The effect of opioid-sparing anesthesia regimen on short-term cognitive function after thoracoscopic surgery: a prospective cohort study

Zhao, Hong; Han, Qiaoyu; Shi, Chuan; Feng, Yi

doi:10.1186/s13741-022-00278-9

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…Consistent with cognitive disorders like AD and MCI, and in addition to memory deficits, impairment in other cognitive domains is present in DNR. Many studies used neuropsychological tests to demonstrate visual cognitive dysfunction in DNR patients (Lage et al, 2021;Ji and Li, 2022;Zhao et al, 2022). We also found that the DNR patients showed poor performance postoperatively in visual attention, visual memory, visual-spatial scanning, and visual search speed assessed by DSST and TMT-A.…”

Section: Discussionmentioning

confidence: 58%

Decreased default mode network functional connectivity with visual processing regions as potential biomarkers for delayed neurocognitive recovery: A resting-state fMRI study and machine-learning analysis

Jiang

Cai

Liu

et al. 2023

Front. Aging Neurosci.

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ObjectivesThe abnormal functional connectivity (FC) pattern of default mode network (DMN) may be key markers for early identification of various cognitive disorders. However, the whole-brain FC changes of DMN in delayed neurocognitive recovery (DNR) are still unclear. Our study was aimed at exploring the whole-brain FC patterns of all regions in DMN and the potential features as biomarkers for the prediction of DNR using machine-learning algorithms.MethodsResting-state functional magnetic resonance imaging (fMRI) was conducted before surgery on 74 patients undergoing non-cardiac surgery. Seed-based whole-brain FC with 18 core regions located in the DMN was performed, and FC features that were statistically different between the DNR and non-DNR patients after false discovery correction were extracted. Afterward, based on the extracted FC features, machine-learning algorithms such as support vector machine, logistic regression, decision tree, and random forest were established to recognize DNR. The machine learning experiment procedure mainly included three following steps: feature standardization, parameter adjustment, and performance comparison. Finally, independent testing was conducted to validate the established prediction model. The algorithm performance was evaluated by a permutation test.ResultsWe found significantly decreased DMN connectivity with the brain regions involved in visual processing in DNR patients than in non-DNR patients. The best result was obtained from the random forest algorithm based on the 20 decision trees (estimators). The random forest model achieved the accuracy, sensitivity, and specificity of 84.0, 63.1, and 89.5%, respectively. The area under the receiver operating characteristic curve of the classifier reached 86.4%. The feature that contributed the most to the random forest model was the FC between the left retrosplenial cortex/posterior cingulate cortex and left precuneus.ConclusionThe decreased FC of DMN with regions involved in visual processing might be effective markers for the prediction of DNR and could provide new insights into the neural mechanisms of DNR.Clinical Trial Registration: Chinese Clinical Trial Registry, ChiCTR-DCD-15006096.

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Section: Discussionmentioning

confidence: 58%

Decreased default mode network functional connectivity with visual processing regions as potential biomarkers for delayed neurocognitive recovery: A resting-state fMRI study and machine-learning analysis

Jiang

Cai

Liu

et al. 2023

Front. Aging Neurosci.

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“…Zhao et al concluded that the application of ES block was associated with a marked decline in postoperative narcotic consumption after thoracoscopic surgery, and that helped to decrease postoperative cognitive dysfunction in such patients. 37 In our study, we found that the application of ES block in the perioperative period might have a potential beneficial impact on short-term and intermediate-term chronic pain and functional outcomes. The incidence of FBSS was significantly decreased in the block group, and consequently, functional scores were significantly improved.…”

Section: Discussionmentioning

confidence: 60%

Benefits of Erector Spinae Block in lumbar Vertebral Surgical Fixation Procedures; Beyond the Perioperative Analgesic Outcomes

