Pub Date : 2025-01-30DOI: 10.23736/S0375-9393.24.18508-2
Bang-Jiang Wen, Wen-Yi Gong, Nai-Yu Yu, Chen-Guang Li, Kun Fan
{"title":"Intercostobrachial neuralgia after surgery for acromioclavicular joint dislocation with occult rib fractures.","authors":"Bang-Jiang Wen, Wen-Yi Gong, Nai-Yu Yu, Chen-Guang Li, Kun Fan","doi":"10.23736/S0375-9393.24.18508-2","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18508-2","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-30DOI: 10.23736/S0375-9393.24.18521-5
Yunus O Atalay, Elif K Koc, Semih B Sozcu, Bahar Tekin, Gamze Ansen, Gozde Cingoz, Bayram U Sakul, Haci A Alici
{"title":"Anatomical spread of local anesthetic in circumpsoas block: a cadaveric study.","authors":"Yunus O Atalay, Elif K Koc, Semih B Sozcu, Bahar Tekin, Gamze Ansen, Gozde Cingoz, Bayram U Sakul, Haci A Alici","doi":"10.23736/S0375-9393.24.18521-5","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18521-5","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-30DOI: 10.23736/S0375-9393.25.18791-9
Paolo Scimia, Giulia Salve, Francesca Angelucci, Federica Venturoni, Luca Gentili, Giuseppe Sepolvere, Andrea DE Vico, Duilio Divisi
{"title":"Synergy between two different paraspinal fascial plane blocks in robotic thoracic surgery: unity is strength.","authors":"Paolo Scimia, Giulia Salve, Francesca Angelucci, Federica Venturoni, Luca Gentili, Giuseppe Sepolvere, Andrea DE Vico, Duilio Divisi","doi":"10.23736/S0375-9393.25.18791-9","DOIUrl":"https://doi.org/10.23736/S0375-9393.25.18791-9","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-27DOI: 10.23736/S0375-9393.24.18759-7
Bora Bilal, Bahadır Çiftçi, Ali Ahiskalioğlu, Mustafa Özdemir, Feyza Çalişir, Serkan Tulgar
{"title":"Serratus posterior superior intercostal plane block + quadroiliac plane block for scoliosis surgery: two novel blocks away from the surgical field.","authors":"Bora Bilal, Bahadır Çiftçi, Ali Ahiskalioğlu, Mustafa Özdemir, Feyza Çalişir, Serkan Tulgar","doi":"10.23736/S0375-9393.24.18759-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18759-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-27DOI: 10.23736/S0375-9393.24.18672-5
Paolo Scimia, Luca Gentili, Giuseppe Sepolvere
{"title":"A new three injection approach as a game changer for complete postoperative analgesia in total knee arthroplasty.","authors":"Paolo Scimia, Luca Gentili, Giuseppe Sepolvere","doi":"10.23736/S0375-9393.24.18672-5","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18672-5","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The administration of benzodiazepines has been linked to the occurrence of postoperative delirium (POD) among patients undergoing surgery. In this review, we aim to appraise the current controversy regarding the role of remimazolam in POD.
Evidence acquisition: A systematic review and meta-analysis of randomized controlled trials was conducted to examine the effects of remimazolam administration on postoperative delirium compared to propofol from inception to April 2024. We conducted a comprehensive search of PubMed, EMBASE, Cochrane Library, Web of Science, Wanfang, and ZhiWang Chinese databases. In the fixed-effects and random-effects statistical models, pooled risk ratios (RRs) or mean differences, 95% CIs, and P values were estimated for endpoints. The trial sequential analysis was used for sensitivity analysis.
Evidence synthesis: Among the 479 records screened, 11 randomized controlled trials with 1682 patients were eligible for inclusion. POD did not differ between groups (RR,0.82; 95% CI 0.53-1.26; P=0.36; df=10; I2=42%). There were no statistically significant differences between groups in the incidence of nausea and vomiting, hypoxemia, and length of stay. However, remimazolam had a lower incidence of hypotension and bradycardia than propofol. Analyses of subgroups did not reveal a difference in delirium based on the type of surgery, assessment timing, or definition of cognitive impairment. This result has been supported by the trial sequential analysis.
Conclusions: Based on the available evidence, perioperative remimazolam administration is not associated with a significant rise in the incidence of POD.
