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Individual FiO guided by SO prevents hyperoxia and reduces postoperative atelectasis in colorectal surgery: A randomized controlled trial.
J Clin Anesth
February 2025
Department of Anesthesiology, Second Affiliated Hospital of Harbin Medical University, China; The Key Laboratory of Anesthesiology and Intensive Care Research of Heilongjiang Province, China. Electronic address:
Study Objective: To determine whether individualized fraction of inspired oxygen (iFiO) improves pulmonary atelectasis after elective laparoscopic colorectal surgery relative to 60 % FiO.
Design: This was a single-center, prospective, randomized study.
Setting: This study was conducted in a single tertiary care hospital in China.
Negative pressure pulmonary edema: a case report and literature review.
Front Med (Lausanne)
December 2024
Department of Emergency Medicine, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, China.
Article Synopsis
- Negative pressure pulmonary edema (NPPE) occurs when a rapid drop in pressure in the chest cavity leads to fluid buildup in the lungs, often due to airway blockages, and can cause severe breathing problems.
- This case study highlights a young female patient's experience with NPPE after undergoing surgery for an ectopic pregnancy, where she faced a sudden drop in oxygen levels and breathing difficulties right after being taken off the ventilator.
- The medical team responded quickly with treatments like oxygen therapy and medications, resulting in her recovery and discharge from the hospital after six days of care.
Comparison of the Analgesic Efficacy of Ultrasound-Guided Transperineal Approach Using Pudendal Nerve Block Versus Caudal Block in Children Undergoing Urological Surgeries: A Randomized Controlled Trial.
Cureus
November 2024
Department of Pediatrics and Neonatology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Introduction: Caudal block is an effective regional anesthesia technique for perineal surgeries but is associated with various adverse effects. Recently, pudendal nerve block has emerged as a promising alternative for these procedures. This study assessed the effectiveness of a novel transperineal technique for ultrasound-guided pudendal nerve block and compares it with ultrasound-guided caudal block for perineal surgeries in pediatric patients.
View Article and Find Full Text PDFImplementation of Evidence-Based International Recommendations Reduces Postoperative Delirium Rate in Patients Undergoing Cardiac Surgery or Interventions: A System-Based Quality Improvement Study.
Rev Cardiovasc Med
October 2024
Institute of Anaesthesiology and Pain Therapy, Heart and Diabetescenter Bad Oeynhausen, NRW, Ruhr-University Bochum, 32545 Bad Oeynhausen, Germany.
Background: Delirium is a frequent and serious complication of cardiac procedures that can lead to serious long-term health restrictions. As primary prevention is more effective in reducing rate of delirium than the therapy itself, this study aimed to investigate the effect of a multidisciplinary delirium prevention bundle on the postoperative delirium rate in patients undergoing cardiac procedures.
Methods: In this system-based quality improvement study, a four-component delirium prevention bundle was implemented in patients undergoing cardiac procedures at a single high-volume center.
Comparison of Remimazolam and Propofol in Recovery of Elderly Outpatients Undergoing Gastrointestinal Endoscopy: A Randomized, Non-Inferiority Trial.
Drug Des Devel Ther
October 2024
Department of Anesthesiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Article Synopsis
- A clinical trial was conducted to compare recovery times between remimazolam and propofol in elderly patients undergoing gastrointestinal endoscopy.
- Out of 360 patients over age 65, those given remimazolam showed similar recovery times as those given propofol but experienced fewer complications, like hypoxemia and injection pain.
- The study concluded that remimazolam is a safe alternative to propofol for this procedure, offering comparable recovery without additional risks.
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