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[Mind Mapping Modern Anesthesiology] Anesthesia and Respiration (1)
Time of Update: 2022-04-27
Airway resistance 5 Physiological mean pulmonary artery pressure in pulmonary circulation is only 14mmHg, pulmonary venous pressure is only 6mmHg, mean pulmonary capillary pressure or hydrostatic pressure is only 8mmHg, normal adult pulmonary circulation blood volume is 400-600ml, accounting for 8%-10% of total blood volume .
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[Crisis event] Sudden laryngospasm during perianaesthesia
Time of Update: 2022-04-27
Experiments in 2-6-year-old children with increased airway reactivity showed that the laryngeal respiratory reflex was induced differently by sevoflurane and propofol under the same depth of anesthesia, and the incidence of apnea and laryngospasm was higher than that of propofol The phenol group was lower than the sevoflurane group .
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"Challenges of Perianaesthesia Emergencies" Sudden Acute Brain Swelling During Perianaesthesia
Time of Update: 2022-04-27
After the hematoma is cleared by craniotomy, the typical "blocking effect" disappears --> the damaged blood vessel or barrier bleeds rapidly due to the loss of packing and compression --> the autonomic regulation function is lost --> the pressure difference between the inside and outside of the blood vessel increases -- > Rupture to form delayed hematoma --> Intraoperative acute encephalocele .
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Anesthesia Management for Kidney Transplantation
Time of Update: 2022-04-25
Indications for anesthesia management of kidney transplantation: ESRD (end-stage renal disease) glomerular disease caused by various diseases, congenital diseases and polycystic kidney--high blood pressure and diabetes-related nephropathy are common in young patients ESRD pathophysiology: renal Main functions: 1.
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Anesthesia Management of Miller Liver Transplantation (4) Surgical Process
Time of Update: 2022-04-25
·Recurrent infection and newly transplanted liver failure can have dire consequences ·Indications for liver transplantation in children: cholestatic disease, malignancy, metabolic disease and acute severe hepatitis Liver transplantation anesthesia Cell inflammation and necrosis--fibrosis--blood flow obstruction--portal hypertension and portosystemic shunt Severe portal hypertension: the pressure difference between portal vein and hepatic vein exceeds 10-12mmHg--ascites, esophageal variceal bleeding may occur , hepatic encephalopathy, hepatorenal syndrome and other complications .
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Neuron: Following antidepressant and memory enhancement, Ren Chaoran's team revealed the neural circuit of light therapy to relieve pain
Time of Update: 2022-04-24
In contrast, chronic inhibition of the RGC→vLGN/IGL→l/vlPAG loop in the CCI pain model and the formalin pain model did not induce antinociceptive effects after exposure to light at an intensity of 3000 lux .
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Lancet Sub-Journal: In 1 in 4 hospitalizations, what is the impact of delirium on long-term cognitive impairment and mortality?
Time of Update: 2022-04-24
The clinical importance of delirium has been demonstrated as acute changes in arousal, inattention, and overall cognitive impairment, affecting 1 in 4 elderly (≥70 years of age) hospitalized patients .
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How do you deal with hypoxemia during one-lung ventilation?
Time of Update: 2022-04-24
. There are many factors that can affect intrapulmonary shunt during OLV , resulting in imbalance of ventilation / flow (V/Q) ratio, including circulatory factors, continuous perfusion of the non-ventilated lung, insufficient expansion of the ventilated lung, general anesthesia, patient position, etc.
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Science sub-journal: fill in important gaps!
Time of Update: 2022-04-24
Legend: Nine markers of aging: genomic instability, telomere attrition, epigenetic alterations, loss of protein homeostasis, dysregulated nutrient sensing, mitochondrial dysfunction, cellular senescence, stem cell exhaustion, and altered intercellular communication in stem cellsAnd a recent study has made waves in this field again, and the "error catastrophe theory", which has been silent for a long time, has once again attracted people's attention .
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PLOS MED: Adding gabapentin to pain relief after opioid use is associated with increased risk of falls!
Time of Update: 2022-04-24
references:Concurrent use of prescription gabapentinoids with opioids and risk for fall-related injury among older US Medicare beneficiaries with chronic noncancer pain: A population-based cohort study.
