Anesthesia and Analgesia in Surgical Practice: 2nd Edition

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

Deadline for manuscript submissions: 30 November 2026 | Viewed by 1314

Special Issue Editors


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Guest Editor
Department of Anesthesiology and Pain Medicine, Dong-A University Hospital, 26 Daesingongwon-ro, Busan 49201, Republic of Korea
Interests: postoperative pain control; reduce opioid consumption; opioid induced hyperalgesia; regional anesthesia; peripheral nerve block
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Anesthesiology and Pain Medicine, Dong-A University Hospital, 26 Daesingongwon-ro, Busan 49201, Republic of Korea
Interests: pediatric anesthesia; airway management; meta-analysis; ultrasound guided procedure
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We consider now an appropriate time to look back at the development of anesthesia and analgesia, an area as old as the history of medicine itself. This Special Issue will bring together various and wide-ranging topics with the aim of sharing knowledge and opinions from experts in the field. The results of original studies and reviews will be presented, with a focus on anesthesia and analgesia in surgical practice.

This Special Issue will examine the techniques, technologies, and results of cutting-edge clinical, diagnostic, and therapeutic processes in the field of complications management after anesthesia. The editors invite contributions from recognized members of the anesthesia and analgesia community in the form of systematic reviews with or without meta-analysis, and observational or interventional original studies.

Dr. Sang Yoong Park
Dr. Chan Jong Chung
Guest Editors

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Keywords

  • pediatric anesthesia
  • airway management
  • meta-analysis
  • ultrasound-guided procedures
  • postoperative pain control
  • reduce opioid consumption
  • opioid-induced hyperalgesia
  • regional anesthesia
  • peripheral nerve block

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Published Papers (2 papers)

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Research

9 pages, 737 KB  
Article
Comparison of Monitored Anesthesia Care with Target-Controlled Infusion and Sevoflurane Mask Anesthesia for Outpatient Gynecologic Surgery: A Single-Center Prospective Randomized Controlled Study
by Jaesuk Kim, Haneul Jeong and So Young Kwon
Medicina 2026, 62(3), 596; https://doi.org/10.3390/medicina62030596 - 21 Mar 2026
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Abstract
Background and Objectives: Rapid recovery and patient comfort are key goals in ambulatory surgery. Although sevoflurane anesthesia is widely used, target-controlled infusion (TCI) with propofol and remifentanil has gained attention for its potential benefits. However, comparative data regarding recovery profiles and respiratory [...] Read more.
Background and Objectives: Rapid recovery and patient comfort are key goals in ambulatory surgery. Although sevoflurane anesthesia is widely used, target-controlled infusion (TCI) with propofol and remifentanil has gained attention for its potential benefits. However, comparative data regarding recovery profiles and respiratory safety remain limited. Materials and Methods: In this prospective randomized controlled trial, 51 ASA I–II patients undergoing outpatient gynecologic surgery were assigned to either a TCI group (n = 25) or an inhalation mask (IM) group using sevoflurane and nitrous oxide (n = 26). Primary outcomes included time to postanesthesia care unit (PACU) discharge readiness and patient and surgeon satisfaction. Secondary outcomes included eye-opening time, anesthesia duration, PACU stay, and respiratory adverse events. Results: Time to Aldrete score ≥9 did not differ significantly between groups (p = 0.697). The IM group demonstrated faster eye opening (p = 0.002), while patient satisfaction was higher in the TCI group (p < 0.001). Surgeon satisfaction favored the IM group (p = 0.035). Respiratory depression occurred more frequently in the TCI group (28.0% vs. 0%, p = 0.012). Conclusions: Sevoflurane anesthesia allowed faster emergence, whereas TCI provided greater patient satisfaction but increased respiratory risk. Both techniques are feasible for ambulatory gynecologic surgery when appropriately selected. Trial registration: This study was retrospectively registered at the Clinical Research Information Service (CRIS), Republic of Korea (KCT0011352). Full article
(This article belongs to the Special Issue Anesthesia and Analgesia in Surgical Practice: 2nd Edition)
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13 pages, 913 KB  
Article
Spinal Versus General Anesthesia for Lumbar Discectomy: Patient-Centered Analysis of Satisfaction with Anesthesia Service
by Marius Rimaitis, Diana Bilskienė, Kęstutis Rimaitis, Indrė Cirkelė and Andrius Macas
Medicina 2026, 62(3), 524; https://doi.org/10.3390/medicina62030524 - 12 Mar 2026
Viewed by 503
Abstract
Background and Objectives: Spinal (SA) and general anesthesia (GA) are both available for lumbar disc hernia (LDH) surgery. Patient satisfaction with anesthesia service is under-investigated and may help identify areas requiring improvement, leading to better care. Materials and Methods: A prospective, non-randomized, survey-based [...] Read more.
Background and Objectives: Spinal (SA) and general anesthesia (GA) are both available for lumbar disc hernia (LDH) surgery. Patient satisfaction with anesthesia service is under-investigated and may help identify areas requiring improvement, leading to better care. Materials and Methods: A prospective, non-randomized, survey-based study was performed in patients who underwent LDH surgeries under SA or GA. Patients rated perioperative pain (preoperative and postoperative days (PODs) 0, 1, and 2) and satisfaction with perioperative care (10 questions) on a numeric rating scale (NRS) from 0 to 10, and an overall satisfaction score (OSS) was calculated; a patient discomfort questionnaire was also used. Study outcomes were pain scores, satisfaction with care, and discomfort reported by SA and GA patients. Results: In total, 209 completed questionnaires in the GA and SA groups (114 vs. 95) were available for final analysis. Baseline characteristics did not differ significantly between the two groups. The proportion of patients with severe pain decreased from >80% preoperatively to 6% on POD2, and pain scores did not differ significantly between groups. Mean overall satisfaction scores (OSSs) were high: 9.71 (maximum OSS: 57% of cases) in the GA group, and 9.75 (maximum OSS: 53.7% of cases) in the SA group (p = 0.95). The ceiling effect of the patient satisfaction questionnaire had to be addressed. There was no association between the type of anesthesia and OSS. Sources of discomfort were similar between groups, except for oropharyngeal discomfort being more prevalent in the GA group (p < 0.05). Postoperative pain was reported as a source of discomfort by >50% of patients in both the SA and GA groups. Regression analysis identified anxiety and nude body exposure as preoperative factors associated with decreased satisfaction with anesthesia. Postoperative factors associated with submaximal satisfaction were PONV, cold, mouth dryness, and pain. Pain on POD 0 did not influence overall patient satisfaction. An association was only found when pain persisted on POD 1 and POD 2. Conclusions: No significant differences between the two anesthesia methods were found. Patient information, anxiety management, and privacy protection are important for patient satisfaction. In the postoperative period, pain and PONV management must be equally addressed, irrespective of the anesthesia method used. Further efforts to develop optimal tools for patient satisfaction assessment are necessary. Full article
(This article belongs to the Special Issue Anesthesia and Analgesia in Surgical Practice: 2nd Edition)
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