ANESTHESIOLOGY麻醉学
ANESTHESIOLOGY(英文缩写 ANESTHESIOLOGY),ISSN 0003-3022,eISSN 1528-1175,中文译名:麻醉学 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：2025-10-01 至 2026-09-30，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 | 9.198 | Q1 |
| 2022 | 8.800 | Q1 |
| 2023 | 9.100 | Q1 |
| 2024 | 9.100 | Q1 |
| 2025 | 9.400 | Q1 |
ANESTHESIOLOGY 最新收录文献
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1. Assessment of Vigilance Recovery in Rats Following Anesthesia Using a Touchscreen-Based Continuous Performance Task.
1. 使用基于触摸屏的连续操作任务评估大鼠麻醉后警觉性恢复情况PMID:日期:2026-10-01Cognitive recovery following general anesthesia is clinically important but incompletely understood. Rodent studies in anesthesia research have primarily examined memory and learning, while vigilance and other neurocognitive domains remain underexplored. To address this gap, we employed the rodent Continuous Performance Task (rCPT), a touchscreen-based translational paradigm, to characterize anesthetic-specific recovery trajectories of vigilance following anesthetic emergence. Sixteen adult Sprague Dawley rats (8 male, 8 female) were trained to proficiency on the rCPT. Once trained, loss of righting was induced by sevoflurane (3% for 20 min), propofol (10 mg/kg i.v. bolus), ketamine (50 mg/kg i.v. over 10 min), or dexmedetomidine (20 µg/kg i.v. bolus), delivered in a randomized order every other week. Animals were placed supine in the cognitive testing chamber and their performance was recorded for four hours. Return of righting reflex (RORR) was used to indicate anesthetic emergence. Vigilance recovery was defined as 20 consecutive trials with an average hit rate >0.6. The latency to recover vigilance was delayed following ketamine and dexmedetomidine compared to baseline (Hazard Ratio in ketamine, 5.34; 95% CI, 2.07, 13.76; Hazard Ratio in dexmedetomidine, 5.33; 95% CI, 2.08, 13.62; both p<.0001). Reward retrieval latency recovered 4 hours after RORR following ketamine (percent change from baseline, -24.14%; 95% CI, -54.69, 17.89%) but not recover at the same time point following dexmedetomidine (percent change from baseline, -47.85%; 95% CI, -71.94, -20.23%). The rCPT identified delayed recovery of vigilance following ketamine and dexmedetomidine. Dexmedetomidine showed prolonged impairment across behavioral measures, including visual processing speed (hit latency) and reward retrieval, suggesting sustained effects on psychomotor function, motor coordination, and behavioral engagement that persisted for at least 4 hours after RORR. These findings support the utility of the rCPT as a translational paradigm for characterizing agent-specific and domain-specific trajectories of cognitive recovery following anesthesia.
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3. Exploration of Red Blood Cell Distribution Width in Pediatric Obstructive Sleep Apnea.
3. 红细胞分布宽度在儿童阻塞性睡眠呼吸暂停中的探索PMID:日期:2026-09-29该文献暂无摘要。
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4. Geographic and Demographic Inequities in Access to Pediatric Anesthesiologists for Children within the United States.
4. 美国境内儿童获得儿科麻醉医师服务的地理和人口统计学不平等PMID:日期:2026-09-25该文献暂无摘要。
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6. Effect of In-line Clinical Decision Support to Improve Accuracy of American Society of Anesthesiologists Physical Status Documentation: A Two Center Evaluation of a Quality Intervention.
6. 在线临床决策支持对提高美国麻醉医师协会身体状况记录准确性的效果：一项质量干预的两中心评估PMID:日期:2026-09-22American Society of Anesthesiologists Physical Status (ASA PS) classification is a widely used ordinal scale that captures comorbidity burden but has significant inter-rater variability. Previous efforts to enhance ASA PS documentation with Clinical Decision Support (CDS) are limited by inaccurate problem lists, poor user experience, or consideration of select comorbidities. We developed and implemented a CDS which uses the anesthesia clinicians' documentation to highlight potential under-classification at time of ASA PS assignment. Building upon examples from ASA Committee on Economics and institutional consensus, we identified 51 conditions warranting an ASA PS of at least 3. This was embedded in CDS and implemented at our large academic medical center (Site 1). We compared the percentage of patients assigned an ASA PS 3 or greater before (May 22, 2023 to May 22, 2024) and after complete implementation (August 14, 2024 to August 14, 2025). A second large midwestern academic medical center served as a contemporaneous external control (Site 2). Using a difference in difference analysis, we constructed odds ratios for assignment of ASA PS 3 in all patients and selected sub-populations. The study included 251,944 anesthetics from Site 1 and 286,172 from Site 2. Baseline characteristics were similar between sites. At Site 1, the proportion of patients classified as ASA PS 3 or higher increased from 52.9% to 61.7% (aOR 1.42, 95% CI 1.38-1.45). Site 2 experienced a small absolute increase from 47.2% to 48.4% (aOR 1.05, 95% CI 1.03-1.07). Among patients at Site 1 with 50 conditions addressed by the latter phase of the CDS, the proportion classified as ASA PS 3 or greater increased from 83.6% to 94.0% (aOR 3.54, 95% CI 3.34-3.76). Implementation of our in-line real-time CDS was associated with a significant increase in the percentage of patients with ASA PS 3 or greater.