1003921Concurrent use of prescription gabapentinoids with opioids and risk for fall-related injury among older US Medicare beneficiaries with chronic noncancer pain: A population-based cohort study.
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Hong Kong added 34,466 new cases in a single day, with nearly 500 deaths in this round, yet to peak!
Time of Update: 2022-04-23
Li Gang, former director of the Surgical Intensive Care Unit (SICU) of the China-Japan Friendship Hospital and a member of the new crown pneumonia epidemic prevention and control expert group, said in an interview with reporters, "There are a large number of beds in the Fangcang cabin hospital, and the wards are relatively simple.
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Perioperative pain management for thyroid and parathyroid surgery learning from the literature: a systematic review
Time of Update: 2022-04-23
Currently, there is considerable variation in clinical practice regarding the mode of opioid analgesia and the use of non-narcotic adjuvant drugs after neck surgery .
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The eating pattern that has been ranked first for 5 years, relying on it?
Time of Update: 2022-04-23
But does such an approach really bring about great health benefits?Recently, Professor Hu Bingchang's team from the Department of Nutrition at the Harvard School of Public Health found that higher olive oil intake was associated with lower overall and cause-specific mortality, replacing margarine, butter, mayonnaise or olive oil with olive oil.
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Guangzhou University of Traditional Chinese Medicine tops BMJ: Acupuncture has significant effects in 8 diseases, but is absent in clinical practice and policy
Time of Update: 2022-04-23
A recent review of systematic reviews of acupuncture found that of the 77 diseases investigated, acupuncture demonstrated significant effects in eight diseases or conditions: improving functional communication in post-stroke aphasia patients; relieving neck and shoulder pain; Relief of myofascial pain; relief of pain associated with fibromyalgia; relief of nonspecific low back pain; improved success in lactation within 24 hours of delivery; reduced severity of vascular dementia symptoms; and improvement in nasal symptoms of allergic rhinitis .
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30 Pediatric Anesthesia Formula Tables Get Started!
Time of Update: 2022-04-22
Commonly used local anesthetic doses for spinal anesthesia in children and adolescents26.
Commonly used local anesthetic doses for spinal anesthesia in children and adolescents26.
Commonly used local anesthetic doses for spinal anesthesia in children and adolescents26.
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Cell Research: New Advances in Chronic Pain Treatment!
Time of Update: 2022-04-22
Yang Huaiyu from the School of Life Sciences of East China Normal University published an online publication in the journal Cell Research entitled Inhibiting Hv1 channel in peripheral sensory neurons attenuates chronic inflammatory pain and A research paper on opioid side effects, for the first time reporting that the voltage-gated proton channel (Hv1) is a new target for the treatment of chronic pain .
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What happens if the perioperative muscle relaxant hits the epidural?
Time of Update: 2022-04-16
About 120 minutes after epidural administration, the catheter was extubated and returned to the ward .
About 120 minutes after epidural administration, the catheter was extubated and returned to the ward .
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Old age, the reason for not sleeping well has been found!
Time of Update: 2022-04-16
This study proves that the increased excitability of Hcrt neurons in old age is the key to "sleep fragmentation", activating K+ ion channels, promoting the recovery of neurons to a resting state, and reducing the excitability of Hcrt neurons, is expected to improve the elderly people with light sleep, The problem of waking up at night .
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Age & Ageing: Old people always cry out in pain?
Time of Update: 2022-04-15
references:The effect of opioids on the cognitive function of older adults: results from the Personality and Total Health through life study , Age and Ageing, Volume 50, Issue 5, September 2021, Pages 1699–1708, https://doi.
1093 /ageing/afab048The effect of opioids on the cognitive function of older adults: results from the Personality and Total Health through life study
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"Putting wolfberry in a thermos cup" is a waste?
Time of Update: 2022-04-15
Researchers from the University of California, Davis found that taking 28g of dried wolfberry 5 times a week can monitor the protective pigment density in the eyes and the carotenoid content in the skin after 90 days, which can help prevent Age-related macular degeneration (Age-related Macular Degeneration, AMD) , and the effect of directly taking dried wolfberry is better than that of health products .
