Effect of ultrasound-guided individualized positive end-expiratory pressure on the severity of postoperative atelectasis in elderly patients: a randomized controlled study.

Postoperative pulmonary complications (PPCs) are common in patients undergoing general anesthesia, with atelectasis being a key contributor that increases postoperative mortality and prolongs hospitalization. Our research hypothesis is that ultrasound-guided individualized PEEP titration can reduce postoperative atelectasis. This single-center randomized controlled trial recruited elderly patients for laparoscopic surgery.

Establishment and application of cricothyrotomy in vivo.

Background: Cricothyrotomy is a procedure performed to establish an airway in critical airway events. It is performed only rarely and anesthesiologists are often unprepared when called upon to perform it. This study aimed to simulate cricothyrotomy using pig larynx and trachea models to help anesthesiologists master cricothyrotomy and improve the ability to establish cricothyrotomy quickly.

The effect of preoperative sleep quality on the target plasma concentration of propofol and postoperative sleep in patients undergoing painless gastroscopy.

Background: This study aims to investigate the effect of preoperative sleep quality on the target plasma concentration of propofol and postoperative sleep in patients undergoing painless gastroscopy.

Methods: Ninety-three outpatients aged 45 to 64 years with body mass index (BMI) of 18.5-30 kg/m and ASA grades of I or II, who underwent painless gastroscopy, were selected.

The effects of morning/afternoon surgeries on the early postoperative sleep quality of patients undergoing general anesthesia.

Objective: This study aimed to investigate the effects of morning and afternoon surgeries on the early postoperative sleep function in patients undergoing general anesthesia.

Methods: Fifty nine patients, aged 18-60 years, American society of anaesthesiologists (ASA) grade I or II, Body mass index of 18.5-28 kg/m, undergoing laparoscopic myomectomy under total intravenous anesthesia, were included in the study.

Effect of Forced-Air Warming Blanket on Perioperative Hypothermia in Elderly Patients Undergoing Laparoscopic Radical Resection of Colorectal Cancer.

The study aimed to evaluate the effect of forced-air warming blanket combined with conventional thermal insulation measures on inadvertent perioperative hypothermia (IPH) in elderly patients undergoing laparoscopic radical resection of colorectal cancer. A total of 70 elderly patients undergoing laparoscopic radical resection of colorectal cancer with general anesthesia were included, and divided into conventional warming treatment (CT) group or forced-air warming treatment (FT) group. In the FT group, based on the conventional warming strategy, patients received prewarming with the forced-air warming blanket (38°C) for ≥20 minutes before induction of anesthesia, and received this treatment continuously during operation.

Catheter-related right internal jugular vein large thrombus formation after inadvertently malposition in the cranial direction.

Placement of a central venous catheter (CVC) is a routine procedure in major surgery and intensive care unit, acute severe complications associated with CVC-lead large thrombosis is rare. Current protocols and recommendations for clinical practice are not including tip confirmation in the right atrium and postprocedural scanning for complications. The tip position carries the risk of migration and thrombosis, customarily used ultrasound is less suitable for identifying the superior vena cava and right atrium.