Pub Date : 2026-02-20DOI: 10.1016/j.redare.2026.502043
R M Sethuraman
{"title":"Ultrasound-guided versus surgical deep serratus anterior plane block.","authors":"R M Sethuraman","doi":"10.1016/j.redare.2026.502043","DOIUrl":"10.1016/j.redare.2026.502043","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"502043"},"PeriodicalIF":0.0,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273696","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 : 2026-02-20DOI: 10.1016/j.redare.2026.502042
M M ALseoudy
{"title":"Ultrasound-guided versus surgical deep serratus anterior plane block.","authors":"M M ALseoudy","doi":"10.1016/j.redare.2026.502042","DOIUrl":"10.1016/j.redare.2026.502042","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"502042"},"PeriodicalIF":0.0,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273749","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 : 2026-02-12DOI: 10.1016/j.redare.2026.502035
M Bernaola, A Gago, A Umpiérrez, López-Soberón, N G Kounis
Kounis syndrome (KS) is an acute coronary syndrome triggered by mast cell degranulation in response to allergic or hypersensitivity reactions. Drug-induced KS, particularly due to antibiotics like amoxicillin, represents a severe and potentially life-threatening condition. This review aims to analyze the pathophysiology, clinical manifestations, diagnostic approaches, and management strategies of KS induced by amoxicillin allergy, with a focus on recent literature and emerging therapeutic insights.
{"title":"Can an antibiotic trigger a heart attack? Kounis syndrome induced by intraoperative amoxicillin allergy: a case report.","authors":"M Bernaola, A Gago, A Umpiérrez, López-Soberón, N G Kounis","doi":"10.1016/j.redare.2026.502035","DOIUrl":"10.1016/j.redare.2026.502035","url":null,"abstract":"<p><p>Kounis syndrome (KS) is an acute coronary syndrome triggered by mast cell degranulation in response to allergic or hypersensitivity reactions. Drug-induced KS, particularly due to antibiotics like amoxicillin, represents a severe and potentially life-threatening condition. This review aims to analyze the pathophysiology, clinical manifestations, diagnostic approaches, and management strategies of KS induced by amoxicillin allergy, with a focus on recent literature and emerging therapeutic insights.</p>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":" ","pages":"502035"},"PeriodicalIF":0.0,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146198331","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 : 2026-02-01Epub Date: 2025-12-20DOI: 10.1016/j.redare.2025.501993
M.Á. Gómez-Ríos , A. Abad-Gurumeta
{"title":"Towards universal implementation of videolaryngoscopy: A new milestone in airway management driven by SEDAR","authors":"M.Á. Gómez-Ríos , A. Abad-Gurumeta","doi":"10.1016/j.redare.2025.501993","DOIUrl":"10.1016/j.redare.2025.501993","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 2","pages":"Article 501993"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812551","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 : 2026-02-01Epub Date: 2026-01-12DOI: 10.1016/j.redare.2026.501984
E. Cabezuelo Markaide, P. Duque González, M. Zaballos García, J.A. Varela Cabo
Patent foramen ovale (PFO) has an approximate prevalence of 25% in the adult population, being normally an asymptomatic condition. During liver transplant (LT), a PFO can enable the passing of embolic material to systemic circulation and cause ischemic events. Prophylactic closing of a PFO is not currently indicated in patients who are to undergo LT. Close haemodynamic monitoring is recommended in this type of cases in order to diagnose a paradoxical embolism and give an adequate treatment if necessary.
We present a case of a patient with a diagnosis of PFO who, during a LT, shows clinical findings compatible with a pulmonary and systemic embolism, requiring haemodynamic support and leaving a mild neurological sequelae at discharge.
