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Anesthesia and analgesia最新文献

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Units of Measurement of Vascular and Gas Pressures: Journal Response. 血管和气体压力的测量单位:期刊响应。
IF 3.8 2区 医学 Q1 ANESTHESIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-07 DOI: 10.1213/ANE.0000000000007836
Jaideep J Pandit
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引用次数: 0
In Response. 作为回应。
IF 3.8 2区 医学 Q1 ANESTHESIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-08 DOI: 10.1213/ANE.0000000000007802
Jing-Yang Liou, Chien-Kun Ting
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引用次数: 0
Regional Analgesia Through Posterior Quadratus Lumborum Block in Laparoscopic and Robot-Assisted Nephrectomies: A Retrospective Observational Study. 腹腔镜和机器人辅助肾切除术后腰方肌阻滞局部镇痛:一项回顾性观察研究。
IF 3.8 2区 医学 Q1 ANESTHESIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-08-29 DOI: 10.1213/ANE.0000000000007702
Martin Dupuis, Alexia Bacci, Anaïs Adolle, Dimitri Sourd, Antoine Vilotitch, Pierre Bouzat
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引用次数: 0
In Response. 作为回应。
IF 3.8 2区 医学 Q1 ANESTHESIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-24 DOI: 10.1213/ANE.0000000000007849
Frank R Major, Trevor A Pickering, Jeffry T Nahmias, Catherine M Kuza
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引用次数: 0
Multi-modal Analgesia and Cardiac Surgery. 多模式镇痛与心脏外科。
IF 3.8 2区 医学 Q1 ANESTHESIOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-09 DOI: 10.1213/ANE.0000000000007913
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引用次数: 0
Erratum: The Efficacy of a Novel Approach to Transversus Abdominis Plane Block for Postoperative Analgesia After Colorectal Surgery. 更正:一种新的经腹平面阻滞方法在结直肠癌术后镇痛中的效果。
IF 3.8 2区 医学 Q1 ANESTHESIOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-09 DOI: 10.1213/ANE.0000000000007798
Neerja Bharti, Parag Kumar, Indu Bala, Vikas Gupta
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引用次数: 0
Development and Validation of a Virtual Interactive Avatar for Regional Anesthesia. 区域麻醉虚拟交互化身的开发与验证。
IF 3.8 2区 医学 Q1 ANESTHESIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-19 DOI: 10.1213/ANE.0000000000007840
Aditi Suri, Gaurav Sindwani
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引用次数: 0
A Review of Existing Case Reports on Sugammadex-Associated Bradycardia and Cardiac Arrest. sugammadex相关的心动过缓和心脏骤停的病例报告综述。
IF 3.8 2区 医学 Q1 ANESTHESIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-24 DOI: 10.1213/ANE.0000000000007872
Benjamin Fisher, Huafeng Wei
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引用次数: 0
Management of Direct Oral Anticoagulants in Adult Patients Undergoing Cardiac Surgery: A Joint Consensus Statement by the Society of Cardiovascular Anesthesiologists and the Society of Thoracic Surgeons. 成人心脏手术患者直接口服抗凝剂的管理:心血管麻醉医师学会和胸外科医师学会的联合共识声明。
IF 3.8 2区 医学 Q1 ANESTHESIOLOGY Pub Date : 2026-01-29 DOI: 10.1213/ANE.0000000000007868
Ashley N Budd, Miklos D Kertai, Moritz C Wyler von Ballmoos, Jacob Raphael, Kamrouz Ghadimi, Jerrold H Levy, Linda J Shore-Lesserson, Michael A Mazzeffi, Roman M Sniecinski, Kenichi A Tanaka, Daniel Bolliger, Mohamed Abdalla, Kelly G Ural, Patrick A Upchurch, Olga Rozental, Caroline B Hunter, Adam R Seibert, John C Klick, David Carroll, Katie Lobner, Nadia B Hensley

The Society of Cardiovascular Anesthesiologists (SCA) along with the Society of Thoracic Surgeons (STS) sought to improve the care of adult patients undergoing cardiac surgery who are taking direct oral anticoagulants (DOACs), such as factor Xa and direct thrombin inhibitors. To fulfill this, a systematic review of the literature on cessation of DOACs before cardiac surgery, options for monitoring DOACs, the need for bridging, reversal agents, and resuming the medications after surgery was performed. Additionally, an expert consensus around the management of these patients was completed. Summary statements were created using evidence and expert consensus to guide care of patients in each of these domains, with the ultimate goal to enhance patient safety and outcomes.