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7. Persistent genito-pelvic pain 2 months after vaginal birth: a nationwide population-based analysis from the 2021 French National Perinatal Survey.
7. 阴道分娩后持续性生殖器-盆腔疼痛2个月：基于2021年法国国家围产期调查的全国性人群分析PMID:日期:2026-09-21Persistent pain can significantly impact maternal health outcomes. However, there is a lack of representative data after vaginal birth. We used population-based data to estimate the prevalence and risk factors of persistent genito-pelvic pain 2 months after vaginal birth. We analyzed data from the 2021 National Perinatal Survey, a French nationwide, cross-sectional, population-based survey. The study population included women who delivered vaginally. The main outcome was persistent genito-pelvic pain at 2 months postpartum after vaginal birth. Prevalence with 95% confidence intervals (CIs) was estimated overall and by degree of perineal tear. Risk factors were identified on univariable and multivariable logistic regression. All analyses were weighted to account for 2-month attrition. Among 5,802 vaginal births, the prevalence of persistent genito-pelvic pain at 2 months postpartum was 12.8% (95%CI 11.8-13.8), ranging from 5.9% (4.3-7.9%) for women with no tear to 38.9% (27.1-52.2) for those with obstetric anal sphincter injury (OASI). On multivariable analyses, persistent pain was significantly associated with all degrees of perineal tear versus no tear (1 st/2 nd-degree tears, adjusted odds ratio 2.08 [1.51-2.87]; episiotomy 3.37 [2.27-4.99] and OASI 5.92 [3.03-11.55]). Other risk factors included being born in Africa (1.51 [1.06-2.16]), primiparity (1.50 [1.20-1.87]), poor maternal psychological status during pregnancy (2.05 [1.48-2.83]) and operative birth (1.43 [1.14-1.79]). Negative childbirth experience (2.03 [1.50-2.77]), and dissatisfaction with pain management during the maternity stay (somewhat satisfied: 1.59 [1.28-1.98]; and little/not at all satisfied: 3.11 [2.27-4.26]) were also associated with persistent pain. At 2 months postpartum, persistent genito-pelvic pain affected one in eight women after vaginal birth and increased with perineal injury severity. Further studies are warranted to explore the potential preventive effects of limiting perineal tears and instrumental births on persistent pain, optimizing maternal satisfaction with postpartum pain management, and improving childbirth experience.
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8. A Contemporary Survey of The Impact of Perioperative Catastrophes on Anesthesiologists.
8. 围手术期灾难对麻醉医师影响的当代调查PMID:日期:2026-09-21Perioperative catastrophes are sentinel events in anesthesiology with well-described emotional and professional consequences. A landmark national survey published in 2012 demonstrated substantial and prolonged distress among anesthesiologists following such events. Since 2012, anesthesiology practice has evolved within a healthcare environment characterized by persistent workforce strain, heightened attention to clinician well-being, and expansion of peer-support programs. A contemporary reassessment is warranted. A voluntary, anonymous electronic survey was distributed in 2025 to U.S.-based members of the American Society of Anesthesiologists who had opted to receive research surveys. The 44-item instrument was adapted from the 2012 questionnaire to preserve longitudinal comparability while incorporating contemporary support modalities. Domains included experience with perioperative catastrophes, characteristics of a memorable event, emotional and physical sequelae, impact on clinical performance, recovery trajectories, and perceptions of institutional support. Descriptive analyses were performed. Of 1,725 respondents included in analysis (response rate 7.1%), 94.2% reported involvement in at least one perioperative catastrophe during their careers. Following a memorable event, 72.5% reported physical symptoms and 91.6% reported psychosocial symptoms. Most respondents perceived impairment in ability to provide anesthesia care in the first 4 hours (69.0%) and 24 hours (61.5%) after the event. Nearly one-fifth (19.7%) reported never fully recovering emotionally, closely mirroring rates reported in 2012. Although informal peer support was common, formal debriefing and institutionally supported time off were infrequently provided. Nearly one-quarter of respondents reported considering leaving anesthesiology as a result of a perioperative catastrophe. Perioperative catastrophes remain a common experience in anesthesiology and continue to carry substantial and enduring consequences. Despite increased cultural awareness, there remains a gap between recognition of their impact and clinicians' reported recovery experiences. Routine integration of peer support, nonpunitive debriefing, and flexible duty relief may represent critical opportunities to improve clinician well-being, patient safety, and workforce sustainability.
