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Availability and threshold of the vasoactive-inotropic score for predicting early extubation in adults after rheumatic heart valve surgery: a single-center retrospective cohort study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-18 Yang Zhao, Hanlei Zhao, Jiao Huang, Bo Mei, Jun Xiang, Yizheng Wang, Jingyan Lin, San Huang
Early extubation (EEx) is defined as the removal of the endotracheal tube within 8 h postoperatively. The present study involved determining the availability and threshold of the vasoactive-inotropic score (VIS) for predicting EEx in adults after elective rheumatic heart valve surgery. The present study was designed as a single-center retrospective cohort study which was conducted with adults who underwent
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Effect of deep neuromuscular block on the quality of early recovery after sleeve gastrectomy in obese patients: a randomized controlled trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-16 Wan-li Yang, Ya-ling Wen, Wen-mei Xu, Chi-liang Xu, Wen-qin Yin, Jing-yan Lin
Deep neuromuscular block (NMB) has been shown to improve surgical conditions and alleviate post-operative pain in bariatric surgery compared with moderate NMB. We hypothesized that deep NMB could also improve the quality of early recovery after laparoscopic sleeve gastrectomy (LSG). Eighty patients were randomized to receive either deep (post-tetanic count 1–3) or moderate (train-of-four count 1–3)
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Placement of bronchial occluder outside the tracheal tube in a patient combined with airway compression undergoing mediastinal tumors resection: a case report BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-12 Yihu Zhou, Yueyi Jiang, Yuyan Ding, Lianbing Gu, Jing Tan
Mediastinal tumors pose a challenging respiratory and circulatory management during anesthesia procedures, there is a risk of circulatory collapse or complete airway obstruction, which in severe cases can lead to cardiac arrest. We reported a case of anesthetic management using a bronchial blocker placed outside the tracheal tube. In this case report, the patient’s trachea was so severely compressed
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Nonintubated spontaneous ventilation versus intubated mechanical ventilation anesthesia for video-assisted thoracic surgery in terms of perioperative complications and practitioners’ workload assessments: a pilot randomized control study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-12 Xian-gang Kong, Kun Wang, Yu-tao Wei, Bo Sun, Guo-dong Gao, Cheng-wei Song, Cheng-wen Li
The use of nonintubated video-assisted thoracoscopic surgery (NI-VATS) has been increasingly reported to yield favourable outcomes. However, this technology has not been routinely used because its advantages and safety have not been fully confirmed. The aim of this study was to assess the safety and feasibility of nonintubated spontaneous ventilation (NI-SV) anesthesia compared to intubated mechanical
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Postoperative morbidity and mortality of patients with COVID-19 undergoing cardiovascular surgery: an inverse propensity-weighted study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-09 Fei Xu, Yunbo Bai, Fang Xie, Daqi Liu, Zhaoqi Wang, Sheng Wang
To evaluate the postoperative morbidity and mortality of patients undergoing cardiovascular surgery during the 2022 nationwide Omicron variant infection wave in China. This retrospective cohort study included 403 patients who underwent cardiovascular surgery for the first time during the 2022 wave of the pandemic within 1 month. Among them, 328 patients were preoperatively diagnosed with COVID-19 Omicron
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Retraction Note: Functional modular networks identify the pivotal genes associated with morphine addiction and potential drug therapies BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-09 Yage Jiang, Donglei Wei, Yubo Xie
Retraction Note: BMC Anesthesiology (2023) 23:151 https://doi.org/10.1186/s12871-023-02111-2 The Editor has retracted this article. After publication, concerns were raised regarding the datasets used in this study. Specifically, the dataset GSE30305 contains animals treated with heroin rather than with morphine. As such, the Editor no longer has confidence in the results and conclusions presented in
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Efficacy and safety of esketamine combined with propofol for curative endoscopic resection in colorectum: a prospective, randomized controlled trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-09 Yimei Ma, Jiali Wang, Yuying Yang, Minmin Yao
Curative endoscopic resection is widely used to treat colonic polyps and early stage cancers. The anesthetic strategy commonly involves the use of propofol combined with a small dose of opioids for sedation. Adverse respiratory or cardiovascular events such as hypotension often occur when attempting to achieve the necessary level of sedation. Several studies have suggested its advantages owing to the
