Current Opinion in Anesthesiology麻醉学当前观点
Current Opinion in Anesthesiology(英文缩写 CURR OPIN ANESTHESIO),ISSN 0952-7907,eISSN 1473-6500,中文译名:麻醉学当前观点 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 | 2.733 | Q3 |
| 2022 | 2.500 | Q3 |
| 2023 | 2.300 | Q2 |
| 2024 | 2.100 | Q2 |
| 2025 | 2.800 | Q2 |
Current Opinion in Anesthesiology 最新收录文献
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1. Anesthetic management for tracheal resection and reconstruction: conventional principles and emerging innovations.
PMID:日期:2026-10-05Tracheal resection and reconstruction (TRR) surgery is one of the most challenging procedures in thoracic anesthesia because it requires continuous coordination between the anesthesiologist and surgeon while sharing the airway throughout surgery. This review aims to provide a clinically useful framework for anesthesia management in patients undergoing tracheal surgery. It integrates traditional principles of managing shared airways with novel developments in anesthesia, including robot-assisted non-intubation surgery, flow-controlled ventilation (FCV) with ultrathin tubes, and high-flow nasal oxygenation (HFNO) to assist anesthesiologists in choosing the best management strategy for each patient. The recent developments in TRR anesthesiology are related to the use of robotically non-intubated surgery with spontaneous breathing and oxygen insufflation into the thoracic cavity, FCV with an ultrathin tube with an Evone ventilator with continuous gas exchange during the resection process without tube change, spontaneous breathing with distal oxygen insufflation through a simple catheter for cervical lesions, and HFNO for apneic oxygenation in the open airway period for a tubeless surgical environment. Preoperative planning is essential for TRR, along with individualized airway management. Ventilation methods include conventional cross-field techniques and advanced ones such as non-intubated robotic surgery, FCV using the Tritube device, and HFNO. The key factors to ensure success include minimizing anastomotic tension and cough-free emergence.
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2. Postoperative delirium in ambulatory patients.
2. 门诊患者术后谵妄PMID:日期:2026-09-04Ambulatory surgery is expanding rapidly in an aging, comorbid population, yet delirium prevention strategies remain designed for the inpatient setting. This review provides a mechanistic and pragmatic framework for postoperative delirium (POD) in ambulatory patients and proposes an operational algorithm for its diagnosis, differential diagnosis, prevention, and management. POD is found in approximately 17.7% of cases following noncardiac procedures overall, but appears markedly less frequent in the ambulatory setting (<2%), potentially reflecting less invasive procedures, the widespread use of regional anesthesia, and limited exposure to hospital-related precipitating factors. This apparent low frequency creates a detection gap: once the patient is home, screening depends on caregivers. The Family Confusion Assessment Method shows good agreement with clinician-rated Confusion Assessment Method and, when embedded in structured telephone or telehealth follow-up, extends surveillance to postoperative day 30. Preventive levers now supported by data include multimodal prehabilitation (11.7-8.2%), individualized blood pressure targets, electroencephalography-guided depth of anesthesia, and family-delivered multicomponent programs (t-HELP; 19.4-2.6%). Neuronal-injury biomarkers, particularly phosphorylated Tau181 (pTau181), argue for a pathway shared with neurodegeneration. POD predominantly affects patients over 65 years of age and carries increased morbidity, mortality, and long-term cognitive decline; more than 30% of cases are preventable. In ambulatory care, the challenge is not case volume but case detection: preoperative risk stratification supported by standardized protocols for multidisciplinary collection of clinical history from relatives, systematic exclusion of reversible organic causes, and caregiver-based screening after discharge. Rather than a low-risk setting by default, the ambulatory pathway should be regarded as an active preventive strategy for frail older patients.
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3. The role of the leader in navigating perioperative culture change.
3. 领导者在引导围手术期文化变革中的作用PMID:日期:2026-09-01The need to initiate culture change in perioperative medicine comes as a result of many internal and external factors. Anesthesia professionals, who habitually work in complex environments and continuously sense and adapt to change, are well-suited to be leaders of perioperative cultural change. Recent literature on culture change reinforces the importance of communication and trust as the bedrock of change, being steadfast in the determination of the goal while remaining flexible about the pathway toward achieving it, and creating an environment of psychological safety to bridge the gap between the perception of leaders and the operational reality that team members experience. Leaders are the architects of culture change, but even the most erudite among them are unlikely to achieve successful change without creating agency among the team they work with. In this review, universal strategies will be discussed that support culture change independent of the change model used. These strategies focus on reviewing the embedding mechanisms of change, communication, creating trust, narrowing the gap between leadership and the team, and building psychological safety.
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4. Managing surgical patients with chronic pain using or not using opioids: existing solutions and perspectives.
4. 对使用或不使用阿片类药物的慢性疼痛手术患者的管理：现有解决方案与展望PMID:日期:2026-08-24该文献暂无摘要。
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5. Building a neuroanesthesia educational infrastructure for perioperative neurosurgical patient care.
5. 构建用于围手术期神经外科患者护理的神经麻醉教育基础设施PMID:日期:2026-08-24This article aimed to examine the value of education and training within perioperative neuroscience and its development for supporting the delivery of high-quality, safe patient care. Perioperative neuroscience is a rapidly evolving field in anesthesiology, with current research demonstrating the potential for neurological injury in patients undergoing nonneurological and neurological surgery. Expertise is essential to mitigate risk. Current evidence in perioperative neuroscience suggests a patient benefit with subspecialty training. Advanced training programs have continued to evolve with the development of global accreditation programs for fellowship training. Advanced training within perioperative neuroscience is necessary to improve healthcare outcomes. Accreditation of training programs offers standardization and quality assurance.
