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【Yao's Anesthesiology】Hypertension in Reading Notes (1)
Time of Update: 2022-10-19
The risk associated with cardiac, brain, and renal vascular disease varies depending on the type of hypertension classified according to systolic, diastolic, and pulse pressure.
The risk associated with cardiac, brain, and renal vascular disease varies depending on the type of hypertension classified according to systolic, diastolic, and pulse pressure.
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Cell: Dr. Yang Daping et al. found that pain has an unexpected direct protective effect
Time of Update: 2022-10-19
This study shows that the pain-receptor nerves in the gut are normally able to regulate the presence of protective mucus and stimulate goblet cells in the intestine to secrete more mucus in an inflammatory state, thereby directly protecting the intestines.
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Advances in the application of ultrasound imaging technology in clinical anesthesia
Time of Update: 2022-10-15
Ultrasonography can determine the adjacent location and interrelationship of nerves, blood vessels and muscles around the puncture site, provide real-time images when blocking the target nerve, make nerve localization more intuitive and accurate, and greatly improve the success rate of puncture.
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Advances in the application of fresh frozen plasma in critically ill patients
Time of Update: 2022-10-14
Viscoelasticity tests such as TEG or rotational thromboelastometry (ROTEM) are currently more reasonable experimental indicators to guide the application of FFP, which can comprehensively test coagulation factors, fibrinogen, platelet aggregation function and fibrinolytic function, for diagnosing fibrinogen deficiency, predicting bleeding risk and mortality, and in guiding trauma, heart surgery, liver transplantation, and more Blood transfusions in critically ill patients such as postpartum haemorrhage are of great significance.
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Advances in ultrasound-guided radial artery puncture catheterization
Time of Update: 2022-10-14
Other: There are some special cases in clinical practice, other arteries are not available, radial arteries are the only option, if the operation fails, there is no alternative, the use of ultrasound guidance can be considered in order to improve the success rate of the first time.
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Anesthesia robots yesterday, today and tomorrow
Time of Update: 2022-10-14
Authors: Fu Hailong, Yuan Hongbin, Department of Anesthesiology, Second Affiliated Hospital of Naval Military Medical University With the rapid development of science and technology, robotics has grea
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How to manage preoperative anemia and iron deficiency in adult heart surgery patients, see POQI/ERAS-C consensus recommendations!
Time of Update: 2022-10-14
(Recommended strength: strong; Level of evidence: B) Further testing is recommended in patients diagnosed with anaemia to determine the cause and appropriate treatment (eg, diagnosis of anemia by bedside testing, creatinine, vitamin B12, folic acid, reticulocyte count, history, and physical examination, and laboratory tests including complete blood count [CBC]).
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The dilemma and future of pediatric sedation in China
Time of Update: 2022-10-14
Authors: Li Bo, Zheng Jijian, Zhang Mazhong, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine 1. Definition and indications for sedation in diagnosis and treatment
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Preoperative evaluation and management consensus recommendations for common cardiovascular drugs
Time of Update: 2022-10-14
Compiled and sorted out, please do not reprint without authorization. Cardiovascular diseases such as high blood pressure, arrhythmias, and heart failure are common in patients with surgical or other
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Application of acute isovolatic hemodilution techniques in cardiac surgery
Time of Update: 2022-10-14
Authors: Cai Chenghui, Zhao Liyun, Department of Anesthesiology, Beijing Anzhen Hospital-Beijing Institute of Cardiopulmonary and Vascular Diseases, Capital Medical University Postoperative bleeding i
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The era of transformation in anesthesia is coming
Time of Update: 2022-10-14
Author: Yu Buwei is a professor at the Department of Anesthesiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine China's anesthesia discipline has experienced a period of initial
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【Guidelines Consensus】(Bronchioscopy) Expert Consensus on Sedation/Anesthesia (2020 Edition)
Time of Update: 2022-10-14
Each diagnosis and treatment unit should meet the basic configuration requirements of surgical anesthesia, that is, it must be equipped with anesthesia machines and conventional monitors (including electrocardiogram, respiratory rate, pulse oximetry saturation and non-invasive blood pressure), oxygen and oxygen supply devices, as well as negative pressure suction devices for anesthesia, intravenous infusion devices, conventional airway management equipment (simple breathing sac, ordinary metal laryngoscopy or video laryngoscope, commonly used tracheal and bronchial catheters and other intubation appliances, etc.
