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Seeing is believing How to get the best out of videolaryngoscopy

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Seeing is believing How to get the best out of videolaryngos...

Comparing Postoperative Pain After Laparoscopic Cholecystectomy

2017中国中西医结合麻醉学会[CSIA]年会暨第四届全国中西医结合麻醉学术研讨会暨陕西省中西医结合学会麻醉专业委员会成立大会

作者： fu-shan xue Department of Anesthesiology Plastic Surgery HospitalChinese Academy of Medical Sciences and Peking Union Medical College

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来源： cnki会议评论

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Chinese Medical Journal 2016年第5期129卷 628-629页

作者： Jian-Hua Liu fu-shan xue Chao Sun Gao-Pu Liu Department of Anesthesiology Plastic Surgery Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100144 China

To the Editor： In a recent article published by Guo et al. who compared postoperative pain after traditional and single-incision laparoscopic cholecystectomy （SILC）, it was showed that SILC resulted in a slightly less immediate postoperative pain, but pain scores at 24 hours, 7 days, and 1-6 months after surgery were not different between the two operations.

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Anesthesia-induced developmental neurotoxicity in children: past, present, and future

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Chinese Medical Journal 2019年第16期132卷 1990-1992页

作者： Liu-Jia-Zi Shao Yi Zou fu-shan xue Department of Anesthesiology Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China.

Since 1999, a large body of evidence from various animal models indicates a link between anesthesia exposure in early stage of life and subsequent neurodevelopmental impairments1namely, almost all commonly used intravenous and inhalational anesthetics, including gamma- aminobutyric acid agonists and N-methyl-D-aspartate antagonists, can induce dose- and age-dependent neuronal apoptosis and death in vitro. Moreover, abundant data from nematodes to primate animals have shown a variety of anatomic and neurodevelopmental sequelae from anesthesia exposure in young animals.[2,3] In the rodents, the most prominent manifestations of anesthesia-induced developmental neurotoxicity (AIDN) are often observed at post-natal day 7 .

关键词： Anesthesia-induced neurotoxicity children

A safe strategy for anesthesia induction and airway management in morbidly obese patients

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Chinese Medical Journal 2019年第14期132卷 1747-1748页

作者： Hai-Xia Wang Lei Wan Ming Tian fu-shan xue Department of Anesthesiology Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China

To the Editor:Morbidly obese patients are known to be difficult for facemask ventilation and tracheal intubation,leading to an increased risk for a "cannot intubate cannot ventilate" *** tracheal intubation is often considered as one of the safest strategies for anesthesia induction and airway management in patients with known or predicted difficult airways,but the technique itself is an uncomfortable procedure.

关键词： anesthesia induction airway management morbidly obese patients

Use of ultrasound for prediction of difficult laryngoscopy in adult patients

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Chinese Medical Journal 2020年第11期133卷 1369-1370页

作者： Lei Wan fu-shan xue Liu-Jia-Zi Shao He Yang Department of Anesthesiology Beijing Friendship HospitalCapital Medical UniversityBeijing 100050China

To the Editor:In a prospective,self-controlled,assessorblinded,observational study,Wang et al[1].evaluated the associations of ultrasound-measured indicators with difficult *** the multivariate logistic regression analyses and the receiving operator characteristic(ROC)curve analysis,they concluded that the magnitude of the angle between the epiglottis and glottis under ultrasound was highly associated with difficult ***,difficult laryngoscopy might occur when this angle was less than 50°.

关键词： patients prediction ultrasound

Comparing Sedation Regimens for Awake Fiberoptic Intubation

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Chinese Medical Journal 2016年第4期129卷 502-503页

作者： Gao-Pu Liu fu-shan xue Chao Sun Gui-Zhen Yang Department of Anesthesiology Plastic Surgery Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100144 China

To the Editor： In a single-center, prospective, randomized double-blind clinical study comparing dexmedetomidine- midazolam and sufentanil-midazolam sedation regimens for awake fiberoptic intubation （AFOI） in 50 patients with difficult airways due to limited mouth opening, Li et al show that both dexmedetomidine and sufentanil are effective as an adjuvant for AFOI under airway topical anesthesia combined with midazolam sedation, but respiratory depression is a potential risk in the sufentanil-midazolam regimen. Given that AFOI has been established as the gold standard for difficult airway management, their findings have potentially clinical implications. In our view, however, there are several aspects of this study that need to be clarified and discussed.

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Rational Study Design is Important for Assessing Myocardial Protection of Anesthetics

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Chinese Medical Journal 2015年第22期128卷 3123-3124页

作者： Chao Sun fu-shan xue Rui-Ping Li Gao-Pu Liu Department of Anesthesiology Plastic Surgery Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100144 China

To the Editor： In a single-center, prospective randomized clinical study including 122 elderly patients undergoing the carotid endarterectomy （CEA）, Wang et al. showed that compared with propofol-based total intravenous anesthesia, low-dose sevoflurane inhalation along with propofol reduced the incidence of postoperative myocardial injury.

关键词： postoperative findings potential

A left-side channel design improving insertion of gastric tube via the supraglottic airway device

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Chinese Medical Journal 2019年第11期132卷 1365-1367页

作者： Jing-Dong Ke Hai-Jun Hou Min Wang fu-shan xue Department of Anesthesiology Beijing Friendship Hospital Capital Medical University Beijing 100050 China

To the Editor:The supraglottic airway device (SAD) with an additional gastric drainage channel may be beneficial for patients needing gastric decompression during surgery, such as laparoscopic cholecystectomy and cesarean delivery. furthermore, addition of gastric drainage channel is a typical feature of second-generation SAD. However, all of second-generation SADs have a gastric tube channel opening at the center of the distal tip. Such a design may cause some difficulty for insertion of the gastric tube if there is an inadequate position of the device tip in the upper esophageal aperture. In normal anatomy, the upper esophageal aperture is actually inclined to the left side of the trachea. Thus, we inferred that it should be much easier to insert a gastric tube into the esophagus, if the gastric drainage channel is placed at the left side of the SAD tip.

关键词： supraglottic airway device (SAD) drainage channel Gastric drainage pathway

Difficult Airway Management： Correct Concepts and Algorithm are Important for Patient Safety

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Chinese Medical Journal 2016年第15期129卷 1886-1887页

作者： Gui-Zhen Yang fu-shan xue Chao Sun Gao-Pu Liu Department of Anesthesiology Plastic Surgery Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100144 China

To the Editor： We read with great interest the case report published in Chinese Medical Journal by Ma et al. who described difficult airway for patients undergoing spine surgeries. We believe that there are several issues regarding the difficult airway concepts and difficult airway management algorithm used in this article that need to be clarified.

关键词： Algorithm Important Patient Safety