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Expert consensus on the diagnosis and treatment of severe allergic reactions in the perioperative period (2020)
Time of Update: 2022-06-19
Expert consensus on the diagnosis and treatment of severe allergic reactions in the perioperative period, direction Ming Li Xu (co-author) Wu Xinmin (co-author) Cang Jing Gao Hong Xu Guiping Yang Rui
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The relationship between intraoperative hypotension and delirium after noncardiac surgery: a retrospective multicenter cohort study
Time of Update: 2022-06-19
MAP <55 mmHg was associated with postoperative delirium (short-term: [ORadj], 1.
Long-term MAP <55 mmHg was more associated with postoperative delirium ([ORadj], 1.
The association between intraoperative hypotension and postoperative delirium was related to duration (MAP < 55 mmHg per 10 minutes: 1.
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[Professional title exam] Key points you can't miss Advanced Anesthesiology Course Anesthesia and Respiratory System (1)
Time of Update: 2022-06-19
The second section of AUTUMN, the ventilation of the lungs, the compliance of the chest and the lungs: the change of the gas volume in the lung caused by the unit pressure change is called lung-thoracic compliance .
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Glycogen Storage Disease courseware
Time of Update: 2022-06-19
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 anesthesia come to the hearts of the public!
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【Anesthesia Hotspot】Hypertonic saline resuscitation
Time of Update: 2022-06-18
Studies have shown that the use of more than 6 L of crystalloid solution in the first 24 hours of volume resuscitation in critically ill patients leads to a high incidence of abdominal compartment syndrome and multiple organ failure .
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[Professional title exam] Intensive lecture 01 at the anesthesia junior and intermediate test center
Time of Update: 2022-06-18
Resolving the thoracic duct The internal jugular vein is located within the carotid sheath, most of the time anterolateral to the carotid artery and vagus nerve (Figure 1), originating from the jugular foramen of the skull, and joining the subclavian vein behind the clavicle to form the brachiocephalic vein .
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【Guideline consensus】Expert consensus on the diagnosis and treatment of severe allergic reactions in the perioperative period (2022)
Time of Update: 2022-06-18
Expert consensus on the diagnosis and treatment of severe allergic reactions in the perioperative period, direction Ming Li Xu (co-author) Wu Xinmin (co-author) Cang Jing Gao Hong Xu Guiping Yang Rui
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Study Notes Essentials of Anesthesia Management in Children with Asthma
Time of Update: 2022-06-17
● For children with severe, poorly controlled asthma requiring tracheal intubation and with risk factors for perioperative respiratory adverse events (PRAEs), a supplemental course of glucocorticoids is recommended (Grade 1B) .
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【Pediatric Anesthesia】Management of Pediatric Gastrointestinal Anesthesia
Time of Update: 2022-06-17
The fasting before gastroscopy is the same as the fasting requirements for elective surgery in the operating room, and the examination is performed on an empty stomach, otherwise there is food in the stomach that affects the observation and increases the risk of vomiting, reflux and aspiration after anesthesia .
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[Mind Mapping Modern Anesthesiology] Anesthesia and Respiration (2)
Time of Update: 2022-06-16
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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[Crisis Management] Sudden acute pulmonary edema during perianesthesia
Time of Update: 2022-06-15
Pressurized oxygen supply, including intermittent positive pressure oxygen supply ventilation, increases alveolar pressure and lung tissue interstitial pressure, reduces Pulmonary capillary fluid leakage, reducing venous blood return, lowering the filling pressure of the right atrium, and cutting off the vicious circle of pulmonary edema and hypoxia .
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Retrospectively doing this, intraoperative blood pressure monitoring is more accurate...
Time of Update: 2022-06-15
-- "Miller Anesthesiology" Eighth Edition P1219 In the lateral position, studies have shown that the linear correlation between non-invasive arterial pressure and invasive arterial pressure in the non-thoracotomy side of the upper extremity in thoracic lateral decubitus surgery is better, when MAP In the range of 70-100 mmHg, it can reflect blood pressure changes as effectively as invasive arterial pressure, but direct arterial monitoring is more accurate when it is higher or lower than this range [1].
