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《医学前沿（英文）》 2012年 第6卷 第3期 页码 302-306 doi: 10.1007/s11684-012-0194-6
This study was designed to evaluate the effect of tracheal topical anesthesia using EMLA? Cream (EC) coated on the endotracheal tube (ETT) with or without epidural anesthesia (EA) on isoflurane requirement during general anesthesia (GA) and investigate whether EC coated on the ETT with EA was associated with the additive effect compared with the effect when each anesthetic was administered independently. The prospective randomized, double-blinded, and controlled study included 60 ASA I–II patients scheduled for upper abdominal surgery requiring GA. Patients were randomly assigned to one of the following groups: group 1 received GA, group 2 received EC+ GA, group 3 received GA+ EA, and group 4 received EC+ GA+ EA. Isoflurane was administered at the required concentrations to maintain the mean arterial pressure at a level not exceeding 20% of preoperative values. The percentage mean expired concentration (%MEC) was used in calculating the isoflurane requirement. Emergence agitation, postoperative sore throat, and hoarseness were recorded. Groups 2, 3, and 4 exhibited a significant reduction on isoflurane requirement compared with group 1 (P<0.05). The isoflurane requirement evaluated by %MEC decreased by 12%, 38%, and 50% in groups 2, 3, and 4, respectively. The incidence of emergence agitation was significantly lower in groups 2 and 4 than those in groups 1 and 3 (P<0.05). Tracheal topical anesthesia using EC coated on ETT with or without EA reduced the isoflurane requirement during GA, indicating that EC combined with EA exhibited an additive effect on the requirement of general anesthetic.
关键词： EMLA? Cream epidural anesthesia general anesthesia isoflurane lidocaine
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《医学前沿（英文）》 2012年 第6卷 第3期 页码 311-316 doi: 10.1007/s11684-012-0205-7
In the current study, we assessed and evaluated the costs and benefits of three popular methods of general anesthesia practiced in our department for gynecological laparoscopic surgery in recent years. Sixty adult female patients who underwent elective gynecological laparoscopic surgery under general anesthesia were randomly divided into three groups: group V, group I and group C. In group V, anesthesia was induced intravenously with midazolam, remifentanil, propofol and vecuronium, and maintained with continuous infusion of propofol and remifentanil. In group I, anesthesia was intravenously induced with midazolam, fentanyl, propofol and vecuronium, and maintained with inhaled isoflurane and intravenous bonus of fentanyl. In group C, anesthesia was induced as in group I, but maintained with isoflurane inhalation combined with propofol-remifentanil infusion. All patients received vecuronium for muscle relaxation. Perioperative incidences of complications and total anesthesia costs for patients in all groups were recorded. In addition, postoperative satisfaction of the patients was also noted, and similar outcomes of the satisfaction were reported in all 60 patients. Although there was no statistical significance among groups, the incidence of postoperative nausea and vomiting were higher in group C, and the rates of shivering and the needs for analgesics were higher in group V. Anesthesia costs in group I were the lowest. Therefore, it is concluded that the costs of anesthesia induced with midazolam, fentanyl, propofol, vecuronium, and maintained with isoflurane, fentanyl and vecuronium are cheapest, and there is no significant difference in patients’ satisfaction and safety among the three above-mentioned methods of anesthesia in our department.
Primary spinal epidural non-Hodgkin’s lymphoma presented with spinal cord compression syndrome
Chunquan CAI MD, PhD, Qingjiang ZHANG BM, Changhong SHEN MD, PhD,
《医学前沿（英文）》 2009年 第3卷 第4期 页码 499-502 doi: 10.1007/s11684-009-0075-9
关键词： non-Hodgkin’ s lymphoma primary spinal cord compression syndrome epidural space
A novel intravenous general anesthetic--- emulsified isoflurane: from bench to bedside
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《医学前沿（英文）》 2012年 第6卷 第4期 页码 381-387 doi: 10.1007/s11684-012-0229-z
Application of volatile anesthetics greatly alters modern medicine. There are obvious advantages of volatile anesthetics such as strong anesthetic potency, rapid onset and elimination through respiration system. Isoflurane is one of the most widely used volatile anesthetics in clinic. Emulsified isoflurane, the emulsion of isoflurane, is a novel intravenous general anesthetic. With the development of emulsified isoflurane in the past fifteen years, its utility has spread from intravenous general anesthesia to various fields including regional anesthesia, organ protection, as well as anesthetic pharmacological study. In this review, we will summarize literatures of emulsified isoflurane about its history, clinical application and future potential utility in the above mentioned fields.
