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European Journal of Anaesthesiology Intensive Care最新文献

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General anaesthesia for nonobstetric surgery during pregnancy 妊娠期非产科手术的全身麻醉
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000003
T. Bleeser, Janine C Vally, M. Van de Velde, S. Rex, S. Devroe
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引用次数: 3
Environmental sustainability in the operating room 手术室的环境可持续性
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000025
P. González-Pizarro, Susanne Koch, J. Muret, Alexandra Trinks, L. Brazzi, F. Reinoso-Barbero, J. Díez Sebastián, Michel MRF Struys
{"title":"Environmental sustainability in the operating room","authors":"P. González-Pizarro, Susanne Koch, J. Muret, Alexandra Trinks, L. Brazzi, F. Reinoso-Barbero, J. Díez Sebastián, Michel MRF Struys","doi":"10.1097/ea9.0000000000000025","DOIUrl":"https://doi.org/10.1097/ea9.0000000000000025","url":null,"abstract":"","PeriodicalId":300330,"journal":{"name":"European Journal of Anaesthesiology Intensive Care","volume":"58 14","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120822949","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
Experiences and perspectives of adults on using opioids for pain management in the postoperative period 成人术后使用阿片类药物治疗疼痛的经验和观点
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000024
D. M. Aljohani, Nabat Almalki, R. Adam, P. Forget
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引用次数: 0
Non-invasive continuous cardiac output monitoring in thoracic cancer surgery 无创连续心输出量监测在胸部肿瘤手术中的应用
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000006
J. Fellahi, Paul Abraham, Nicolas Tiberghien, Clément Coelembier, J. Maury, K. Bendjelid
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引用次数: 1
‘Do-not-intubate’ orders in patients assisted by noninvasive respiratory support for acute hypoxaemic failure caused by coronavirus disease 2019; a systematic review and meta-analysis 2019冠状病毒病引起的急性低氧血症衰竭患者在无创呼吸支持辅助下的“不插管”指令系统回顾和荟萃分析
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000018
G. Cammarota, T. Esposito, Rachele Simonte, A. Messina, Maurizio Cecconi, R. Vaschetto, L. Vetrugno, P. Navalesi, D. Azzolina, C. Robba, P. Pelosi, F. Longhini, S. Maggiore, E. De Robertis
{"title":"‘Do-not-intubate’ orders in patients assisted by noninvasive respiratory support for acute hypoxaemic failure caused by coronavirus disease 2019; a systematic review and meta-analysis","authors":"G. Cammarota, T. Esposito, Rachele Simonte, A. Messina, Maurizio Cecconi, R. Vaschetto, L. Vetrugno, P. Navalesi, D. Azzolina, C. Robba, P. Pelosi, F. Longhini, S. Maggiore, E. De Robertis","doi":"10.1097/ea9.0000000000000018","DOIUrl":"https://doi.org/10.1097/ea9.0000000000000018","url":null,"abstract":"","PeriodicalId":300330,"journal":{"name":"European Journal of Anaesthesiology Intensive Care","volume":"101 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113945338","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: 2
The use of capnography for real-time monitoring of mask ventilation during induction of general anaesthesia 全麻诱导过程中面罩通气实时监测的应用
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000009
Taiichiro Hayashida, N. Nozaki-Taguchi, Shin Sato, Takumi Meguro, Y. Sato, S. Isono