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Fascia iliaca compartment block for postoperative pain after total hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-09 Mona Muhe Eldeen Eshag, Lina Omar Mahmoud Hasan, Salem Elshenawy, Mennatallah Samir Ahmed, Abd El-moneam Emad Mostafa, Yomna Ali Abdelghafar, Yusuf Jasim Althawadi, Najwa Medhat Ibraheem, Helmy Badr, Yossef Hassan AbdelQadir
Fascia iliaca compartment block (FICB) is one of the regional nerve blocks used to reduce pain after total hip arthroplasty (THA). We aim to assess the efficacy of FICB in reducing post-operative pain and opioid consumption. We searched PubMed, Web of Science, Cochrane Library, Embase, and Scopus on February 19, 2023, and we updated our search in august 2023 using relevant search strategy. Studies
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Minimal alveolar concentration of sevoflurane in combination with remimazolam in adults during laryngeal mask insertion: an up-down sequential allocation study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-08 Yan Huang, HongYu Liao, LinJi Li, Juan Xu, PingPing Jiang, YanXia Guo, KunPeng Liu
Remimazolam is a novel ultrashort-acting intravenous benzodiazepine sedative-hypnotic. The combination of remimazolam and sevoflurane does not increase respiratory sensitivity, produce bronchospasm, or cause other adverse conditions. We aimed to observe the effects of different remimazolam doses on the minimum alveolar concentration (MAC) of sevoflurane at end-expiration during laryngeal mask insertion
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Efficacy and safety of ciprofol versus propofol for anesthesia induction in adult patients received elective surgeries: a meta‑analysis BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-07 Dilireba Ainiwaer, Wanwei Jiang
Propofol is use widely used in anesthesia, known for its effectiveness, may lead to cardiopulmonary issues in some patients. Ciprofol has emerged as a possible alternative to propofol because it can achieve comparable effects to propofol while causing fewer adverse events at lower doses. However, no definitive conclusion has been reached yet. This meta-analysis aimed to evaluate the efficacy and safety
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The effects of robot-assisted laparoscopic surgery with Trendelenburg position on short-term postoperative respiratory diaphragmatic function BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-05 Shuo Xue, Dan Wang, Hong-Qin Tu, Xiao-Ping Gu, Zheng-Liang Ma, Yue Liu, Wei Zhang
To study how Pneumoperitoneum under Trendelenburg position for robot-assisted laparoscopic surgery impact the perioperative respiratory parameters, diagrammatic function, etc. Patients undergoing robot-assisted laparoscopic surgery in the Trendelenburg position and patients undergoing general surgery in the supine position were selected. The subjects were divided into two groups according to the type
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Effectiveness of tranexamic acid in burn patients undergoing surgery – a systematic review and meta-analysis BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-04 Joeri Slob, Rolf K. Gigengack, Margriet E. van Baar, Stephan A. Loer, Seppe S. H. A. Koopman, Cornelis H. van der Vlies
Reducing blood loss during excisional surgery in burn patients remains a challenge. Tranexamic acid during surgery can potentially reduce blood loss. The use of tranexamic acid during excisional surgery in burn patients has recently been described in a review and meta-analysis. However, quality assessment on studies included was not performed and this review did not apply independent reviewers. Quality
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Gastric point-of-care ultrasonography in patients undergoing radical gastrointestinal surgery before anesthetic induction: an observational cohort study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-04 Siming Huang, Shumei Cao, Xia Sun, Jun Zhang
Pulmonary aspiration of gastric contents is a serious perioperative complication. Patients with gastric cancer may experience delayed gastric emptying. However, the role of qualitative and quantitative gastric ultrasound assessments in this patient population before anesthesia induction has not yet been determined. Adult patients with gastrointestinal cancer were recruited and examined using gastric
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The relationship between preoperative blood pressure during anesthetic examinations and pre-intubation blood pressure BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-02 Ikuya Koibuchi, Yuji Kadoi, Chizu Asou, Shigeru Saito
There have been few reports showing the relationship between blood pressure (BP) measured at clinics preoperatively and BP measured before anesthetic intubation/induction. The purpose of this study was to examine the relationship between BP measured at different times and settings preoperatively and BP measured before intubation/induction. A total of 182 patients who underwent general anesthesia between
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Prediction of preload dependency using phenylephrine-induced peripheral perfusion index during general anaesthesia: a prospective observational study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-02 Yusuke Iizuka, Koichi Yoshinaga, Shizuka Amitani, Seiya Nishiyama, Kentaro Fukano, Keika Miyazawa, Asuka Kitajima, Ikumi Sawada, Yuji Otsuka, Masamitsu Sanui
