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Effect of Wrist-Ankle Acupuncture on postoperative analgesia after Total Knee Arthroplasty

Chinese Journal of Integrative Medicine 2023年第3期29卷 253-257页

作者： CAO Hai-tao ZHANG Wan LUO Cheng ZHAO Hong-bo LIU Jian-ming Department of Trauma the Second Hospital of TangshanTangshanHebei Province(063000)China Department of Medical Service North China University of Science and Technology Affiliated HospitalTangshanHebei Province(063000)China Department of Geriatric Orthopedics The Second Hospital of TangshanTangshanHebei Province(063000)China Department of Joint Surgery the Second Hospital of TangshanTangshanHebei Province(063000)China Department of Thoracic Surgery Tangshan People’s HospitalNorth China University of Science and TechnologyTangshanHebei Province(063000)China

Objective:To evaluate the effect of wrist-ankle acupuncture(WAA)in pain and functional recovery after total knee arthroplasty(TKA).Methods:From June to September 2020,94 participants were included from the Second Hospital of Tangshan and randomly assigned to the WAA group(47 cases)and the sham WAA group(47 cases)by a random number table,receiving real or sham WAA treatment,*** primary outcome measure involved the visual analogue scale(VAS)scores at rest and in *** secondary outcomes involved the range of motion(ROM)of the knee joints,straight-leg raising time,postoperative weight-bearing time,sufentanil consumption within 48 h of patient-controlled analgesia(PCA)pump,length of hospital stay,and postoperative ***:The VAS scores on the 3rd,5th,and 7th postoperative days at rest and in motion was significantly lower in the WAA group than that of the sham WAA group(Ppostoperative weight-bearing time,length of hospital stay,and postoperative complications between the two groups(P>0.05).Conclusions:WAA could alleviate post-TKA pain,improve knee joint function,and reduce the sufentanil consumption within 48 h of PCA *** is a safe and effective treatment in the perioperative analgesic management for TKA.

关键词： wrist-ankle acupuncture total knee arthroplasty postoperative analgesia

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Erector Spinae Plane Block Combined with Serratus Anterior Plane Block Versus Thoracic Paravertebral Block for postoperative analgesia and Recovery After Thoracoscopic Surgery:A Randomized Controlled Non-inferiority Clinical Trial

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Current Medical Science 2023年第3期43卷 615-622页

作者： Xuan MO Tao JIANG Han WANG Yi ZHANG Department of Anesthesiology Hubei Key Laboratory of Geriatric Anesthesia and Perioperative Brain Healthand Wuhan Clinical Research Center for Geriatric AnesthesiaTongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China

Objective This study aimed to compare the postoperative analgesia and recovery of ultrasound-guided erector spinae plane block combined with serratus anterior plane block(ESPB combined with SAPB)versus thoracic paravertebral block(PVB)after thoracoscopic *** Ninety-two patients who underwent video-assisted thoracoscopic surgery(VATS)were randomly divided into group S(n=46)and group P(n=46).After anesthesia induction,the same anesthesiologist performed ultrasound-guided ESPB at T5 and T7 levels combined with SAPB at the level of the fifth rib in the midaxillary line in group S and ultrasound-guided PVB at T5 and T7 levels in group *** in both groups were given 40 mL of 0.4%***-six patients completed the study(group S,n=44;group P,n=42).The morphine consumption,visual analogue scale(VAS)scores at rest and coughing,and frequency of remedial analgesia were recorded at 1,2,4,8,and 24 h *** function parameters were recorded at 1,4,and 24 h postoperatively,and the quality of recovery(QoR)-15 score at 24 h *** adverse effects,duration of chest tube drainage and length of stay were also *** The morphine consumption at postoperative 4 and 8 h and the incidence of ipsilateral shoulder pain(ISP)were significantly lower in group S than in group *** QoR-15 questionnaire score at postoperative 24 h was significantly lower in group P than in group S(Ppostoperatively in group S than in group P,with no significant difference found *** morphine consumption at other observed times,VAS scores,pulmonary function parameters,frequency of remedial analgesia,duration of chest tube drainage,length of stay,and incidence of other adverse events were comparable between group S and group *** Ultrasound-guided ESPB combined with SAPB is non-inferior to PVB in terms of morphine consumption at postoperative 24 h and postoperative ***,this appr

关键词： erector spinae plane block serratus anterior plane block thoracic paravertebral block postoperative analgesia postoperative recovery

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Estimation of the minimum effective dose of tramadol for postoperative analgesia in infants using the continual reassessment method

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Frontiers of Medicine 2012年第3期6卷 288-295页

