Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Jan 2021
[The low-dose opioids therapy of perioperative multi-mode analgesia is pivotal to the enhanced recovery after surgery for elderly patients].
The implementation of enhanced recovery after surgery in elderly patients should be under the premise of adequate perioperative analgesia/anti-stress. The aims of perioperative multimodal low-dose opioids analgesia therapy are reducing opioid-related adverse reactions and the impact on process of postoperative recovery.
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Zhonghua yi xue za zhi · Jan 2021
[Application of clip remodeling technique in microsurgical treatment of intracranial aneurysms via keyhole approaches].
Objective: To discuss the value and technique of clip remodeling in microsurgical treatment of intracranial aneurysms via keyhole approaches. Methods: The clinical data of patients with intracranial aneurysms, who were treated by microsurgical clipping via keyhole approaches from January 2017 to December 2019, were retrospectively analyzed. The clips were remodeled based on the aneurysmal characteristics during the procedure in 27 cases. ⋯ Twenty-five patients recovered well at discharge and two presented with mild disability. After 3-36 months of follow-up, no rebleeding and new-onset neurological deficits were noted. Conclusion: Clip remodeling technique is a simple and effective option, which can alleviate the limitation of manipulative freedom under keyhole approaches and improve the microsurgical effect of intracranial aneurysms.