华东导读——《英国麻醉杂志》2022年7月刊，第129卷第1期
2022-09-21 11:02:13
1.围手术期右美托咪定对成人心脏手术患者术后谵妄发生率的影响
结果：不加选择的纳入临床试验时，右美托咪定与术后谵妄的发生率的下降具有相关性（12.4% vs 16.2%）。排除偏倚风险高的试验后，右美托咪定与术后谵妄的发生率无相关性。在安全方面，右美托咪定与意外心动过缓、低血压以及机械通气时间无相关性。
▲图1.
未排除偏倚风险高的试验时，术后谵妄发生率的森林图。
心血管
1.非心脏手术术中低血压与术后持续性急性肾病相关：一项多中心队列研究
Intraoperative hypotension is associated with persistent acute kidney disease after noncardiac surgery: a multicentre cohort study
2.比较脑自动调节的不同指标与心脏手术后主要并发症发生率及死亡率的相关性
Comparison of different metrics of cerebral autoregulation in association with major morbidity and mortality after cardiac surgery
临床实践
3.急诊普外科老年患者30天死亡率风险预测模型的推导和外部验证
Derivation and external validation of a 30-day mortality risk prediction model for older patients having emergency general surgery
4.改善癌症手术后衰弱老年人术后康复的家庭预康复运动训练：PREHAB随机临床试验
Home-based prehabilitation with exercise to improve postoperative recovery for older adults with frailty having cancer surgery: the PREHAB randomised clinical trial
5.静脉注射瑞马唑仑致全麻患者意识丧失的药效学分析：一项随机前瞻性、双盲研究
Pharmacodynamic analysis of intravenous bolus remimazolam for loss of consciousness in patients undergoing general anaesthesia: a randomised, prospective, double-blind study
重症监护
6.欧洲重症监护病房收治的80岁以上老年人的短期死亡率：一项国际观察性研究
Short-term mortality of patients ≥80 years old admitted to European intensive care units: an international observational study
神经科学与神经麻醉
7.围手术期右美托咪定对成人心脏手术患者术后谵妄发生率的影响
Influence of perioperative dexmedetomidine on the incidence of postoperative delirium in adult patients undergoing cardiac surgery
疼痛
8.慢性疼痛患者长期使用阿片类药物与癌症风险的相关性：一项倾向性评分匹配的队列研究
Association between long-term opioid use and cancer risk in patients with chronic pain: a propensity score-matched cohort study
质量和患者安全
9.评估术后恢复的方法和时机：范围综述
Methods and timing in the assessment of postoperative recovery: a scoping review
10.限制性和宽松性使用抗菌药物预防手术部位感染的比较：随机试验的系统性评价和荟萃分析
Liberal or restrictive antimicrobial prophylaxis for surgical site infection: systematic review and meta-analysis of randomised trials
11.饮水、进食和活动（DrEaMing）及其与非心脏大手术后住院时间的相关性：观察性队列研究
Delivery of drinking, eating and mobilising (DrEaMing) and its association with length of hospital stay after major noncardiac surgery: observational cohort study
局部麻醉
12.采用单次腘窝坐骨神经阻滞的足踝手术后严重反跳痛的多因素风险预测模型的研发和内部验证
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