Tracking preload dependency non-invasively to maintain adequate tissue perfusion in the perioperative period can be challenging.The effect of phenylephrine on stroke volume is dependent upon preload. Changes in stroke volume induced by phenylephrine administration can be used to predict preload dependency. The change in the peripheral perfusion index derived from photoplethysmography signals reportedly
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Efficacy of transversus abdominis plane block on postoperative nausea and vomiting: a meta-analysis of randomized controlled trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-03-01 Jinfang Zeng, Aonan Hong, Zhen Gu, Jinjin Jian, Xiao Liang
Postoperative nausea and vomiting (PONV) is a common postoperative complication, and Transversus abdominis plane (TAP) block can provide effective analgesia for surgical operation. However, but there is not enough evidence to prove its advantage for nausea and vomiting. The objective of this meta-analysis was to evaluate the efficacy of TAP block on PONV. Two independent researchers conducted searches
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Clinical nomogram prediction model to assess the risk of prolonged ICU length of stay in patients with diabetic ketoacidosis: a retrospective analysis based on the MIMIC-IV database BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-29 Jincun Shi, Fujin Chen, Kaihui Zheng, Tong Su, Xiaobo Wang, Jianhua Wu, Bukao Ni, Yujie Pan
The duration of hospitalization, especially in the intensive care unit (ICU), for patients with diabetic ketoacidosis (DKA) is influenced by patient prognosis and treatment costs. Reducing ICU length of stay (LOS) in patients with DKA is crucial for optimising healthcare resources utilization. This study aimed to establish a nomogram prediction model to identify the risk factors influencing prolonged
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Application of remimazolam-0.6% sevoflurane anesthesia for flash visual evoked potential monitoring during pituitary adenoma resection: a non-inferiority randomized controlled trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-29 Fu Shi, Ranran Tang, Xiangrong Du, Xin Li, Guisheng Wu
Flash visual evoked potential (FVEP) is a critical method for monitoring intraoperative visual function during neurosurgery. A new benzodiazepine drug called remimazolam has recently been used for general anesthesia. However, the impact of remimazolam on FVEP remains unclear. Therefore, we aimed to investigate how remimazolam, in comparison to propofol, when combined with 0.6% sevoflurane anesthesia
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Behavioral pain scale may not be reliable in awake non-verbal intensive care patients: a case control study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-29 Christian Waydhas, Christopher Ull, Oliver Cruciger, Uwe Hamsen, Thomas A. Schildhauer, Robert Gaschler, Christina Weckwerth
The evaluation of pain in patients, unable of oral communication, often relies on behavioral assessment. However, some critically ill patients, while non-verbal, are awake and have some potential for self-reporting. The objective was to compare the results of a behavioral pain assessment with self-reporting in awake, non-verbal, critically ill patients unable to use low-tech augmentative and alternative
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Effect of age and gender on ventricular-arterial coupling estimated using a non-invasive technique BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-27 Yurie Obata, Yuka Matsuki, Kazuhiro Okafuji, Kenji Shigemi
Left ventricular-arterial coupling is assessed as the ratio of left ventricular end-systolic elastance (Ees) to arterial elastance (Ea). Previous studies have introduced non-invasive estimations of Ees/Ea. It requires only four variables, namely pre-ejection period, ejection time, end-systolic pressure and diastolic pressure. The aims of the present study were to clarify the reference values of Ees/Ea
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Intraoperative mechanical power and postoperative pulmonary complications in low-risk surgical patients: a prospective observational cohort study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-27 Mohamad El-Khatib, Carine Zeeni, Fadia M. Shebbo, Cynthia Karam, Bilal Safi, Aline Toukhtarian, Nancy Abou Nafeh, Samar Mkhayel, Carol Abi Shadid, Sana Chalhoub, Jean Beresian
Inadequate intraoperative mechanical ventilation (MV) can lead to ventilator-induced lung injury and increased risk for postoperative pulmonary complications (PPCs). Mechanical power (MP) was shown to be a valuable indicator for MV outcomes in critical care patients. The aim of this study is to assess the association between intraoperative MP in low-risk surgical patients undergoing general anesthesia
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Predictors and influence of postoperative moderate-to-severe pain of PACU in the patients with malignancy BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-27 Yu Zhang, Qinxue Dai, Kaiwei Xu, Haifeng Fu, Anqi Zhang, Wenwen Du