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7. Understanding care delivery within a universal healthcare system today.
7. 了解当今全民医疗保健体系内的护理服务提供PMID:日期:2026-08-24Universal healthcare coverage (UHC) is a controversial political and financial topic in any healthcare system. Unfortunately, the best value-based care for patients is not always achievable in many healthcare systems and the impact of the presence or absence of UHC has significant ramifications for healthcare institutions, clinicians, and patients. This review provides an overview of the different universal healthcare funding models to equip clinicians with the tools needed to navigate and advocate for better general and perioperative care for patients. The United Nations included UHC in the United Nations Sustainable Development Goals in 2015, with the goal of UHC by 2030. The race to achieve this goal has meant policy and system changes that translate to a system in which clinicians working to deliver care is constantly evolving and challenged by epidemics, multiple world economic crises, geopolitical unrest, change in philanthropic investment, and a change in legal frameworks in healthcare delivery. The way clinicians navigate value-based care in a UHC system will always be ethically and professionally challenging. Perioperative neuroscience clinical teams are, however, uniquely positioned to produce better patient outcomes and to advocate at every level of care and society for UHC.
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8. Patient-reported outcomes in pediatric regional anesthesia trials: current use and limitations.
8. 儿科区域麻醉试验中的患者报告结局：当前应用与局限性PMID:日期:2026-08-24[中文摘要] 本综述探讨了患者报告结局测量工具（PROMs）在儿童区域麻醉研究中的当前应用与局限性。尽管以患者为中心的结局日益受到重视，现有的儿童结局评估框架可能不足以充分捕捉疼痛体验及其对日常生活的干扰。在已确定的17项随机对照试验和15项正在进行的研究中，PROMs的使用仍高度不一致，普遍依赖于观察性疼痛量表，如面部、腿部、活动、哭泣和可安慰性量表（FLACC），而标准化、纵向健康相关生活质量测量工具的应用则较为有限。当前儿童PROMs框架仍呈碎片化状态，限制了对康复情况的全面评估。需要进一步推进标准化，并纳入与发育阶段相适应的纵向结局测量工具，以更好地使临床研究与有意义的以患者为中心的终点相一致，并改善对功能和社会心理康复的评估。
[英文摘要] This review examines the current use and limitations of patient-reported outcome measures (PROMs) in pediatric regional anesthesia research. Despite the increasing emphasis on patient-centered outcomes, existing pediatric outcome assessment frameworks may inadequately capture the pain experience and interference with daily living. Across 17 identified randomized controlled trials and 15 ongoing studies, PROM use remains highly variable, with consistent reliance on observational pain scales such as the Face, Legs, Activity, Cry, and Consolability scale and limited incorporation of standardized, longitudinal health-related quality-of-life measures. Current pediatric PROM frameworks remain fragmented, limiting comprehensive evaluation of recovery. Greater standardization and incorporation of developmentally appropriate, longitudinal outcome measures are needed to better align clinical research with meaningful patient-centered endpoints and to improve assessment of functional and psychosocial recovery.
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9. Nonoperating room anesthesia in the ICU: current practice and considerations.
9. ICU中的非手术室麻醉：当前实践与考量PMID:日期:2026-08-24ICU procedures are increasingly complex, often requiring deeper sedation or general anesthesia, and are increasingly performed at the bedside to avoid transport risk. This trend has expanded the role of anesthesiologists in ICU nonoperating room anesthesia (NORA). This review summarizes practical anesthetic considerations for these procedures, focusing on optimization, monitoring, and systems issues. ICU patients frequently have shock, hypoxemia, right ventricular failure, metabolic acidosis, organ dysfunction, and neurologic injury that change anesthetic pharmacokinetics and hemodynamic responses. Bedside tracheostomy, percutaneous endoscopic gastrostomy, extracorporeal membrane oxygenation cannulation, bronchoscopy, thoracic interventions, and selected neurosurgical and interventional radiology procedures are feasible in the ICU but carry higher rates of cardiorespiratory events than operating room cases, largely because of illness severity and environmental constraints. Short-acting sedatives, noninvasive respiratory support, point-of-care ultrasound, and structured checklists, simulation, and dedicated ICU NORA pathways can reduce complications. Emerging artificial intelligence and machine learning tools that process physiologic and waveform data may further improve risk stratification, early detection of instability, and decision support. Bedside ICU procedures blur the boundaries between sedation, monitored anesthesia care, and general anesthesia. Effective practice requires individualized plans, clear rescue pathways, and coordination between anesthesia, ICU, and procedural teams, supported by advanced monitoring and data-driven decision support.
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10. Intracranial pressure monitoring and management of traumatic brain-injured patients in resource-constrained health systems.
PMID:日期:2026-08-24In low-resource settings, invasive intracranial pressure (ICP) monitoring is often not available due to its high costs. Therefore, some therapeutic strategies require a different approach than those recommended in the presence of invasive monitoring. In this review, we propose a concise overview on ICP monitoring in low-resource settings, mainly focusing on traumatic brain injury patients. In limited-resource settings, where invasive ICP monitoring is not available, the use of protocols, based on clinical examination and neuroimaging, is associated with improved outcomes and should be adopted in daily clinical practice. In recent years, there has been an increase in interest and use of noninvasive methods for estimating ICP. A recent consensus, requiring validation in future clinical studies, was created with the aim to integrate noninvasive ICP (nICP) methods in the above-mentioned protocols. The creation of protocols that include available/local resources (nICP, neuroimaging, etc.) and the implementation of educational initiatives is a valid strategy for improving care in resource-constrained health systems. Importantly, more research is needed in this area of patient care.