Zhonghua yi xue za zhi = Chinese medical journal; Free China ed
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Zhonghua Yi Xue Za Zhi (Taipei) · Nov 1999
Randomized Controlled Trial Comparative Study Clinical TrialComparison of recovery characteristics of sevoflurane and halothane for outpatient surgery in infants.
Sevoflurane, a newly approved potent inhaled anesthetic in Taiwan, provides rapid emergence from anesthesia in adults and children. Clinically, it is difficult to accurately assess the rate of recovery from anesthesia in infants. This study was designed to compare the emergence characteristics of halothane with those of sevoflurane having recourse to a respiratory agent monitor in infants undergoing outpatient surgery. ⋯ Sevoflurane is superior to halothane for rapid elimination in infant outpatient surgery as gauged by observation of end-tidal concentration elimination curves recorded with a respiratory agent monitor. No other postoperative side-effect was evident in sevoflurane anesthesia.
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Zhonghua Yi Xue Za Zhi (Taipei) · Oct 1999
Multicenter StudyDevelopment of a new prognostic system and validation of APACHE II for surgical ICU mortality: a multicenter study in Taiwan.
To develop and to validate a new prognostic prediction system for patients admitted to the surgical intensive care unit (ICU), and to compare its performance with the Acute Physiology and Chronic Health Evaluation (APACHE) II system. ⋯ Although APACHE II correlates with mortality for surgical ICU patients in Taiwan, its accuracy is not as good as in the original study. Mortality prediction performance improved with the use of the new, local scoring system.
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Zhonghua Yi Xue Za Zhi (Taipei) · Sep 1999
Comparative StudyMultiplane transesophageal echocardiography for assessing cardiac abnormalities: comparison to biplane imaging.
Transesophageal echocardiography (TEE) is useful for visualizing the spatial relationships of the cardiac anatomy. The purpose of this study was to compare the diagnostic yield of multiplane TEE with that of biplane TEE in assessing cardiac abnormalities. ⋯ Multiplane TEE provides precise visualization of cardiac structures without undue probe manipulation, resulting in greater diagnostic assurance than does biplane TEE.
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The present emergency medical service (EMS) system in the Panchiao area includes operations in Panchiao, Sulin, Sunshia, Chung Ho and Touchen, which is in the early developmental stage. Educational programs such as emergency medical technician (EMT)-I, and -II have been provided for less than 25% of firefighters in that area. Several mass educational programs in cardiopulmonary resuscitation (CPR) were also provided for the inhabitants of the area. The purpose of this study was to establish a database of dead-on-arrival (DOA) patients during this early stage of the EMS system development so that comparisons of EMS performance could be assessed to identify any future needs of the EMS system in the Panchiao area. ⋯ Delayed initiation of the EMS system resulted in an average time to hospitalization of 38.3 minutes. Cardiovascular collapse was the leading etiology in DOA patients. There were only two patients who received prehospital CPR, suggesting that layperson CPR and EMT education cannot be overemphasized.
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Zhonghua Yi Xue Za Zhi (Taipei) · Jul 1999
Normative data of quantitative thermal and vibratory thresholds in normal subjects in Taiwan: gender and age effect.
Quantitative sensory testing has gained popularity as a tool in the diagnosis of peripheral neuropathies. This study aims to establish normative data of quantitative thermal and vibratory thresholds in normal subjects in Taiwan. In addition, we also examined the effect of age and gender differences on these thresholds. ⋯ The female subjects were found to be more sensitive to warm and cold stimulation in the hand than their counterparts. These results have provided valuable normative data on sensory perceptive thresholds in Taiwanese, which are useful as a tool in the diagnosis of peripheral neuropathy.