{"id":5228,"date":"2025-06-18T07:37:12","date_gmt":"2025-06-18T07:37:12","guid":{"rendered":"https:\/\/www.esraitalia.it\/?p=5228"},"modified":"2025-06-18T07:42:47","modified_gmt":"2025-06-18T07:42:47","slug":"articoli-del-mese-di-giugno-3","status":"publish","type":"post","link":"https:\/\/www.esraitalia.it\/index.php\/2025\/06\/18\/articoli-del-mese-di-giugno-3\/","title":{"rendered":"Articoli del mese di Giugno"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5229\" src=\"https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/3-300x157.jpg\" alt=\"\" width=\"300\" height=\"157\" srcset=\"https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/3-300x157.jpg 300w, https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/3.jpg 642w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Proponiamo questa interessante riflessione di N. Elkassabani ed Ed Mariano su uno studio del gruppo di E. Albrecht pubblicato su BJA che invitiamo a leggere:<\/p>\n<p>Respiratory impact of local anaesthetic volume after interscalene brachial plexus block with extrafascial injection: a randomised controlled double-blinded trial<\/p>\n<p>Renard, Yves et al. British Journal of Anaesthesia, Volume 134, Issue 4, 1153 &#8211; 1160.<\/p>\n<p><a href=\"https:\/\/www.bjanaesthesia.org.uk\/article\/S0007-0912(24)00752-9\/fulltext\">https:\/\/www.bjanaesthesia.org.uk\/article\/S0007-0912(24)00752-9\/fulltext<\/a><\/p>\n<p>la domanda degli editor \u00e8 la seguente:<\/p>\n<p>Non \u00e8 forse il momento di smetterla di trovare scuse e iniziare a praticare i blocchi continui del plesso brachiale per via interscalenica nei pazienti sottoposti a chirurgia della spalla?<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Respiratory impact of local anaesthetic volume after an interscalene brachial plexus block with an extrafascial injection: time to advocate for continuous interscalene brachial plexus blocks for shoulder surgery. Comment on Br J Anaesth 2025; 134: 1153\u201360<\/strong><\/p>\n<p>Ye, Mia et al.<\/p>\n<p>British Journal of Anaesthesia, in press<\/p>\n<p><a href=\"https:\/\/www.bjanaesthesia.org\/article\/S0007-0912(25)00270-3\/abstract\">https:\/\/www.bjanaesthesia.org\/article\/S0007-0912(25)00270-3\/abstract<\/a><\/p>\n<p><em>\u00a0<\/em><\/p>\n<p>Per chi non pu\u00f2 accedere al link proponiamo uno screenshot dell\u2019articolo:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5230\" src=\"https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/4-240x300.jpg\" alt=\"\" width=\"240\" height=\"300\" srcset=\"https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/4-240x300.jpg 240w, https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/4.jpg 453w\" sizes=\"auto, (max-width: 240px) 100vw, 240px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5231\" src=\"https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/5-256x300.jpg\" alt=\"\" width=\"256\" height=\"300\" srcset=\"https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/5-256x300.jpg 256w, https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/5.jpg 443w\" sizes=\"auto, (max-width: 256px) 100vw, 256px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5232\" src=\"https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/6-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/6-300x169.jpg 300w, https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/6.jpg 482w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>La gestione del dolore in chirurgia vertebrale \u00e8 sempre stata una sfida, in cui forse siamo ad un passo dalla svolta.<\/p>\n<p>BR-003 \u00e8 un idrogel impiantabile che rilascia anestetico locale per pi\u00f9 di 3 giorni, posizionato attorno alle viti peduncolari utilizzate in chirurgia vertebrale.