Pub Date : 2025-12-13DOI: 10.1016/j.redare.2025.501997
A Ojeda, T Cuñat, Ó Comino-Trinidad, J Aliaga, M Arias, A Calvo
{"title":"Response to the letter to the editor regarding: 'New-onset neuropathic and chronic pain in survivors of severe COVID-19: secondary analysis of the PAIN-COVID trial'.","authors":"A Ojeda, T Cuñat, Ó Comino-Trinidad, J Aliaga, M Arias, A Calvo","doi":"10.1016/j.redare.2025.501997","DOIUrl":"10.1016/j.redare.2025.501997","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501997"},"PeriodicalIF":0.0,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145759052","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}
Pub Date : 2025-12-13DOI: 10.1016/j.redare.2025.501982
J Mateos-Granados, L E Fernández-Rodríguez, M M Hernández-García, F Martínez-Martínez, V Roqués-Escolar
Neuropathic pain can be treated with peripheral nerve stimulation(PNS), a technique that has become more widespread following the introduction of ultrasound-guided placement. Superficial radial nerve neuropathy is a common disorder, and implanting a PNS device in the distal humeral has been shown to provide good pain control; however, the nerve block test is negative is some patients, and are therefore not candidates for neurostimulation. We report a case of ultrasound-guided implantation of a peripheral nerve stimulator in the spiral groove to treat superficial radial nerve neuropathy. The treatment provided good pain control for more than 1 year, at which time the electrode lead fractured and had to be surgically removed and reimplanted. This may be an effective alternative in certain patients, although further studies are required.
{"title":"Ultrasound-guided peripheral nerve stimulation implantation in the spiral groove. A case report.","authors":"J Mateos-Granados, L E Fernández-Rodríguez, M M Hernández-García, F Martínez-Martínez, V Roqués-Escolar","doi":"10.1016/j.redare.2025.501982","DOIUrl":"https://doi.org/10.1016/j.redare.2025.501982","url":null,"abstract":"<p><p>Neuropathic pain can be treated with peripheral nerve stimulation(PNS), a technique that has become more widespread following the introduction of ultrasound-guided placement. Superficial radial nerve neuropathy is a common disorder, and implanting a PNS device in the distal humeral has been shown to provide good pain control; however, the nerve block test is negative is some patients, and are therefore not candidates for neurostimulation. We report a case of ultrasound-guided implantation of a peripheral nerve stimulator in the spiral groove to treat superficial radial nerve neuropathy. The treatment provided good pain control for more than 1 year, at which time the electrode lead fractured and had to be surgically removed and reimplanted. This may be an effective alternative in certain patients, although further studies are required.</p>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501982"},"PeriodicalIF":0.0,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764831","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}
Pub Date : 2025-12-13DOI: 10.1016/j.redare.2025.501991
M A Fernández-Vaquero, C A Puga-Carrasco, J A Sastre
{"title":"GLP-1 Agonists: A Hidden challenge for airway management.","authors":"M A Fernández-Vaquero, C A Puga-Carrasco, J A Sastre","doi":"10.1016/j.redare.2025.501991","DOIUrl":"https://doi.org/10.1016/j.redare.2025.501991","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501991"},"PeriodicalIF":0.0,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764893","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}
Pub Date : 2025-12-13DOI: 10.1016/j.redare.2025.501996
A Alcántara Montero, P J Ibor Vidal
{"title":"Reflections on: «New-onset chronic and neuropathic pain in survivors of severe COVID-19: A secondary analysis of the PAIN-COVID Trial».","authors":"A Alcántara Montero, P J Ibor Vidal","doi":"10.1016/j.redare.2025.501996","DOIUrl":"10.1016/j.redare.2025.501996","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"501996"},"PeriodicalIF":0.0,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145759001","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}
Pub Date : 2025-12-01DOI: 10.1016/j.redare.2025.501851
A.M. Castro-Alemán, J.A. Estupiñán-Tibaduiza, R.P. Altamirano-Muñoz, J.C. Altuve-Quiroz
Brachial plexus block at the interscalene level is a regional anaesthetic technique widely used to provide analgesia in shoulder and upper extremity surgery; However, it is associated with a high incidence of phrenic nerve block with diaphragmatic paralysis which has clinical implications in patients with underlying respiratory disease, showing respiratory difficulty symptoms. As consequence, it has been contraindicated in certain population groups. Once diaphragmatic paralysis and respiratory symptoms are established, management is supportive and expectant. In recent years, the administration or “washing” with normal saline solution has been described with the same approach, to reverse the phrenic nerve block and thus the respiratory symptoms. We present the first case of successful reversal of phrenic nerve block with saline in Latin America.
