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【Pediatric anesthesia】Anesthesia management of craniopharyngioma
Time of Update: 2022-02-22
Because the craniopharyngioma is closely related to the pituitary stalk and the hypothalamus, it is easily palpated or stretched during surgery, resulting in intraoperative and postoperative diabetes insipidus.
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[Actual combat] The general anesthesia patient is about to wake up, what should the anesthesiologist prepare?
Time of Update: 2022-02-20
Withdrawal of Anesthetics 1 ● The optimal timing for discontinuing inhaled and/or intravenous anesthetics depends on the type of drug, dose, and duration of administration .
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Neuromodulation: Musical vibrations relieve pain
Time of Update: 2022-02-19
Post-treatment (AFT) score analysis revealed significant differences between BSL and MVAThe intrinsic qualities of pain-relieving music and vibrations are well known, including sounds captured by the auditory system and vibrations captured by the somatosensory system .
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The pulse oxygen saturation and end-tidal CO2 of the middle finger in laparoscopic surgery suddenly drop, so beware of gas embolism!
Time of Update: 2022-02-19
A series of studies using transesophageal echocardiography ( TEE ) to monitor intraoperative carbon dioxide embolism have shown that the incidence of CO2 embolism caused by different types of endoscopy or surgery is different, and the size and harm of gas emboli are also different .
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Big trouble!
Time of Update: 2022-02-19
Then the problem comes when the anesthesiologist finds an elective patient or an emergency What should be done when a patient has a venous catheter thrombosis?It is important to first objectively and rationally assess the risk of thrombus shedding leading to embolism in order to avoid inappropriate clinical decisions .
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Pain: Unbearable pain after tooth extraction, try DFN-15
Time of Update: 2022-02-19
Efficacy and safety of single-dose DFN-15 for treatment of acute postsurgical dental pain: a randomized placebo, double-blind, controlled study
Efficacy and safety of single-dose DFN-15 for treatment of acute postsurgical dental pain: a randomized placebo, double-blind, controlled study
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What are the common medical accident minefields in anesthesiology?
Time of Update: 2022-02-16
3. Improper dosage and method of medication, especially for elderly, children , patients with poor physical condition, hypersensitivity or specific constitution, and low detoxification function, improper use of anesthetic dose and speed (for patients with high sensitivity and specific constitution) an anesthesia accident) .
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【Anesthesia Hotspot】Use of recombinant factor VIIa in cardiac surgery
Time of Update: 2022-01-26
Widespread infusion of rFVIIa in cardiac surgery patients is based on early case reports that the use of rFVIIa after complex coronary artery bypass grafting, placement of ventricular assist devices, and re-thoracotomy significantly reduces post-CPB bleeding .
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Beware of Postoperative Sympathetic Storm
Time of Update: 2022-01-26
To sum up, for patients with severe craniocerebral injury, we should be alert to the perioperative paroxysmal sympathetic nerve hyperexcitability, and found that the heart rate, blood pressure, and breathing increased significantly.
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Miller·Anesthesia management of liver transplantation (3) Pathophysiology of end-stage liver disease
Time of Update: 2022-01-26
In the United States, chronic liver disease and cirrhosis 5th leading cause of death Liver failure with life-threatening complications: hepatic encephalopathy, ascites, gastrointestinal bleeding or sepsis Trends: Malignancy and non-alcoholic fatty liver NASH still increasing The problem is the shortage of organ donors, which has resulted in almost 12% of patients dying each year while waiting for the past 10 years .
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【Yao's Anesthesiology】Thyrotoxicosis (2)
Time of Update: 2022-01-26
Patients should be intubated as early as possible before airway edema due to restricted lymphatic and venous return occurs .
Such patients require urgent airway management such as endotracheal intubation or tracheostomy .
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Do you think light weight is what you think light weight is?
Time of Update: 2022-01-26
Glucose and sterile saline can be added to the local anesthetic solution respectively to make it a heavy or light specific gravity solution .
3. Light specific gravity: prepared with local anesthetic and sterile water for injection .
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Anesthesia Management of Miller Liver Transplantation (6) Anhepatic Stage of Operation
Time of Update: 2022-01-26
The surgery is divided into three distinct phases: Anhepatic pre-stage (hepatectomy phase) - the liver is removed and the vascular structures (suprahepatic, inferior inferior vena cava, portal vein, and hepatic artery) are marked .
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[Miller Anesthesiology] Study Notes Chapter 13 Awakening
Time of Update: 2022-01-26
The mechanism of action of anesthetics in the thalamus-cortex and cortex-cortexBy Danny & Cat & Characteristics of Miao Conceptual Awareness Awakening (maintaining a awake state) and cognition (subjective feeling) 01 When cognitive neuroscientists and philosophers use the term "cognitive awareness), they are limited to expressing "subjective experience" .
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[Crisis event] Sudden amniotic fluid embolism during perianaesthesia
Time of Update: 2022-01-25
Immediate rescue after diagnosis of amniotic fluid embolism: ① Open other venous channels and perform blood coagulation tests .
Maternal consideration of amniotic fluid embolism, immediate anti-allergy, application of methylprednisolone 180mg, intravenous infusion of 5% glucose solution, rapid blood transfusion and a large amount of coagulation factors, plasma, fibrinogen and albumin .
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The current situation of labor analgesia in "The 70th American Knowledge Update Essence"
Time of Update: 2022-01-24
This technique is to make a small hole in the dura during the epidural operation, but does not use drugs in the subarachnoid space, and aims to improve the quality and reliability of epidural analgesia .
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【Excellent PPT】Professor Guo Qulian of Pediatric Day Surgery Anesthesia
Time of Update: 2022-01-24
Let's read Professor Guo's PPTps together. The PPT boss agrees to make it public ●Efforts to do a good job in case discussion Xue Zhanggang ●Children's Anesthesia Airway and Respiratory Management G
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【PPT sharing】Professor Ouyang Wen preoperative assessment and decision-making of elderly patients
Time of Update: 2022-01-24
Authorized by Professor Ouyang Wen to share thanks to all the professors who have benefited a lot from their careful production Background: Aging makes the functional reserves of all organs gradually
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[Excellent PPT] Strive to do a good job in case discussion Xue Zhanggang
Time of Update: 2022-01-24
Excellent courseware, excellent courseware, anesthesia management for trauma patients, excellent courseware, operating room anesthesia, Mevisone, excellent courseware, glycogen involvement disease, G
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【Quality Courseware】Anesthesia Recovery Room (PACU)
Time of Update: 2022-01-24
2021 New Edition of "Expert Consensus on Post-anesthesia Monitoring and Treatment" Excellent Courseware Pediatric Day Surgery Anesthesia Prof.
United Family Obstetrics Forum Professor Lu Jiakai et al Dialectical Treatment of Perioperative Pulmonary Hypertension Professor Zhao Xiaoqin Application of Continuous Nerve Block in Orthopaedic Surgery Dao Management Prof.
