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Anesthesiology: The effect of intravenous anesthesia and inhalation anesthesia on postoperative cognition of elderly patients undergoing laparoscopic abdominal surgery: a multicenter, randomized trial
Time of Update: 2021-04-16
Elderly (60 years and older) patients who underwent laparoscopic abdominal surgery for more than 2 hours were randomly assigned to propofol or sevoflurane as the basic drug regimen to maintain general anesthesia, and at least 221 patients were assigned to each group for verification.
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JAHA: a predictor of death from troponin-methadone exposure
Time of Update: 2021-04-16
do?w=%E5%BF%83%E8%A1%80%E7%AE%A1">heart blood vessels published a research article on the disease areas authoritative magazine JAHA, the researchers aimed specifically whether methadone poisoning increases cardiac troponin levels, and whether high-sensitivity cardiac troponin I (hs-cTnI) levels can be Predict the need for admission to an intensive care unit, endotracheal intubation, and mortality.
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NeuroImage: Brain functional connections will change after anesthesia
Time of Update: 2021-04-13
studied the long-term brain function regulation induced by isoflurane by functional magnetic resonance imaging (fMRI), local field potential (LFP) measurement and gene expression profiling one month after the initial exposure.
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Science Translational Medicine: instead of morphine to treat pain dependence! Gene therapy technology based on CRISPR and zinc finger protein relieves chronic pain
Time of Update: 2021-03-30
7 in situ suppression is effective for chronic pain in the long term, the researchers repeated the carrageenan inflammatory pain model and tested thermal hyperalgesia on the 42, 84, and 308 days after intrathecal AAV injection.
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Tips | In addition to pressurizing and oxygenating, this trick will also get immediate results when laryngospasm is used
Time of Update: 2021-03-27
Laryngeal spasm refers to the reflex spasmodic contraction of the laryngeal muscles, which causes the vocal cords to be adducted, and the glottis is partially or completely closed, which leads to var
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Feelings | Progressive thinking in decision-making in anesthesia
Time of Update: 2021-03-27
The commonly used pressure-boosting drugs have a boosting effect from weak to strong (also known as the decision chain), roughly ephedrine-m-hydroxyamine-dopamine-phenylephrine-norepinephrine-epinephrine.
At work, a clinical goal needs to be achieved, and there may be many choices, and conscious self-cultivation of progressive thinking in decision-making is of great benefit to understanding the various logical relationships in anesthesia.
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Science Translational Medicine: instead of morphine to treat pain dependence! Gene therapy technology based on CRISPR and zinc finger protein relieves chronic pain
Time of Update: 2021-03-26
7 in situ suppression is effective for chronic pain in the long term, the researchers repeated the carrageenan inflammatory pain model and tested thermal hyperalgesia on the 42, 84, and 308 days after intrathecal AAV injection.
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What is the core technology of anesthesia?
Time of Update: 2021-03-25
Anesthesia mainly intervenes in all clinically invasive operations, allowing patients to fall asleep, and even if they are successful through unpleasant experiences, this may be the opinion of most doctors, including some anesthesiologists; but is it only that?
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The patient's condition worsens after taking the medicine according to the doctor's order and the hospital compensates 210,000
Time of Update: 2021-03-25
Combining the existing medical records and the condition of the disease at the time of death, it is not ruled out that the doctors use Cordarone drugs to induce/promote the occurrence and development of lung diseases.
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Endovascular treatment: which is better for general anesthesia, conscious sedation or local anesthesia?
Time of Update: 2021-03-25
Abstract of this article: In benzodiazepine refractory status epilepticus, levetiracetam, fosphenytoin sodium, and sodium valproate are effective in the treatment of microembolic signals after successful endovascular thrombectomy does not affect the prognosis of the disease, but Can predict new embolic events.
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Interpretation of lung function test | Practical
Time of Update: 2021-03-25
Diastolic test is a very important part of the lung function test and is the most commonly used test to diagnose asthma. A positive diastolic test is one of the necessary conditions for the diagnosi
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The trauma patient came to sew the stitches, and the breathing and heartbeat arrested after 50 minutes!
Time of Update: 2021-03-25
The patient did not use other drugs in combination, so it was considered to be an allergic reaction and central nervous system toxicity caused by lidocaine.
Thinking 6 What other local anesthetics can be used by patients allergic to lidocaine?
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30 minutes before the end of the operation, these problems should be worthy of the anesthesiologist’s attention
Time of Update: 2021-03-25
At the same time, it needs to be emphasized that for elderly patients and patients with poor cardiopulmonary function, it is necessary to consider the recovery of volume and blood vessel tension after awakening from general anesthesia, and the relative volume will increase, which may increase the heart and lung burden and the incidence of postoperative complications.
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Case Sharing | Is it possible for physical dissolved oxygen to maintain oxygen consumption in extreme anemia?
Time of Update: 2021-03-25
Machine controlled ventilation with pure oxygen after induction of anesthesia, the operation starts quickly, blood pressure 70/40mmHg, heart rate 75 beats/min, finger pulse oxygen 100%, tidal volume 520ml, respiratory rate 14 beats/min, emergency infusion to expand and correct acidosis .
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The mystery of neonatal death-stillbirth or death after birth?
Time of Update: 2021-03-25
Song and her family believed that the doctor did not fulfill its anticipation obligation for the fetus in the uterus and failed to perform the cesarean section to end the delivery in time, resulting in the death of the newborn, and sued the hospital for compensation of more than 750,000 yuan.
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Review | Have you paid attention to all these risks for long-term surgery?
Time of Update: 2021-03-25
1. The long time of hypothermia surgery, the dilation of blood vessels caused by anesthesia, and the low temperature in the operating room all lead to a rapid drop in body temperature, especially for patients with low fat content.
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How to evaluate bleeding and expected blood transfusion in children | review
Time of Update: 2021-03-25
This formula assumes that the blood volume during transfusion remains relatively constant, and the molecule represents the expected increase in hemoglobin The total amount of these hemoglobin using concentrated red blood cells is the estimated blood transfusion volume.
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How to simply calculate the osmotic pressure of a solution?
Time of Update: 2021-03-25
Why is it called isotonic saline when the concentration of sodium chloride solution is 0.
8 mmol/L Because the sodium chloride solution can be completely dissociated, the solution osmotic pressure=153.
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How big is the error in measuring upper limb non-invasive blood pressure in the lateral position?
Time of Update: 2021-03-25
If the experiment is credible, it is strongly recommended that patients in the lateral position be non-invasive The blood pressure monitors the lower upper arm, the measurement result does not need to be corrected!
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Does deep muscle relaxation bring better surgical conditions?
Time of Update: 2021-03-25
A single-center prospective randomized controlled study in South Korea compared the effects of moderate or deep muscle relaxation in patients undergoing laparoscopic colorectal surgery, aiming to use the incidence of pneumoperitoneal lower intra-abdominal pressure (IAP) warnings as Objective indicators are used to evaluate the surgical conditions, while still scoring the surgical conditions with a 5-point subjective score as a reference for subjective indicators.