Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Aug 2016
ReviewRole of Postoperative Multimodal Analgesia in Abdominal and Pelvic Enhanced Recovery after Surgery.
Enhanced recovery after surgery (ERAS) is to achieve early recovery for patients undergoing major surgery through multimodal perioperative care pathways. Treatment of postoperative pain is of great importance for ERAS. From 2012 to now,the ERAS Society has published seven international guidelines for the abdominal or pelvic surgeries. ⋯ Upon these guidelines,thoracic epidural analgesia should be the primary choice for postoperative analgesia of either abdominal and pelvic surgeries. Meanwhile,postoperative multimodal analgesia should contain multiple methods and drugs. In this review,we ellucidate the recommendations on postoperative multimodal analgesia from these seven ERAS guidelines,so as to facilitate the implementation of standardized postoperative multimodal analgesia.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Dec 2011
Review[Osmotic demyelination syndrome in patients with hyponatremia caused by neurologic disorders].
Hyponatremia is relatively common in patients with neurologic disorders, while its diagnosis and treatment remain controversial. Osmotic demyelination syndrome (ODS) has shown to be closely associated with hyponatremia. ODS patients often present as central pontine myelinolysis, extrapontine myelinolysis, or both. This article reviews the clinical manifestations, pathogenesis, and risk factors of ODS in patients with hyponatremia caused by neurologic disorders.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Oct 2008
Review[Current situation and control strategy of nosocomial infection in intensive care unit].
Intensive care unit (ICU) is a place with high risk of nosocomial infections. Effective control of nosocomial infections in ICU brings both social and economic benefits. This article summarizes ten main points in the control strategy of ICU infections.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Apr 2008
Review[Procedural sedation and analgesia in the emergency medicine].
The relief of acute pain is a key link in modern emergency medicine. Procedural sedation and analgesia is a necessary technique for emergency physicians. This article summarizes its application in emergency therapy.
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Hemodynamic monitoring is important for critically ill patients in emergency medicine. While the conventional static hemodynamic monitoring may not accurately reflect the hemodynamic status, functional hemodynamic monitoring can dynamicly and individually monitor the hemodynamic status, and thus becomes a valuable supplementation for conventional static hemodynamic monitoring. This article reviews the limitations of conventional hemodynamic monitoring and introduces the methodology of functional hemodynamic monitoring.