Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Apr 2012
[An audit of perioperative fluid management and electrolyte monitoring in children undergoing surgery for scoliosis].
To audite and compare the perioperative practices of intravenous fluids and electrolyte & glucose monitoring in children undergoing operations for scoliosis in 2008, 2010, prior to and after the publication of guideline in 2009. ⋯ Compared with that in 2008, our recent practice of intravenous fluid prescription and electrolyte monitoring is ill-consistent with the recommendations in 2009. Implementation of optimal perioperative fluid management is warranted.
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Zhonghua yi xue za zhi · Apr 2012
[Combination of central venous-to-arterial PCO2 difference with central venous oxygen saturation to guide the shock resuscitation].
Central venous oxygen saturation (ScvO2) is a useful therapeutic target in septic shock and high-risk postoperative patients. We tested the hypothesis that central venous-to-arterial carbon dioxide difference (ΔPCO(2)) combine with ScvO2 to guide shock resuscitation is better than ScvO2 only. ⋯ The combination of ΔPCO(2) and ScvO2 may guide the shock resuscitation. It helps identify the inadequately resuscitated when the ScvO2 goal is reached.
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Zhonghua yi xue za zhi · Apr 2012
Randomized Controlled Trial Comparative Study[A comparison of ultrasonography versus traditional approach for caudal block in children].
To apply ultrasonic technology in positioning and monitoring for pediatric caudal blocks and compare it with traditional landmark approach and Swoosh test. ⋯ Ultrasonic positioning and monitoring for pediatric caudal block is both scientific and reasonable. The positioning detected by ultrasonic imaging is accurate and the monitoring results of ultrasound are reliable. It is obviously superior to traditional method and has clinical application values for caudal block in children.
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Zhonghua yi xue za zhi · Apr 2012
Randomized Controlled Trial[Application of ultrasound guidance for ilioinguinal or iliohypogastric nerve block in pediatric inguinal surgery].
To evaluate the efficacy of ultrasound guidance for ilioinguinal or iliohypogastric nerve block in pediatric outpatients undergoing inguinal surgery. ⋯ The method of ultrasonic guidance for ilioinguinal or iliohypogastric nerve block is both feasible and effective. It can not only enhance the effect of nerve block, reduce the occurrences of complications, lower the quantity of local anesthetic and alleviate the medicinal toxicity.