Anesthesia, Pain, and Monitoring: Past and Future

A special issue of Anesthesia Research (ISSN 2813-5806).

Deadline for manuscript submissions: closed (31 August 2024) | Viewed by 3353

Special Issue Editor


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Guest Editor
Department of Anesthesia, Hualien Tzu-Chi Hospital, Hualien 97002, Taiwan
Interests: clinical anesthesia; airway management; cardiac cellular electrophysiology; human ethics
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Special Issue Information

Dear Colleagues,

Science and knowledge are the cornerstone of medical practices, including anesthesia. Over the centuries of this practice, many aspects of anesthesia have evolved. A great deal of exciting anesthesia research results have gradually improved our scientific understanding and clinical practices. Therefore, discoveries and inventions are the driving forces moving the anesthesia discipline forward. In the 21st century, anesthesia is not only about preventing pain. Modern anesthesia concepts also include any thoughts or ideas related to the mechanisms and monitoring of anesthesia depth, as an example. Other aspects include various therapeutic strategies and medications, pain research and management, and critical care. We believe that bold original thinking and honest skepticism will balance and promote anesthesia research.

This Special Issue, “Anesthesia, Pain, and Monitoring: Past and Future”, will address the latest findings and ideas in this field of research.

We invite submissions of original research papers as well as contemporary review articles that reflect the latest progress in and potential of this research field.

Dr. Luk Hsiang Ning
Guest Editor

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Anesthesia Research is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1000 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • anesthesia
  • peri-operative care
  • pain medicine
  • critical care medicine
  • airway management
  • hemodynamic monitoring
  • neuromonitoring
  • molecular biology
  • COVID-19

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Published Papers (2 papers)

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Review

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19 pages, 1165 KiB  
Review
Enhancing Neuroprotection in Cardiac and Aortic Surgeries: A Narrative Review
by Debora Emanuela Torre and Carmelo Pirri
Anesth. Res. 2024, 1(2), 91-109; https://doi.org/10.3390/anesthres1020010 - 23 Aug 2024
Viewed by 604
Abstract
Background: Neurological injury poses a significant challenge in aortic surgery, encompassing spinal cord injury from thoraco-abdominal aorta intervention or stroke post-surgery on the arch and ascending aorta. Despite ample literature and proposals, a fully effective strategy for preventing or treating neurological injury remains [...] Read more.
Background: Neurological injury poses a significant challenge in aortic surgery, encompassing spinal cord injury from thoraco-abdominal aorta intervention or stroke post-surgery on the arch and ascending aorta. Despite ample literature and proposals, a fully effective strategy for preventing or treating neurological injury remains elusive. This narrative review aims to analyze the most common neuroprotective strategies implemented for aortic arch surgery and aortic surgery. Results: Results from the reviewed studies showed that several strategies, including deep hypothermia cardiac induction (DHCA) and cerebral perfusion techniques (retrograde cerebral perfusion, RCP, and selective anterograde cerebral perfusion, SACP) aim to mitigate these risks. Monitoring methods such as electroencephalogram (EEG), somatosensory evoked potential (SEPs), and near-infrared spectroscopy (NIRS) offer valuable insights into cerebral function during surgery, aiding in the management of hypothermia and perfusion. Pharmacological agents and blood gas management (pH stat vs. alpha stat, hematocrit level, glycemic control) are crucial in preventing post-operative complications. Additionally meticulous management of atheromatous debris is essential to minimize embolic risks during surgery. Methods: For this narrative review, PubMed, Scopus, and Medline have been used to search articles about neuroprotection strategies in aortic and aortic arch surgeries. The search was narrowed to articles between 1975 and 2024. A total of 3418 articles were initially identified to be potentially relevant for this review. A total of 66 articles were included and were found to match the inclusion criteria. Conclusions: While an overabundance of neuroprotection strategies exists for cardiac surgery, particularly in procedures involving the aorta and the arch, their efficacy varies, with some well-documented and others still under scrutiny. Further research is imperative to advance our comprehension and refine prevention techniques for cardiac-surgery-related brain injury. This is crucial given its substantial contribution to both mortality and, notably, post-operative morbidity. Full article
(This article belongs to the Special Issue Anesthesia, Pain, and Monitoring: Past and Future)
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16 pages, 3661 KiB  
Case Report
Combined Styletubation with Videolaryngoscopy for Tracheal Intubation in Patients Undergoing Thyroidectomy with Intraoperative Neuromonitoring
by Hui-Shan Pan, Tiffany Corey, Hsiang-Ning Luk, Jason Zhensheng Qu and Alan Shikani
Anesth. Res. 2024, 1(1), 8-23; https://doi.org/10.3390/anesthres1010003 - 22 Sep 2023
Cited by 4 | Viewed by 1871
Abstract
The purpose of this case series report is to demonstrate the current state of the art regarding tracheal intubation of an evoked electromyography-endotracheal tube (EMG-ET tube) for continuous intraoperative recurrent laryngeal nerve monitoring (IONM) in patients undergoing thyroid surgery. Both direct laryngoscopy (DL) [...] Read more.
The purpose of this case series report is to demonstrate the current state of the art regarding tracheal intubation of an evoked electromyography-endotracheal tube (EMG-ET tube) for continuous intraoperative recurrent laryngeal nerve monitoring (IONM) in patients undergoing thyroid surgery. Both direct laryngoscopy (DL) and videolaryngoscopy (VL) are popular for routine tracheal intubation of an EMG-ET tube. A new intubating technique (styletubation), using a video-assisted intubating stylet (VS), provides less traumatic and swift intubation. Styletubation combined with VL ensures the precise placement of the EMG-ET tube. This novel intubation technique improves the outcome of intubating an EMG-ET tube for IONM. Full article
(This article belongs to the Special Issue Anesthesia, Pain, and Monitoring: Past and Future)
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