Multidisciplinary Approaches and Recent Advances in Anesthesiology and Critical Care

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

Deadline for manuscript submissions: 28 February 2026 | Viewed by 4072

Special Issue Editors


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Guest Editor
1. Elias Emergency University Hospital of Bucharest, Bucharest, Romania
2. Department of Anesthesia and Intensive Care Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Interests: mechanical ventilation; critical care medicine; airway management; resuscitation; cardiopulmonary resuscitation; intensive care medicine; pain management; ARDS; sepsis

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Guest Editor
1. Dr. Carol Davila Central University Emergency Military Hospital of Bucharest, Bucharest, Romania
2. Department of Anesthesia and Intensive Care Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Interests: intensive care; mechanical ventilation; renal replacement therapy; ARDS; sepsis; acute respiratory failure; organ dysfunction; shock; neuroanesthesia; one-lung ventilation; open-lung ventilation; VILI; P-SILI
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Guest Editor Assistant
1. Elias Emergency University Hospital of Bucharest, Bucharest, Romania
2. Department of Anesthesia and Intensive Care Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Interests: hemodynamics; critical care medicine; septic shock; sepsis; mechanical ventilation; airway management; anesthesia; cardiopulmonary resuscitation; biostatistics; predictive models; organ dysfunction; ARDS; point-of-care ultrasound

Special Issue Information

Dear Colleagues,

We invite you to contribute to this Special Issue, "Multidisciplinary Approaches and Recent Advances in Anesthesiology and Critical Care", which aims to showcase the latest developments and collaborative strategies in patient care within the fields of anesthesiology and critical care medicine. This Special Issue will discuss the integration of various medical disciplines and the application of recent research, technologies, and practices that impact patient outcomes and safety in the perioperative and intensive care environment.

The fields of anesthesiology and critical care are evolving rapidly, necessitating the hand-in-hand expertise of diverse healthcare professionals. Recent advancements in patient monitoring techniques, drug research, and day-to-day clinical practice make a multidisciplinary approach mandatory to effectively manage patients with complex pathological conditions. This Special Issue seeks to investigate the potential of these advancements when leveraged through collaborative efforts to improve patient care, optimize treatment protocols, and foster innovation within the practice.

We invite authors to contribute with original research papers, and all types of review articles, including systematic reviews and meta-analyses that explore a wide range of topics related to recent advancements and multidisciplinary approaches in anesthesiology and critical care. We seek to include, but authors are not limited to, the following topics: (1) innovative anesthetic techniques; (2) technological advancements and patient safety in anesthesia, perioperative medicine, and critical care environments; (3) enhanced recovery after surgery (ERAS); (4) multidisciplinary management of critically ill patients; (5) point-of-care monitoring techniques; and (6) education, training, and ethical aspects in the practice of anesthesia and critical care medicine. This Special Issue is addressed to all medical practitioners of anesthesia and critical care, as well as to all professionals working in other related medical specialties.

Dr. Silvius Ioan Negoiţǎ
Dr. Dan E. Corneci
Guest Editors

Dr. Emanuel Moisa
Guest Editor Assistant

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • general anesthesia
  • regional anesthesia
  • intensive care medicine
  • patient safety
  • perioperative medicine
  • ERAS
  • point-of-care ultrasound
  • medical simulation
  • personalized medicine

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Published Papers (1 paper)

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Research

11 pages, 726 KB  
Article
Laboratory and Microbiological Considerations in Sepsis-Induced Cardiac Dysfunction
by Catalina Paraschiv, Denisa Oana Nicolaescu, Mihaela Roxana Popescu, Carmen Cristina Vasile, Emanuel Moisa, Silvius Ioan Negoita and Serban Mihai Balanescu
Medicina 2025, 61(10), 1765; https://doi.org/10.3390/medicina61101765 - 30 Sep 2025
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Abstract
Introduction: Sepsis-induced cardiac dysfunction (SICD) is a transient cardiac disfunction, with variable described prevalence and uncertain prognostic. This study aimed to characterize the laboratory and microbiological findings in critically ill patients with sepsis who developed left ventricular (LV) or biventricular systolic dysfunction. [...] Read more.
Introduction: Sepsis-induced cardiac dysfunction (SICD) is a transient cardiac disfunction, with variable described prevalence and uncertain prognostic. This study aimed to characterize the laboratory and microbiological findings in critically ill patients with sepsis who developed left ventricular (LV) or biventricular systolic dysfunction. Methods: Patients who required intensive care unit hospitalization for sepsis were screened retrospectively. Only patients with positive cultures and echocardiography performed within 24 h from admission were included. The exclusion criteria were infective endocarditis, acute coronary syndrome, history of cardiomyopathy, severe valve disease, end-stage organ or oncological disease. Cardiac function was appreciated on transthoracic echocardiography, using LV ejection fraction for the left ventricle and tricuspid annular plane systolic excursion (TAPSE) for the right ventricle. SICD was confirmed if the systolic dysfunction found upon admission was reversible within 7–10 days. Results: A total of 100 patients with positive cultures were included. The median age was 73 and 55% were male. SICD was diagnosed in 14% of patients. Patients with SICD were more likely to develop septic shock and had longer hospital and intensive care unit stay. In-hospital mortality was 44% with no significant difference between SICD and non-SICD patients. Laboratory markers upon hospital admission showed that SICD patients had significantly higher values of lactate and transaminases. Cardiac (troponin and NT-proBNP) and inflammation markers (leukocytes, neutrophils, NLR, C-reactive protein, procalcitonin) had higher values in patients with SICD but the difference did not reach statistical significance. Streptococcal infections and polymicrobial cultures were risk factors for developing SICD. Higher rates of infections with Enterobacterales were seen in the SICD group but the difference was not significant. Conclusions: SICD patients had higher lactate, inflammation, and cardiac biomarkers levels upon admission and significantly higher rates of streptococcal infections and polymicrobial cultures. Full article
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