Advances in Anesthesia and Intensive Care During Perioperative Period

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

Deadline for manuscript submissions: 30 October 2025 | Viewed by 369

Special Issue Editor


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Guest Editor
Anesthesiology and Operative Intensive Care, Faculty of Medicine, University of Augsburg, 86156 Augsburg, Germany
Interests: postoperative outcome; anesthesia; cardiac anesthesia; severe hypoxemic respiratory failure; critical care medicine; intensive care medicine; post intensive care syndrome; sepsis; infection; mechanical ventilation; airway management; resuscitation; CPR; emergency management; pain management; big data; machine learning; AI
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Special Issue Information

Dear Colleagues,

Knowledge management in anesthesia, intensive care, and emergency medicine has seen a considerable boost in the last 15 years, partly due to the introduction of automated measurement data transfer to electronic protocols and patient records. On the one hand, this offers an enormous opportunity to make predictions based on corresponding analyses that were previously not easily accessible due to their complexity. One example of this is telemetric applications in intensive care and emergency medicine. The benefits of AI-supported technologies are also being demonstrated in practice in the field of ultrasound technology in regional anesthesia and closed-loop anesthesia systems. In addition, various fast-track concepts are becoming increasingly important in perioperative medicine. This progress should be seen as a great opportunity in anesthesiology and intensive care medicine, as it enables practitioners to make decisions in less time and adapt to treatment more quickly by recognizing changes faster. Digitalization is paving the way for further specification and more patient-orientated individual therapy decisions (ventilation, medication, etc.) based on patient-specific data, both in the operating theatre and in intensive care medicine.

Manuscripts can be submitted in the form of original studies, meta-analysis, or reviews.

Prof. Dr. Philipp Simon
Guest Editor

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Keywords

  • general anesthesia
  • intensive care medicine
  • post intensive care syndrome
  • perioperative management
  • fast track
  • pain management
  • complications
  • postoperative outcome
  • digitalization
  • big data
  • AI
  • closed-loop systems
  • machine learning
  • clinical decision support
  • telemedicine

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Published Papers (1 paper)

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Research

14 pages, 468 KiB  
Article
Postoperative Surveillance in the Postoperative vs. Intensive Care Unit for Patients Undergoing Elective Supratentorial Brain Tumor Removal: A Retrospective Observational Study
by Stefanie Nothofer, Julia Geipel, Kathrin Aehling, Björn Sommer, Axel Rüdiger Heller, Ehab Shiban and Philipp Simon
J. Clin. Med. 2025, 14(8), 2632; https://doi.org/10.3390/jcm14082632 - 11 Apr 2025
Viewed by 260
Abstract
Background: Recent evidence suggests that alternative postoperative surveillance approaches for patients undergoing elective neurosurgical procedures are less resource-intensive and result in similar or fewer complications compared to high-care settings such as Intensive Care Units (ICUs). A new postoperative care protocol was established [...] Read more.
Background: Recent evidence suggests that alternative postoperative surveillance approaches for patients undergoing elective neurosurgical procedures are less resource-intensive and result in similar or fewer complications compared to high-care settings such as Intensive Care Units (ICUs). A new postoperative care protocol was established at our facility including routine PACU admission and predefined criteria for ICU admission. We aimed to demonstrate that PACU admission is a safe option for patients undergoing elective craniotomy following eventless surgery. Methods: This retrospective analysis included patients undergoing elective supratentorial craniotomy before and after the implementation of the new protocol. Patients with surgery between January 2020 and January 2022 and routine ICU admission were compared to patients undergoing surgery between February 2022 and March 2023 with either PACU or ICU admission based on the new protocol regarding lengths of hospital stay (LOSs), costs, and complications. Results: Data from a total of 405 patients, 198 patients before and 209 patients after the protocol implementation, were included. Both groups were comparable regarding demographics, American Society of Anesthesiologists (ASA) physical status classification, preexisting health conditions, and tumor entity and volume. Postoperative LOSs were significantly shorter in PACU compared to ICU patients of the same cohort (6 d vs. 11 d, p = 0.002). Patients with postoperative PACU transfer suffered fewer intracranial infections, surgical site infections, and pneumonia occurrences. Surgery-related complications, 30- and 90-day readmissions, and mortality rates were comparable in both groups. Conclusions: Postoperative PACU admission is a safe and viable option for patients undergoing elective craniotomy when selection is thorough and is associated with fewer ICU-related complications. Full article
(This article belongs to the Special Issue Advances in Anesthesia and Intensive Care During Perioperative Period)
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