This study was identified the risk factors for and designed to investigate influence of postoperative moderate-to-severe pain of post anaesthesia care unit (PACU) in patients with malignancy. A retrospective study was performed on 22,600 cancer patients with malignancy who underwent elective radical surgery in the new hospital of First Affiliated Hospital of Wenzhou Medical University, between January
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Influence of a chronic beta-blocker therapy on perioperative opioid consumption – a post hoc secondary analysis BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-27 Ralf F. Trauzeddel, Luisa M. Rothe, Michael Nordine, Lukas Dehé, Kathrin Scholtz, Claudia Spies, Daniel Hadzidiakos, Georg Winterer, Friedrich Borchers, Jochen Kruppa, Sascha Treskatsch
Beta-blocker (BB) therapy plays a central role in the treatment of cardiovascular diseases. An increasing number of patients with cardiovascular diseases undergoe noncardiac surgery, where opioids are an integral part of the anesthesiological management. There is evidence to suggest that short-term intravenous BB therapy may influence perioperative opioid requirements due to an assumed cross-talk between
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Evidence-based systematic review of removal of peripheral arterial catheter in critically ill adult patients BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-26 Hongju Wang, Lihuan He, Chun Han, Jianhong Wan
To evaluate and summarize literature pertaining to evidence of peripheral arterial catheterization in adults, and to provide a reference for clinical practice. We undertook a systematic review of literature on the removal of peripheral arterial manometric catheters in adult patients from various sources such as UpToDate, BMJ, National Institute for Health and Care Excellence (NICE), Medlive, Cochrane
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The safety of preoperative carbohydrate drinks in extremely elderly patients assessed by gastric ultrasonography: a randomized controlled trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-26 Lingyang Chen, Nana Wang, Guohao Xie, Mingcang Wang, Yulong Yu, Huiqin Wang, Xiangming Fang
Modern perioperative guidelines encourage drinking oral carbohydrates 2 h before management. Nevertheless, research on the safety of preoperative carbohydrate drinks, particularly in extremely elderly patients is lacking. We aimed to evaluate the safety of carbohydrate drinks 2 h before surgery in extremely elderly patients (≥ 80 years) using gastric ultrasonography. We conducted a randomized prospective
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Intrathecal morphine delivery at prepontine cistern to control refractory cancer-related pain: a case report of extensive metastatic and refractory cancer pain BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-26 Qing Li, Yan-ling Long, Yun-wu He, Hui Long, Zhen-ping Xiao, Yong-lin Li, Wu-zhou Yang, Li-ping Jiang, Wei Gao, Cong Zou
Extensive metastatic and refractory cancer pain is common, and exhibits a dissatisfactory response to the conventional intrathecal infusion of opioid analgesics. The present study reports a case of an extensive metastatic esophageal cancer patient with severe intractable pain, who underwent translumbar subarachnoid puncture with intrathecal catheterization to the prepontine cistern. After continuous
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Mass intraoperative endothelial glycocalyx shedding affects postoperative systemic inflammation response BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-26 JiaWan Wang, Yan Wu
Off-pump coronary artery bypass graft (OPCABG) has a high incidence of postoperative systemic inflammation response syndrome (SIRS), and perioperative endothelial glycocalyx layer (EGL) disruption can be one of the predisposing factors. We hypothesized that EGL shedding happened earlier in OPCABG which can influence on postoperative SIRS, and sevoflurane might preserve EGL better than propofol. We
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Safety and effcacy of remimazolam tosilate for sedation during combined spinal-epidural anesthesia for orthopedic procedures: a randomized controlled trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-26 Yufei Chen, Yimeng Cai, Guoqing Yu, Xi Zhang, Tian Hu, Rui Xue
The objective of this study was to assess the efficacy and safety of Remimazolam in the context of combined spinal-epidural anesthesia for sedation during orthopedic surgery. This randomized controlled trial enrolled patients scheduled for orthopedic surgery under combined spinal-epidural anesthesia (N = 80), who were randomly allocated to receive either dexmedetomidine (Group-D) or remimazolam (Group-R)
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Retraction Note: Effect of apoptosis in neural stem cells treated with sevoflurane BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-23 Jianlei Qiu, Pengcai Shi, Wude Mao, Yuyi Zhao, Wenshuai Liu, Yuelan Wang
This article has been retracted. Please see the Retraction Notice for more detail: https://doi.org/10.1186/s12871-024-02448-2.