{"title":"Paradoxical air embolism in patient with patent foramen ovale during liver transplant","authors":"E. Cabezuelo Markaide, P. Duque González, M. Zaballos García, J.A. Varela Cabo","doi":"10.1016/j.redare.2026.501984","DOIUrl":"10.1016/j.redare.2026.501984","url":null,"abstract":"<div><div>Patent foramen ovale (PFO) has an approximate prevalence of 25% in the adult population, being normally an asymptomatic condition. During liver transplant (LT), a PFO can enable the passing of embolic material to systemic circulation and cause ischemic events. Prophylactic closing of a PFO is not currently indicated in patients who are to undergo LT. Close haemodynamic monitoring is recommended in this type of cases in order to diagnose a paradoxical embolism and give an adequate treatment if necessary.</div><div>We present a case of a patient with a diagnosis of PFO who, during a LT, shows clinical findings compatible with a pulmonary and systemic embolism, requiring haemodynamic support and leaving a mild neurological sequelae at discharge.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 2","pages":"Article 501984"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145986142","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 : 2026-02-01Epub Date: 2026-01-30DOI: 10.1016/j.redare.2026.502020
J. Ripolles-Melchor , A. Abad-Motos , E. Nieto Moreno , C. Jerico , I. Otero-Martínez , O. Abdel-lah Fernández , R. García-Alvarez , M.P. Tormos-Pérez , A.V. Espinosa , C. Aldecoa , A. Abad-Gurumeta , M.J. Colomina , J.A. García-Erce , POWER 4 Investigators Group
Background
Preoperative anaemia is a common finding in patients undergoing gastrectomy, and is frequently targeted in optimisation strategies. However, its independent association with postoperative complications remains unclear, and the prognostic value of redefining diagnostic thresholds has not been formally assessed.
Methods
This prospective substudy of the POWER 4 cohort included 742 patients undergoing elective gastrectomy for cancer. Anaemia was defined by WHO sex-specific thresholds (Hb <13 g/dL in men, <12 g/dL in women) and a universal threshold of <13 g/dL. Four subcohorts were analysed: A1 (WHO, full cohort), A2 (universal, full), B1 (WHO, untreated), B2 (universal, untreated). Multivariable logistic regression was used to assess associations with postoperative complications. Discrimination was evaluated using AUC, AIC/BIC, and Net Reclassification Improvement (NRI). Generalised additive models (GAMs) were used to explore continuous relationships between haemoglobin and risk.
Results
Anaemia prevalence was 38.0% with WHO thresholds and 52.4% with the universal threshold. In full-cohort models, anaemia was not independently associated with complications (A1 OR 0.92 [95% CI 0.60–1.41]; A2 OR 0.89 [0.59–1.36]). Model performance was similar (AUC 0.686). In untreated patients (n = 584), discrimination improved (B1 AUC 0.750; B2 AUC 0.743), but anaemia remained non-significant. NRI modestly favoured the universal threshold (A1/A2: 0.048; B1/B2: 0.072), with most reclassification occuring in intermediate risk groups. GAMs showed a smooth monotonic relationship without a clear inflection point.
Conclusion
Anaemia was not independently associated with postoperative complications. Redefining thresholds altered prevalence but did not improve prediction. Haemoglobin may be better used as part of an integrated perioperative risk assessment rather than a binary stratifier.
背景：术前贫血是胃切除术患者的常见发现，并且经常是优化策略的目标。然而，其与术后并发症的独立关系尚不清楚，重新定义诊断阈值的预后价值尚未得到正式评估。方法：POWER 4队列的前瞻性亚研究纳入了742例因癌症接受择期胃切除术的患者。贫血由WHO性别特异性阈值定义（Hb结果：WHO阈值的贫血患病率为38.0%，通用阈值为52.4%）。在全队列模型中，贫血与并发症没有独立关联（A1 OR 0.92 [95% CI 0.60-1.41]; A2 OR 0.89[0.59-1.36]）。模型性能相似（AUC为0.686）。在未接受治疗的患者中（n = 584），区分有所改善（B1 AUC 0.750; B2 AUC 0.743），但贫血仍然不显著。NRI略微倾向于通用阈值（A1/A2: 0.048; B1/B2: 0.072），大多数重新分类发生在中等风险组。GAMs表现出平滑的单调关系，没有明显的拐点。结论：贫血与术后并发症无独立关系。重新定义阈值改变了患病率，但没有改善预测。血红蛋白可以更好地作为围手术期综合风险评估的一部分，而不是二元分层。
