ACTA ANAESTHESIOLOGICA SCANDINAVICA斯堪的纳维亚麻醉学学报
ACTA ANAESTHESIOLOGICA SCANDINAVICA(英文缩写 ACTA ANAESTH SCAND),ISSN 0001-5172,eISSN 1399-6576,中文译名:斯堪的纳维亚麻醉学学报 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.274 | Q4 |
| 2022 | 2.100 | Q4 |
| 2023 | 1.900 | Q2 |
| 2024 | 2.000 | Q2 |
| 2025 | 1.900 | Q2 |
ACTA ANAESTHESIOLOGICA SCANDINAVICA 最新收录文献
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1. Prehospital Births in the Region of Southern Denmark-A Cohort From 2016 to 2024.
1. 南丹麦大区的院前分娩——2016年至2024年的队列研究PMID:日期:2026-10-05Unplanned births outside hospitals involve higher risks of complications for mothers and newborns and require special obstetric or pediatric skills. However, ambulance calls for childbirth are rare, making it difficult for ambulance staff to maintain their skills. In Europe, unplanned out-of-hospital deliveries constitute 0.10% to 0.61% of all births. The exact number of prehospital births in the Region of Southern Denmark remains unknown. The study aimed to determine the extent of unplanned prehospital births attended by the ambulance service outside hospitals in the Region of Southern Denmark from January 2016 through June 2024. We further aimed to identify where the unplanned pre-hospital births took place and to report any birth-related complications in the mothers or newborns encountered by ambulance staff. The study was a cross-sectional study utilizing the pre-hospital electronic Patient Medical Record system over 8 years in a mixed urban-rural area with a population of 1.2 million people. All prehospital medical records for ambulance missions dispatched for childbirths were manually examined. The study period spanned from January 2016 through June 2024. Out of 1,137,222 ambulance dispatches, 3543 cases (0.31%) involved a dispatch code related to childbirth. Many labor incidents were considered uneventful by the prehospital personnel. Of all ambulance runs related to childbirth, we identified 310 births in the Region of Southern Denmark in which ambulance staff assisted with complicated out-of-hospital deliveries. An additional 10 labor cases were regarded as sufficiently complex that obstetric manoeuvres aimed at delaying the delivery of the baby were performed prehospitally, while the mother was rushed to hospital for delivery. Births outside the hospital while the mother is in the care of the EMS were rare, occurring in 0.03% of all ambulance missions. Most of the births took place without complications for both mother and neonate. In four cases, however, the neonate was in cardiac arrest and required resuscitation. Given the limited exposure to prehospital births, we suggest incorporating training in handling these rare events into routine training for prehospital caregivers. This cohort study presents obstetrical cases that have been managed first in the prehospital setting by ambulance personnel. Obstetrical outcomes related to this are presented, and there are considerations for what can be desirable as preparation and competencies for ambulance responses for these types of cases.
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2. Temperature Dysregulation Following Intrathecal Morphine for Cesarean Delivery Patients-A Scoping Review.
PMID:日期:2026-10-04Intrathecal morphine is widely used for postoperative analgesia following cesarean delivery. However, intrathecal morphine's potential association with hypothermia remains uncertain, although hypothermia may adversely affect maternal recovery and comfort. This scoping review aims to map the available evidence regarding temperature dysregulation associated with intrathecal morphine in patients undergoing cesarean delivery. We conducted a scoping review according to the PRISMA-ScR guideline. A systematic literature search was performed in Medline, Embase, The Cochrane Library, and Cinahl. Studies reporting temperature outcomes in patients receiving intrathecal morphine during cesarean delivery were eligible. The primary outcome was the incidence of hypothermia or hyperthermia. Secondary outcomes included changes in core temperature, dose-response relation, duration, severity of temperature dysregulation, and impact on recovery. A total of 35 studies published between 1991 and 2025 were included. Four studies evaluated intrathecal morphine as intervention, whereas it was administered as standard care provided for all trial patients in the remaining studies. A total of 20 studies reported the incidence of hypothermia, corresponding to a pooled incidence of 21% among 773 patients. No studies reported an increase in temperature. A total of 12 case reports described severe hypothermia attributed to intrathecal morphine. However, our explorative analysis did not show an association between intrathecal morphine and hypothermia, and no dose response was identified. Clinical outcomes were infrequently reported, though several hypothermic patients were described as asymptomatic, suggesting that hypothermia may be clinically under-recognized. Current evidence does not demonstrate a consistent association between intrathecal morphine and hypothermia following cesarean delivery. However, interpretation is limited by substantial heterogeneity across studies. This scoping review highlights an important evidence gap in the literature and supports the need for well-designed studies to clarify whether intrathecal morphine contributes to clinically relevant hypothermia. This review presents an overview of the evidence concerning intrathecal morphine treatment and post-caesarean temperature dysregulation. The evidence is incomplete, and this scoping review highlights areas where higher quality evidence is needed.