作者： Yue’e Dai Dongxu Lei Zhenghua Huang Yan Yin GAllen Finley Yunxia Zuo Department of Anesthesiology and Translational Neuroscience Center West China HospitalSichuan UniversityChengdu 610041China Department of Anesthesiology Sichuan Academy of Medical Sciences&Sichuan Provincial People’s HospitalChengdu 610041China Department of Anesthesia and Psychology IWK Health CentreDalhousie University5850 University AvenueHalifaxNSB3K 6R8Canada

Tramadol is a potent ***,the analgesia efficacy of tramadol,particularly its minimum effective dose(MED),is not *** aim of this study is to find MED of tramadol for postoperative analgesia in *** continual reassessment method(CRM)was performed to find *** undergoing surgeries were included in the 3 phases of this *** each phase,24 participants were allocated a different tramadol *** intensity was measured by face,legs,activity,cry,consolability(FLACC)measurement at 3-hour *** was considered ineffective if the FLACC score was higher than 4 in 10 at *** phase 1,seven dose levels were used within the range 0.1-0.4 mg·kg^(-1)·h^(-1).Phase 1 was insufficient to identify the MED,and we increased the dose to 0.4-0.8 mg·kg^(-1)·h^(-1) in phase *** 2 was insufficient to identify the *** phase 3,local anesthetic wound infiltration was introduced,and the tramadol dose levels tested were the same as in phase *** successful analgesia probability of tramadol 0.4 mg·kg^(-1)·h^(-1) was 82.1%(95%CI,0.742-0.925)in phase *** phase 2,it was 84.7%(95%CI,0.789-0.991)with the dose 0.8 mg·kg^(-1)·h^(-1).Phase 1 and phase 2 were insufficient to identify the *** phase 3,the successful analgesia probability for dose 0.35 mg·kg^(-1)·h^(-1) was 96.7%(95%CI,0.853-0.997).We have demonstrated that tramadol provides insufficient analgesia for surgeries considered to cause moderate-to-severe postoperative pain in infants if used as the sole analgesic,and that local anesthetic wound infiltration enhances the efficacy of tramadol.

关键词： tramadol minimum effective dose postoperative analgesia infants continual reassessment method

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Ultrasound-guided Transversus Abdominis Plane Block Improves postoperative analgesia and Early Recovery in Patients Undergoing Retroperitoneoscopic Urologic Surgeries:A Randomized Controlled Double-blinded Trial

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Chinese Medical Sciences Journal 2016年第3期31卷 137-141页

作者： Ge Qu Xu-lei Cui Hong-ju Liu Zhi-gang Ji Yu-guang Huang Department of Anesthesiology Peking Union Medical College HospitalChinese Academy of Medical Sciences & Peking Union Medical College Department of Urology Peking Union Medical College HospitalChinese Academy of Medical Sciences & Peking Union Medical College

Objective To evaluate the effects of ultrasound-guided transversus abdominis plane(TAP) block on postoperative analgesia and early recovery in patients undergoing retroperitoneoscopic urologic *** This was a randomized,controlled,double-blinded *** patients scheduled for retroperitoneoscopic urologic surgeries were randomly assigned to two *** TAP received ultrasound-guided TAP block with 0.5% ropivacaine 20 ml at 30 minutes before surgery,and Group C received TAP sham block with normal *** patients received retroperitoneoscopic urologic surgeries under general *** primary outcome was the severity of pain after *** outcomes included opioids consumption,analgesics,postoperative nausea and vomiting,time to Foley catheter removal and to passage of flatus,length of post-anesthesia care unit stay and hospital *** Eighty patients completed the study,forty cases in each *** to the Group C,the Group TAP had lower visual analogue scale pain scores within two postoperative days(all Ppostoperative rescue analgesic usage(12.5% vs. 45.0%,Ppostoperative nausea and vomiting within postoperative 48 hours(12.5% vs. 25.0%,Ppostoperative three days(57.5% vs. 35.0%,Ppostoperative analgesia and early recovery in patients undergoing retroperitoneoscopic urologic surgeries.