心血管麻醉师协会(SCA)和胸外科医生协会(STS)寻求改善接受心脏手术的成人患者直接口服抗凝血剂(DOACs)的护理,如Xa因子和直接凝血酶抑制剂。为了实现这一目标,对心脏手术前停止doac的文献进行了系统的回顾,监测doac的选择,桥接,逆转药物的需要,以及术后恢复药物治疗。此外,对这些患者的管理达成了专家共识。摘要声明是根据证据和专家共识创建的,以指导每个领域的患者护理,最终目标是提高患者的安全性和预后。
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引用次数: 0
Are "GABAergic" Agents Really So Selective for GABA? Implications for Single- versus Multi-Site Hypotheses From Promiscuous Behavior of Anesthetics and Their Molecular Targets In Vitro. “GABA能”药物真的对GABA有选择性吗?麻醉药混杂行为及其体外分子靶点对单位点与多位点假说的影响。
IF 3.8 2区 医学 Q1 ANESTHESIOLOGY Pub Date : 2026-01-23 DOI: 10.1213/ANE.0000000000007888
Kush M Kale, Peter A Goldstein, Jaideep J Pandit

In the literature, anesthetic agents are commonly described as if their hypnotic action is mediated by a predominant molecular target, using terminology such as "GABAergic" or "NMDAergic." The justification for this is unclear. The authors might thereby imply a single target hypothesis (ie, the named target is the sole or predominant molecular mechanism for that agent); or that in an in vitro dose-response plot, the potency or efficacy of this agent is distinctly (ie, several orders of magnitude) highest for interaction with the named target as compared with others. We explored if this last was the case, through review of data reported across 310 in vitro studies. We found that all but a few agents were highly "promiscuous," influencing several different molecular targets with similar potency, making it difficult to justify that any one was predominant. Notably, propofol, often cited as a "typical GABAergic agent" in fact shows higher potency at nicotinic receptors and HCN ion channels than for GABAA receptors (GABAARs). Exceptions to promiscuity were, to an extent, etomidate and dexmedetomidine, which were relatively "monogomous" for GABAAR and α2-adrenoreceptors, respectively, and ketamine for NMDA receptors. Moreover, molecular targets were also promiscuous for which agents they were influenced by. This was in a manner that did not always correspond to the "preference" of an agent for a receptor. We discuss how this mutual promiscuity is consistent with a multi-site mechanism of anesthetic action.

在文献中,麻醉剂通常被描述为它们的催眠作用是由一个主要的分子靶标介导的,使用术语如“GABAergic”或“NMDAergic”。这样做的理由尚不清楚。作者可能因此暗示单一靶点假设(即,命名的靶点是该药物的唯一或主要分子机制);或者在体外剂量反应图中,与其他药物相比,该药物与指定靶标相互作用的效力或功效明显(即,几个数量级)最高。我们通过回顾310项体外研究报告的数据,探讨了最后一种情况是否属实。我们发现,除了少数药剂外,所有药剂都是高度“混杂”的,影响了几种具有相似效力的不同分子靶标,因此很难证明任何一种药剂是占优势的。值得注意的是,异丙酚,通常被称为“典型的gabaergyagent”,实际上在烟碱受体和HCN离子通道上的效力高于GABAA受体(GABAARs)。在一定程度上,滥交的例外是依托咪酯和右美托咪定,它们分别对GABAAR和α2-肾上腺素受体相对“单一”,而氯胺酮对NMDA受体相对“单一”。此外,分子靶标也是混杂的,它们受到哪些药物的影响。这种方式并不总是与一种物质对一种受体的“偏好”相对应。我们讨论了这种相互混杂如何与麻醉作用的多位点机制相一致。
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引用次数: 0
期刊
Anesthesia and analgesia
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