Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae
-
Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Oct 2011
[Application of diffusion tensor imaging-based arcuate fasciculus tractography and intraoperative arcuate fasciculus navigation].
To investigate the feasibility of applying diffusion tensor imaging (DTI)-based arcuate fasciculus tractography and intraoperative arcuate fasciculus navigation for neurosurgery. ⋯ The combined application of DTI-based arcuate fasciculus tractography and intraoperative arcuate fasciculus navigation is feasible for guiding brain surgery. It can improve the surgical outcomes of intracranial tumor involving language functional area. The technology also maximizes the retention of language function and improves the post-operative quality of life.
-
Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Aug 2011
Randomized Controlled Trial[Induction of tracheal intubation without muscle relaxant by target controlled infusion of propofol combined with remifentanil in children].
To observe the safety and feasibility of tracheal intubation by target-controlled infusion of propofol and remifentanil without muscle relaxant in children. ⋯ The success rate of tracheal intubation was in 90% in remifentanil group and 98% in the control group (P=0.122).CONCLUSION Target-controlled infusion of propofol and remifentanil at Ce of 6 μg/ml and 5 ng/ml is feasible for the induction and tracheal intubation without muscle relaxant in children.
-
Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Aug 2011
Randomized Controlled Trial Comparative Study[Preventive efficacy of ondansetron and granisetron for postoperative nausea and vomiting in high risk patients].
To compare the efficacy of ondansetron and granisetron in the prevention of postoperative nausea and vomiting (PONV) in high-risk patients. ⋯ Granisetron is more effective than ondansetron in preventing PONV in high-risk patients during the first 24 hours postoperatively.
-
Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Jun 2011
[Perioperative airway management for patients with morbid obesity].
The excess fatty tissues on the head, neck, thorax, and abdomen of morbid obese patients can impede the patency of the upper airway and impair lung functions. Meanwhile, these patients often have comorbidities such as obstructive sleep apnea, hypoventilation syndrome, chronic obstructive pulmonary disease, and asthma, which may result in difficult airway, intraoperative hypoventilation, and postoperative respiratory depression. Therefore, perioperative airway management for morbid obese patients may pose a big challenge to anesthesiologists. Anesthesiologists should know well about the pathophysiological features of respiratory system and grasp rational management principles, so as to improve the safety and effectiveness of perioperative airway management and optimize the clinical prognosis.
-
Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Feb 2011
Interaction between hydrogen sulfide and nitric oxide on cardiac protection in rats with metabolic syndrome.
To investigate the interaction between hydrogen sulfide (H2S)/cystathionine gamma-lyase (CSE) system and nitric oxide (NO)/nitric oxide synthase (NOS) system on cardiac protection in metabolic syndrome (MS) rats. ⋯ Both the H2S/CSE and NO/NOS systems appear to have a mutual down-regulation effect on myocardium in MS rats. Meanwhile, exogenous H2S and NO supplement is cardioprotective in rat model of MS.