{"title":"Use of saline solution to reverse interscalene block-induced phrenic nerve palsy: A case report","authors":"A.M. Castro-Alemán, J.A. Estupiñán-Tibaduiza, R.P. Altamirano-Muñoz, J.C. Altuve-Quiroz","doi":"10.1016/j.redare.2025.501851","DOIUrl":"10.1016/j.redare.2025.501851","url":null,"abstract":"<div><div>Brachial plexus block at the interscalene level is a regional anaesthetic technique widely used to provide analgesia in shoulder and upper extremity surgery; However, it is associated with a high incidence of phrenic nerve block with diaphragmatic paralysis which has clinical implications in patients with underlying respiratory disease, showing respiratory difficulty symptoms. As consequence, it has been contraindicated in certain population groups. Once diaphragmatic paralysis and respiratory symptoms are established, management is supportive and expectant. In recent years, the administration or “washing” with normal saline solution has been described with the same approach, to reverse the phrenic nerve block and thus the respiratory symptoms. We present the first case of successful reversal of phrenic nerve block with saline in Latin America.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 10","pages":"Article 501851"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016998","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}
Pub Date : 2025-12-01DOI: 10.1016/j.redare.2025.501857
B. Tena, A. Fervienza, I. Gracia, N. Fábregas
{"title":"Preoperative cognitive function assessment: Feasibility and outcomes","authors":"B. Tena, A. Fervienza, I. Gracia, N. Fábregas","doi":"10.1016/j.redare.2025.501857","DOIUrl":"10.1016/j.redare.2025.501857","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 10","pages":"Article 501857"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152547","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}
Pub Date : 2025-12-01DOI: 10.1016/j.redare.2025.501842
L. Gómez-López, R. Bergé Ramos, A. Vallejo Tarrat, J. Doménech de la Lastra
{"title":"Challenges in anesthesiology: Severe subglottic stenosis","authors":"L. Gómez-López, R. Bergé Ramos, A. Vallejo Tarrat, J. Doménech de la Lastra","doi":"10.1016/j.redare.2025.501842","DOIUrl":"10.1016/j.redare.2025.501842","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 10","pages":"Article 501842"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139969","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}
Pub Date : 2025-12-01DOI: 10.1016/j.redare.2025.501929
J. Pilco Inga , A. Fervienza Sánchez , J.J. Velázquez Fragoso , M. Fa-Binefa , I. Moya Molinas
Introduction
Coccydynia is a painful condition commonly related to trauma or repetitive stress. While most cases respond to conservative management, a subset of patients requires minimally invasive interventions. Platelet-rich plasma (PRP) has recently emerged as a biological treatment alternative, promoting tissue repair. This study aimed to compare the clinical efficacy of PRP injections versus pulsed radiofrequency (PRF) at the ganglion impar in patients with coccydynia refractory to conservative treatment.
Methods
A retrospective cohort study was conducted on 40 consecutive patients treated for coccydynia. 20 received PRP injections and 20 underwent PRF at the ganglion impar. Functional disability was measured by the Oswestry Disability Index (ODI) and pain intensity was assessed using the Visual Analogue Scale (VAS) at baseline and at six months. Statistical analysis included t-tests and multivariable regression models adjusted for baseline characteristics.
Results
Both groups showed improvement in pain and function. There were no significant differences in pre- or post-treatment VAS scores between the two groups. However, the mean change in ODI scores was significantly greater in the PRP group (−9.6 ± 4.2) compared to the PRF group (−5.4 ± 6.3), with a statistically significant difference in functional improvement (p = 0.018), and a clinically relevant improvement (≥30% reduction in ODI) was achieved in 85% of cases versus 45%, respectively (p = 0.02). The adjusted analysis confirmed the superiority of PRP after controlling for baseline differences.
Conclusion
PRP injections at the ganglion impar demonstrated superior improvement in functional outcomes compared to PRF in patients with refractory coccydynia. These findings support the use of PRP as a potentially more effective minimally invasive treatment, though prospective studies with longer follow-up are needed to confirm these results.
