New Paradigms in Anesthesia and Intensive Care
A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Personalized Critical Care".
Deadline for manuscript submissions: closed (20 July 2023) | Viewed by 46181
Special Issue Editors
2. Department of Surgery, University of Valencia, Valencia, Spain
Interests: thoracic anesthesia; airway management; difficult airway; lung separation/isolation; mechanical ventilation; robotic surgery; postoperative pain
Special Issues, Collections and Topics in MDPI journals
Interests: opioids; opioid-free anesthesia; cancer progression; cancer survival; cancer recurrence; postoperative acute pain; chronic postoperative pain; robotic surgery
Special Issues, Collections and Topics in MDPI journals
Interests: intensive care; emergency medicine; sepsis; acute kidney injury; cytokines; biomarkers; COVID-19; immunological dysfunction; cerebral oximetry; pediatric anesthesia; postoperative behavioral changes; precision medicine
Special Issue Information
Dear Colleagues,
At present, new paradigms have emerged in modern anesthesiology and critical care that have revolutionized the way of clinical work in our hospitals from empiricism to evidence-based medicine.
Advances in anesthesiology and critical care have been fundamental to improving surgical outcomes in many processes that have evolved from conventional open surgery to minimally invasive surgery, and currently with the implementation of robotic surgery.
Protective mechanical ventilation applications have been very important in different types of surgery, from open surgery to laparoscopic/thoracoscopic surgery, and currently the new robotic surgery applied in normal patients. There have also been improvements in ventilation outcomes in patients at high risk of postoperative pulmonary complications, such as obese patients or patients with chronic obstructive pulmonary disease (COPD), among other pathological conditions.
The incorporation of new airway management methods adapted to the surgical complexity and physical condition of these surgical patients has been fundamental to improving the clinical safety in our operating rooms and critical care units. Among these advances, it is worth highlighting the implementation of new protocols for difficult airway patients. In the field of airway intubation, new protocols for COVID-19 patients are particularly relevant due to the risk of disease transmission to healthcare professionals and the critical condition of many of these patients. This has led to the post-pandemic use of video laryngoscopes, which are more frequently selected as the device of first choice for the intubation of standard patients undergoing any surgical procedure.
Intraoperative analgesia without opioids (opioid-free anesthesia) and new locoregional blocks (e.g., paravertebral block, erector spinae block) has been a subject of study and discussion.
On the other hand, knowledge of the etiopathogenic mechanisms related to the appearance of chronic pain has been very important, and has led to the promotion of more personalized prevention and treatment of perioperative pain.
At present, advanced monitoring methods and biomarkers as prognostic predictors and/or guides for therapy are very important as components of personalized medicine.
Prof. Dr. Manuel Granell
Dr. Juan P. Cata
Prof. Dr. Eduardo Tamayo
Guest Editors
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Keywords
- new paradigms
- anesthesia and critical care
- protective mechanical ventilation
- airway management
- video laryngoscopes
- lung separation/isolation
- perioperative analgesia
- opioid-free analgesia
- minimally invasive surgery/robotic surgery
- monitoring
- biomarkers
- personalized medicine
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