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3. Distance Hands-On Training Versus Video Instruction for Flexible Laryngeal Mask Airway Management: A Protocol for a Multicenter Randomized Controlled Trial.
PMID:日期:2026-10-01Flexible laryngeal mask airway (fLMA) management is an important but technically demanding airway skill, particularly for novice physicians. Distance hands-on training may provide a scalable alternative when access to face-to-face simulation is limited, but evidence demonstrating transfer of such training to clinical performance in patients remains scarce. This trial aims to compare distance hands-on training with standardized video instruction for novice physicians learning fLMA management. This is a prospective, multicenter, parallel-group, rater-blinded, superiority randomized controlled trial conducted at three tertiary hospitals in China. Thirty novice physician participants will be randomized 1:1 to either distance hands-on training or video instruction. Both groups will receive identical standardized theoretical materials, a procedural demonstration video, and a written checklist. The distance hands-on training group will additionally receive remotely supervised deliberate practice using an airway task trainer with real-time instructor feedback. After training, each physician participant will perform fLMA management in two adult patient participants under direct supervision by experienced anesthesiologists. Clinical performance will be video-recorded and independently assessed by two blinded raters using the Flexible LMA Airway Management Global Rating Scale, for which validity evidence was established in a preceding study. Secondary outcomes include procedural success, insertion time, ventilation parameters, fLMA positioning, procedure-related complications, learning progression, and physician participant satisfaction. This trial will evaluate whether structured distance hands-on training improves clinical procedural performance beyond standardized video instruction. By combining randomized educational intervention, multicenter clinical assessment, blinded video-based rating, and patient-based outcome evaluation, the study aims to provide evidence on the transfer of distance simulation training to clinical airway management. Chinese Clinical Trial Registry (ChiCTR): ChiCTR2600121867.
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4. The Dissemination of Standardised Care Protocol Guidelines for High-Risk Emergency Abdominal Surgery Patients in Denmark.
PMID:日期:2026-10-01Patients undergoing high-risk emergency abdominal surgery have a high risk of postoperative complications and mortality. International studies suggest that standardised care protocol guidelines may improve outcomes, yet little is known about the dissemination of such guidelines in Denmark. We conducted a nationwide cross-sectional survey among Danish public hospitals treating high-risk emergency abdominal surgical patients. Anaesthesiologists and surgeons responsible for emergency abdominal surgery were invited to report on the presence of joint care protocols, including core components, audit practices and barriers to implementation. A total of 35 out of 41 eligible departments (85%) responded, representing 20 out of 23 hospitals. Almost all participating hospitals (95%) reported having a joint guideline for high-risk emergency abdominal surgery. The most included components were antibiotics within 3 h (90%), CT scan within 2 h (90%) and intended surgery within 6 h. Only 47% of hospitals showed agreement between surgeons and anaesthesiologists on six or more core components. Audits were conducted in 90% of hospitals, with variations between departments in audit methods and focus. The most frequently reported barriers were limited resources in specialised units, surgical capacity and time constraints. This survey showed that nearly all Danish hospitals treating high-risk emergency abdominal surgical patients reported having a joint guideline endorsed by both the surgical and anaesthesiology departments. Time-critical components aiming at early diagnosis and treatment were the most frequently included core components in the guideline. This survey-based report describes how many Danish hospitals have a local guiding document for perioperative anaesthesia and surgical care for cases of high-risk emergency abdominal surgery. The most common components of these across hospitals are described.
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5. Electronic Patient-Reported Health-Related Quality of Life Trajectories in ICU Survivors: A Multicentre Pilot Study-Within-a-Trial Protocol.
