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Review Special Issue Series: Recent Advances in Anesthesiology

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Anesthesiology".

Deadline for manuscript submissions: closed (30 April 2024) | Viewed by 19144

Special Issue Editor

Prof. Dr. Marco Cascella

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Guest Editor
Department of Medicine, University of Salerno, Baronissi, 84081 Salerno, Italy
Interests: awareness anesthesia; anesthesia brain monitoring; memory and anesthesia; postoperative delirium; postoperative cognitive dysfunction; opioid research; pain assessment; artificial intelligence
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The "Review Special Issue Series: Recent Advances in Anesthesiology" offers a clinical-oriented overview of the latest developments in anesthesia, providing valuable insights and practical solutions for anesthesia practitioners.

This collection focuses on anesthesia management and perioperative care, with a strong emphasis on patient safety and improving outcomes. This Special Issue highlights novel anesthetic agents and techniques, aiming to optimize anesthesia delivery and minimize side effects.

Pain management is a central theme, with innovative approaches to pain relief during and after surgery. The goal is to enhance patient comfort and recovery while reducing opioid use and related complications.

The integration of technology in anesthesia practice is also explored, with articles discussing the implementation of advanced monitoring systems and how they can enhance real-time assessment and treatment planning. Notably, the role of Artificial Intelligence (AI) in anesthesia is also examined, demonstrating how AI-driven techniques are revolutionizing patient monitoring and personalized anesthetic care.

This Special Issue addresses the challenges of specific patient populations, such as pediatric and elderly patients, providing tailored anesthesia approaches for these groups. Furthermore, we welcome submissions of articles encompassing various anesthesia specialties, including but not limited to cardiac anesthesia and neuroanesthesia.

In conclusion, the "Recent Advances in Anesthesiology" Special Issue is a valuable resource for anesthesia practitioners, offering evidence-based practices and innovations to improve the quality of care and patient outcomes.

Dr. Marco Cascella
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

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. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly 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 2600 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 management
  • perioperative care
  • pain management
  • novel anesthetic agents
  • patient safety
  • opioid sparing
  • advanced monitoring
  • technology in anesthesia
  • special patient populations
  • AI (Artificial Intelligence)
  • cardiac anesthesia
  • neuroanesthesia

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (6 papers)

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Editorial

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5 pages, 190 KiB  
Editorial
Recent Advances and Perspectives in Anesthesiology: Towards Artificial Intelligence-Based Applications
by Marco Cascella, Massimo Antonio Innamorato and Alessandro Simonini
J. Clin. Med. 2024, 13(15), 4316; https://doi.org/10.3390/jcm13154316 - 24 Jul 2024
Viewed by 2861
Abstract
In recent years, the field of anesthesiology has seen remarkable advancements in patient safety, comfort, and outcomes [...] Full article
(This article belongs to the Special Issue Review Special Issue Series: Recent Advances in Anesthesiology)

