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Medicina
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Advanced Research on Anesthesiology and Pain Management
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Advanced Research on Anesthesiology and Pain Management

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Intensive Care/ Anesthesiology".

Deadline for manuscript submissions: 30 March 2025 | Viewed by 1279

Special Issue Editor

Prof. Dr. Mark Ulrich Gerbershagen

E-Mail Website
Guest Editor
Department of Anesthesiology, Hospital Cologne-Holweide, University Witten-Herdecke, Neufelder Strasse 32, 51067 Cologne, Germany
Interests: anesthesia; intensive care medicine; malignant hyperthermia; thoracic anesthesia; regional anesthesia; airway management; obstetric anesthesia; pain management
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Anesthesiology has developed dramatically in the last 175 years and has differentiated into several subtopics. Every surgical procedure is accompanied by specific requirements for anesthesiological and pain management. New developments in anesthesiology and pain management open up further options for our surgical partners and vice versa. Perioperative processes, patient safety and patient outcomes are continuously optimized through evidence-based medicine. Due to the considerable use of resources, be it personal or material, anesthesiology and pain management can also represent essential economic success factors of a hospital or an outpatient operating center.

Of course, it is also exciting to see to what extent digitization as well as artificial intelligence will influence our everyday work, our training, our personnel deployment and patient outcomes.

We invite colleagues around the world to report their research, reviews and case reports on any topic in anesthesiology and pain medicine and explicitly point out that questions of prehabilitation, rehabilitation and chronic pain are of great interest for this Special Issue.

Prof. Dr. Mark Ulrich Gerbershagen
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. Medicina is an international peer-reviewed open access monthly 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 2200 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
  • acute pain
  • chronic pain
  • prehabilitation
  • rehabilitation

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Published Papers (2 papers)

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10 pages, 595 KiB  
Article
Identifying Early Risk Factors for Postoperative Pulmonary Complications in Cardiac Surgery Patients
by Kaspars Setlers, Anastasija Jurcenko, Baiba Arklina, Ligita Zvaigzne, Olegs Sabelnikovs, Peteris Stradins and Eva Strike
Medicina 2024, 60(9), 1398; https://doi.org/10.3390/medicina60091398 - 26 Aug 2024
Viewed by 476
Abstract
Background and Objectives: Postoperative pulmonary complications (PPCs) are common in patients who undergo cardiac surgery and are widely acknowledged as significant contributors to increased morbidity, mortality rates, prolonged hospital stays, and healthcare costs. Clinical manifestations of PPCs can vary from mild to [...] Read more.
Background and Objectives: Postoperative pulmonary complications (PPCs) are common in patients who undergo cardiac surgery and are widely acknowledged as significant contributors to increased morbidity, mortality rates, prolonged hospital stays, and healthcare costs. Clinical manifestations of PPCs can vary from mild to severe symptoms, with different radiological findings and varying incidence. Detecting early signs and identifying influencing factors of PPCs is essential to prevent patients from further complications. Our study aimed to determine the frequency, types, and risk factors significant for each PPC on the first postoperative day. The main goal of this study was to identify the incidence of pleural effusion (right-sided, left-sided, or bilateral), atelectasis, pulmonary edema, and pneumothorax as well as detect specific factors related to its development. Materials and Methods: This study was a retrospective single-center trial. It involved 314 adult patients scheduled for elective open-heart surgery under CPB. Results: Of the 314 patients reviewed, 42% developed PPCs within 12 h post-surgery. Up to 60.6% experienced one PPC, while 35.6% developed two PPCs. Pleural effusion was the most frequently observed complication in 89 patients. Left-sided effusion was the most common, presenting in 45 cases. Regression analysis showed a significant association between left-sided pleural effusion development and moderate hypoalbuminemia. Valve surgery was associated with reduced risk for left-sided effusion. Independent parameters for bilateral effusion include increased urine output and longer ICU stays. Higher BMI was inversely related to the risk of pulmonary edema. Conclusions: At least one PPC developed in almost half of the patients. Left-sided pleural effusion was the most common PPC, with hypoalbuminemia as a risk factor for effusion development. Atelectasis was the second most common. Bilateral effusion was the third most common PPC, significantly related to increased urine output. BMI was an independent risk factor for pulmonary edema development. Full article
(This article belongs to the Special Issue Advanced Research on Anesthesiology and Pain Management)
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7 pages, 735 KiB  
Case Report
Efficacy of Botulinum Type A Injection for the Treatment of Postherpetic Neuralgia and Pruritus Persisting for More Than Four Years—A Case Report
by Jihyun Song, Sang Sik Choi, Seok Jun Choi and Chung Hun Lee
Medicina 2024, 60(8), 1317; https://doi.org/10.3390/medicina60081317 - 14 Aug 2024
Viewed by 634
Abstract
Background: Postherpetic neuralgia (PHN) and postherpetic pruritus (PHP) are common complications of shingles that affect patients’ quality of life. PHN and PHP can be managed using various medications and interventional procedures; however, complications persisting for at least six months may hamper recovery. [...] Read more.
Background: Postherpetic neuralgia (PHN) and postherpetic pruritus (PHP) are common complications of shingles that affect patients’ quality of life. PHN and PHP can be managed using various medications and interventional procedures; however, complications persisting for at least six months may hamper recovery. Subcutaneous injections of botulinum toxin type A (BTX-A) can control persistent PHN and PHP. Case presentation: A 71-year-old man presented at our hospital with itching and pain. He had been diagnosed with shingles in the ophthalmic branch of the trigeminal nerve one year previously. As the pain and itching persisted despite medication, a supraorbital nerve block, Gasserian ganglion block, epidural nerve block, and radiofrequency thermocoagulation were performed. A subcutaneous injection of BTX-A was administered into the ophthalmic area of the trigeminal nerve three years after the initial presentation. A decrease of >80% in pain and itching was reported after the injection; however, the left eyelid drooped and the eyeball shifted downward and outward immediately after the injection. No deterioration in vision or pupil dilation was observed, and almost complete resolution of these symptoms occurred spontaneously three months after the injection. Pain and itching continued to improve without further side-effects until six months after the injection. Conclusions: The subcutaneous injection of BTX-A may be an alternative treatment option for chronic and refractory neurological diseases such as PHN and PHP, which persist for four years and are resistant to conventional treatments. Nevertheless, care must be taken to minimize the risk of ptosis. Full article
(This article belongs to the Special Issue Advanced Research on Anesthesiology and Pain Management)
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