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9. Short-term Modification of Postoperative Ventilation Phenotypes With Electrical Impedance Tomography-guided Positive End-expiratory Pressure Titration.
9. 基于电阻抗断层成像引导的呼气末正压滴定对术后通气表型的短期改善PMID:日期:2026-09-17Postoperative ventilation inhomogeneity is common after major surgery and has been associated with adverse outcomes. Whether these ventilation phenotypes can be acutely modified remains unknown. We investigated whether electrical impedance tomography (EIT)-guided PEEP titration can improve ventilation homogeneity and cardiopulmonary function. This prospective, single-center, non-randomized feasibility study was conducted from August 2024 to June 2025. Sixty mechanically ventilated adults admitted to the ICU after surgery at high risk of postoperative pulmonary complications (PPCs) underwent EIT assessment. 30 with heterogeneous ventilation patterns (15 phenotype 1: ventral-dominant; 15 phenotype 3: dorsal-dominant) received individualized PEEP titration guided by dorsal fraction of ventilation (DFV) to achieve a homogeneous pattern (phenotype 2: DFV 50-59%), whereas 30 with homogeneous ventilation received no protocolized intervention. The primary endpoint was feasibility of achieving homogenization. Immediate phenotype conversion was achieved in 29 of 30 patients (96.7%; 95% CI, 82.8-99.9%). At 4 h, 28 of 30 patients (93.3%; 95% CI, 77.9-99.2%) remained within the target DFV range. In ventral-dominant patterns (n=15), PEEP increased from 5 to 9 cm H₂O; respiratory system compliance increased by 9.2 mL/cm H₂O (95% CI, 6.1-12.3), and PaO₂/FIO₂ increased by 61.9 mm Hg (95% CI, 8.6-115.2). In dorsal-dominant patterns (n=15), PEEP decreased from 7 to 3 cm H₂O; ventral compliance increased by 3.4 mL/cm H₂O (95% CI, 1.1-5.8), without changes in global respiratory system compliance or oxygenation. Individualized PEEP reduced mean pulmonary artery pressure and increased cardiac index. Exploratory comparison showed severe PPCs occurred in 25% of the interventional cohort and 41% of the historical cohort (absolute risk difference, -15.8 % [95% CI, -38.8 to 2.2]; P = 0.17). Short-term modification of postoperative ventilation phenotypes is feasible with EIT-guided phenotype-directed PEEP titration. This strategy is associated with improved homogeneity and cardiopulmonary function, supporting regional ventilation as a therapeutic target.
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10. Prospective, randomized comparison of electromyographic neuromuscular responses from the adductor pollicis and abductor digiti minimi muscles during rocuronium-induced neuromuscular block.
10. 在罗库溴铵诱导的神经肌肉阻滞期间，拇内收肌与小指展肌肌电神经肌肉反应的前瞻性随机比较PMID:日期:2026-09-17Many clinicians monitor the abductor digiti minimi (ADM) muscle during surgery using electromyography (EMG) for ease and consistency of electrode placement, while practice guidelines recommend monitoring of responses at the adductor pollicis (AP) muscle. We compared the onset time of rocuronium neuromuscular block and the sugammadex-induced recovery time recorded simultaneously from the AP and ADM muscles. In 44 consenting patients undergoing general anesthesia, simultaneous EMG recording of ADM and AP muscles was performed. Right- and left-hand selection of monitored muscle (AP vs. ADM) was randomized, and patients' handedness was recorded. The primary outcomes were the onset time of neuromuscular block (administration of rocuronium until train-of-four (TOF) count =0); recovery time (time from sugammadex administration until TOF ratio ≥0.9); and time to maximal recovery (sugammadex administration until TOF ratio=1.0). There were no significant differences between ADM and AP measurements in onset time, recovery to TOF ratio ≥0.9, or time to maximal recovery (TOF ratio=1.0) between EMG responses recorded simultaneously from ADM and AP muscles. However, a difference in recovery times between ADM and AP existed, depending on which hand was monitored. When ADM was monitored on the right hand, the readings showed earlier recovery than AP, and the mean difference was 93 s (25% faster) and 105 s (20% faster) for time to TOF ratio ≥0.9 and time to TOF ratio=1.0, respectively. We found no difference between the AP and ADM muscles when monitoring was performed on the left hand. The present study underscores the equivalency between ADM and AP muscles for routine neuromuscular monitoring during surgery. When monitoring the non-dominant arm, the ADM and AP muscles have similar recoveries. In the dominant arm, the ADM muscle recovery is significantly faster than that of the AP muscle.