关键词： ultrasound-guided transversus abdominis block retroperitoneoscopic surgery postoperative analgesia postoperative recovery

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Effect of intraoperative injection of esketamine on postoperative analgesia and postoperative rehabilitation after cesarean section

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World Journal of Clinical Cases 2024年第28期12卷 6195-6203页

作者： Hong-Zhuan Chen Yi Gao Ke-Ke Li Li An Jing Yan Hong Li Jin Zhang Department of Anesthesiology Hebei Key Laboratory of Maternal and Fetal MedicineShijiazhuang Key Laboratory of Reproductive HealthThe Fourth Hospital of ShijiazhuangShijiazhuang 050000Hebei ProvinceChina

BACKGROUND Following cesarean section,a significant number of women encounter moderate to severe *** management of acute pain post-cesarean section can have far-reaching implications,adversely impacting maternal emotional wellbeing,daily activities,breastfeeding,and neonatal *** may also impede maternal organ function recovery,leading to escalated opioid usage,heightened risk of postpartum depression,and the development of chronic postoperative *** the Chinese Enhanced Recovery After Surgery(ERAS)guidelines and the American ERAS Society guidelines consistently advocate for the adoption of multimodal analgesia protocols in post-cesarean section pain ***,functioning as an antagonist of the N-Methyl-D-Aspartate receptor,has been validated for pain management in surgical patients and has exhibited effectiveness in depression *** has suggested that incorporating esketamine into postoperative pain management via pain pumps can lead to improvements in short-term depression and pain *** study aims to assess the efficacy and safety of administering a single dose of esketamine during cesarean *** To investigate the effect of intraoperative injection of esketamine on postoperative analgesia and postoperative rehabilitation after cesarean *** A total of 315 women undergoing elective cesarean section under combined spinal-epidural anesthesia were randomized into three groups:low-dose esketamine(0.15 mg/kg),high-dose esketamine(0.25 mg/kg),and control(saline).postoperative Visual Analog Scale(VAS)scores were recorded at 6 hours,12 hours,24 hours,and 48 *** Postnatal Depression Scale(EPDS)scores were noted on 2 days,7 days and 42 *** sedation scores were assessed at specified intervals *** adverse reactions were also *** Low-dose group and high-dose group compared to control group,had significantly lower postoperative VAS pain scores at 6 h

关键词： Maternity Cesarean section Depression Esketamine postoperative analgesia

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Ultrasound-guided serratus anterior plane block enhances postoperative analgesia and recovery in thoracoscopic surgery

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World Journal of Clinical Cases 2024年第19期12卷 3717-3724页

作者： Jing-Jing Zhang Shao-Lin Wang Lei He Ding-Dong Yang Wei Qian Ying Zhao Department of Anaesthesiology The Second People’s Hospital of WuhuWuhu 241000Anhui ProvinceChina

BACKGROUND The serratus anterior muscle,located in the lateral aspect of the thorax,plays a crucial role in shoulder movement and *** surgery,while minimally invasive,often results in significant postoperative pain,complicating patient recovery and potentially extending hospital *** anesthesia methods may not adequately address this pain,leading to increased complications such as agitation due to inadequate pain *** To evaluate the application value of ultrasound-guided serratus anterior plane block(SAPB)in patients undergoing thoracoscopic surgery,focusing on its effects on postoperative analgesia and *** Eighty patients undergoing thoracoscopic surgery between August 2021 and December 2022 were randomly divided into two groups:An observation group receiving ultrasound-guided SAPB and a control group receiving standard care without *** groups underwent general anesthesia and were monitored for blood pressure,heart rate(HR),oxygen saturation,and *** primary outcomes measured included mean arterial pressure(MAP),HR,postoperative visual analogue scale(VAS)scores for pain,supplemental analgesic use,and incidence of *** The observation group showed significantly lower cortisol and glucose concentrations at various time points post-operation compared to the control group,indicating reduced stress ***,MAP and HR levels were lower in the observation group during and after *** scores were significantly lower in the observation group at 1 h,4 h,6 h,and 12 h post-surgery,and the rates of analgesic supplementation and agitation were significantly reduced compared to the control *** Ultrasound-guided SAPB significantly improves postoperative analgesia and reduces agitation in patients undergoing thoracoscopic *** technique stabilizes perioperative vital signs,decreases the need for supplemental analgesics,and minimizes postoperative pain and str

关键词： Ultrasonic guidance Serserus anterior plane block Thoracoscopic surgery postoperative analgesia

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Value of Epidural Injection of Hydromorphone for postoperative analgesia after Cesarean Section

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Chinese Journal of Biomedical Engineering(English Edition) 2020年第4期29卷 20-24页

作者： Fangfang Dong Yaobin Wu Yiping Tan Department of Anesthesiology Zhaoqing Gaoyao People's HospitalZhaoqing Guangdong 526114China