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The role of dexmedetomidine administered via intravenous infusion as adjunctive therapy to mitigate postoperative delirium and postoperative cognitive dysfunction in elderly patients undergoing regional anesthesia: a meta-analysis of randomized controlled trials BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-23 Di Wang, Xiao He, Zicen Li, He Tao, Congjie Bi
This meta-analysis aimed to assess whether continuous intravenous administration of DEX during surgery can be part of the measures to prevent the onset of postoperative delirium and postoperative cognitive dysfunction in elderly individuals following regional anesthesia. We searched the databases of PubMed, Embase, the Cochrane Library and China National Knowledge Infrastructure (by June 1, 2023) for
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Molecular hydrogen attenuates sepsis-induced cardiomyopathy in mice by promoting autophagy BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-23 Yan Cui, Yingning Li, Shuqi Meng, Yu Song, Keliang Xie
Approximately 40 to 60% of patients with sepsis develop sepsis-induced cardiomyopathy (SIC), which is associated with a substantial increase in mortality. We have found that molecular hydrogen (H2) inhalation improved the survival rate and cardiac injury in septic mice. However, the mechanism remains unclear. This study aimed to explore the regulatory mechanism by which hydrogen modulates autophagy
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Alternative blood transfusion triggers: a narrative review BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-23 Ardak Arynov, Dilyara Kaidarova, Barbara Kabon
Anemia, characterized by low hemoglobin levels, is a global public health concern. Anemia is an independent factor worsening outcomes in various patient groups. Blood transfusion has been the traditional treatment for anemia; its triggers, primarily based on hemoglobin levels; however, hemoglobin level is not always an ideal trigger for blood transfusion. Additionally, blood transfusion worsens clinical
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External validation of the modified Marsh and Schnider models for medium-chain triglyceride propofol in target-controlled infusion anesthesia BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-23 Seongheon Lee, Dongho Kang, Eunjin Song, Sungah Yoo, Seongwook Jeong
Propofol formulated with medium- and long-chain triglycerides (MCT/LCT propofol) has rapidly replaced propofol formulated with long-chain triglycerides (LCT propofol). Despite this shift, the modified Marsh and Schnider pharmacokinetic models developed using LCT propofol are still widely used for target-controlled infusion (TCI) of propofol. This study aimed to validate the external applicability of
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Analgesic effect of the ultrasound-guided thoracolumbar paravertebral block in patients undergoing robot-assisted laparoscopic nephrectomy: a randomized controlled trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-22 Guojiang Yin, Yue Li, Pengxiao Wei, Xuyuan Ma, Bixi Li, Guosheng Gan, Xiaoyang Song
Paravertebral block has similar effect as epidural anesthesia, and has good somatic and visceral analgesic effect. Paravertebral block is widely used in thoracic surgery, but rarely used in abdominal surgery. This study aimed to evaluate the analgesic effect of thoracolumbar paravertebral block in patients undergoing robot-assisted laparoscopic nephrectomy. One hundred patients undergoing elective
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Operator gender differences in major mechanical complications after central line insertions: a subgroup analysis of a prospective multicentre cohort study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-21 Leila Naddi, Janna Hübinette, Thomas Kander, Ola Borgquist, Maria Adrian
A previous study on mechanical complications after central venous catheterisation demonstrated differences in complication rates between male and female operators. The objective of this subgroup analysis was to further investigate these differences. The hypothesis was that differences in distribution of predefined variables between operator genders could be identified. This was a subgroup analysis
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Effect of esketamine on the EC50 of remifentanil for blunting cardiovascular responses to endotracheal intubation in female patients under general anesthesia: a sequential allocation dose-finding study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-21 Fan Ziqiang, He Keyu, Xue Yun, Liu Li, Bai Yiping
This study aimed to investigate the effect of esketamine on the dose–effect relationship between remifentanil and the cardiovascular response to endotracheal intubation during target-controlled infusion (TCI) of propofol. Patients underwent elective gynecological laparoscopic surgery under general anesthesia with endotracheal intubation, aged 18–65 years, American Society of Anesthesiologists class
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The effect of esketamine combined with propofol-induced general anesthesia on cerebral blood flow velocity: a randomized clinical trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-20 Shuang Yan, Qiying Li, Kaihua He
Esketamine is increasingly used in clinical anesthesia. The effect of esketamine on the blood flow velocity of the middle cerebral artery has a clinical guiding effect. To investigate the effect of esketamine combined with propofol-induced general anesthesia for endotracheal intubation on the blood flow velocity of middle cerebral artery and hemodynamics during the induction period. The randomized
