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华东导读——《英国麻醉杂志》2022年5月刊,第128卷第5期
2022-06-20 10:09:12

临床拾萃

1.七氟烷或全凭静脉丙泊酚麻醉期间的肾功能:一项单中心平行随机对照研究

结论:与全凭静脉丙泊酚麻醉相比,七氟烷可减少尿量、降低尿钠排泄、增加血浆肾素水平。

2.术中静脉淤血而非低血压与心脏手术后急性肾衰不良事件相关:回顾性队列研究

 


▲图1.

术中静脉淤血和低血压与心脏手术后急性肾损伤相关。


 


▲图2.

术中静脉淤血与心脏手术后急性肾病(AKD)相关,术中低血压与AKD无关。

 

 

 

心血管

 

1.重症成年患者中新发房颤的管理:系统性评价和叙述性整合

Management of new onset atrial fibrillation in critically unwell adult patients: a systematic review and narrative synthesis

 

2.心脏手术中苯二氮卓类药物使用模式的多中心分析

Multicentre analysis of practice patterns regarding benzodiazepine use in cardiac surgery

 

3.术中静脉淤血而非低血压与心脏手术后急性肾衰不良事件相关:一项回顾性队列研究

Intraoperative venous congestion rather than hypotension is associated with acute adverse kidney events after cardiac surgery: a retrospective cohort study

 

4.比较静脉铁剂和红细胞生成刺激剂与口服铁剂治疗心脏手术术前贫血的随机开放标签试验(INITIATE 试验)

Randomised open-label trial comparing intravenous iron and an erythropoiesis-stimulating agent versus oral iron to treat preoperative anaemia in cardiac surgery (INITIATE trial)

 

5.基于机制的药效学模型描述丙泊酚在健康志愿者中的血流动力学效应

Mechanism-based pharmacodynamic model for propofol haemodynamic effects in healthy volunteers

 

临床实践

 

6.糖尿病和围手术期预后:文献综述

Diabetes mellitus and perioperative outcomes: a scoping review of the literature

 

7.使用模块化人工神经网络连续实时预测手术病例持续时间

Continuous real-time prediction of surgical case duration using a modular artificial neural network

 

8.七氟烷或全凭静脉丙泊酚麻醉期间的肾功能:一项单中心平行随机对照研究

Renal function during sevoflurane or total intravenous propofol anaesthesia: a single-centre parallel randomised controlled study

图片

 

教育

 

8.支持基于胜任力的医学教育的麻醉临床体验评估(ACEA)的有效性证据

Validity evidence for the Anesthesia Clinical Encounter Assessment (ACEA) tool to support competency-based medical education

 

产科麻醉

 

9.椎管内使用吗啡不能预防择期剖腹产术后慢性疼痛:随机对照试验

Intrathecal morphine does not prevent chronic postsurgical pain after elective Caesarean delivery: a randomised controlled trial

图片

重症监护

 

9.早期定量红外线瞳孔测量预测院外心脏骤停后收入重症监护病房患者的神经系统预后

Early quantitative infrared pupillometry for prediction of neurological outcome in patients admitted to intensive care after out-of-hospital cardiac arrest

 

10.连续无线生命体征监测对计划外 ICU 收治和快速响应团队呼叫的影响:一项前后对比研究

Effect of continuous wireless vital sign monitoring on unplanned ICU admissions and rapid response team calls: a before-and-after study

 

11.静脉给予降钙素基因相关肽受体拮抗剂降低猪多菌脓毒血症模型的存活率:盲法随机对照试验

Systemic calcitonin gene-related peptide receptor antagonism decreases survival in a porcine model of polymicrobial sepsis: blinded randomised controlled trial

 

疼痛

 

12.单维和功能性疼痛评估工具在成年术后患者中的应用:一项系统性评价

Utility of unidimensional and functional pain assessment tools in adult postoperative patients: a systematic review
(本转发内容已经征得复旦大学附属华东医院麻醉科顾卫东主任同意

上一篇:华东导读——斯堪的纳维亚麻醉学报2022年5月刊,第66卷第5期
下一篇:华东导读——《加拿大麻醉杂志》2022年6月刊,第69卷第6期

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