华东导读——《麻醉与镇痛》2024年8月刊,第139卷第2期

文摘   2024-11-18 06:59   上海  

《华东导读》

ANESTHESIA&ANALGESIA 

Volume 139,Issue 2

(August 2024)


《麻醉与镇痛》

2024年8月刊,第139卷第2期


ANESTHESIA&ANALGESIA


翻译丨孙发发

审校丨张细学

总校对丨顾卫东 杨旅军

 (复旦大学附属华东医院麻醉科)

临床拾萃

1、舒更葡糖相关的过敏反应

要点:

● FDA报告的舒更葡糖过敏反应发生率0.3%,近期大样本研究报告的发生率0.01-0.039%

 发生时间:给药后5min左右。有些在气管拔管后或过床时,给抢救带来困难(肌松已拮抗)

各种症状发生比例:低血压94%,心动过速60%,皮疹52%,低氧45%,气道阻力增加18%,需重新气管插管18%。

 过敏后6周行皮肤过敏原筛查

表1. 过敏的临床诊断标准

表2. 舒更葡糖的治疗

注:1. 肾上腺素用量2μg-1mg,顽固性低血压时持续泵注(0.05-0.1μg/kg/min开始)。2. 输液:中度低血压500ml晶体液,重度低血压1000ml。3.过敏2h内和24h时查血类胰蛋白酶。





1、围手术期输注红细胞时输注血浆与术后静脉血栓栓塞风险增加相关

Perioperative Plasma in Addition to Red Blood Cell Transfusions Is Associated With Increased Venous Thromboembolism Risk Postoperatively


2、学习曲线累积法评估臂丛阻滞胜任力的准确性

The Accuracy of the Learning-Curve Cumulative Sum Method in Assessing Brachial Plexus Block Competency


3、老年手术患者围手术期初级医疗保健利用率与术后再入院、急诊科就诊及死亡率的相关性

Perioperative Primary Care Utilization and Postoperative Readmission, Emergency Department Use, and Mortality in Older Surgical Patients


4、未知领域:美沙酮在儿科术中的应用

Uncharted Waters: Intraoperative Methadone in Pediatrics


5、舒更葡糖相关的过敏反应

Sugammadex-Associated Anaphylaxis

6、术中使用美沙酮对儿童患者术后疼痛控制的影响:概况性综述

The Effects of Intraoperative Methadone on Postoperative Pain Control in Pediatric Patients: A Scoping Review


7、肥胖应作为体外膜氧合支持的排除标准吗?概况性综述

Should Obesity Be an Exclusion Criterion for Extracorporeal Membrane Oxygenation Support? A Scoping Review


8、高敏肌钙蛋白T和衰弱预测≥75岁急诊腹部手术患者短期死亡率:前瞻性观察研究

High-Sensitivity Cardiac Troponin T and Frailty Predict Short-Term Mortality in Patients ≥75 Years Undergoing Emergency Abdominal Surgery: A Prospective Observational Study


9、中风险手术患者实施早期高敏锐度术后护理的成本效益比

The Cost-Effectiveness of Early High-Acuity Postoperative Care for Medium-Risk Surgical Patients


10、受训者在剖宫产术中实施重点心脏超声的可行性

Feasibility of Focused Cardiac Ultrasound Performed by Trainees During Cesarean Delivery  

11、志愿者和麻醉患者的慢交换液体间隙:动力学分析和生理学

A Slow-Exchange Interstitial Fluid Compartment in Volunteers and Anesthetized Patients: Kinetic Analysis and Physiology 


12、麻醉人工智能大语言模型的临床知识和推理能力:美国麻醉考试委员会的比较性研究

Clinical Knowledge and Reasoning Abilities of AI Large Language Models in Anesthesiology: A Comparative Study on the American Board of Anesthesiology Examination 


13、用于气管插管时间序列分析的人工智能图像识别系统的开发

Development of an Artificial Intelligence–Based Image Recognition System for Time-Sequence Analysis of Tracheal Intubation 


14、中重度脑外伤后早期使用右美托咪定与临床结局的相关性:回顾性队列分析

Association of Early Dexmedetomidine Utilization With Clinical Outcomes After Moderate-Severe Traumatic Brain Injury: A Retrospective Cohort Study 


15、评估为期一天的健康课程对资源匮乏工作环境中的麻醉人员的影响:混合方法队列研究

A Mixed-Methods Cohort Study Evaluating the Impact of a One-Day Well-Being Course for Anesthesia Providers Working in Low-Resource Settings 

16、表达细胞间黏附分子的内皮细胞来源胞外囊泡反映内皮细胞通透性和脓毒症严重程度

Endothelium-Derived Extracellular Vesicles Expressing Intercellular Adhesion Molecules Reflect Endothelial Permeability and Sepsis Severity 


17、腹侧被盖区谷氨酰胺能神经元通过兴奋侧隔核GABA能神经元促进小鼠从异氟烷麻醉中苏醒

Ventral Tegmental Area Glutamatergic Neurons Facilitated Emergence From Isoflurane Anesthesia Involves Excitation of Lateral Septum GABA-ergic Neurons in Mice


18、小胶质细胞促进脊髓背角抑制性突触吞噬作用并调控骨癌痛模型中的小鼠疼痛样行为

Microglia Promote Inhibitory Synapse Phagocytosis in the Spinal Cord Dorsal Horn and Modulate Pain-Like Behaviors in a Murine Cancer-Induced Bone Pain Model


19、麻醉中不同种族和民族患者的诊疗差异:历史、现状和未来

Racial and Ethnic Patient Care Disparities in Anesthesiology: History, Current State, and a Way Forward


20、医师联盟:美国麻醉医师面临的机遇和挑战

Physician Unionization: Opportunities and Challenges for Anesthesiologists in the United States

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《麻醉与镇痛》

2024年8月刊,第139卷第2期

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