Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Nov 2016
Randomized Controlled Trial Comparative Study[Effect comparison of ultrasound-guided lower extremity nerve block and spinal anesthesia in ankle surgery].
Objective: To compare the anesthesia effect between ultrasound-guided lower extremity nerve block and spinal anesthesia in ankle surgery. Methods: Upon the approval of institutional Ethics Committee and informed consent, 80 patients American Society of Anesthesiology (ASA)Ⅰ-Ⅱaged 18-70 yr, undergoing ankle surgery from December 2014 to May 2015 in the Fifth Affiliated Hospital of Wen Zhou Medical College, were randomly divided by random numbers into two groups (n=40): nerve block group (group N) and spinal anesthesia (group S). The group N was combined with ultrasound-guided femoral nerve, obturator nerve, lateral femoral cutaneous nerve and sacral plexus block; group S was selected spinal anesthesia in the gap of L3-L4. ⋯ The incidence of 24 hours postoperatively analgesic in group N were significantly lower than that in group S (45.0% vs 77.5%, P<0.05). Compared with group S, there was no significant difference in the percentage of anesthetic effect reached gradeⅠ(95% vs 100%, P>0.05) in group N. Conclusion: Ultrasound-guided nerve block could be safe and effective in patients undergoing ankle surgery, and postoperative analgesia time of nerve block is longer than that of spinal anesthesia.
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Zhonghua yi xue za zhi · Jul 2016
Randomized Controlled Trial[A study on diaphragm function after interscalene brachial plexus block using a fixed dose of ropivacaine with different concentrations].
To compare the effect of interscalene brachial plexus block (ISBPB) on the incidence of diaphragmatic paralysis, respiratory function and post-operative pain control using same dosage of local anesthetics diluted into two different volume and concentrations. ⋯ The use of 0.5% and 0.25% ropivacaine 50 mg for interscalene block provides similar effect on the incidence of diaphragmatic paralysis, changes in respiratory function and postoperative analgesia.
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Zhonghua yi xue za zhi · Jun 2016
Randomized Controlled Trial[Effects of intranasal midazolam premedication on inhaled induction of anesthesia with sevoflurane of pediatric patients].
To evaluate the effects of intranasal midazolam premedication on children who undergoing inhaled induction of anesthesia with sevoflurane. ⋯ Intranasal midazolam provided as premedication can reduce the anxiety for children undergoing inhaled induction of anesthesia with sevoflurane, and shorten the time of induction. It's a safe and effective method for premedication of pediatric anesthesia.
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Zhonghua yi xue za zhi · Jun 2016
Randomized Controlled Trial[A clinical study of the efficacy of automated intermittent boluses for continuous fascia iliaca block].
To compare two different regimens of continuous ultrasound-guided fascia iliaca compartment block (FICB) for postoperative analgesia after total hip arthroplasty (THA). ⋯ Both regimens can provide effective analgesia after total hip arthroplasty. Compared with the continuous infusion group, the automated intermittent boluses group for continuous fascia iliaca block can provide better analgesic effect , with less remedial analgesia.
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Zhonghua yi xue za zhi · Mar 2016
Randomized Controlled Trial Comparative Study[Comparison of neostigmine induced reversal of rocuronium in different age children].
To compare the effectiveness of neostigmine induced reversal of rocuronium in neonates, infants, young children and children. ⋯ The spontaneous recovery time after administrating rocuronium are comparable in infant, young children and children. There are obviously reversal effects in all of age groups when neostigmine is given to antagonize rocuronium. Either spontaneous recovery time or reversal recovery time of neostigmine to rocuronium is longer for neonates than other age's children.