{"title":"Reassessing anaemia in gastrectomy: Diagnostic definitions and predictive value in the POWER 4 cohort","authors":"J. Ripolles-Melchor , A. Abad-Motos , E. Nieto Moreno , C. Jerico , I. Otero-Martínez , O. Abdel-lah Fernández , R. García-Alvarez , M.P. Tormos-Pérez , A.V. Espinosa , C. Aldecoa , A. Abad-Gurumeta , M.J. Colomina , J.A. García-Erce , POWER 4 Investigators Group","doi":"10.1016/j.redare.2026.502020","DOIUrl":"10.1016/j.redare.2026.502020","url":null,"abstract":"<div><h3>Background</h3><div>Preoperative anaemia is a common finding in patients undergoing gastrectomy, and is frequently targeted in optimisation strategies. However, its independent association with postoperative complications remains unclear, and the prognostic value of redefining diagnostic thresholds has not been formally assessed.</div></div><div><h3>Methods</h3><div>This prospective substudy of the POWER 4 cohort included 742 patients undergoing elective gastrectomy for cancer. Anaemia was defined by WHO sex-specific thresholds (Hb <13 g/dL in men, <12 g/dL in women) and a universal threshold of <13 g/dL. Four subcohorts were analysed: A1 (WHO, full cohort), A2 (universal, full), B1 (WHO, untreated), B2 (universal, untreated). Multivariable logistic regression was used to assess associations with postoperative complications. Discrimination was evaluated using AUC, AIC/BIC, and Net Reclassification Improvement (NRI). Generalised additive models (GAMs) were used to explore continuous relationships between haemoglobin and risk.</div></div><div><h3>Results</h3><div>Anaemia prevalence was 38.0% with WHO thresholds and 52.4% with the universal threshold. In full-cohort models, anaemia was not independently associated with complications (A1 OR 0.92 [95% CI 0.60–1.41]; A2 OR 0.89 [0.59–1.36]). Model performance was similar (AUC 0.686). In untreated patients (<em>n</em> = 584), discrimination improved (B1 AUC 0.750; B2 AUC 0.743), but anaemia remained non-significant. NRI modestly favoured the universal threshold (A1/A2: 0.048; B1/B2: 0.072), with most reclassification occuring in intermediate risk groups. GAMs showed a smooth monotonic relationship without a clear inflection point.</div></div><div><h3>Conclusion</h3><div>Anaemia was not independently associated with postoperative complications. Redefining thresholds altered prevalence but did not improve prediction. Haemoglobin may be better used as part of an integrated perioperative risk assessment rather than a binary stratifier.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 2","pages":"Article 502020"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101216","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 : 2026-02-01Epub Date: 2026-01-13DOI: 10.1016/j.redare.2026.502017
J.A. García Erce , F. Sabio , C. Jericó , S. Isabel Jorge , M. Quintana Díaz , D. Castro Paupério
Background
In 2010, the World Health Organization (WHO) called for global implementation of Patient Blood Management (PBM) programs to optimize transfusion practices and reduce variability in blood utilization. This study examines the evolution of red cell, platelet, and plasma consumption in Iberia (Spain and Portugal), comparing trends within the region and with European benchmarks like the United Kingdom, Germany, and Italy.
Methods
National transfusion activity reports from Spain, Portugal, the United Kingdom (2011–2023) were analyzed. Key metrics included transfusion rates per 1,000 inhabitants for red cells, platelets, and fresh frozen plasma. Statistical analyses were performed using Kruskal–Wallis tests and ANOVA to identify differences between countries and over time.
Results
From 2011 to 2023, red cell transfusion rates decreased by 30% in the UK, 6% in Spain, and 15% in Portugal. Germany showed a modest decline, while Italy maintained stable rates exceeding 40 units per 1,000 inhabitants. Platelet and plasma consumption exhibited distinct patterns, with Portugal showing a steeper decline compared to Spain, and the UK maintaining the lowest overall rates. Platelet consume is clearly increasing.
Conclusions
The analysis reveals significant differences in blood component utilization across Iberia and Europe, reflecting varying levels of PBM adoption. Despite WHO and Council of Europe recommendations, Iberian countries lag behind the UK in reducing red cell transfusion rates. These findings underscore the need for uniform PBM implementation to harmonize practices and optimize resource use, not only Red Cell Concentrates. The creation of the Iberian task-force (section of the Ibero-American PBM Society (SIAPBM) could be an opportunity to create the necessary awareness in our countries and become a meeting point between America and Europe.