{"title":"The impact of remimazolam compared to propofol on postoperative delirium: a systematic review and meta-analysis.","authors":"Xiaoming Xue, Xiangzheng Ma, Bing Zhao, Bo Liu, Jiaqi Zhang, Zhao Li, Huizhou Li, Xin Liu, Shuang Zhao","doi":"10.23736/S0375-9393.24.18338-1","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18338-1","url":null,"abstract":"<p><strong>Introduction: </strong>The administration of benzodiazepines has been linked to the occurrence of postoperative delirium (POD) among patients undergoing surgery. In this review, we aim to appraise the current controversy regarding the role of remimazolam in POD.</p><p><strong>Evidence acquisition: </strong>A systematic review and meta-analysis of randomized controlled trials was conducted to examine the effects of remimazolam administration on postoperative delirium compared to propofol from inception to April 2024. We conducted a comprehensive search of PubMed, EMBASE, Cochrane Library, Web of Science, Wanfang, and ZhiWang Chinese databases. In the fixed-effects and random-effects statistical models, pooled risk ratios (RRs) or mean differences, 95% CIs, and P values were estimated for endpoints. The trial sequential analysis was used for sensitivity analysis.</p><p><strong>Evidence synthesis: </strong>Among the 479 records screened, 11 randomized controlled trials with 1682 patients were eligible for inclusion. POD did not differ between groups (RR,0.82; 95% CI 0.53-1.26; P=0.36; df=10; I<sup>2</sup>=42%). There were no statistically significant differences between groups in the incidence of nausea and vomiting, hypoxemia, and length of stay. However, remimazolam had a lower incidence of hypotension and bradycardia than propofol. Analyses of subgroups did not reveal a difference in delirium based on the type of surgery, assessment timing, or definition of cognitive impairment. This result has been supported by the trial sequential analysis.</p><p><strong>Conclusions: </strong>Based on the available evidence, perioperative remimazolam administration is not associated with a significant rise in the incidence of POD.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-23DOI: 10.23736/S0375-9393.24.18483-0
Jacopo Belfiore, Michele Checchi, Niccolò Castellani Nicolini, Pietro Bertini, Dmitri Bezinover, Lorenzo DE Marchi, Giandomenico Biancofiore
Intraoperative hemodynamic monitoring is crucial for managing patients with end-stage liver disease (ESLD) undergoing orthotopic liver transplantation (OLT) due to their complex cardiovascular and pulmonary abnormalities. Traditionally, pulmonary artery catheterization (PAC) has been the standard for hemodynamic monitoring during OLT. However, the use of transesophageal echocardiography (TEE) has increased due to its real-time visualization of cardiac and vascular structures, which aids in managing hemodynamic instability during the three surgical phases of OLT: pre-anhepatic, anhepatic, and neo-hepatic. TEE provides dynamic assessment of preload, afterload, and cardiac output and has been shown to detect complications such as right and left ventricular dysfunction, intracardiac thrombus, and pulmonary embolism. Although TEE in patients with ESLD poses risks, particularly in the presence of esophageal varices, studies show a low incidence of complications when performed by experienced operators. Focused TEE protocols have proven effective in detecting common causes of hemodynamic instability with fewer views. This review summarizes the applications and safety considerations of TEE during OLT.
{"title":"Transesophageal echocardiography monitoring for liver transplantation: where are we now?","authors":"Jacopo Belfiore, Michele Checchi, Niccolò Castellani Nicolini, Pietro Bertini, Dmitri Bezinover, Lorenzo DE Marchi, Giandomenico Biancofiore","doi":"10.23736/S0375-9393.24.18483-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18483-0","url":null,"abstract":"<p><p>Intraoperative hemodynamic monitoring is crucial for managing patients with end-stage liver disease (ESLD) undergoing orthotopic liver transplantation (OLT) due to their complex cardiovascular and pulmonary abnormalities. Traditionally, pulmonary artery catheterization (PAC) has been the standard for hemodynamic monitoring during OLT. However, the use of transesophageal echocardiography (TEE) has increased due to its real-time visualization of cardiac and vascular structures, which aids in managing hemodynamic instability during the three surgical phases of OLT: pre-anhepatic, anhepatic, and neo-hepatic. TEE provides dynamic assessment of preload, afterload, and cardiac output and has been shown to detect complications such as right and left ventricular dysfunction, intracardiac thrombus, and pulmonary embolism. Although TEE in patients with ESLD poses risks, particularly in the presence of esophageal varices, studies show a low incidence of complications when performed by experienced operators. Focused TEE protocols have proven effective in detecting common causes of hemodynamic instability with fewer views. This review summarizes the applications and safety considerations of TEE during OLT.</p>","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-23DOI: 10.23736/S0375-9393.24.18286-7
Pierfrancesco Fusco, Emanuele Nazzarro, Gian M Petroni, Francesca DE Sanctis, Chiara Maggiani
{"title":"Sacral plexus block: what if I cannot see the sciatic nerve?","authors":"Pierfrancesco Fusco, Emanuele Nazzarro, Gian M Petroni, Francesca DE Sanctis, Chiara Maggiani","doi":"10.23736/S0375-9393.24.18286-7","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18286-7","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-23DOI: 10.23736/S0375-9393.24.18555-0
Gian M Petroni, Andrea Sanapo, Francesca DE Sanctis, Emanuele Nazzaro, Walter Ciaschi, Chiara Maggiani, Stefano Meloncelli, Carla Stecco, Pierfrancesco Fusco
{"title":"Erector spinae plane block with warm saline solution in posterpetic neuralgia: the genesis of pain and the link with the fascial system.","authors":"Gian M Petroni, Andrea Sanapo, Francesca DE Sanctis, Emanuele Nazzaro, Walter Ciaschi, Chiara Maggiani, Stefano Meloncelli, Carla Stecco, Pierfrancesco Fusco","doi":"10.23736/S0375-9393.24.18555-0","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18555-0","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-20DOI: 10.23736/S0375-9393.24.18617-8
Volkan Özen, Engin I Turan, Beyzanur Aydoğdu, Ayça S Şahin
{"title":"Modified thoracoabdominal nerves block through perichondrial approach block for pediatric kidney transplantation.","authors":"Volkan Özen, Engin I Turan, Beyzanur Aydoğdu, Ayça S Şahin","doi":"10.23736/S0375-9393.24.18617-8","DOIUrl":"https://doi.org/10.23736/S0375-9393.24.18617-8","url":null,"abstract":"","PeriodicalId":18522,"journal":{"name":"Minerva anestesiologica","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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