor, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care...
February 8, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38340790/spanish-society-of-anesthesiology-reanimation-and-pain-therapy-sedar-spanish-society-of-emergency-and-emergency-medicine-semes-and-spanish-society-of-otolaryngology-head-and-neck-surgery-seorl-ccc-guideline-for-difficult-airway-management-part-ii
#11
M Á Gómez-Ríos, J A Sastre, X Onrubia-Fuertes, Teresa López, A Abad-Gurumeta, R Casans-Frances, D Gómez-Ríos, J C Garzón, V Martínez-Pons, M Casalderrey-Rivas, M Á Fernández-Vaquero, E Martínez-Hurtado, R Martín-Larrauri, L Reviriego-Agudo, U Gutierrez-Couto, J García-Fernández, A Serrano-Moraza, L J Rodríguez Martín, C Camacho Leis, S Espinosa Ramírez, J M Fandiño Orgeira, M J Vázquez Lima, M Mayo-Yáñez, P Parente-Arias, J A Sistiaga-Suárez, M Bernal-Sprekelsen, P Charco-Mora
The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factor, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care...
February 8, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38326589/accuracy-of-a-zero-heat-flux-thermometer-in-cardiac-surgery-a-prospective-multicentre-method-comparison-study
#12
JOURNAL ARTICLE
Carsten Pedersen, Peter Munch, Jesper Kjaergaard, Lars Grønlykke, Anselm Bräuer
Accurate measurement of core temperature is of utmost importance during on-pump cardiac surgery, for detection of hypothermia before cardiopulmonary bypass (CPB), guidance of temperature management on CPB, active rewarming on CPB and guidance of warming therapy after CPB. Most temperature measurement methods are known to become inaccurate during rapid changes in core temperature and suffer from delayed detection of temperature changes. Zero-heat-flux temperature (ZHF) measurement from the lateral forehead may be an alternative, non-invasive method quantifying the core temperature...
February 7, 2024: Scientific Reports
https://read.qxmd.com/read/38324856/prognostic-value-of-preoperative-electrocardiogram-in-low-risk-patients-undergoing-surgical-intervention-and-general-anesthesia
#13
JOURNAL ARTICLE
Lafayete Ramos, Alexandre Chataubriand Coutinho, José Rebelato, Marcos Vinicius Ramos, Eliane Elly, Pedro Amoedo, Gustavo Viel, Valdir Ambrósio Moises
BACKGROUND: Patients aged over 50 years require four times more surgical interventions than younger groups. Many guidelines recommend the performance of preoperative electrocardiogram (ECG) in this population. OBJECTIVES: To determine the value of preoperative ECG in patients aged over 50 years and classified as ASA I-II (surgical risk). METHODS: Patients older than 50 years, without comorbidities, who underwent surgical intervention and general anesthesia were included in the study...
January 2024: Arquivos Brasileiros de Cardiologia
https://read.qxmd.com/read/38242357/intraoperative-high-flow-oxygen-therapy-for-tubeless-anaesthesia-in-thoracoscopic-surgery
#14
Rocio Mato-Bua, David Lopez-Lopez, Alejandro Garcia-Perez, Cesar Bonome
Tubeless anaesthesia has become widespread in videothoracoscopic surgery, even in major procedures such as lobectomies. There are several advantages in avoiding general anaesthesia and one-lung mechanical ventilation, such as faster recovery and shorter hospital stays. However, hypoxaemia and hypercapnia are the most reported causes of conversion to general anaesthesia. High Flow Oxygen Therapy (HFOT) generates flow-dependent positive end-expiratory pressure, improves oxygenation and also carbon dioxide washout by flow-dependent dead space flushing...
January 17, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38100807/suministro-de-ox%C3%A3-geno-en-el-hospital-video-en-anestesia-clinica
#15
JOURNAL ARTICLE
Dhanesh D Binda, Ilana Regenbogen, Ala Nozari, Rafael Ortega
No abstract text is available yet for this article.
January 1, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38048631/overcoming-obstacles-the-legacy-of-fidel-pag%C3%A3-s-founder-of-the-epidural-100-years-after-his-passing
#16
JOURNAL ARTICLE
Gregory A Chinn, Andrew T Gray, Merlin D Larson
Fidel Pagés, a Spanish surgeon, tragically died in 1923 at the age of 37, just 2 years after his publication "Anestesia Metamérica," the first description of human thoracolumbar epidural anesthesia. In the intervening 100 years, epidural anesthesia has faced countless obstacles, starting with the dissemination of his initial report, which was not widely read nor appreciated at the time. However, the merits of the technique have fueled innovations to meet these challenges over the years. Even today, while epidural anesthesia is widely embraced, particularly in obstetric and chronic pain medicine, the pressures of the operating room for efficiency and a low tolerance for failure, pose modern-day challenges...
November 29, 2023: Anesthesia and Analgesia
https://read.qxmd.com/read/38016425/-evaluation-of-the-quality-of-anesthetic-recovery-in-postoperative-patients
#17
JOURNAL ARTICLE
Laura Mariana Navarro-Benítez, Lucero Dalila García-Posada, Isette Yunue Landeros-Navarro, Víctor Manuel López-Garcés
BACKGROUND: Comprehensive health care includes the evaluation of satisfaction in patient care and the quality of medical services. High-precision instruments have been used to assess the quality of recovery after anesthesia (QoR), such as the QoR-15 questionnaire, a validated and accurate assessment tool that considers aspects of emotionality, physical and psychological well-being, pain, and autonomy. OBJECTIVE: To assess QoR in postoperative patients who underwent anesthesia...
September 18, 2023: Revista Médica del Instituto Mexicano del Seguro Social
https://read.qxmd.com/read/37973134/-not-available
#18
JOURNAL ARTICLE
Mauricio Gonzalez, Karolina Brook, Alexander Arriaga, Rebecca Hayes, Ala Nozari, Rafael Ortega
No abstract text is available yet for this article.
December 1, 2023: Anesthesia and Analgesia
https://read.qxmd.com/read/37934911/-ultrasound-guided-caudal-block-with-ropivacaine-in-infraumbilical-surgeries-in-pediatric-patients
#19
RANDOMIZED CONTROLLED TRIAL
Karla Itzel Gutiérrez-Riveroll, Juan José Dosta-Herrera, Héctor Jorge Mejía-Picazo, Karla Guadalupe Lozada-Rosete, Martha Aránzazu Pérez-Penilla
BACKGROUND: The use of local anesthetics as part of multimodal analgesia is an attractive concept in pediatric patients, since the evaluation and management of pain is a challenge in children under 7 years of age. Despite having guidelines and multiple studies on volume calculation, no safe and effective recommendation has been issued. OBJECTIVE: To demonstrate that ultrasound-guided caudal block with a dose of 0.75 mL/kg of 0.2% ropivacaine has the same analgesic effect as a dose of 1...
October 2, 2023: Revista Médica del Instituto Mexicano del Seguro Social
https://read.qxmd.com/read/37862394/-featured-articles-video-in-clinical-anesthesia
#20
JOURNAL ARTICLE
Austin Snyder, Dhanesh Binda, Jean-Luc Germany, Victoria Rosales, Faisal Tan, Ala Nozari, Rafael Ortega
No abstract text is available yet for this article.
November 1, 2023: Anesthesia and Analgesia
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