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[Literature reading] Why is awake endotracheal intubation still important?
Time of Update: 2022-06-15
Although some patients with anatomical lesions and deformities unsuitable for videolaryngoscopy intubation can still be managed after induction of anesthesia, several clinical examples help illustrate the possible longevity of awake intubation and the need for clinicians to maintain this skill Sexuality: Limited Oral Access: When access to intubation via the oral route is limited or impossible (eg, in trismus), few existing tools in modern airway devices are suitable .
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[Challenge] How should you deal with sudden intraoperative awareness of patients during peri-anesthesia?
Time of Update: 2022-06-13
Intraoperative awareness notes for patients with sudden peri-anesthesia period One of the complications of anesthesia . Consciousness consists of subcortical mediated brain arousal and subjective
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【Column of Anesthesia Nursing】Evidence Summary of Perioperative Management of Elderly Patients in Day Surgery Unit
Time of Update: 2022-06-13
Anesthesia Nursing Column - Literature Reading Evidence Summary of Perioperative Management of Elderly Patients in Day Surgery Ward Xing Xueyan Tu Shumin, Department of Anesthesiology, Beijing Tsinghua Chang Gung Hospital Xia Lu, Cheng Yun, Zhang Xiaoju China has entered an aging society, and diseases such as tumors, fractures, and severe osteoarthritis in elderly patients make surgical treatment more common .
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Elderly Anesthesia Cloud Rounds 6.29 Perioperative management notes for multi-level vertebral fusion in elderly patients after mitral valve replacement
Time of Update: 2022-06-12
Click on the "blue word" above to discover more exciting things. Thanks to Ling Jun for supporting the new column. Thanks to Professor Wang Tianlong of Xuanwu Hospital. Thanks to the Chinese Geron
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[Anesthesia thinking caused by a huge sum of money for Dragon Boat Festival ice cream]
Time of Update: 2022-06-09
▲ Source: Zhong Xuegao's official website Dragon Boat Festival should spend a lot of money to buy a Wufangzhai co-branded Qingzhuo The leaf ice cream instructions say that each ice cream uses about two pieces of Jiangxi Dashan rhubarb leaves to boil into juice, blended with Hulunbuir grassland pure milk, delicate rice dumpling fragrance, light milk fragrance, sweet and refreshing, seaweed molasses made of glutinous rice, sweet, smooth and chewy to eat , the taste is really different.
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The key points you can't miss · Anesthesia Junior and Intermediate Test Center Intensive Lecture 03
Time of Update: 2022-06-09
Answer Figure 1 Anatomical relationship between the stellate ganglion and the transverse process of the cervical vertebrae The Chaseignac node is also a very useful body surface landmark in regional nerve blocks, such as stellate ganglion blocks .
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Chinese expert consensus on perioperative multimodal analgesia and low opioid regimen for elderly patients (2021 edition) (1)
Time of Update: 2022-06-09
. Therefore, the following measures should be implemented in elderly patients: (1) local anesthesia (local anesthesia) drug-based intraspinal and peripheral nerve blocks and wound infiltration analgesia to control incision pain; (2) non-steroidal Anti-inflammatory drugs control inflammatory pain associated with perioperative inflammation; (3) opioids control perioperative pain stress, especially the use of kappa receptor agonists to control visceral pain associated with visceral surgery, so as to achieve perioperative pain relief.
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[Serialization] Experience of Xiaowu Xue Laryngeal Mask (5) Correct Insertion Method of Laryngeal Mask
Time of Update: 2022-06-07
Proper laryngeal mask placement techniques — To avoid the patient's coughing, gagging, laryngospasm, breath-holding, or exertion, adequate depth of anesthesia with intravenous (IV) anaesthetic or inhalation anaesthetic is usually obtained before SGA placement .