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Effectiveness of perioperative low-dose esketamine infusion for postoperative pain management in pediatric urological surgery: a prospective clinical trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-15 Yanle Xie, Zenghui Liang, Shuhan Chen, Jing Liu, Huimin lv, Fei Xing, Yuanyuan Mao, Yanling Ren, Xin Wei, Zhongyu Wang, Na Xing, Jianjun Yang, Xiyao Gu, Jingjing Yuan
Postoperative pain is common in pediatric urological surgery. The study assess the impact of perioperative intravenous infusion of low-dose esketamine on postoperative pain in pediatric urological surgery. Pediatric patients (n = 80) undergoing urological surgery were randomized into four groups. Patients in the control group were administered an analgesic pump containing only hydromorphone at a dose
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Oral midodrine for prophylaxis against post-spinal anesthesia hypotension during hip arthroplasty in elderly population: a randomized controlled trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-14 Sarah Amin, Ahmed Hasanin, Rehab Mansour, Maha Mostafa, Dina Zakaria, Amany S Arafa, Akram Yassin, Hisham Ziada
We aimed to evaluate the efficacy of midodrine as a prophylaxis against post-spinal hypotension in elderly patients undergoing hip arthroplasty. This randomized controlled trial included elderly patients undergoing hip arthroplasty under spinal anesthesia. Ninety minutes before the procedure, patients were randomized to receive either 5-mg midodrine or placebo (metoclopramide). After spinal anesthesia
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Comparison of the effects of transversus thoracic muscle plane block and pecto-intercostal fascial block on postoperative opioid consumption in patients undergoing open cardiac surgery: a prospective randomized study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-10 Mariana AbdElSayed Mansour, Hatem ElMoutaz Mahmoud, Dina Mahmoud Fakhry, Dina Yehia Kassim
There is an association exists between cardiac surgery, performed through median sternotomy, and a considerable postoperative pain. The aim of the current study is to compare the effects of transversus thoracic muscle plane block (TTMPB) and pecto-intercostal fascial plane block (PIFB) upon postoperative opioid consumption among the patients who underwent open cardiac surgery. The present prospective
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Metabolic acidemia due to saline absorption during transurethral and transcervical surgery: a report of 2 cases BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-10 Mizuyuki Nakamura, Kohei Ikeda, Shoichi Uezono
The development of endoscopic systems that include bipolar electrocautery has enabled the use of normal saline irrigation in transurethral or transcervical endoscopic surgery. However, excessive saline absorption can cause hyperchloremic metabolic acidosis. Patient 1: A 76-year-old man was scheduled for transurethral resection of the prostate with saline irrigation. Approximately 140 min after the
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The value of pupillary diameter in evaluating pain perception after awakening in patients undergoing general anesthesia during orthopedic surgery BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-09 Huang Huang, Yinuo Qiu, Guoxin Gu, Xiangyang Mei, Liwei Pang, Chuangxin Zhang, Mingzi Ran, Mengmeng Li
The pupillary response to tetanic electrical stimulation reflects the balance between nociceptive stimulation and analgesia. Although pupillary pain index (PPI) was utilized to predict postoperative pain, it depended on tetanic stimulation and was complex. We aim to describe the potential relationship between PD in the presence of surgical stimulation and pain levels after awakening. According to the
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Safety and effectiveness of opioid-free anaesthesia in thoracoscopic surgery: a preliminary retrospective cohort study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-09 Shanshan Zhang, Jianmin Zhang, Ran Zhang
This study aimed to observe the effect of opioid-free anaesthesia (OFA) on intraoperative haemodynamic,postoperative analgesia and postoperative nausea and vomiting (PONV) in thoracoscopic surgery in order to provide more evidence for evaluating the safety and effectiveness of OFA technology. This was a single-centre retrospective observational study.Adult patients who underwent thoracoscopic surgery
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Effects of pressure-controlled ventilation targeting end-inspiratory flow rate on pulmonary complications and inflammation levels in patients undergoing spinal surgery in the prone position: a randomized clinical trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-09 Na Wang, Yong Ye, Hui Lin, Tingting Sun, Yue Hu, Yuanhang Shu, Jing Tong, Yong Tao, Zeyu Zhao
This study assessed the impact of pressure-controlled ventilation (PCV) focusing on end-inspiratory flow rate on the incidence of postoperative pulmonary complications (PPCs) and inflammation levels in patients undergoing spinal surgery in the prone position. A total of 187 patients who underwent posterior spinal surgery were enrolled and randomly divided into 3 groups: 61 in the volume-controlled
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Combined rectus sheath block with transverse abdominis plane block by one puncture for analgesia after laparoscopic upper abdominal surgery: a randomized controlled prospective study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-09 Shan Yu, Yaling Wen, Jing Lin, Jinghao Yang, Yihang He, Youbo Zuo