{"title":"Variability in the application of patient blood management programs in the Iberian peninsula","authors":"J.A. García Erce , F. Sabio , C. Jericó , S. Isabel Jorge , M. Quintana Díaz , D. Castro Paupério","doi":"10.1016/j.redare.2026.502017","DOIUrl":"10.1016/j.redare.2026.502017","url":null,"abstract":"<div><h3>Background</h3><div>In 2010, the World Health Organization (WHO) called for global implementation of Patient Blood Management (PBM) programs to optimize transfusion practices and reduce variability in blood utilization. This study examines the evolution of red cell, platelet, and plasma consumption in Iberia (Spain and Portugal), comparing trends within the region and with European benchmarks like the United Kingdom, Germany, and Italy.</div></div><div><h3>Methods</h3><div>National transfusion activity reports from Spain, Portugal, the United Kingdom (2011–2023) were analyzed. Key metrics included transfusion rates per 1,000 inhabitants for red cells, platelets, and fresh frozen plasma. Statistical analyses were performed using Kruskal–Wallis tests and ANOVA to identify differences between countries and over time.</div></div><div><h3>Results</h3><div>From 2011 to 2023, red cell transfusion rates decreased by 30% in the UK, 6% in Spain, and 15% in Portugal. Germany showed a modest decline, while Italy maintained stable rates exceeding 40 units per 1,000 inhabitants. Platelet and plasma consumption exhibited distinct patterns, with Portugal showing a steeper decline compared to Spain, and the UK maintaining the lowest overall rates. Platelet consume is clearly increasing.</div></div><div><h3>Conclusions</h3><div>The analysis reveals significant differences in blood component utilization across Iberia and Europe, reflecting varying levels of PBM adoption. Despite WHO and Council of Europe recommendations, Iberian countries lag behind the UK in reducing red cell transfusion rates. These findings underscore the need for uniform PBM implementation to harmonize practices and optimize resource use, not only Red Cell Concentrates. The creation of the Iberian task-force (section of the Ibero-American PBM Society (SIAPBM) could be an opportunity to create the necessary awareness in our countries and become a meeting point between America and Europe.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 2","pages":"Article 502017"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992390","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 : 2026-02-01Epub Date: 2026-01-12DOI: 10.1016/j.redare.2026.501988
M. Taboada , M. Bermúdez , J. Fernández , A. Estany-Gestal , J.J. Amate , R. Ruido , M. Amor , R. Mato , C. Barreiro , P. Martínez , F. Ramasco , O. Vázquez , T. Seoane-Pillado
Introduction
Tracheal intubation using direct laryngoscopy with a Macintosh blade remains the standard technique in the operating room. However, this method requires precise anatomical alignment and direct visualization of the glottis, which can be challenging for anesthesia residents with limited experience. Multiple intubation attempts are associated with an increased risk of complications. Videolaryngoscopy allows indirect visualization of the glottis and enables real-time supervision and feedback during the procedure, potentially improving safety and facilitating learning. Although videolaryngoscopy has shown benefits in difficult airway scenarios and in experienced hands, evidence is limited on whether it improves first-pass success and reduces complications when used by anesthesia residents in patients without predicted airway difficulty. The aim of this study is to compare first-pass intubation success with videolaryngoscopy versus direct laryngoscopy when performed by anesthesia residents in the operating room.
Methods and analysis
The VILARE trial is a prospective, multicenter, randomized, open-label study. A total of 1008 adult patients undergoing elective or urgent surgery under general anesthesia, without predictors of difficult airway, will be randomized to undergo tracheal intubation using either a standard Macintosh direct laryngoscope or a Macintosh videolaryngoscope on the first attempt. All tracheal intubations will be performed by anesthesia residents. The primary endpoint is successful intubation on the first attempt. Secondary outcomes time for successful tracheal intubation, attempts for successful intubation, laryngoscopic vision with the modified Cormack-Lehane scale, need of adjuvant airway devices for intubation, subjective difficulty of intubation, and complications during tracheal intubation (e.g., desaturation, dental trauma).
Ethics and dissemination
The study protocol was approved November 28, 2024, by the Ethics Committee of Galicia, Spain (CEI-SL, code No. 2024/394).and was registered into the Clinicaltrials.gov clinical trials registry with No. NCT06842082. Informed consent is required. The results will be submitted for publication in a peer-reviewed journal and presented at one or more scientific conferences. If videolaryngoscopy improves first-attempt intubation success and reduces complications in anesthesia residents, its use may be recommended as the first-line device in anesthesia training programs.