Objective To explore the value of epidural injection of hydromorphone for postoperative analgesia after cesarean *** 98 patients with cesarean section in our hospital from April 2019 to April 2020 were selected and divided into observation group and control group according to the order of *** control group was given a large dose of0.6 mg hydromorphone,and the observation group was given a small dose of 0.4 mg *** postoperative pain score,postoperative complications,and patients’recognition of analgesia were compared between the two *** The pain scores of the observation group were(2.30±0.45),(2.50±0.33),(2.98±0.73)at 4 h,8 h,and 12 h after operation,which were better than those in the control *** analgesic satisfaction of the observation group was 93.88%,and that of the control group was 71.43%.The analgesic effect of the observation group was better,and the incidence of postoperative complications was 10.20%in the observation group and 26.52%in the control *** situation of SAS and SDS in the observation group was better than that in the control group(Panalgesia,while reducing the incidence of postoperative complications of maternal,with clinical research value,worthy of promotion in clinical medicine.

关键词： epidural injection hydromorphone cesarean section postoperative analgesia

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Improper insertion of epidural catheter into thorax for postoperative analgesia in a patient undergoing esophagectomy

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Chinese Medical Journal 2014年第18期127卷 3358-3358页

作者： Yang Zhiyong Gu Jianteng Lu Kaizhi Third Mil Med Univ Southwest Hosp Dept Anaesthesiol Chongqing 400038 Peoples R China

To the editor： Thoracic epidural analgesia is potent for patients undergoing thoracic surgeries, which can promote the rehabilitation as well as reduce the complications of surgery, such as pulmonary infection, atelectasis, cardiaovascular complications, intestinal disorders.1 However, its widespread application may be limited by some complications, including epidural space hemorrhage, hematoma and intraoperative hypotension. We report the occurrence of epidural catheter inserted into thorax when applying thoracic epidural analgesia for a patient undergoing esophagectomy.

关键词： Improper insertion epidural catheter postoperative analgesia

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Effect of esketamine on reducing postpartum pain and depression

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World Journal of Clinical Cases 2025年第7期13卷 17-20页

作者： Brandon Lucke-Wold Armin Karamian Department of Neurosurgery University of FloridaGainesvilleFL 32608United States School of Medicine Shahid Beheshti University of Medical SciencesTehran 198396-9411TehrānIran

In this editorial,we comment on a recent article by Chen et al,that addressed the effect of intraoperative injection of esketamine on postoperative analgesia and postoperative rehabilitation after cesarean *** management of postcesarean pain is associated with decreased maternal care for the baby,longer hospitalization,and higher risk of developing postpartum *** is a more potent S-enantiomer of ketamine which has shown promising analgesic and antidepressant properties for managing post-cesarean pain and depression in clinical ***,due to its potential adverse effects on the neurological and hemodynamic status of patients,it is recommended that its usage in low doses should be limited to cesarean candidates experiencing unbearable *** any recommendation for routine perioperative use of esketamine,more standardized clinical trials are needed to strengthen our existing knowledge of its effectiveness in reducing postpartum pain and depression.

关键词： Cesarean section Postpartum pain Postpartum depression postoperative analgesia Esketamine

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Effect of ultrasound-guided lumbar square muscle block on stress response in patients undergoing radical gastric cancer surgery

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World Journal of Gastrointestinal Oncology 2023年第12期15卷 2093-2100页

作者： Xin-Ran Wang Dan-Dan Xu Meng-Jiao Guo Yi-Xin Wang Meng Zhang Dong-Xiao Zhu Department of Ultrasound Affiliated Hospital of Jiangnan UniversityWuxi 214122Jiangsu ProvinceChina

BACKGROUND Radical surgery is a common treatment for patients with gastric cancer;however,it can lead to postoperative complications and intestinal barrier ***-guided quadratus lumborum block is often used for postoperative analgesia,but its effects on stress response and intestinal barrier function are not well *** To investigate the effects of an ultrasound-guided quadratus lumborum block on stress response and intestinal barrier function in patients undergoing radical surgery for gastric *** A total of 100 patients undergoing radical surgery for gastric cancer were randomly categorized into observation and control *** adrenaline and cortisol levels,intestinal mucosal barrier indexes,and complication rates were compared between the two groups before,during,and 1 day after *** The observation group had significantly lower plasma adrenaline and cortisol levels during surgery and at 1 day postoperatively than that of the control group(Ppostoperatively were significantly lower in the observation group than in the control group(P<0.05).CONCLUSION Ultrasound-guided quadratus lumborum block could reduce stress response,protect intestinal barrier function,and decrease the incidence of complications in patients undergoing radical surgery for gastric *** technique has the potential for clinical applications.

关键词： Ultrasound-guided quadratus lumborum block Radical gastric cancer surgery Stress response Intestinal barrier function postoperative analgesia Rehabilitation

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