PMID:日期:2026-09-29Patient-important outcomes beyond mortality, particularly health-related quality of life (HRQoL), are frequently used in intensive care unit (ICU) trials. However, HRQoL assessment remains challenging due to methodological complexities, including poorly defined recovery trajectories, lack of consensus on measurement instruments, complexity of statistical analysis, and missing data. Electronic patient-reported outcomes (ePROs) may improve data collection and efficiency, though their feasibility in ICU survivors is uncertain. This protocol outlines a longitudinal, multicentre pilot study-within-a-trial aimed at evaluating the feasibility of ePRO-based HRQoL follow-up and exploring a trajectory-based approach to HRQoL characterisation after critical illness. We plan to enrol 100 participants already undergoing 180-day HRQoL follow-up in the Intensive Care Platform Trial (INCEPT) to complete monthly EQ-5D-5L surveys delivered by text messages from 6 to 12 months after randomisation. Feasibility outcomes include enrolment and response rate, time to completion, reminder-dependency, attrition pattern, agreement between modes of collection, and accessibility. Agreement between telephone- and ePRO-based assessments at 180 days will be evaluated at the group and at the individual level. Longitudinal EQ-5D-5L index values and visual analogue scale trajectories will be analysed using area-under-the-curve methods based on linear interpolation. Scenario-based sensitivity analyses will assess the potential impact of unobserved mortality among dropouts. We hypothesise that ePRO-based repeated assessments of HRQoL will support the goal of optimised data collection methods, while ensuring resources control. Moreover, identification of a candidate approach to HRQoL characterisation may shed light into the full recovery trajectory of ICU survivors and improve the interpretation and clinical relevance of HRQoL outcome assessments.
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6. Ability of the PulseCO Algorithm to Assess Changes in Stroke Volume Induced by Changes in Vascular Tone.
6. PulseCO算法评估血管张力变化引起的每搏输出量变化的能力PMID:日期:2026-09-27Vasoconstriction during anesthesia can influence stroke volume (SV) by preload modulation, making accurate SV monitoring essential to guide vasopressor therapy. Since gold standard methods like pulmonary artery catheterization and lithium dilution provide only intermittent estimates, continuous and less invasive arterial pulse contour analysis systems are increasingly used. However, their accuracy under altered vascular tone remains uncertain. We aimed to evaluate the PulseCO algorithm's (SV-P) ability to detect clinically relevant changes in SV index (SVI) during manipulation of vascular tone, using lithium dilution with the LiDCO method (CI-Li) as reference, and to assess how absolute systemic vascular resistance index (SVRI) levels influenced agreement between methods. In this prospective observational study, adult patients undergoing general anesthesia were monitored using continuous SV-P and intermittent CI-Li at three predefined time points: (1) supine baseline after anesthetic induction, (2) after head-up tilt (HUT), and (3) during phenylephrine infusion in HUT. Agreement in SVI changes was assessed by directional concordance, absolute changes and Bland-Altman analysis, and the impact of vascular load was further explored by examining SVRI. A ≥ 10% change in SVI was defined as clinically relevant. A total of 19 patients were included. Directional concordance between the two methods was 100% in both interventions. The SV-P registered SVI changes ≥ 10% in all patients during both interventions, while lithium dilution registered this in 16 and 18 patients, respectively. The SV-P consistently overestimated SVI changes compared with CI-Li, with a non-significant mean difference of -1.6 mL/m (95% CI: -4.2 to 1.1, p = 0.28) from baseline to HUT, and a significant overestimation during phenylephrine infusion with a mean difference of 4.9 mL/m (95% CI: 2.5 to 7.4, p = 0.001). Relative discrepancies between SV-P and CI-Li appeared to increase with higher SVRI. The arterial pulse wave-based algorithm detected clinically relevant changes in SVI with 100% sensitivity and showed a 100% concordance with lithium dilution in the direction of change. However, it generally overestimated absolute SVI changes, and most markedly so during phenylephrine administration. Relative discrepancies in absolute SVI values appeared to increase with higher SVRI, highlighting that vascular load affects agreement. This study compares the performance of one device's pulse contour-based estimates for stroke volume to estimates of stroke volume, same device, based on dilution-based cardiac output and observed heart rate. This was also tracked during anesthesia interventions expected to alter peripheral vascular tone. These 2 methods for stroke volume (index) estimation agreed in direction of change with the clinical interventions, while pulse contour analysis appeared to overestimate changes in stroke volume compared to the flow-based estimates.
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7. Ephedrine for Reducing Onset Time of Rocuronium in Elderly Patients: A Randomised Study.
