International journal of clinical and experimental medicine
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The objective of this meta-analysis was to evaluate the efficacy of limited fluid resuscitation during active hemorrhage compared with regular fluid resuscitation and provide strong evidences for the improvement of fluid resuscitation strategies in uncontrolled hemorrhagic shock. ⋯ The results provide convincing evidence that support the continued investigation and use of limited fluid resuscitation during active hemorrhage in the trauma setting.
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To study the effects of dexmedetomidine (Dex) on cellular immunity during the perioperative period in children with brain neoplasms. ⋯ Dex given by a continuous intravenous infusion during general anesthesia may effectively inhibit the stress responses and reduce the inhibition of cellular immunity in children with brain neoplasms during the perioperative period.
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We present a new strategy method of combining use of Airtraq(®) and fiberoptic bronchoscope (FOB) for tracheal intubation in 3-year-old child with Pierre-Robin sequence.
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To determine the optimal selection of proximal fusion level for degenerative scoliosis (DS) and investigate the long-term proximal-related complications. ⋯ Recurrent junctional scoliosis developed more commonly when the fusion was at or below the UEV, and fusion at L1 or L2 showed the highest incidence of junctional kyphosis. Long instrumented fusion to T11 or T12 appeared to be a reasonable alternative when the UIV was above UEV in DS.
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Pulmonary alveolar proteinosis is a rare idiopathic lung disease characterized by the accumulation of lipoproteinaceous material within the alveoli, which impairs gas transfer and decreases the ventilation/perfusion ratio, and can lead to respiratory failure. Whole lung lavage is the most effective therapy for pulmonary alveolar proteinosis, but may not be tolerated by patients with severe respiratory failure. ⋯ The patient was successfully treated with bilateral whole lung lavage without extracorporeal oxygenation. The results suggest that there is improved ventilation and perfusion matching when one lung is ventilated while the other is lavaged, may be the mechanism of which severe respiratory failure patient due to pulmonary alveolar proteinosis can complete whole lung lavage under one lung ventilation.