Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences
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Beijing Da Xue Xue Bao · Feb 2017
Randomized Controlled Trial Clinical Trial[Effect of continuous femoral nerve block combined with periarticular local infiltration analgesia on early operative functional recovery after total knee arthroplasty: a randomized double-blind controlled study].
To investigate the effects of early rehabilitation training after total knee arthroplasty surgery by continuous femoral nerve block (CFNB) with or without periarticular local infiltration analgesia (PLIA). ⋯ Compared with CFNB postoperative analgesia alone, CFNB with PLIA could relieve rest pain and pain during passive movement after total knee arthroplasty. CFNB with PLIA could shorten the time to perform an active straight leg raise and the time of ability to reach 90° knee flexion. And so some patients could improve postoperative rehabilitation training.
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Beijing Da Xue Xue Bao · Feb 2017
Clinical Trial[Investigation of risk factors of acute kidney injury after off-pump coronary artery bypass grafting and 3 years' follow-up].
To investigate the incidence rate and risk factors of acute kidney injury (AKI) after off-pump coronary artery bypass grafting (CABG),and to compare the effects of AKI on complications after operation and major adverse cardiovascular and cerebrovascular events (MACCE) after 3 years' follow-up. ⋯ The incidence of AKI was high (37.1%) after off-pump CABG. The elevated serum creatinine levels, COPD, decreased LVEF,and implantation IABP before or after operation were independent risk factors of AKI in multivariable Logistic regression modeling. More complications occurred in AKI group during perioperative period, but the difference of MACCE between the two groups after 3 years' follow-up had no statistical significance.
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To explore the mechanism, clinical features, and prognosis of Trigemino-cardiac reflex (TCR) during skull base operations. ⋯ TCR is a short neural reflex with a drop in blood pressure and heart rate coinciding with the manipulation of the trigeminal nerve in skull base surgery. Correct recognition, intensive observation, and essential management of TCR will lead to a good prognosis.
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Beijing Da Xue Xue Bao · Feb 2017
[Clinical evaluation of in-plane ultrasound-guided thoracic paravertebral block using laterally intercostal approach].
To evaluate the feasibility and success rate of in-plane ultrasound-guided paravertebral block using laterally intercostal approach. ⋯ Thoracic paravertebral block using laterally intercostal approach is feasible, which has high success rate of block and low rate of complications.
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Beijing Da Xue Xue Bao · Oct 2016
Randomized Controlled Trial Clinical Trial[Impact of dexmedetomidine-sevoflurane anesthesia on intraoperative wake-up test in children patients undergoing scoliosis surgery].
To observe the effects of 0.4 μg/(kg×h) dose of dexmedetomidine on intra-operative wake-up test in children patients undergoing scoliosis surgery. ⋯ Dexmedetomidine, when administered at a rate of 0.4 μg/(kg×h) as an adjuvant of sevoflurane inhalational anesthesia, could improve the wake-up test quality, and maintain hemodynamic stability during scoliosis surgery.