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华东导读——《麻醉与镇痛》2022年4月刊,第134卷第4期
2022-07-12 11:35:28

临床拾萃

1.非心脏手术术中动脉低血压与术后谵妄的相关性:回顾性多中心队列研究

结论:非心脏手术中,术中MAP<50mmHg以时间依赖的方式与术后谵妄的的几率具相关性。这一相关性在长时间手术中被进一步放大。

 


▲图1.

术中动脉低血压与术后谵妄的相关性

2.大疱性表皮松解症患者的麻醉管理和结局:三级转诊中心的经验

 


▲图2

大疱性表皮松解症患者及其护理图片。A.张口困难和舌系带过短。B.假并指畸形,用硅胶胶布固定静脉留置针。C. 绷带卷固定静脉留置针。D. 纤支镜引导气管插管时采用改良导管供氧,面部有面罩润滑剂,躯干伤口用纱布覆盖。E.眼部覆盖纱布。F.头部包裹纱布,气管导管垫好海绵垫。

 

 

 

1.临床研究方法学的未来

Looking to the Future of Clinical Research Methodology

 

2.院前输血:正反之辩

Pre-Hospital Blood Transfusion: A Pro-Con Debate

 

3.羟乙基淀粉用于腹部大手术患者的液体管理:系统性评价、荟萃分析和试验序贯分析

Hydroxyethyl Starch for Fluid Management in Patients Undergoing Major Abdominal Surgery: A Systematic Review With Meta-analysis and Trial Sequential Analysis

 

4.乳腺癌术后慢性疼痛患者术前肠道菌群的预测和预防可能性

Predictive and Preventive Potential of Preoperative Gut Microbiota in Chronic Postoperative Pain in Breast Cancer Survivors

 

5.严重子痫前期妇女的细胞外囊泡损害血管内皮功能

Extracellular Vesicles From Women With Severe Preeclampsia Impair Vascular Endothelial Function

 

6.南非儿科手术预后研究中与麻醉相关的严重事件和风险的评估:针对儿科手术患者的14天前瞻性观察队列研究

An Evaluation of Severe Anesthetic-Related Critical Incidents and Risks From the South African Paediatric Surgical Outcomes Study: A 14-Day Prospective, Observational Cohort Study of Pediatric Surgical Patients

 

7.气道超声作为直接喉镜暴露困难的预测因子:系统性评价和荟萃分析

Airway Ultrasound as Predictor of Difficult Direct Laryngoscopy: A Systematic Review and Meta-analysis

 

8.年龄对围手术期炎症生物标志物影响的系统性评价和荟萃分析

A Systematic Review and Meta-analysis Examining the Impact of Age on Perioperative Inflammatory Biomarkers

 

9.内镜逆行胰胆管造影术中患者自控镇静与医生给药镇静的比较:系统性评价

Patient-Controlled Sedation Versus Clinician-Administered Sedation for Endoscopic Retrograde Cholangiopancreatography: A Systematic Review

 

10.采用误差网格分析验证连续无创血压监测

Validation of Continuous Noninvasive Blood Pressure Monitoring Using Error Grid Analysis

 

 

 

 

11.ICU中行中心静脉导管或透析导管置入时音乐干预的效果:前瞻性随机探索性研究

Effect of a Musical Intervention During the Implantation of a Central Venous Catheter or a Dialysis Catheter in the Intensive Care Unit: A Prospective Randomized Pilot Study

 

12.切口注射0.35%左旋布比卡因可减少剖宫产术后机械继发性痛觉过敏和阿片类药物用量:前瞻性、随机、三盲、安慰剂对照试验

Wound Infusion of 0.35% Levobupivacaine Reduces Mechanical Secondary Hyperalgesia and Opioid Consumption After Cesarean Delivery: A Prospective, Randomized, Triple-Blind, Placebo-Controlled Trial

 

13.为什么丙泊酚输注是儿童脑干听觉反应测试的首选麻醉方法?

Why a Propofol Infusion Should Be the Anesthetic of Choice for Auditory Brainstem Response Testing in Children

 

14.大疱性表皮松解症患者的麻醉管理和结局:三级转诊中心的经验

Anesthetic Management and Outcomes of Patients With Epidermolysis Bullosa: Experience at a Tertiary Referral Center

 

15.非心脏手术术中动脉低血压与术后谵妄的相关性:回顾性多中心队列研究

Association Between Intraoperative Arterial Hypotension and Postoperative Delirium After Noncardiac Surgery: A Retrospective Multicenter Cohort Study

 

16.用于预防性宫颈环扎术的鞘内注射氯普鲁卡因与芬太尼的ED 90:序贯分配偏倚硬币设计

ED 90 of Intrathecal Chloroprocaine With Fentanyl for Prophylactic Cervical Cerclage: A Sequential Allocation Biased-Coin Design

 

17.脊髓电刺激植入术后包括再入院在内的手术相关结局:回顾性队列研究

Procedure-Related Outcomes Including Readmission Following Spinal Cord Stimulator Implant Procedures: A Retrospective Cohort Study

 

18.采用计算机自适应筛查工具进行焦虑和抑郁的术前评估:初步前瞻性队列研究

Preoperative Assessment of Anxiety and Depression Using Computerized Adaptive Screening Tools: A Pilot Prospective Cohort Study

 

19.GRK5基因启动子多态性与冠状动脉搭桥术患者的心脏舒张功能障碍相关

Polymorphic Variants in the GRK5 Gene Promoter Are Associated With Diastolic Dysfunction in Coronary Artery Bypass Graft Surgery Patients

 

20.右美托咪定通过抑制单核细胞来源的巨噬细胞改善已存在创伤性脑损伤小鼠的围手术期神经认知障碍

Dexmedetomidine Ameliorates Perioperative Neurocognitive Disorders by Suppressing Monocyte-Derived Macrophages in Mice With Preexisting Traumatic Brain Injury

上一篇:华东导读——《加拿大麻醉杂志》2022年6月刊,第69卷第6期
下一篇:华东导读——《当代麻醉学观点》2022年6月刊,第35卷第3期

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