Rectus sheath block (RSB) and transversus abdominis plane block (TAPB) have been shown to reduce opioid consumption and decrease postoperative pain scores in abdominal surgeries. However, there are no reports about the one-puncture technique of RSB combined with TAPB for perioperative pain management during laparoscopic upper abdominal surgery. A total of 58 patients were randomly assigned to the control
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Erector spinae plane block as an anesthesia technique for an emergent thoracotomy; a case report BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-08 Alireza Shakeri, Elham Memary
The erector spinae plane block (ESPB) is a novel regional block technique for pain management following thoracic surgeries. However, there are minimal cases in which the technique was used as the main anesthesia technique during surgery. Here, we report the successful use of ESBP for applying anesthesia in a case during an emergent thoracotomy for performing pericardiotomy and loculated tamponade evacuation
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Nomogram for predicting postoperative pulmonary complications in spinal tumor patients BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-08 Jingcheng Zou, Ge Luo, Liwang Zhou, Xuena Wang, Tingting Wang, Qi Gao, Tao Lv, Guangxin Xu, Yuanyuan Yao, Min Yan
Although several independent risk factors for postoperative pulmonary complications (PPCs) after spinal tumor surgery have been studied, a simple and valid predictive model for PPC occurrence after spinal tumor surgery has not been developed. We collected data from patients who underwent elective spine surgery for a spinal tumor between 2013 and 2020 at a tertiary hospital in China. Data on patient
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Maintaining moderate versus lower PEEP after cardiac surgery: a propensity-scored matched analysis BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-07 Yi Chi, Qianling Wang, Siyi Yuan, Yutong Zhao, Huaiwu He, Yun Long
Setting positive end-expiratory pressure (PEEP) at around 5 cm H2O in the early postoperative period seems a common practice for most patients. It remains unclear if the routine application of higher levels of PEEP confers any meaningful clinical benefit for cardiac surgical patients. The aim of this study was to compare moderate versus conventional lower PEEP on patient-centered outcomes in the intensive
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Effect of ropivacaine, mepivacaine or the combination of ropivacaine and mepivacaine for epidural anaesthesia on the postoperative recovery in patients undergoing caesarean section: a randomized, prospective, double-blind study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-07 Muye Wang, Chen Liao, Xiaocui Li, Weiming Chen, Yujie Li, Wei Zhang, Shouping Wang
Anaesthetic methods and drugs with rapid onset, rapid recovery and better postoperative analgesia are more suitable for rapid recovery in obstetric anaesthesia. We formulated the following hypothesis: a combination of mepivacaine and ropivacaine could provide a longer analgesic effect and have more advantages in terms of rapid-recovery indicators. A total of 180 pregnant women scheduled to undergo
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Feasibility and accuracy of noninvasive continuous hemoglobin monitoring using transesophageal photoplethysmography in porcine model BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-06 Ling Peng, Long Zhao, Xue Zhang, Yi Zhang, Meng Ding, Zhibin Lin, Hao Jiang, Yuchen Huang, Bo Gao, Wei Wei
Continuous and noninvasive hemoglobin (Hb) monitoring during surgery is essential for anesthesiologists to make transfusions decisions. The aim of this study was to investigate the feasibility and accuracy of noninvasive and continuous Hb monitoring using transesophageal descending aortic photoplethysmography (dPPG) in porcine model. Nineteen landrace pigs, aged 3 to 5 months and weighing 30 to 50 kg
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Efficacy of esketamine for the treatment of postpartum depression and pain control following cesarean section: a randomized, double-blind, controlled clinical trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-06 Shurong Li, Zhifang Zhuo, Renwei Li, Kaikai Guo
Postpartum depression (PPD) following a cesarean delivery is a frequently seen complication. Despite the prophylactic effects of ketamine, the impact of esketamine on PPD in women undergoing cesarean section remains uncertain. This study aimed to assess the effectiveness of esketamine as an adjunct to patient-controlled intravenous analgesia (PCIA) in preventing PPD in women undergoing caesarean section
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Comparison of the analgesic effect of dezocine and esketamine in combination with sufentanil respectively after laparoscopic cholecystectomy: a prospective randomized controlled study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-05 Boran Deng, Dingding Wang, Zifeng Xie, Yongqin Wang, Li Huang, Manlin Jiang, Tu Shen
Sufentanil in combination with dezocine or esketamine is often used for postoperative analgesia. However, there is a lack of clinical evidence of efficacy. This study compares the analgesic effects of esketamine and dezocine combined with sufentanil for relieving pain after laparoscopic cholecystectomy(LC). A total of 58 patients were randomly assigned to the esketamine group (ES group) and dezocine