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【Guidelines Consensus】Expert Consensus on Anesthesia Management after Neoadjuvant Chemotherapy in Chinese Patients with Oncological Heart Disease (2021 Edition)
Time of Update: 2022-10-14
However, neoadjuvant chemotherapy drugs can cause different degrees of damage to the heart, mainly manifested as myocardial ischemia, arrhythmias, arterial hypertension, myocardial dysfunction, and even heart failure, which has become an important risk factor for the perioperative period of subsequent tumor surgery, which may affect the operation and the safety of the patient's life.
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2020 Practice Guide for Central Venous Access
Time of Update: 2022-10-14
Prevention of infectious complicationsInterventions for the prevention of infection complications associated with intravenous access in the center include, but are not limited to, (1) intravenous antimicrobial prophylaxis; (2) sterile preparation of operators, staff, and patients; (3) choice of antimicrobial solutions; (4) selection of antimicrobial catheters; (5) selection of catheter puncture sites; (6) catheter fixation methods; (7) puncture site dressings; (8) catheter maintenance procedures; and (9) sterile techniques for central venous catheter injection or aspiration.
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Video: Inhalation-Induction Anesthesia New England Journal of Medicine
Time of Update: 2022-10-13
equipment Equipment necessary for inhalation induction includes anesthetic delivery devices with respiratory circuits; Physiological monitors, including non-invasive blood pressure monitors, pulse oximetry, carbon dioxide and electrocardiogram monitors; Attraction facilities; airway management equipment, such as transparent masks, oral or nasal ventilation tracts, laryngoscopes with handles and blades, supraglottic airway equipment and tracheal catheters; First aid drugs, such as succinylcholine and atropine for intramuscular or intravenous injection; Devices for establishing intravenous access; Anesthetic drugs, including inducing drugs and neuromuscular blockers.
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Recommended reading: Expert consensus on the use of antibiotics in the perioperative period of interventional care
Time of Update: 2022-10-12
Guideline Name: Expert consensus on the use of perioperative antibiotics in interventional careEnglish:Publisher: Interventional Physicians Branch of Chinese Medical Doctor AssociationPublished:2022-0
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Region Anesth Pain M: Association between anesthesia and analgesia and long-term mortality after hip fractures
Time of Update: 2022-10-12
Recently, a research article was published in Region Anesth Pain M, an authoritative journal in the field of anesthesia pain, which aims to clarify the relationship between anesthesia and local analgesia and mortality at 12 months or even longer after hip fracture surgery.
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JAMA: Naproxen-acetaminophen-pantoprazole is used for pain management after arthroscopic bone surgery
Time of Update: 2022-10-12
Opioids are widely used for postoperative pain control after orthopedic surgery, and as of 2018, orthopedic surgeons are among the departments with the highest number of opioids in North America, and
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JAMA Subjournal: These 3 points are crucial about the reduction of buprenorphine for the treatment of opioid use disorder!
Time of Update: 2022-10-12
Overall, in this retrospective cohort study, buprenorphine was tapered at least 1 year after treatment, with a slower rate of tapering and a lower percentage of days of dose reduction, regardless of the duration of the tapering, all associated with a significantly reduced risk of opioid overdose.
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Clinical Nutrition: Fish and omega-3 fatty acid intake and pain risk relationship
Time of Update: 2022-10-12
The findings found that higher fish consumption was associated with a reduced incidence of pain and a decrease in worsening over 5 years [95% confidence interval = every 25 g/day: 0.