<\/p>\n<p>Questo trial pubblicato su RAPM dimostra:<\/p>\n<ul>\n<li>livelli ematici di anestetico (Bupivacaina) sicuri<\/li>\n<li>Nessun effetto collaterale grave<\/li>\n<li>Nessuna interferenza sui sistemi impiantati<\/li>\n<\/ul>\n<p><strong>Novel implantable anesthetic for spine fixation surgery: phase Ib safety results of a sustained-release formulation of bupivacaine<\/strong><\/p>\n<p>Jonkman H, van Tol FR, Bruins S, et al<\/p>\n<p>Regional Anesthesia &amp; Pain Medicine Published Online First: 20 May 2025.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/rapm.bmj.com\/content\/early\/2025\/05\/20\/rapm-2025-106551\">https:\/\/rapm.bmj.com\/content\/early\/2025\/05\/20\/rapm-2025-106551<\/a><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5233\" src=\"https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/7-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/7-300x300.jpg 300w, https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/7-150x150.jpg 150w, https:\/\/www.esraitalia.it\/wp-content\/uploads\/2025\/06\/7.jpg 642w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Tutti usiamo come adiuvante nei blocchi perinervosi il desametasone, perch\u00e9 efficace, sicuro e facilmente reperibile, ma non sappiamo chiaramente se \u00e8 pi\u00f9 efficace la somministrazione endovena, perinervosa o la loro associazione.<\/p>\n<p>Proponiamo la lettura di questo studio randomizzato controllato di Hussain,\u00a0 che esplora se la combinazione di desametasone sistemico \u00a0con desametasone perineurale produca un effetto additivo oppure sinergico sulle\u00a0 caratteristiche e sugli effetti analgesici dei blocchi nervosi periferici.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Exploring the Additive or Synergistic Effects of the Systemic and Perineural Routes of Dexamethasone as Adjuncts to Supraclavicular Block: A Randomized Controlled Trial<\/strong><\/p>\n<p>Hussain, Nasir M.D., Anesthesiology <a href=\"https:\/\/journals.lww.com\/anesthesiology\/toc\/2025\/06000\">142(6):p 1127-1137, June 2025.<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/journals.lww.com\/anesthesiology\/abstract\/2025\/06000\/exploring_the_additive_or_synergistic_effects_of.27.aspx\">https:\/\/journals.lww.com\/anesthesiology\/abstract\/2025\/06000\/exploring_the_additive_or_synergistic_effects_of.27.aspx<\/a>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;] Proponiamo questa interessante riflessione di N. Elkassabani ed Ed Mariano su uno studio del gruppo di E. Albrecht pubblicato su BJA che invitiamo a leggere: Respiratory impact of&hellip;<\/p>\n","protected":false},"author":1,"featured_media":5229,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[60],"tags":[],"class_list":["post-5228","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-giugno-2025","category-60","description-off"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.5 - aioseo.com -->\n\t<meta name=\"description\" content=\"Proponiamo questa interessante riflessione di N. Elkassabani ed Ed Mariano su uno studio del gruppo di E. 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Elkassabani ed Ed Mariano su uno studio del gruppo di E. Albrecht pubblicato su BJA che invitiamo a leggere: Respiratory impact of local anaesthetic volume after interscalene brachial plexus block with extrafascial injection: a randomised controlled double-blinded trial Renard, Yves et al. British Journal of Anaesthesia, Volume 134, Issue","og:url":"https:\/\/www.esraitalia.it\/index.php\/2025\/06\/18\/articoli-del-mese-di-giugno-3\/","article:published_time":"2025-06-18T07:37:12+00:00","article:modified_time":"2025-06-18T07:42:47+00:00","twitter:card":"summary_large_image","twitter:title":"Articoli del mese di Giugno - ESRA ITALIA","twitter:description":"Proponiamo questa interessante riflessione di N. Elkassabani ed Ed Mariano su uno studio del gruppo di E. Albrecht pubblicato su BJA che invitiamo a leggere: Respiratory impact of local anaesthetic volume after interscalene brachial plexus block with extrafascial injection: a randomised controlled double-blinded trial Renard, Yves et al. 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