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Effective dose of propofol combined with intravenous esketamine for smooth flexible laryngeal mask airway insertion in two distinct age groups of preschool children BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-05 Bin Zhang, Mingzhuo Li, Yuejiao Han, Xianliang Zhao, Chunhong Duan, Junxia Wang
There is limited research on the combined use of propofol and esketamine for anesthesia induction during flexible laryngeal mask airway (FLMA) in pediatric patients, and the effective dosage of propofol for FLMA smooth insertion remains unclear. We explored the effective dose of propofol combined with intravenous esketamine for the smooth insertion of FLMA in two distinct age groups of preschool children
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The effect of haloperidol’s perioperative application on postoperative delirium in elderly patients: a systematic review and meta-analysis BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-03 Meinv Liu, Jie Su, Bei Wang, Dongdong Yu, Jianli Li, Xinyu Cao
To systematically review the evidence about the effect of haloperidol on postoperative delirium in elderly patients. PubMed, Embase, the Cochrane Library and China National Knowledge Infrastructure were used to find concerned studies for meta-analysis. The main outcome was the incidence of postoperative delirium, and the secondary outcomes were side effects of haloperidol and the length of hospital
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The 50% and 95% effective dose of remimazolam tosilate for anaesthesia induction in sleep disorders patients undergoing laparoscopic cholecystectomy: an up-and-down sequential allocation trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-02 Yue Xiao, Yanan Cao, Jie Pu, Chendong Guo, Yanzi Yi, Youming Deng, Yimin Hu
Previous reports argue that preoperative sleep conditions of patients can influence the dosage of general anaesthesia drugs. Therefore, we aimed to investigate the dose-effect relationship of preoperative sleep disorders on the induction of general anaesthesia with remimazolam tosilate and calculate the Median effective (ED50) and 95% effective (ED95) dosages. Included in our study were 56 patients
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Safety and efficacy of low-dose esketamine in laparoscopic cholecystectomy: a prospective, double-blind randomized controlled trial BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-01 Lu Zhao, Zhengyu Li, Bi Jin, Nina Hou, Heng Yang
Esketamine, recognized for its analgesic, sedative, and anti-inflammatory qualities, is integral in multimodal analgesia. However, the potential opioid-sparing effects of intravenous esketamine, along with its impact on inflammatory responses, and cognitive function during laparoscopic surgery, remain unexplored. In this study, 90 patients scheduled for laparoscopic cholecystectomy were equally randomized
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Effect of esketamine on postoperative analgesia and postoperative delirium in elderly patients undergoing gastrointestinal surgery BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-01 Jing Liu, TingTing Wang, Jian Song, Li Cao
To investigate the analgesic effect of esketamine combined with low-dose sufentanil in elderly patients after gastrointestinal surgery, and whether the anti-inflammatory effect of esketamine is involved in the mechanism of postoperative delirium. We enrolled sixty elderly patients (age ≥ 65 years old, American Society of Anesthesiologists (ASA) grade I-III) who underwent gastrointestinal surgery. Patients
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Remifentanil improves left ventricular diastolic parameters in patients with impaired diastolic function: a prospective clinical study BMC Anesthesiol. (IF 2.2) Pub Date : 2024-02-01 Özge Köner, Mustafa Aytek Şimşek, Nurcan Kızılcık, Çiğdem Koca, Ayça Türer Cabbar
Left ventricular diastolic dysfunction has a significant impact on perioperative morbidity and mortality, and its incidence is high in elderly individuals. Anesthetic agents may impair diastolic function, which may increase the incidence of perioperative complications. The aim of this prospective, clinical, phase 4 study was to investigate the effects of remifentanil on left ventricle (LV) diastolic
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Difficult airway simulation-based training for anaesthesiologists: efficacy and skills retention within six months BMC Anesthesiol. (IF 2.2) Pub Date : 2024-01-31 Kateryna Bielka, Iurii Kuchyn, Hanna Fomina, Olena Khomenko, Iryna Kyselova, Michael Frank
The aim of this study was to evaluate how anaesthesiologists manage a “cannot intubate, can ventilate” (CI) and “cannot intubate, cannot ventilate” (CICV) scenarios, and how following simulation training will affect their guideline adherence, skills and decision-making immediately after training and 6 months later. A prospective controlled study was conducted from July to December 2022. Anaesthesiologists
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Severe coagulopathy and inflammation occurred after resection of giant right ventricular intimal sarcoma with cardiopulmonary bypass: a case report BMC Anesthesiol. (IF 2.2) Pub Date : 2024-01-31 Menghan Liu, Xuejie Li, Ronghua Zhou
Primary malignant cardiac tumors are rare in clinic, and surgical resection under cardiopulmonary bypass (CPB) remains the main treatment. The non-physiological perfusion process of CPB leads to contact activation, and the resulting coagulopathy and systemic inflammatory response syndrome (SIRS) are common complications. However, it is difficult to predict the impact of foreign tumor fragments on this