Journal of the Chinese Medical Association : JCMA
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In 1680 Sydenham wrote, "Among the remedies which has pleased almighty God to give to man to relieve his sufferings, none is so universal and so efficacious as opium." This appraisal is still true today. Morphine, the principal analgesic agent of the opium alkaloids, has provided the structural model from which modern synthetic opiates have been designed and synthesized. Morphine, as well as the synthetic opioids, has become a permanent part of the armamentarium of an anesthesiologist. ⋯ With the improved anesthetic management, surgeries have been pushed to new heights, which would have never been possible without creative and optimal anesthetic management. Unfortunately, surgery and anesthesia are continued to be pressured by medical economics to cut costs, while there is increased risk of managing the critically ill patients. This trend will continue; therefore, anesthesiologists today must rise to the challenge.
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To assess the efficacy and safety of endovascular embolization in the treatment of the carotid artery rupture. ⋯ Therapeutic endovascular embolization of the CAR is the primary invasive modality for treating CAR with profuse hemorrhage. It was proven both safe and effective over a relatively long follow-up period.