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BMJ: Adjunctive dexamethasone analgesia after total knee arthroplasty reduces morphine use for pain relief
Time of Update: 2022-01-21
Currently, multimodal analgesia is recommended for postoperative pain after total joint replacement, including paracetamol, ibuprofen, topical infiltrative analgesia, and morphine .
Effect of dexamethasone as an analgesic adjuvant to multimodal pain treatment after total knee arthroplasty: randomised clinical trial.
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[Classic high score literature reading] Under the action of spontaneous breathing, volatile anesthetics can maintain tidal volume and minute ventilation better than propofol
Time of Update: 2022-01-10
Under sevoflurane or isoflurane anesthesia, as the concentration of CO2 increases, respiratory rate (FR), tidal volume (TV), and minute ventilation (MV) decrease .
Compared with the same dose of etomidate, sevoflurane and isoflurane, propofol caused a greater decrease in respiratory rate (FR), minute ventilation (MV), and inspiratory-expiratory time ratio (I/E) Big .
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[Crisis event] Sudden supine hypotension syndrome during perianaesthesia
Time of Update: 2022-01-09
Focus on the sudden supine hypotension syndrome during perianaesthesia. Contributions: Hangbo layout: Onion 1. Occurrence and harm of sudden supine hypotension syndrome during perianaesthesia 1. S
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Anesthesia management of esophagotracheal fistula (below)
Time of Update: 2022-01-09
The method of preserving spontaneous breathing before tracheal intubation and fistula ligation under combined anesthesia with intravenous inhalation did not cause severe respiratory depression and avoided the occurrence of reflux aspiration .
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【Hot Spots of Anesthesia】Application of Aprotinin and Antifibrinolytic Enzyme Drugs in Cardiac Surgery
Time of Update: 2022-01-09
Through a systematic review of 51 trials of fibrinolytic drugs, the use of aprotinin can reduce chest tube drainage, blood transfusion and the need for reoperation due to bleeding compared with the placebo group .
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Learning Notes of Tongji Xiaoma (5)
Time of Update: 2022-01-08
At the same time, we started medical peripherals and enriched our colorful life~ I hope to make progress with everyone in the future and let anesthesia come to the front!
Let anesthesia come into the hearts of the public!
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Obstetric anesthesia: summary of key points of puncture
Time of Update: 2022-01-08
Common clinical practice is wrong: the needle in the subcutaneous fat layer, forming a local uplift after injection, so not only would not achieve a local anesthetic effect, but also affect the touch gap San San puncture technique of spinal puncture of the spinal canal tips The anatomical relationship between the epidural space and the subarachnoid space in the cross section of the lumbar spine is equivalent to the relationship between a large circle and a small circle .
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It's ridiculous!
Time of Update: 2022-01-08
Why can doctors trained in anesthesiology use propofol?The biggest harm of propofol is respiratory depression, which is mainly manifested in a rapid bolus of the drug or the patient's condition is poor, which will cause a short breathing stop .
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What is the appropriate concentration of inhaled oxygen during the operation?
Time of Update: 2022-01-08
If the oxygen concentration cannot be adjusted directly, what is the appropriate mixing ratio of air and oxygen?With the discovery of a large number of studies, inhalation of high concentrations of oxygen significantly increases the incidence of perioperative atelectasis under the condition of ensuring sufficient oxygenation.
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Single finger replantation under full conscious local anesthesia has less risk and lower cost
Time of Update: 2022-01-07
Figure 1 Source of the articleFifty-one patients received single finger replantation after the first sharp amputation, of which 16 received fully conscious local anesthesia and 35 received general anesthesia .
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[Crisis event] Sudden myocardial ischemia and acute myocardial infarction during perianaesthesia
Time of Update: 2021-12-31
The occurrence and harm of sudden myocardial ischemia and acute myocardial infarction during perianaesthesia ) The incidence rate in our country is showing a significant upward trend, and the number of patients with coronary heart disease among surgical patients has also increased correspondingly .
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Tongji Xiaoma Study Diary (4)
Time of Update: 2021-12-29
At the same time, we started medical peripherals and enriched our colorful life~ I hope to make progress with everyone in the future and let anesthesia come to the front!
Let medical sharing be more acceptable to people!
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[Crisis event] Sudden cement response syndrome during perianaesthesia
Time of Update: 2021-12-29
1. Artificial joint replacement and cement response syndrome in elderly patients (1) With the advent of aging society, with the increase of age, the functions of various organs and systems in the body gradually decline, and among these, osteoporosis and bone joints The disease is most prominent .
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Anesthesia Nursing Column-Literature Reading "The Influence of Parental Anxiety on Children's Behavior Changes After General Anesthesia"
Time of Update: 2021-12-28
The incidence of behavioral changes in group A was significantly higher than that in group B at 3 days, 1 week, and 2 weeks after operation (P <0.
Conclusion Parental anxiety before surgery can significantly increase the postoperative behavioral changes of children undergoing ENT surgery .
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Emergency endotracheal intubation: the patient's heart has stopped after giving the medicine!
Time of Update: 2021-12-27
Difficulties encountered in endotracheal intubation outside the operating room
Difficulty in teamwork, lack of airway management experience in some departments , and unfamiliar equipment
Difficulty in teamwork, lack of airway management experience in some departments , and unfamiliar equipment
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What about postoperative pain?
Time of Update: 2021-12-24
It is hypothesized that the addition of bupivacaine liposome transversus abdominis plane block in the ERA regimen will further reduce postoperative opioid consumption and hospital stay .
In DIEP flap breast reconstruction, enhancing postoperative recovery can reduce postoperative opioid consumption and hospital stay .
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JAMA: The effect of local vs. general anesthesia on the risk of postoperative delirium in elderly patients over 65 years of age with hip fractures
Time of Update: 2021-12-24
Recently, researchers investigated the impact of regional anesthesia and general anesthesia on the risk of postoperative delirium in elderly patients who need hip fracture surgery .
Recently, researchers investigated the impact of regional anesthesia and general anesthesia on the risk of postoperative delirium in elderly patients who need hip fracture surgery .
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A summary of the main points of spinal hard puncture, anesthesiologist must know!
Time of Update: 2021-12-04
In addition, the spinal anesthesia needle is injected into the side hole, so there is obviously a sense of failure but no cerebrospinal fluid.
In addition, bolus injection of spinal anesthetic is the most critical operation.
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Intraoperative pain monitoring, can you do it in the end?
Time of Update: 2021-12-04
we know
Pain is an unpleasant subjective feeling
Therefore, daily when we evaluate the analgesic effect
Mainly through the main complaint of the patient
But when the patient is under general anest
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West China Hospital Research: Improve the prognosis of patients undergoing gastric cancer surgery, and anesthesiologists can also contribute!
Time of Update: 2021-12-04
In addition, in the multivariate survival analysis of patients after propensity score matching cohort, age, tumor size, degree of radical cure, pathological TNM staging, and adjuvant chemotherapy are independent prognostic risk factors that affect the overall survival outcome of patients .