Research

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13 pages, 1439 KiB  
Article
Intercostal Catheters Reduce Long-Term Pain and Postoperative Opioid Consumption after VATS
by Marie-Christin Neuschmid, Florian Ponholzer, Caecilia Ng, Herbert Maier, Hannes Dejaco, Paolo Lucciarini, Stefan Schneeberger and Florian Augustin
J. Clin. Med. 2024, 13(10), 2842; https://doi.org/10.3390/jcm13102842 - 11 May 2024
Cited by 1 | Viewed by 1436
Abstract
Background/Objectives: Pain after video-assisted thoracoscopic surgery (VATS) leads to impaired postoperative recovery, possible side effects of opioid usage, and higher rates of chronic post-surgery pain (CPSP). Nevertheless, guidelines on perioperative pain management for VATS patients are lacking. The aim of this study [...] Read more.
Background/Objectives: Pain after video-assisted thoracoscopic surgery (VATS) leads to impaired postoperative recovery, possible side effects of opioid usage, and higher rates of chronic post-surgery pain (CPSP). Nevertheless, guidelines on perioperative pain management for VATS patients are lacking. The aim of this study was to analyze the effectiveness of intercostal catheters in combination with a single shot intraoperative intercostal nerve block (SSINB) in comparison to SSINB alone with respect to opioid consumption and CPSP. Methods: Patients receiving an anatomic VATS resection between 2019 and 2022 for primary lung cancer were retrospectively analyzed. A total of 75 consecutive patients receiving an ICC and SSINB and 75 consecutive patients receiving only SSINB were included in our database. After enforcing the exclusion criteria (insufficient documentation, external follow-ups, or patients receiving opioids on a fixed schedule; n = 9) 141 patients remained for further analysis. Results: The ICC and No ICC cohort were comparable in age, gender distribution, tumor location and hospital stay. Patients in the ICC cohort showed significantly less opioid usage regarding the extent (4.48 ± 6.69 SD vs. 7.23 ± 7.55 SD mg, p = 0.023), duration (0.76 ± 0.97 SD vs. 1.26 ± 1.33 SD days, p = 0.012) and frequency (0.90 ± 1.34 SD vs. 1.45 ± 1.51 SD times, p = 0.023) in comparison to the No ICC group. During the first nine months of oncological follow-up assessments, no statistical difference was found in the rate of patients experiencing postoperative pain, although a trend towards less pain in the ICC cohort was found. One year after surgery, the ICC cohort expressed significantly less often pain (1.5 vs. 10.8%, p = 0.035). Conclusions: Placement of an ICC provides VATS patients with improved postoperative pain relief resulting in a reduced frequency of required opioid administration, less days with opioids, and a reduced total amount of opioids consumed. Furthermore, ICC patients have significantly lower rates of CPSP one year after surgery. Full article
(This article belongs to the Special Issue Review Special Issue Series: Recent Advances in Anesthesiology)
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12 pages, 2251 KiB  
Article
Quality Improvement Protocol: Improving the Use of Nonpharmacological Pain Management Strategies within the Inpatient Hospital Setting
by Katherine S. Salamon, Christina Russell, Dara DeVinney and Catherine M. Soprano
J. Clin. Med. 2024, 13(6), 1680; https://doi.org/10.3390/jcm13061680 - 14 Mar 2024
Viewed by 1991
Abstract
Background: There are many nonpharmacological pain management services available to hospitalized youth; however, not all youth are offered these services. Lack of knowledge about resources, difficulty with the referral process, and lack of understanding about nonpharmacological pain management services and when to refer [...] Read more.
Background: There are many nonpharmacological pain management services available to hospitalized youth; however, not all youth are offered these services. Lack of knowledge about resources, difficulty with the referral process, and lack of understanding about nonpharmacological pain management services and when to refer patients are among the main reasons for lack of utilization. Quality improvement (QI) initiatives have grown within hospital settings and can serve to create change in fast-paced environments. Methods: The current QI project aimed to pilot an educational program to increase the use of nonpharmacological pain management interventions. Staff located on one floor of a pediatric hospital on the East Coast were selected because of the wide range of patient presentations and likelihood that these youth may present with pain during the hospitalization. Following several incremental changes and multiple PDSA cycles, utilization of nonpharmacological pain management services was assessed. Results: Education only did not result in increases in nonpharmacological pain management services ordered. A best practice alert for nursing staff, implemented within the electronic medical record, led to a 50% increase in services ordered. Conclusions: These results suggest that to improve use of nonpharmacological pain management strategies, hospital systems may need to consider more than education. Full article
(This article belongs to the Special Issue Review Special Issue Series: Recent Advances in Anesthesiology)
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Review