{"title":"The use of capnography for real-time monitoring of mask ventilation during induction of general anaesthesia","authors":"Taiichiro Hayashida, N. Nozaki-Taguchi, Shin Sato, Takumi Meguro, Y. Sato, S. Isono","doi":"10.1097/ea9.0000000000000009","DOIUrl":"https://doi.org/10.1097/ea9.0000000000000009","url":null,"abstract":"","PeriodicalId":300330,"journal":{"name":"European Journal of Anaesthesiology Intensive Care","volume":"2015 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128062116","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
The role of gastric ultrasound in anaesthesia for emergency surgery 胃超声在急诊手术麻醉中的作用
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000027
Vincent Godschalx, M. Vanhoof, F. Soetens, P. Van de Putte, A. Hadžić, M. Van de Velde, I. Van Herreweghe
The timing and technique of anaesthesia are challenging in patients with a history of recent food intake. The presence of gastric contents increases the risk of aspiration, potentially resulting in acute lung injury, pneumonia, or death. Delayed gastric emptying complicates the estimation of aspiration risk. Surprisingly, there are no fasting guidelines for emergency surgery. Point-of-care gastric ultrasound is a time-efficient, cost-efficient and accurate bedside tool with which to estimate residual gastric content and to guide decision-making in airway management and timing of general anaesthesia. This review summarises the prevailing concepts of ultrasound-guided gastric content assessment for emergency surgery. Medline and Embase databases were searched for studies using ultrasound for the evaluation of gastric content in adults scheduled for emergency surgery. Five prospective observational studies representing 793 emergency surgery patients showed that the incidence of ‘full stomach’ was between 18 and 56% at the time of induction. Risk factors for a full stomach before emergency surgery were abdominal or gynaecological/obstetric surgery, high body mass index and morphine consumption. No correlation between preoperative fasting time and the presence of a full/empty stomach was found. No deaths due to aspiration were reported. The preoperative presence of gastric content before emergency surgery is high and the estimates used for clinical management are unreliable. This review demonstrates that gastric ultrasound is a valuable tool for evaluating gastric content. A flow chart for medical decision-making using gastric ultrasound before emergency surgery was developed to assist in clinical decision-making. The validity and practical applicability should be assessed in future studies.
对于近期有食物摄入史的患者,麻醉的时机和技术具有挑战性。胃内容物的存在增加误吸的危险,可能导致急性肺损伤、肺炎或死亡。胃排空延迟使误吸风险的估计复杂化。令人惊讶的是,急诊手术没有禁食指南。即时胃超声是一种省时、经济、准确的床边工具,可用于估计胃残留内容物,并指导气道管理和全身麻醉时机的决策。本文综述了超声引导下急诊手术胃内容物评估的流行概念。在Medline和Embase数据库中检索了使用超声评估急诊手术成人胃内容物的研究。涉及793例急诊手术患者的5项前瞻性观察研究表明,诱导时“胃饱”的发生率在18%至56%之间。急诊手术前胃饱的危险因素是腹部或妇科/产科手术、高体重指数和吗啡消耗。术前禁食时间与有无饱/空胃之间没有相关性。没有因误吸而死亡的报告。急诊手术前胃内容物的术前存在是高的,用于临床管理的估计是不可靠的。本文综述表明,胃超声是评估胃内容物的一种有价值的工具。建立了急诊手术前胃超声医疗决策流程图,以辅助临床决策。在今后的研究中,应进一步评估其有效性和实用性。
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引用次数: 0
Postoperative delirium: identifying the patient at risk and altering the course 术后谵妄:识别病人的危险并改变病程
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000022
D. Hoogma, K. Milisen, S. Rex, L. Al Tmimi
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引用次数: 1
Artificial intelligence and telemedicine in the field of anaesthesiology, intensive care and pain medicine 人工智能和远程医疗在麻醉学、重症监护和疼痛医学领域的应用
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000031
E. Bignami, Michele Russo, Valentina Bellini, P. Berchialla, G. Cammarota, M. Cascella, C. Compagnone, F. Sanfilippo, S. Maggiore, J. Montomoli, L. Vetrugno, E. Boero, A. Cortegiani, A. Giarratano, P. Pelosi, E. De Robertis
