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Int J Dermatol: Are Dermatologists Really Getting Systemic Opioids Right?
Time of Update: 2022-04-15
While it is important for dermatologists to manage their patients' pain well, we are currently facing an opioid epidemic .
This systematic review aimed to synthesize the available evidence on opioid use by dermatologists, including opioid prescribing in surgical and dermatological conditions .
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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 .
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Tongji Xiaoma Studying Diary (7)
Time of Update: 2022-03-09
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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Anesthesia Nursing Column-Understanding "Quality Control Indicators for Anesthesia (Revised and Trial Implementation in 2020)"
Time of Update: 2022-03-09
Click on the blue word to follow our anesthesia nursing column - understand the "quality control indicators of anesthesia (revision and trial implementation in 2020)" Reference material: China Medical Information Herald July 27, 2020 Volume 35 Issue 14 Anesthesiology is an independent professional discipline , the scope of work includes clinical anesthesia, pain management, anesthesia resuscitation, emergency resuscitation, etc.
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Acute pain trajectory after elective total hip arthroplasty: a systematic review and data synthesis
Time of Update: 2022-03-09
Classic high-scoring literature reading·Acute pain trajectory after elective total hip arthroplasty: systematic review and data synthesisPXL/Riozhou/LYEditor's key pointsØ Understanding when acute pa
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[Yao's Anesthesiology] Obesity Management (2)
Time of Update: 2022-03-08
When mixed anesthesia with nitrous oxide and oxygen was applied during the operation, and after breathing room air postoperatively, the patient developed mild hypoxemia for more than 10 minutes .
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【Anesthesia Hotspot】Causes and thoughts of postoperative vision loss
Time of Update: 2022-03-07
Two factors, prolonged surgical procedures and massive blood loss, have long been considered risk factors for the development of POVL in patients with spinal cord injuries .
2. In spinal surgery patients, risk factors for developing POVL are longer surgical procedures and massive blood loss .
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[Friday] Classic high-scoring literature reading · Postoperative delirium and postoperative cognitive dysfunction
Time of Update: 2022-03-06
This chronic inflammatory state, combined with an acute exacerbation of inflammation, may be a mechanism for the increased incidence of POD/POCD after cardiac surgery .
This suggests that the main cause of POD/POCD may be related to the increased inflammatory activity associated with major surgery [53] .
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[Challenge] How should you deal with sudden extensive bleeding in the surgical field in patients with perianesthesia shock?
Time of Update: 2022-03-06
2. Analysis of the causes of sudden and extensive oozing of blood in the surgical field in patients with shock during the peri-anesthesia period Deficiency of plasma coagulation factors, congenital diseases such as hemophilia and acquired diseases such as disseminated intravascular coagulation; ③ abnormal platelets, abnormal platelet number, morphology and function; ④ hyperfibrinolysis .
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Correlation between preoperative cognitive ability, regional cerebral oxygen saturation and postoperative delirium in elderly Portuguese patients
Time of Update: 2022-03-06
Method: Preoperative using a prospective cohort study The Cognitive Screening Tool (Mini-Cog, Mini-Mental State Examination, Verbal Fluency) and the Monitoring Scto2 Tool (INVOS 5100C; Medtronic, Ireland) were tested at a higher academic centre in Portugal between July 2017 and May 2019 238 patients ≥65 years of age who were scheduled for elective surgery were evaluated .
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[Literature reading] Low alpha power on intraoperative EEG is associated with postoperative subdelirium syndrome
Time of Update: 2022-03-06
Therefore, the aim of this study was to characterize intraoperative EEG markers to identify patients with a propensity to develop PD or PSSD .
4 DiscussionDiscussion: In conclusion, a low intraoperative alpha power is a novel electroencephalogram marker to identify patients who will develop alterations in CAM– ie, with PD or PSSD– after surgery.
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[Friday] Classic high-scoring literature reading · Preoperative midazolam use is not associated with early postoperative delirium
Time of Update: 2022-03-06
We assessed the association between the use or nonuse of premedication with midazolam and postoperative delirium using a χ2 test, using propensity scores to match up with 3 midazolam for each control patient who did not receive midazolam.
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Classic high-scoring literature reading · The physical and mental impact of novel coronavirus disease on anesthesiologists: a call to action
Time of Update: 2022-03-06
With elective surgeries being cancelled, the shift has brought additional financial setbacks, with more than 90% of investigators saying their caseload has decreased by more than 50% since the national emergency was declared (mostly in the 70-80% range) Meanwhile, anesthesiologists who were recruited to work on the frontlines reported working longer, and at times unpredictable and irregular, while facing shortages of personal protective equipment (PPE), even during endotracheal intubations or while operating ventilators [2].
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The effect of epidural anesthesia on the arterial maximum velocity of free flap in lower extremity microvascular reconstruction
Time of Update: 2022-03-05
Epidural Anesthesia and Arterial Maximal Flow Velocity of Free Flap in Patients Having Microvascular Lower Extremity Reconstruction: A Randomized Controlled Trial.
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After anesthesiologists experience "normal" gastroscopy in person, we need to think carefully about a question: should we insist on painless gastroscopy?
Time of Update: 2022-03-05
I'm thinking about a question: should I insist on painless gastroscopy?There is a reason for this problem, because what I just experienced was a " normal " gastroscope .
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Oops, had a difficult airway that even a guide couldn't guide!
Time of Update: 2022-03-05
In the end, doctors decided to use betamethasone to promote fetal lung maturation, and planned to perform cesarean section at 34 weeks of gestation, and to perform tracheal tumor resection and tracheal reconstruction on the third postpartum day .
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Pediatric Anesthesia: Diagnostic accuracy of stroke volume variation in predicting fluid responsiveness in pediatric cardiac surgery
Time of Update: 2022-03-05
methodmethodWe performed a systematic review and meta-analysis of the diagnostic value of stroke volume change in predicting fluid responsiveness after cardiac surgery in children .
Diagnostic accuracy of stroke volume variation for predicting fluid responsiveness in children undergoing cardiac surgery: A systematic review and meta-analysis.
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BMC Anesthesiol: Comparison of non-opioid and opioid anesthesia in pancreatic surgery
Time of Update: 2022-03-04
Non-opioid anesthesia (OFA) significantly reduces total postoperative morphine use compared with opioid anesthesia (OBA); however, whether OFA is feasible and may improve outcomes in pancreatic surgery remains unclearmethodmethod methodThe perioperative data of 77 patients undergoing pancreatectomy were retrospectively analyzed, receiving OBA combined with remifentanil (n=42) or OFA (n=35).
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Journal of Anesthesia: Plasma concentrations of desflurane and sevoflurane after oxygenator delivery during cardiopulmonary bypass surgery: a randomized, prospective, pilot study
Time of Update: 2022-03-02
methodmethodWe randomized 24 patients on elective cardiopulmonary bypass into two groups (desflurane and sevoflurane) and then randomly assigned to use four brands of oxygenators: Trumo, Rivanova, Medtronic, and Sen.
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Asia-Pacific Phase III BHV3000-310 Study Shows Oral Calcitonin Gene-Related Peptide (CGRP) Receptor Antagonist Provides Rapid and Durable Migraine Relief
Time of Update: 2022-03-02
Led by BioShin , the Phase 3 regional multicenter study BHV3000-310 met its co-primary endpoints evaluating the efficacy and safety of the oral calcitonin gene-related peptide ( CGRP ) receptor antagonist rimegepant orally disintegrating tablet ( ODT ) .