{"title":"Videolaryngoscopy versus direct laryngoscopy for tracheal intubation by anesthesia residents in the operating room: The randomized multicenter VILARE trial protocol","authors":"M. Taboada , M. Bermúdez , J. Fernández , A. Estany-Gestal , J.J. Amate , R. Ruido , M. Amor , R. Mato , C. Barreiro , P. Martínez , F. Ramasco , O. Vázquez , T. Seoane-Pillado","doi":"10.1016/j.redare.2026.501988","DOIUrl":"10.1016/j.redare.2026.501988","url":null,"abstract":"<div><h3>Introduction</h3><div>Tracheal intubation using direct laryngoscopy with a Macintosh blade remains the standard technique in the operating room. However, this method requires precise anatomical alignment and direct visualization of the glottis, which can be challenging for anesthesia residents with limited experience. Multiple intubation attempts are associated with an increased risk of complications. Videolaryngoscopy allows indirect visualization of the glottis and enables real-time supervision and feedback during the procedure, potentially improving safety and facilitating learning. Although videolaryngoscopy has shown benefits in difficult airway scenarios and in experienced hands, evidence is limited on whether it improves first-pass success and reduces complications when used by anesthesia residents in patients without predicted airway difficulty. The aim of this study is to compare first-pass intubation success with videolaryngoscopy versus direct laryngoscopy when performed by anesthesia residents in the operating room.</div></div><div><h3>Methods and analysis</h3><div>The VILARE trial is a prospective, multicenter, randomized, open-label study. A total of 1008 adult patients undergoing elective or urgent surgery under general anesthesia, without predictors of difficult airway, will be randomized to undergo tracheal intubation using either a standard Macintosh direct laryngoscope or a Macintosh videolaryngoscope on the first attempt. All tracheal intubations will be performed by anesthesia residents. The primary endpoint is successful intubation on the first attempt. Secondary outcomes time for successful tracheal intubation, attempts for successful intubation, laryngoscopic vision with the modified Cormack-Lehane scale, need of adjuvant airway devices for intubation, subjective difficulty of intubation, and complications during tracheal intubation (e.g., desaturation, dental trauma).</div></div><div><h3>Ethics and dissemination</h3><div>The study protocol was approved November 28, 2024, by the Ethics Committee of Galicia, Spain (CEI-SL, code No. 2024/394).and was registered into the Clinicaltrials.gov clinical trials registry with No. <span><span>NCT06842082</span><svg><path></path></svg></span>. Informed consent is required. The results will be submitted for publication in a peer-reviewed journal and presented at one or more scientific conferences. If videolaryngoscopy improves first-attempt intubation success and reduces complications in anesthesia residents, its use may be recommended as the first-line device in anesthesia training programs.</div></div><div><h3>Trial registration number</h3><div>ClinicalTrials.gov Registry: <span><span>NCT06842082</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 2","pages":"Article 501988"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145986137","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 : 2026-02-01Epub Date: 2025-12-20DOI: 10.1016/j.redare.2025.501987
C. Chamorro-Falero , J. García-García , J.J. Morales-Domene
{"title":"Delirium in the postoperative patient","authors":"C. Chamorro-Falero , J. García-García , J.J. Morales-Domene","doi":"10.1016/j.redare.2025.501987","DOIUrl":"10.1016/j.redare.2025.501987","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":"73 2","pages":"Article 501987"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812315","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 : 2026-02-01Epub Date: 2026-01-28DOI: 10.1016/j.redare.2026.501998
D. Pérez-Ajami , F. Escribá Alepuz , J.D. Jiménez Santana , B. Aguado Rodríguez , E. Estupiñán Valido
Advanced airway management in pediatric anesthesia has undergone substantial development with the incorporation of emerging technologies and strategies tailored to the unique anatomy and physiology of children. This review provides a critical appraisal of the clinical utility of tools such as videolaryngoscopy, high-flow nasal cannula oxygen therapy, and supraglottic devices, as well as specific techniques including the Bailey maneuver, fiberoptic-assisted intubation, and one-lung ventilation. Relevant studies published up to March 2025 were identified through searches in PubMed, Embase, Scopus, and Web of Science. Current evidence supports the use of these resources to enhance safety and effectiveness in complex scenarios, underscoring the importance of individualized device selection and specialized training. The integration of these strategies into tailored protocols represents a key step toward optimizing airway management in pediatric patients.
先进的气道管理在儿科麻醉经历了实质性的发展与新兴技术的结合和策略量身定制的独特的解剖和生理的儿童。本文综述了视频喉镜检查、高流量鼻插管氧疗和声门上设备等工具的临床应用，以及包括贝利操作、纤维辅助插管和单肺通气在内的特定技术。通过检索PubMed、Embase、Scopus和Web of Science，确定了截至2025年3月发表的相关研究。目前的证据支持使用这些资源来提高复杂情况下的安全性和有效性，强调个性化设备选择和专业培训的重要性。将这些策略整合到量身定制的方案中是优化儿科患者气道管理的关键一步。
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