The potential role of artificial intelligence in enhancing human life and medical practice is under investigation but the knowledge of the topic among healthcare providers is under-investigated. To investigate knowledge of artificial intelligence in physicians working in the field of anaesthesiology, intensive care, and pain medicine. As secondary outcomes, we investigated the main concerns on the implementation of artificial intelligence. Online survey. Anaesthesiology, intensive care and pain medicine. We invited clinicians specialised in anaesthesia, resuscitation, intensive care and pain medicine who were active members of the European Society of Anaesthesiology and Intensive Care (ESAIC). Online survey from 28 June 2022 to 29 October 2022. Primary outcome was to investigate knowledge of artificial intelligence and telemedicine of participants. A total of 4465 e-mails were sent and 220 specialists, age 46.5 ± 10.2; 128 men (58.2%) responded to the survey. In general, some knowledge of artificial intelligence and machine learning was reported by 207 of 220 (94.1%) and 180 of 220 (81.8%) members, respectively. In anaesthesiology, 168 of 220 (76.4%) and 151 of 220 (68.6%) have heard of artificial intelligence and machine learning. In intensive care, 154 of 220 (70.0%) and 133 of 220 (60.5%) had heard of artificial intelligence and machine learning, while these figures were much lower in pain medicine [artificial intelligence: only 70/220 (31.8%) and machine learning 67/220 (30.5%)]. The main barriers to implementing these tools in clinical practice were: lack of knowledge of algorithms leading to the results; few validation studies available and not enough knowledge of artificial intelligence. Knowledge of telemedicine was reported in 212 of 220 (96.4%) members. Most anaesthesiologists are aware of artificial intelligence and machine learning. General thinking about the application of artificial intelligence in anaesthesiology, intensive care and pain management was positive overall, with most participants not considering this tool as a threat to their profession.
人工智能在改善人类生活和医疗实践方面的潜在作用正在调查中,但医疗保健提供者对这一主题的了解尚不充分。调查麻醉、重症监护和疼痛医学领域的医生对人工智能的了解情况。作为次要结果,我们调查了人工智能实施的主要关注点。在线调查。麻醉学,重症监护和疼痛医学。我们邀请了麻醉、复苏、重症监护和疼痛医学方面的临床医生,他们是欧洲麻醉和重症监护学会(ESAIC)的活跃成员。2022年6月28日至2022年10月29日的在线调查。主要结果是调查参与者的人工智能和远程医疗知识。共发送邮件4465封,专家220人,年龄46.5±10.2岁;128名男性(58.2%)回应了调查。总的来说,220名成员中有207名(94.1%)和180名(81.8%)成员分别对人工智能和机器学习有所了解。在麻醉学领域,220人中有168人(76.4%)和151人(68.6%)听说过人工智能和机器学习。在重症监护室,220人中有154人(70.0%)和133人(60.5%)听说过人工智能和机器学习,而在疼痛医学中,这些数字要低得多[人工智能:只有70/220(31.8%)和机器学习67/220(30.5%)]。在临床实践中实施这些工具的主要障碍是:缺乏导致结果的算法知识;可用的验证研究很少,对人工智能的了解也不够。220名成员中有212名(96.4%)报告了远程医疗知识。大多数麻醉师都知道人工智能和机器学习。对人工智能在麻醉学、重症监护和疼痛管理中的应用的总体看法是积极的,大多数参与者不认为这一工具会对他们的职业构成威胁。
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引用次数: 1
Patient blood management in the ICU ICU患者血液管理
Pub Date : 1900-01-01 DOI: 10.1097/ea9.0000000000000002
V. Neef, Lea-Valeska Blum, L. Hof, S. Choorapoikayil, Kira Kieserling, P. Meybohm, A. Steinbicker, K. Zacharowski, F. Piekarski
{"title":"Patient blood management in the ICU","authors":"V. Neef, Lea-Valeska Blum, L. Hof, S. Choorapoikayil, Kira Kieserling, P. Meybohm, A. Steinbicker, K. Zacharowski, F. Piekarski","doi":"10.1097/ea9.0000000000000002","DOIUrl":"https://doi.org/10.1097/ea9.0000000000000002","url":null,"abstract":"","PeriodicalId":300330,"journal":{"name":"European Journal of Anaesthesiology Intensive Care","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126677232","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
期刊
European Journal of Anaesthesiology Intensive Care
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