Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Jan 2013
Multicenter Study Observational Study[Trend analysis of rapid shallow breathing indices during spontaneous breathing trial may improve predictive accuracy of extubation success].
To determine the respiratory indices capable of improving predictive accuracy of extubation success through serial measurements of during spontaneous breathing trial (SBT) in automatic tube compensation (ATC) pattern of mechanical ventilation. ⋯ It is important to observe change of various respiratory indices dynamically during SBT in patients ventilated in ATC pattern. ΔRSBI60_1 and ΔRSBI60_1/RSBI1 have greater predictive value for extubation success. Stable or decreased RSBI60 means higher extubation success rate.
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Zhonghua yi xue za zhi · Jan 2013
Comparative Study[Selection of suitable procedure in the treatment of degenerative lumbar scoliosis based upon imaging studies].
To compare the clinical efficacies of two different procedures in the treatment of degenerative lumbar scoliosis. ⋯ As an alternative, safe and effective procedure, modified TLIF instrumented is superior to PLF instrumented in the treatment of lumbar degenerative scoliosis.
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Zhonghua yi xue za zhi · Jan 2013
[Predication of volume responsiveness by brachial artery velocity change during passive leg raising].
To evaluate whether or not brachial artery peak velocity (Vpeak-BA) induced by passive leg raising (PLR) may predict volume responsiveness. ⋯ Brachial artery peak velocity induced by passive leg raising is a reliable indicator of predicting volume responsiveness in patients with spontaneous breathing.
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Zhonghua yi xue za zhi · Jan 2013
Randomized Controlled Trial Comparative Study[Comparison of ultrasound and nerve stimulation techniques for brachial plexus block for regional hemodynamic changes of upper extremity].
To compare ultrasound guidance versus nerve stimulator guidance supraclavicular brachial plexus block for regional hemodynamic changes of upper extremity. ⋯ Ultrasound-guided supraclavicular brachial plexus block enhance the degree of sympathetic block of upper extremity, especially of ulnar artery and increase the blood flow of ulnar artery compared with nerve stimulator.
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Zhonghua yi xue za zhi · Jan 2013
Randomized Controlled Trial[Effect of multimodal-antiemetic therapy on postoperative nausea and vomiting in patients undergoing gynecological laparoscopy: a randomized controlled study].
To evaluate the efficacy of multimodal-antiemetic therapy on postoperative nausea and vomiting (PONV) in patients undergoing gynecological laparoscopy. ⋯ Multimodal-antiemetic therapy; a regimen including total intravenous anaesthesia with propofol and remifentanil, prophylactic antiemetic (dexamethasone at induction and tropisetron at end of surgery), and multimodal analgesia with parecoxib sodium could significantly reduce the incidence of PONV after gynecological laparoscopy.