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BMC Anesthesiology
Scopus
ISSN 1471-2253 · BMC · 3,860 articles in the index
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Journal Article
Understanding and leveraging placebo and nocebo effects in perioperative care: a cross-sectional survey of German-speaking anesthesiologists
Abstract Background Placebo and nocebo effects, beneficial or adverse responses shaped by patient expectations, modulate perioperative outcomes including pain, opioid requirement, recovery, and complication risk. Although harnessing these mechanisms may improve patient care, their routine use by…
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Journal Article
Analgesic effect of iliofascial compartment combined with quadratus lumborum block for pediatric developmental dysplasia of the hip surgery: a retrospective cohort study
Abstract Background Effective postoperative analgesia for pediatric developmental dysplasia of the hip (DDH) surgery remains a challenge. This study aimed to compare the analgesic efficacy of a combined fascia iliaca compartment block (FICB) and quadratus lumborum block (QLB) versus…
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Journal Article
Inhomogeneity of noradrenaline levels in syringe pump systems and how to prevent it: an in vitro study
Abstract Background Accurate drug delivery in intensive care depends on precise and reliable preparation of intravenous solutions. Manual preparation is prone to error, and fluctuations in the delivery of vasoactive agents such as noradrenaline can cause haemodynamic volatility, leading to direct…
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Journal Article
Extending the safe apnea window: preclinical evaluation of the Turbo® O₂ cap for hypoxia mitigation during difficult intubation
Abstract The Turbo® O₂ Cap is a novel, FDA Class I airway device designed to mitigate hypoxia during difficult intubation by delivering high-flow oxygen directly to the glottic area. This study evaluates the performance of the device in a porcine model simulating rapid sequence intubation (RSI)…
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Journal Article
Repeat spinal anesthesia for intrapartum cesarean section after epidural labor analgesia: a retrospective cohort study of failure rate and the volume-risk relationship
Abstract Background Intrapartum cesarean section (CS) after epidural labour analgesia (ELA) is usually managed by catheter top-up, yet some centres prefer repeat spinal anaesthesia (SA) for speed and density of block. The failure rate of this strategy and its dose–response relationship with prior…
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Journal Article
Thrombin generation, viscoelastic coagulation profiles, and disease severity in critically Ill COVID-19 patients: a prospective observational study
Abstract Background COVID-19-associated coagulopathy is characterized by complex alterations in haemostasis. While thrombin generation assays (TGA) provide a global assessment of coagulation potential, data on thrombin generation in critically ill COVID-19 patients, particularly those requiring…
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Journal Article
Optimal remimazolam dosage for pediatric painless gastrointestinal endoscopy: a randomized controlled trial comparing efficacy and safety of three doses combined with sufentanil and propofol
Abstract Background Remimazolam is a novel sedative with potential benefits for pediatric procedural sedation, but its optimal dose in combination regimens is unknown. This study aimed to compare the efficacy and safety of three different remimazolam doses combined with sufentanil and propofol for…
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Journal Article
Bronchial artery embolization for control of life-threatening endobronchial haemorrhage during cardiac surgery in a patient with microscopic polyangiitis: a case report
Abstract Background Microscopic polyangiitis (MPA) is a rare disease characterized by systemic vasculitis. However, perioperative endobronchial haemorrhage in these patients is not well-documented in medical literature. Case presentation We present the case of a 62-year-old woman with MPA who…
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Journal Article
Dexmedetomidine as an alternative to general anesthesia in vertebroplasty and kyphoplasty: a safety and efficacy study
Abstract Purpose To evaluate the effectiveness and safety of dexmedetomidine during vertebroplasty and kyphoplasty surgery in patients with vertebral compression fractures due to malignancy and osteoporosis. Methods This retrospective study included 41 patients, comprising 22 with osteoporosis and…
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Journal Article
Association of dexmedetomidine use during combined spinal-epidural anesthesia with postoperative sleep quality and anxiety in cesarean section: a prospective cohort study
Abstract Background Postoperative sleep disturbance and anxiety are common after cesarean delivery and may impair early maternal recovery and psychological well-being. Dexmedetomidine (DEX), a selective α₂-adrenergic agonist, provides sedative and anxiolytic effects that may confer perioperative…