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13 pages, 1690 KiB  
Review
Residual Neuromuscular Block Remains a Safety Concern for Perioperative Healthcare Professionals: A Comprehensive Review
by Franziska Elisabeth Blum, Andrew R. Locke, Naveen Nathan, Jeffrey Katz, David Bissing, Mohammed Minhaj and Steven B. Greenberg
J. Clin. Med. 2024, 13(3), 861; https://doi.org/10.3390/jcm13030861 - 1 Feb 2024
Cited by 4 | Viewed by 4477
Abstract
Residual neuromuscular block (RNMB) remains a significant safety concern for patients throughout the perioperative period and is still widely under-recognized by perioperative healthcare professionals. Current literature suggests an association between RNMB and an increased risk of postoperative pulmonary complications, a prolonged length of [...] Read more.
Residual neuromuscular block (RNMB) remains a significant safety concern for patients throughout the perioperative period and is still widely under-recognized by perioperative healthcare professionals. Current literature suggests an association between RNMB and an increased risk of postoperative pulmonary complications, a prolonged length of stay in the post anesthesia care unit (PACU), and decreased patient satisfaction. The 2023 American Society of Anesthesiologists Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade provide guidance for the use of quantitative neuromuscular monitoring coupled with neuromuscular reversal to recognize and reduce the incidence of RNMB. Using sugammadex for the reversal of neuromuscular block as well as quantitative neuromuscular monitoring to quantify the degree of neuromuscular block may significantly reduce the risk of RNMB among patients undergoing general anesthesia. Studies are forthcoming to investigate how using neuromuscular blocking agent reversal with quantitative monitoring of the neuromuscular block may further improve perioperative patient safety. Full article
(This article belongs to the Special Issue Review Special Issue Series: Recent Advances in Anesthesiology)
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11 pages, 1015 KiB  
Review
An Appraisal of the Evidence behind the Use of the CHRODIS Plus Initiative for Chronic Pain: A Scoping Review
by Ross Lilley, Elaine Wainwright and Patrice Forget
J. Clin. Med. 2024, 13(3), 686; https://doi.org/10.3390/jcm13030686 - 25 Jan 2024
Viewed by 1134
Abstract
Background: Chronic conditions, especially pain conditions, have a very significant impact on quality of life and on workplaces. Workplace interventions for chronic conditions are heterogenous, multidimensional, and sometimes poorly evidenced. The Joint Action for Chronic Disease Plus (CHRODIS Plus), including The CHRODIS Plus [...] Read more.
Background: Chronic conditions, especially pain conditions, have a very significant impact on quality of life and on workplaces. Workplace interventions for chronic conditions are heterogenous, multidimensional, and sometimes poorly evidenced. The Joint Action for Chronic Disease Plus (CHRODIS Plus), including The CHRODIS Plus Workbox on Employment and Chronic Conditions (CPWEC), aimed to combat this, prevent chronic disease and multimorbidity, and influence policy in Europe. However, the supporting evidence behind CHRODIS Plus has not been formally assessed. Methods: A scoping review was carried out; Embase, MEDLINE, and CINAHL were searched for literature related to CHRODIS Plus and pain. Title and abstract and full-text screening were carried out in duplicate and independently. Additionally, CHRODIS Plus authors were approached for unpublished data. Secondly, the search was broadened to CHRODIS Plus and pain-causing conditions. Grey literature was also searched. Appropriateness appraisal was derived from the Trial Forge Guidance. Systematic reviews, on which CPWEC was based, were appraised using the A Measurement Tool to Assess systematic Reviews (AMSTAR) 2 tool. Results: The initial search yielded two results, of which zero were suitable to be included in the scoping review. The second, broader search revealed 14 results; however, none were deemed suitable for inclusion. AMSTAR 2 scores revealed that the three systematic reviews influencing CPWEC were of varying quality (from critically low to moderate). Conclusions: CPWEC is based on heterogenous reviews of varying quality. However, comparable tools are designed using alternative forms of evidence. Further research evaluating the post-implementation efficacy of the tool is needed. Full article
(This article belongs to the Special Issue Review Special Issue Series: Recent Advances in Anesthesiology)
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19 pages, 1420 KiB  
Review
Personalized Multimodal Lifestyle Intervention as the Best-Evidenced Treatment for Chronic Pain: State-of-the-Art Clinical Perspective
by Jo Nijs, Anneleen Malfliet, Eva Roose, Astrid Lahousse, Wouter Van Bogaert, Elin Johansson, Nils Runge, Zosia Goossens, Céline Labie, Thomas Bilterys, Jente Van Campenhout, Andrea Polli, Arne Wyns, Jolien Hendrix, Huan-Yu Xiong, Ishtiaq Ahmed, Liesbet De Baets and Eva Huysmans
J. Clin. Med. 2024, 13(3), 644; https://doi.org/10.3390/jcm13030644 - 23 Jan 2024
Cited by 11 | Viewed by 6131
Abstract
Chronic pain is the most prevalent disease worldwide, leading to substantial disability and socioeconomic burden. Therefore, it can be regarded as a public health disease and major challenge to scientists, clinicians and affected individuals. Behavioral lifestyle factors, such as, physical (in)activity, stress, poor [...] Read more.
Chronic pain is the most prevalent disease worldwide, leading to substantial disability and socioeconomic burden. Therefore, it can be regarded as a public health disease and major challenge to scientists, clinicians and affected individuals. Behavioral lifestyle factors, such as, physical (in)activity, stress, poor sleep and an unhealthy diet are increasingly recognized as perpetuating factors for chronic pain. Yet, current management options for patients with chronic pain often do not address lifestyle factors in a personalized multimodal fashion. This state-of-the-art clinical perspective aims to address this gap by discussing how clinicians can simultaneously incorporate various lifestyle factors into a personalized multimodal lifestyle intervention for individuals with chronic pain. To do so the available evidence on (multimodal) lifestyle interventions targeting physical (in)activity, stress, sleep and nutritional factors, specifically, was reviewed and synthetized from a clinical point of view. First, advise is provided on how to design a personalized multimodal lifestyle approach for a specific patient. Subsequently, best-evidence recommendations on how to integrate physical (in)activity, stress, sleep and nutritional factors as treatment targets into a personalized multimodal lifestyle approach are outlined. Evidence supporting such a personalized multimodal lifestyle approach is growing, but further studies are needed. Full article
(This article belongs to the Special Issue Review Special Issue Series: Recent Advances in Anesthesiology)
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