{"title":"Platelet-rich plasma injections improve functional results over pulsed radiofrequency in ganglion impar treatments for coccydynia","authors":"J. Pilco Inga , A. Fervienza Sánchez , J.J. Velázquez Fragoso , M. Fa-Binefa , I. Moya Molinas","doi":"10.1016/j.redare.2025.501929","DOIUrl":"10.1016/j.redare.2025.501929","url":null,"abstract":"<div><h3>Introduction</h3><div>Coccydynia is a painful condition commonly related to trauma or repetitive stress. While most cases respond to conservative management, a subset of patients requires minimally invasive interventions. Platelet-rich plasma (PRP) has recently emerged as a biological treatment alternative, promoting tissue repair. This study aimed to compare the clinical efficacy of PRP injections versus pulsed radiofrequency (PRF) at the ganglion impar in patients with coccydynia refractory to conservative treatment.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted on 40 consecutive patients treated for coccydynia. 20 received PRP injections and 20 underwent PRF at the ganglion impar. Functional disability was measured by the Oswestry Disability Index (ODI) and pain intensity was assessed using the Visual Analogue Scale (VAS) at baseline and at six months. Statistical analysis included <em>t</em>-tests and multivariable regression models adjusted for baseline characteristics.</div></div><div><h3>Results</h3><div>Both groups showed improvement in pain and function. There were no significant differences in pre- or post-treatment VAS scores between the two groups. However, the mean change in ODI scores was significantly greater in the PRP group (−9.6 ± 4.2) compared to the PRF group (−5.4 ± 6.3), with a statistically significant difference in functional improvement (<em>p</em> = 0.018), and a clinically relevant improvement (≥30% reduction in ODI) was achieved in 85% of cases versus 45%, respectively (<em>p</em> = 0.02). The adjusted analysis confirmed the superiority of PRP after controlling for baseline differences.</div></div><div><h3>Conclusion</h3><div>PRP injections at the ganglion impar demonstrated superior improvement in functional outcomes compared to PRF in patients with refractory coccydynia. These findings support the use of PRP as a potentially more effective minimally invasive treatment, though prospective studies with longer follow-up are needed to confirm these results.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 10","pages":"Article 501929"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234258","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}
Pub Date : 2025-12-01DOI: 10.1016/j.redare.2025.501927
R. M. Sethuraman, R. Aravindan, Y. Mariam
{"title":"Reflections on: “Comparison of serratus plane and erector spinae plane blocks for postoperative analgesia in unilateral breast surgery”","authors":"R. M. Sethuraman, R. Aravindan, Y. Mariam","doi":"10.1016/j.redare.2025.501927","DOIUrl":"10.1016/j.redare.2025.501927","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 10","pages":"Article 501927"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016948","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}
Pub Date : 2025-12-01DOI: 10.1016/j.redare.2025.501841
S. Maia , A. Carneiro , M. Vargas , B. Xavier , S. Caramelo
The diagnosis of cerebral fat embolism syndrome (FES) is not linear. In this case report, a 79-year-old woman underwent urgent cemented hip arthroplasty 24 h after a femoral neck fracture. Immediately after the procedure she had a brief episode of altered state of consciousness. After 4 h, she presented with multiple neurological symptoms which led to activation of the stroke alert system. Various new neurological deficits appeared during the day. She had 2 brain CT scans, which were normal. Transthoracic echocardiogram showed a patent foramen ovale with an exuberant aneurysm. Electroencephalogram showed nonconvulsive status epilepticus, which was promptly treated. Brain MRI showed findings compatible with cerebral FES. After ruling out acute ischaemic stroke, conditions that lead to multiple embolic strokes in different vascular territories had to be considered due to the diverse neurological deficits. The embolization hypothesis was also supported by the sudden onset of the symptoms. Even though FES is an exclusion diagnosis, the patient’s brain MRI showed the distinct radiographic features of fat microembolism. Perioperative neurological deficits are not uncommon, particularly in elderly patients. Accurate diagnosis and appropriate management are crucial to ensure favourable outcomes and prevent long-term sequelae.
{"title":"Diagnosing paradoxical fat embolism syndrome after cemented hip arthroplasty","authors":"S. Maia , A. Carneiro , M. Vargas , B. Xavier , S. Caramelo","doi":"10.1016/j.redare.2025.501841","DOIUrl":"10.1016/j.redare.2025.501841","url":null,"abstract":"<div><div>The diagnosis of cerebral fat embolism syndrome (FES) is not linear. In this case report, a 79-year-old woman underwent urgent cemented hip arthroplasty 24 h after a femoral neck fracture. Immediately after the procedure she had a brief episode of altered state of consciousness. After 4 h, she presented with multiple neurological symptoms which led to activation of the stroke alert system. Various new neurological deficits appeared during the day. She had 2 brain CT scans, which were normal. Transthoracic echocardiogram showed a patent foramen ovale with an exuberant aneurysm. Electroencephalogram showed nonconvulsive status epilepticus, which was promptly treated. Brain MRI showed findings compatible with cerebral FES. After ruling out acute ischaemic stroke, conditions that lead to multiple embolic strokes in different vascular territories had to be considered due to the diverse neurological deficits. The embolization hypothesis was also supported by the sudden onset of the symptoms. Even though FES is an exclusion diagnosis, the patient’s brain MRI showed the distinct radiographic features of fat microembolism. Perioperative neurological deficits are not uncommon, particularly in elderly patients. Accurate diagnosis and appropriate management are crucial to ensure favourable outcomes and prevent long-term sequelae.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"72 10","pages":"Article 501841"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139918","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号