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Acupuncture accelerates recovery after general anesthesia: a prospective randomized controlled trial

Journal of Integrative Medicine 2015年第2期13卷 99-104页

作者： Marco Gemma Elisa Nicelli luigi gioia Elena Moizo luigi Beretta Maria Rosa Calvi Department of Anesthesia and Neurointensive Care San Raffaele Scientific Institute

BACKGROUND： Acupuncture anesthesia was created in the 1950＇s in China and continues to be used there today during most major surgeries. It is widely used in China for such complex operations as brain heart, and abdominal surgery. It is popular in China because it is economical, practical, and beneficial to the patients. With acupuncture anesthesia there is less bleeding during surgery and there is also quicker post-operative recovery. OBJECTIVE： This randomized prospective study aims at comparing the effect of two acupoints （Yongquan, KI1 and Renzhong, DU26） with sham acupuncture and no acupuncture on the time to recovery of consciousness after general anesthesia by means of the Bispectral Index monitor （BIS） DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS： This is a prospective randomized controlled study. We randomly assigned 50 patients to 5 groups during recovery from surgical anesthesia. Four groups had acupuncture on KI1 （group A）, DU26 （groups B）, both KI1 and DU26 （group C）, and sham points （group D）, and one had no acupuncture （group E）. MAIN OUTCOME MEASURES： Bispectral Index （BIS）, time to spontaneous eye opening, time to tracheal extubation, and time to following commands were measured as the main outcome measures RESULTS： Time to spontaneous eye opening differed among groups （P=0.002）, as well as time to tracheal extubation （P〈0.000 1） and time to following commands （P=0.000 6）. BIS values differed significantly among groups both 5 and 10 min after the end of anesthesia （P〈0.000 1 and P=0.000 4, respectively）. BIS values of groups D and E were lower than those of the other groups and those of group C were higher. The same pattern was observed also 15 and 30 rain after the end of anesthesia although the difference among groups was not significant at these time points （P=0.164 and P=0.104 respectively）. CONCLUSION： Acupuncture on DU26 and KI 1 accelerates recovery of consciousness after general anesthesia. Moreover, a possible synergistic effect of DU26 a

关键词： acupuncture therapy anesthesia, general anesthesia recovery period randomized controlled trial

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Incremental value of compression ultrasound sonography in the emergency department

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World Journal of Critical Care Medicine 2021年第5期10卷 194-203页

作者： Alessandro Di Vilio Andrea Vergara Alfonso Desiderio Franco Iodice Alessandro Serio Stefano Palermi Francesco Gambardella Simona Sperlongano Renato gioia Maria Acitorio Antonello D'Andrea Unit of Cardiology and Intensive Coronary Care University of Campania“Luigi Vanvitelli”Monaldi HospitalNaples 80131Italy Unit of Cardiology and Intensive Coronary Care Umberto I HospitalNocera Inferiore 84014Italy Human Anatomy and Sport Medicine Division Department of Public HealthUniversity of Naples“Federico II”Naples 80131Italy Department of Medicine Surgeryand DentistryUniversity of SalernoSalerno 84084Italy

The quick evaluation of venous thromboembolism is a key point of modern medicine since the delayed diagnosis is associated with a worse *** ultrasound(VU)is a sensitive and rapidly performed test in cases of suspected deep venous *** protocols have been proposed for its execution,such as the study of the whole deep venous circulation of the lower limb or the analysis of the femoral-popliteal *** aim is to detect a vessel thrombus and the most sensitive element is the non-compressibility with the ***,the thrombus is hypoechogenic and adherent to the vessel;later,it tends to organize and ***,in the early stages,the risk of embolism is *** role of studying the iliac axis and calf veins is still *** is not useful for assessing response to anticoagulation therapy and it is unclear whether the persistence of thrombotic abnormalities can guide on a possible prolongation of therapy.

关键词： Compression ultrasound Deep venous thrombosis Venous ultrasound Venous thromboembolism Critical care ultrasonography

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