7. 麻黄碱缩短老年患者罗库溴铵起效时间：一项随机研究PMID:日期:2026-09-25Onset time of rocuronium is prolonged in elderly patients compared to younger patients. Ephedrine reduces onset time of rocuronium in younger adults, but in elderly patients, the effect of ephedrine on onset time of rocuronium has not been investigated. The aim of this study was to determine the onset time of rocuronium 0.6 mg kg after administration of ephedrine 0.15 mg kg in patients aged 80 years or above. The hypothesis was that ephedrine reduces onset time compared to placebo (saline). We included patients aged ≥ 80 years with American Society of Anesthesiologists physical health Classes I-III scheduled for surgery under total intravenous anaesthesia with rocuronium. Patients were randomised to administration of ephedrine 0.15 mg kg or saline (placebo) before administration of rocuronium 0.6 mg kg. Primary outcome was time to Train-of-Four (TOF) count 0 measured from the end of administration of rocuronium. Secondary outcomes included intubating conditions, occurrence of new cardiac arrhythmia, change in mean arterial blood pressure (MAP) and occurrence of hoarseness and sore throat at 24 and 72 h after surgery. Forty-four patients were allocated to receive ephedrine and 43 patients to receive saline, but the primary endpoint could only be analysed in 38 and 37, respectively. Time to TOF 0 was 134 s (IQR, 107 to 180) in the ephedrine group compared to 139 s (IQR, 121 to 185) in the placebo group (p = 0.60), difference 9 s (95% CI, -14 to 31). Change in MAP was 4 mmHg (SD 21) in the ephedrine group compared to -6 mmHg (SD 22) in the placebo group (p = 0.03), difference 10 mmHg (95% CI 1 to 20). Cardiac arrythmias occurred more often in the ephedrine group compared to the placebo group (p < 0.001). No difference was found in intubating conditions or occurrence of hoarseness or sore throat after surgery. No reduction was found in onset time of rocuronium 0.6 mg kg in elderly patients after administration of ephedrine 0.15 mg kg compared to placebo during induction of anaesthesia. The ephedrine group had more stable blood pressure, but a larger occurrence of tachycardia compared to placebo. Ephedrine intravenous treatment, which can be given around the time of anesthesia induction and muscle relaxant administration, is thought to shorten rocuronium effect onset time for some patients. In this study, this was tested in an elderly cohort, in a blinded trial compared to a placebo treatment. Ephedrine was noted to have predictable cardiovascular effects, but did not have an effect on rocuronium onset time in this cohort. NCT06681662.
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9. Response to Letter to the Editor: "Free of Delirium" Must Not Mean "Never Assessable" in CoreMS-ICU.
9. 对致编辑信的回复：“无谵妄”在CoreMS-ICU中绝不能意味着“无法评估”PMID:日期:2026-09-24该文献暂无摘要。
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10. Inadequate Neuraxial Anesthesia in Patients Undergoing Emergency Cesarean Delivery: A Qualitative and Quantitative Scoping Review.
PMID:日期:2026-09-24Neuraxial anesthesia is the preferred anesthetic technique for cesarean delivery, yet a systematic review found that 14% of blocks for elective cesarean delivery were inadequate. This scoping review aimed to explore patients' and anesthesiologists' experiences of inadequate neuraxial anesthesia during emergency cesarean delivery. Secondary objectives were to examine its definitions, management strategies, and reported prevalence. A systematic literature search was conducted based on predefined inclusion criteria according to the PCC framework (Population, Concept, Context). Studies published since 1995 that reported clinical data were eligible. Three authors independently screened titles, abstracts, and full texts. Study quality was assessed using the Mixed Methods Appraisal Tool. The literature search yielded 6375 titles, of which 63 were included in the review. Data on patients' and anesthesiologists' experiences with inadequate neuraxial anesthesia during emergency cesarean delivery is very limited. Clinicians may experience difficulties identifying patients experiencing intraoperative pain. No common definition of "inadequate neuraxial block" was found. Intravenous opioids followed by S-Ketamine were the most common pharmacological strategies used for supplementation. Due to the varying definition of "inadequate block" no incidence could be calculated. Data on both patients' and anesthesiologists' experiences with inadequate neuraxial anesthesia during emergency cesarean delivery are sparse. Inadequate neuraxial anesthesia is inconsistently assessed, and with no consensus on its definition or management. A wide range of pharmacological strategies is used to avoid conversion to general anesthesia, but their effectiveness remains unclear. The reported incidence of inadequate neuraxial block ranges from 0% to 27%. This scoping review presents an updated systematic review on how to better understand this kind of event, so that it could be better studied.