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【Pediatric Anesthesia】The causes and treatment of intraoperative wheezing in children
Time of Update: 2022-05-01
Wheezing usually occurs when light anesthesia stimulates the bronchi or tracheal crest, but it can also be caused by a variety of mechanisms, including aspiration, allergy, or drug-related bronchospasm, and clinical data can help identify the cause .
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[Crisis event] Sudden acute hemopneumothorax during perianesthesia
Time of Update: 2022-05-01
3. Coping strategies for sudden acute hemopneumothorax during peri-anesthesia period (3) Patients with acute hemopneumothorax are often accompanied by chest pain, dyspnea, hypotension, increased heart rate, decreased breath sounds on auscultation, and in severe cases, shock and respiratory and circulatory failure; ④ When hemopneumothorax is highly suspected X X-ray examination to confirm the diagnosis, chest X-ray shows pleural effusion or gas, X-ray is not obvious, CT-assisted and thoracentesis can be further confirmed .
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ICAA WACA Anesthesia for Geriatric Hip Surgery - Precise Individualization Real or Dream?
Time of Update: 2022-05-01
This case Discuss a 90-year-old man with atrial fibrillation undergoing hip surgery.
3. The anesthesia management of super-elderly patients, from preoperative assessment to induction to maintenance to extubation to postoperative management, should be well-understood.
For details of anesthesia management in elderly patients, please refer to the consensus guideline to the public.
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【Column of Anesthesia Nursing】 Evidence-based expert consensus on bedside ultrasound nursing for adults
Time of Update: 2022-05-01
Bedside ultrasound-led nursing assessment of gastric residual, which can quickly, qualitatively and quantitatively evaluate critically ill patients, so as to carry out goal-oriented nursing; 2.
Through visual qualitative and quantitative evaluation, target-oriented nursing strategies are determined to guide intensive nursing practice and provide precise care for critically ill patients.
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A summary of these things about local anesthetics commonly used in nephrology, come and collect!
Time of Update: 2022-05-01
In addition, the ability of the kidneys to clear metabolites and toxic substances is significantly reduced in patients with renal insufficiency, and the peak effects of local anesthetics and their metabolites may accumulate with prolonged infusion time, increasing the risk of clinical adverse events .
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Anesthesia guidelines and expert consensus on learning the expert consensus on perioperative central venous monitoring
Time of Update: 2022-05-01
Prepare a standardized pressure monitoring device, mainly including a central venous catheter puncture bag, sterile gloves, disinfectant, syringe, Puncture needles, guiding wires, deep vein catheters, skin dilators, sterile saline, suture needles, sutures, pressure bags, disposable transducers, monitoring equipment, etc.
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【Look at the picture and talk】A brief discussion on airway and endotracheal intubation tools
Time of Update: 2022-05-01
This is the best position for airway management and laryngoscope intubation in obese patients because the external auditory canal is at the same level as the sternal angle Macintosh blade (upper) and Miller (lower) Laryngoscope blade Laryngoscope view (with Cormack-Lehane system related) .
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Learn anesthesia knowledge like "Tik Tok" so easy~
Time of Update: 2022-05-01
Everyone is welcome to actively contribute to the "v draft" (vlog draft) 01 The purpose of the activity is that we are determined to serve the people of the whole country and even people all over the world (including but not limited to anesthesiologists, surgeons, dentists and other doctors, patients, general People, insiders and outsiders who are interested in this) continue to provide "high-quality content and services", but at the same time do not want to "behind the scenes" .
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Respiratory Physiology During Anesthesia
Time of Update: 2022-05-01
Emergency treatment of hypoventilation includes ventilatory support and supplemental oxygen (see Hypoxemia) (2) Dead space ventilation and high v/Q values 04 During general anesthesia and hypoxemia, a number of factors can lead to a decrease in PaO2 (Fig.
2 During atelectasis anesthesia, atelectasis can occur due to reduced lung volume and/or inhalation of high concentrations of oxygen .
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[Serialization] Tongji Xiaoma Advanced Study (10)
Time of Update: 2022-05-01
At the same time, we have started a medical peripheral to enrich our colorful life~ I hope to make progress together with everyone in the future, and let anesthesia come to the forefront!
Let medical sharing be more easily accepted by people!
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Expert consensus in Guangdong province on the application of anticholinergic drugs before anesthesia (2021 edition)
Time of Update: 2022-05-01
They can act on central and peripheral postganglionic cholinergic receptors to sedate, relieve tension of various smooth muscles, relax trachea and bronchi, inhibit glandular secretion, and prevent Laryngeal stimulation during intubation and intraoperative stretch-induced vagal reflex induced heart rate slowing, anti-bradycardia caused by a variety of anesthetics and other effects [2] .
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[Sunday] Hot discussion in the group 20220320
Time of Update: 2022-04-30
Questions and answers in the group 5.
At the same time, we have started a medical peripheral to enrich our colorful life~ I hope to make progress together with everyone in the future, and let anesthesia come to the forefront!
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【Anesthesia Hotspot】Perioperative myocardial infarction
Time of Update: 2022-04-30
Perioperative myocardial infarction case form: stage case analysis The patient, a 74-year-old female, was to undergo femoral artery-popliteal artery shunt . His medical history included severe hyper
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You can't miss the key points · Anesthesia junior and intermediate test center intensive lecture 02
Time of Update: 2022-04-30
Furthermore, the drag force in turbulent flow is inversely proportional to the 5th power (32 times) of the pipe radius with the following formula: pressure gradient ≈ × (density/half).
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One picture to understand the strategy and implementation of lung protective ventilation
Time of Update: 2022-04-30
At the same time, we have started a medical peripheral to enrich our colorful life~ I hope to make progress together with everyone in the future, and let anesthesia come to the forefront!
Let medical sharing be more easily accepted by people!
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The experience of laryngeal mask in Xiaowu school (3) The laryngeal masks in those textbooks~
Time of Update: 2022-04-30
Some laryngeal mask design features address the high pressure of the cuff, which can lead to oropharyngeal complications and nerve paralysis, and improve tool placement .
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The sixth stage of cloud rounds: Transapical approach and transcatheter aortic valve replacement in elderly patients with heart failure [with the Chinese expert consensus on clinical pathway management for anesthesia in TAVR surgery (2018)]
Time of Update: 2022-04-30
Intended operation: Transcatheter aortic valve implantation (TAVR) under general anesthesia with SPRING Question 1: What are the indications and contraindications of TAVR surgery?
Different from conventional thoracotomy, most patients have poor cardiac function, severe valve stenosis, and large transvalvular pressure difference.
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Key points of anesthesia management for cesarean section under general anesthesia
Time of Update: 2022-04-30
Prepare for difficult airway intubation .
D. Intubation is optional for rapid sequential induction .
G. Use rapid sequential induction: intravenous propofol 1.
Maternal muscle relaxants receiving magnesium sulfate treatment should be appropriately reduced .
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【Topics in Pediatric Anesthesia】Application of MRI Technology
Time of Update: 2022-04-30
MRI technology application The human body is very rich in water, and different tissues have different water content . MRI technology is a technology that detects the internal structure of the huma
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[Yao's Anesthesia] Anesthesia management of pheochromocytoma (2)
Time of Update: 2022-04-30
01% solution) is the most commonly used drug to control hypertension during pheochromocytoma surgery .
Therefore, intravenous administration of sugar-containing solutions should be considered after tumor resection, and blood glucose levels should be closely monitored for at least 24 hours after surgery .