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Journal Article
Comparison of two sevoflurane formulations in low-flow anesthesia: a retrospective observational study
Abstract Background This study aimed to compare two different sevoflurane formulations (Sevones® and Sevorane®) under low-flow anesthesia in terms of time to 1 Minimum Alveolar Concentration (MAC), agent consumption and uptake, emergence profile, and anesthesia-related complications. Methods This…
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Journal Article
Oblique subcostal transversus abdominis plane block versus transmuscular quadratus lumborum block for postoperative analgesia and quality of recovery in laparoscopic gynecological surgery: a prospective randomized controlled double-blind trial
Abstract Background During laparoscopic gynecological surgeries, trocar incisions, pneumoperitoneum and distention of the anterior abdominal wall can cause postoperative pain. Inadequate pain management can increase the risk of postoperative complications. The present study compared the effects of…
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Journal Article
Individualized intraoperative blood pressure control with norepinephrine reduces kidney injury biomarkers but not creatinine-defined acute kidney injury in older patients with hypertension undergoing major abdominal surgery: a single-center randomized controlled trial
Abstract Background This randomized trial aimed to determine whether achievement of individualized blood pressure targets through norepinephrine administration can mitigate acute kidney injury (AKI) and reduce urine concentration, which serves as a surrogate marker for fluid retention, in older…
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Journal Article
Dexmedetomidine-esketamine combination for anesthesia in a patient with severe Swyer-James-Macleod syndrome: a case report
Abstract Background Swyer-James-Macleod Syndrome (SJMS) is a rare respiratory disease usually caused by obliterative bronchiolitis since childhood and characterized by expiratory air trapping, hypoxia-induced parenchymal destruction, pulmonary hypoperfusion, and impaired gas exchange. Anesthetic…
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Journal Article
Comparative analysis of six large language models in perioperative decision support for geriatric patients with multimorbidity: a three-dimensional evaluation framework
Abstract Background While large language models (LLMs) show promise in healthcare, their reliability in high-stakes perioperative management for elderly patients with multimorbidity remains critically underexplored. Methods This benchmarking study evaluated five general-purpose LLMs (ChatGPT…
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Journal Article
Different local anesthetic volumes for unilateral spinal anesthesia in varicose vein surgery prospective randomized clinical trial
Abstract Background Varicose vein surgery is one of the most frequent indications for ambulatory vascular interventions. Although spinal anesthesia provides reliable surgical conditions, conventional intrathecal doses may delay mobilization and discharge due to prolonged block duration and…
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Journal Article
Effect of supraglottic endotracheal tube inserted transorally on preventing hypoxemia in obese patients undergoing sedated bidirectional endoscopy: a prospective randomized controlled clinical trial
Abstract Background Prevention of hypoxemia in obese patients undergoing sedated gastroscopy is challenging, mainly due to upper airway obstruction. This study used a transorally inserted supraglottic endotracheal tube as an oropharyngeal airway to improve ventilation during sedated bidirectional…
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Journal Article
Association between body mass index and perioperative shivering after elective cesarean delivery under spinal anesthesia: a prospective observational study
Abstract Introduction Perioperative shivering (POS) is a common complication of spinal anesthesia (SA) during cesarean section (C/S), with incidence rates ranging from 36% to 85%. This study explored the association between third-trimester body mass index (BMI) and POS in women undergoing elective…
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Journal Article
Metabolic and hemodynamic responses to early passive range of motion in sedated critically ill adults
Abstract Background Passive range of motion (PROM) is a common early mobilization technique in intensive care, especially for sedated, mechanically ventilated patients. This study aimed to evaluate the effect of early PROM on oxygen consumption (VO₂) and carbon dioxide production (VCO₂) in…
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Journal Article
Role and mechanism of LINC00662 via targeting let-7 g-5p in sevoflurane-induced cognitive impairment in rats
Abstract Background This study was conducted to investigate the role and mechanism of LINC00662 in Sev-induced cognitive impairment by targeting let-7 g-5p. Methods Mouse hippocampal HT22 cells were treated with sevoflurane, and cell viability was assessed by CCK-8. RT-qPCR was performed to detect…
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