Mousa,

Eissa,

Salah

et al. 2023

Pan Arab Journal of Neurosurgery

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BACKGROUND:The incidence of chronic pain, or failed back surgery syndrome (FBSS), is common after spinal fixation operations. Proper control of acute perioperative pain is thought to decrease its transition to chronic one. Erector spinae (ES) block is a recent paraspinal technique that proved its efficacy after spinal surgery. OBJECTIVE:We aimed to evaluate the effects of ES block on perioperative, short-term and intermediate-term outcomes in patients undergoing spinal fixation procedures. PATIENTS AND METHODS:This prospective randomized controlled study included 124 patients in each of the included two groups; the ES block group and the control group. The former group underwent an ultrasound-guided ES block before surgery. Our main outcome was the functional outcomes along with the incidence of FBSS. Secondary outcomes included operative parameters, perioperative analgesic profile, and patient satisfaction. RESULTS:All preoperative variables were statistically comparable between the two groups. Although fixation levels did not differ between the two groups, operative time, intraoperative isoflurane consumption, and intraoperative blood loss showed a significant decline in association with the ES block. The same group showed a significant decline in postoperative pain scores, less opioid consumption, and longer time for rescue analgesics. At follow-up, the incidence of FBSS was lower in the ES block group, and these patients had improved functional scores that were statistically significant. CONCLUSION:The beneficial perioperative effects of preemptive ES block were reflected on short-term and intermediateterm chronic pain incidence, which in turn was manifested by improved functional scores.

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“…The research frontiers were identified by analyzing the burst keywords The five most recent burst keywords were “recovery” “transcutaneous electrical acupoint stimulation” “systematic review” “quality” “general anesthesia” and “surgery.” Facilitating rehabilitation anesthesia management and reduction of opioid abuse has been a topic of interest in surgical departments ( 56 – 58 ). Despite progress in research more efforts are needed to understand the characteristics of the role of acupuncture anesthesia in rehabilitation sedation and mechanisms to reduce anesthetic drugs.…”

Section: Discussionmentioning

confidence: 99%

Research trends from 1992 to 2022 of acupuncture anesthesia: a bibliometric analysis

et al. 2023

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BackgroundAcupuncture anesthesia is a significant technical development that originated in China in 1958 and was introduced to the West in the early 1970s. Due to its relative novelty, it has been the subject of intense scrutiny and contestation. Since the early 1970s, the use of acupuncture as a complementary treatment for opioid analgesics has been accepted. Research on acupuncture anesthesia has helped to reduce clinical opioid abuse. However, only a few articles have focused on previous publications that reflect the trend of the study, the main investigators, reciprocal collaboration, and other information in this field. In view of this, we utilized bibliographic analysis methods to objectively analyze current trends and research hotspots in this field, aiming to provide a foundation and reference for future studies.MethodsThe Web of Science database was searched for publications related to acupuncture anesthesia between 1992 and 2022. The CiteSpace and VOSviewer were used to analyze the annual publications, authors, Co-cited authors, and their countries (regions) and institutions, co-occurrence keywords, burst keywords, Co-citation references and Co-citation journals.ResultsA total of 746 eligible publications were retrieved from the database for the analysis, including 637 articles and 109 reviews. And the trend of annual publications continued to grow. Aashish J. Kumar, Daniel I. Sessler, Baoguo Wang, and Paul F. White published the most papers in this field (7), and all authors, had a very low centrality (<0.01). China (252) and the University of California System (21) were the most productive country (region) and institution, respectively, while the United States (0.62) and University of California System (0.16) had the highest centrality. After removing keywords related to the search strategy, the three most frequent were pain (115), electroacupuncture (109), and stimulation (91). The six most recent burst keywords were recovery, transcutaneous electrical acupoint stimulation, systematic review, quality, general anesthesia, and surgery. Wang et al.’s article had the highest co-citation count (20), whereas Zhang et al.’s articles had the highest centrality (0.25). The Journal of Anesthesia and Analgesia was the most influential one (408 co-citations).ConclusionThis research provides valuable information for the study of acupuncture anesthesia. In recent years, frontier topics in acupuncture anesthesia research have been the promotion of perioperative rehabilitation, anesthesia management, and quality improvement.

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The effect of opioid-sparing anesthesia regimen on short-term cognitive function after thoracoscopic surgery: a prospective cohort study

Cited by 6 publications

References 23 publications

Decreased default mode network functional connectivity with visual processing regions as potential biomarkers for delayed neurocognitive recovery: A resting-state fMRI study and machine-learning analysis

Decreased default mode network functional connectivity with visual processing regions as potential biomarkers for delayed neurocognitive recovery: A resting-state fMRI study and machine-learning analysis

Benefits of Erector Spinae Block in lumbar Vertebral Surgical Fixation Procedures; Beyond the Perioperative Analgesic Outcomes

Research trends from 1992 to 2022 of acupuncture anesthesia: a bibliometric analysis

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