关键词： emulsified isoflurane (EI) general anesthesia regional anesthesia organ protection anesthetic pharmacological study
XU Aijun, TIAN Yuke, DUAN Shiming
《医学前沿（英文）》 2007年 第1卷 第2期 页码 207-210 doi: 10.1007/s11684-007-0039-x
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《医学前沿（英文）》 2018年 第12卷 第2期 页码 189-195 doi: 10.1007/s11684-017-0533-8
Obstructive sleep apnea syndrome (OSAS) increases the risk of post-surgery complications. This study uses Berlin Questionnaire (BQ) to identify Chinese adult surgical patients who are at a high risk of OSAS and to determine if the BQ could be used to detect potential high risk of adverse respiratory events in the post anesthesia care unit (PACU). Results indicated that only 11.4% of the patients were considered at a high risk of OSAS. Age and body mass index are the key factors for the risk of OSAS prevalence in China and also gender specific. Furthermore, the incidence of adverse respiratory events in the PACU was higher in patients with high risk of OSAS than others (6.8% vs. 0.9%, <0.001). They also stayed longer than others in the PACU (95±28 min vs. 62±19 min, <0.001). Age, high risk for OSAS, and smoking were independent risk factors for the occurrence of adverse respiratory events in the PACU. The BQ may be adopted as a screening tool for anesthesiologists in China to identify patients who are at high risk of OSAS and determine the potential risk of developing postoperative respiratory complications in the PACU.
关键词： obstructive sleep apnea Berlin Questionnaire Chinese surgical patients adverse respiratory event
Arthrogryposis multiplex congenita: classification, diagnosis, perioperative care, and anesthesia
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《医学前沿（英文）》 2017年 第11卷 第1期 页码 48-52 doi: 10.1007/s11684-017-0500-4
Arthrogryposis multiplex congenita (AMC) is a rare disorder characterized by non-progressive, multiple contractures. In addition to affected extremities, patients may also present microstomia, decreased temporomandibular joint mobility. Although the etiology of AMC is unclear, any factor that decreases fetal movement is responsible for AMC. Thus, accurate diagnosis and classification are crucial to the appropriate treatment of AMC. The development of ultrasound technology has enabled prenatal diagnosis. Very early treatment is favorable, and multidisciplinary treatment is necessary to improve the function of AMC patients. Most patients require surgery to release contracture and reconstruct joints. However, perioperative care is challenging, and difficult airway is the first concern of anesthesiologists. Postoperative pulmonary complications are common and regional anesthesia is recommended for postoperative analgesia. This review on AMC is intended for anesthesiologists. Thus, we discuss the treatment and perioperative management of patients undergoing surgery, as well as the diagnosis and classification of AMC.
关键词： arthrogryposis amyoplasia distal arthrogryposis anesthesia
麻醉与意识的脑网络研究进展——框架与临床应用 Review
刘军, 董康立, 孙毅, Ioannis Kakkos, 黄帆, 王国正, 齐鹏, 陈星, 张德林, Anastasios Bezerianos, 孙煜
《工程（英文）》 2023年 第20卷 第1期 页码 77-95 doi: 10.1016/j.eng.2021.11.013
尽管麻醉与意识之间的关系一直是研究者关注的重点，但目前学界对于麻醉与意识的神经机制理解仍处在初级阶段，极大地限制了麻醉监测和意识评估系统的进一步发展。此外，现有麻醉监测方法难以提供足够的有效信息，对精准麻醉监测的目标构成了障碍。近年来，使用脑网络分析揭示麻醉机制已成为研究热点，其目的是为临床应用提供新的研究思路。针对这一新的研究趋势，本文全面回顾了麻醉相关脑网络研究的最新进展，系统地比较了麻醉和意识的几种潜在的神经机制以及不同层面大脑神经活动的测量方法；从皮层碎片化理论出发，介绍了连通性和网络分析的一些重要的研究方法和相关成果；在总结归纳现有研究成果的基础上，论证了全脑多模态网络数据可以提供现有麻醉监测方法所无法提供的信息；更重要的是，进一步探讨简化脑网络分析方法的可行性，这一方法将会在优化现有的临床麻醉监测系统中发挥重要作用。
标题 作者 时间 类型 操作
Cream coated on endotracheal tube with or without epidural lidocaine reduces isoflurane requirement duringgeneral anesthesia
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期刊论文
Comparative cost analysis of three different anesthesia methods in gynecological laparoscopic surgery
null
期刊论文
Primary spinal epidural non-Hodgkin’s lymphoma presented with spinal cord compression syndrome
Chunquan CAI MD, PhD, Qingjiang ZHANG BM, Changhong SHEN MD, PhD,
期刊论文
Effects of intracerebroventricular NMDA and non-NMDA receptor agonists or antagonists on general anesthesia
XU Aijun, TIAN Yuke, DUAN Shiming
期刊论文
using the Berlin Questionnaire to detect potential high risk of adverse respiratory events in post anesthesia
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期刊论文
Arthrogryposis multiplex congenita: classification, diagnosis, perioperative care, and anesthesia
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期刊论文
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