Delirium is an acute mental disorder and common postoperative complication. Monitoring regional cerebral oxygen saturation (rSO2) in endovascular therapeutic surgery may allow real-time monitoring of desaturation, avoiding profound dysfunction, reducing the incidence delirium. We sought to examine delirium patients undergoing surgery. This was a clinical cohort trial (registered with http://www.clinicaltrials.gov [NCT02356133]). monitored rSO2 43 general anesthesia The occurrence after...

Background: The utilization of computed tomography (CT)-guided localization and electromagnetic navigation bronchoscopy (ENB)-guided has gained significant traction in the pulmonary nodules before video-assisted thoracoscopic surgery (VATS). This study aimed to ascertain precision safety two groups preoperative resection isolated small peripheral lungs. Furthermore, we examined subsequent outcomes pertaining decline lung function alterations anxiety depression following utilizing both...

There has been no gold standard for intraoperative monitoring in carotid endarterectomy (CEA) till now. The purpose of the current study was to investigate value near-infrared spectroscopy (NIRS) CEA and explore thresholds cerebral hypoperfusion. Eighty-four consecutive patients who underwent surgery Xuan Wu Hospital Capital Medical University from August 2015 June 2016 were enrolled this study. All intraoperatively monitored by transcranial Doppler ultrasonography (TCD) NIRS. Regional...

The use of adjuvant chemotherapy (ACT) in completely resected stage IB NSCLC is still controversial. This study aims to investigate the efficacy ACT pathological non-small cell lung cancer (NSCLC) with high risk factors.

Background: Patients experience moderate-high intensity postoperative pain after cesarean section (CS). The aim of this study was to investigate the optimal concentrations ropivacaine and sufentanil for use in controlling CS. Methods: One hundred seventy-four women undergoing elective CS were randomly allocated four groups. Epidural analgesia administered with 0.1% R 1 group, 0.15% 2 a combination 0.5 μg/ml S group (at basal rate 4 ml/h, bolus dose ml/20 min as needed). Pain scores...

Abstract Purpose In VATS surgery, precise preoperative localization is particularly crucial when dealing with small-diameter pulmonary nodules located deep within the lung parenchyma. The purpose of this study was to compare efficacy and safety laser guidance freehand hook-wire for CT-guided nodules. Methods This retrospective conducted on 164 patients who received either or prior Uni-port from September 1st, 2022 30th, 2023 at First Affiliated Hospital Soochow University. Patients were...

The increasing utilization of computed tomography (CT) scans has significantly elevated the detection rate pulmonary nodules. Pulmonary segmentectomy become preferred surgical technique for peripheral non-small cell lung cancer (NSCLC) measuring 2 cm or smaller. Various methods identifying intersegmental planes (ISPs) are currently employed. This study aims to compare short-term clinical safety and efficacy watershed analysis with indocyanine green (ICG) fluorescence staining modified...

The depth of anesthesia is commonly assessed in clinical practice by the patient’s signs. However, during cardiopulmonary bypass and hypothermia, common symptoms nociception such as tachycardia, hypertension, sweating, or movement have low sensitivity specificity description patient hypnosis, particular, detecting nociceptive stimuli. Better monitoring analgesia hypothermia under will avoid underdosage overdosage analgesia, especially opioids. Induced has a multifactorial effect on level...

Abstract Background Hypotension following spinal anesthesia (SA) during cesarean delivery (CD) occurs commonly and is related with maternal fetal complications. Norepinephrine infusion increasingly used for prevention of post-SA hypotension; however, its effects as compared to the traditional phenylephrine remain unclear. This study aimed compare norepinephrine administered continuous elective CD on hemodynamic parameters outcomes. Methods prospective, single-center, randomized, controlled...

Based on electroencephalogram (EEG) analysis, index of consciousness (IoC) monitoring is a new technique for anesthesia depth. IoC divided into IoC1 (depth sedation) and IoC2 analgesia). The potential concurrent to expedite postoperative convalescence remains be elucidated. We investigated whether combined can effectively enhances recovery compared with bispectral (BIS) in elderly patients undergoing laparoscopic urological surgery under general anesthesia.In this prospective, controlled,...

Abstract Background Postoperative patients with lung cancer mostly experience different degrees of dyspnea and decreased activity tolerance, these symptoms all significantly affect postoperative quality life. The concept pulmonary rehabilitation applicable to chronic respiratory diseases is also cancer. current application for inconsistent, reliable guidelines are lacking. purpose this study was further verify the efficacy feasibility patients, find a suitable local program that clinically...

Abstract Background Trigeminal neuralgia (TN) is a debilitating pain disorder that still lacks an ideal treatment option. Pulsed radiofrequency (PRF), especially with high output voltage, novel and minimally invasive technique. PRF regarded promising option for TN patients who respond poorly to medical treatment; however, the available evidence quality randomized controlled trials (RCTs). Our study aimed evaluate long-term (1 year 2 years) effects safety of high-voltage in primary provide...

Abstract Background The ectopic superior parathyroid in the tracheoesophageal groove and paraesophageal region is rare. Hyperparathyroidism results when these glands become hyperfunctioning. That may necessitate surgical intervention form of parathyroidectomy, which requires a transsternal or transthoracic approach due to deeply seated mediastinal gland. Minimally invasive strategies have emerged recently as an alternative with less morbidity. Case presentation We present case gland...

In the treatment of peripheral early-staged lung cancer and benign lesions, segmentectomy wedge resection are both reliable methods. It is debatable that how much pulmonary function will be lost after different sublobar in deep-located NSCLC (non-small cell cancer). The purpose this study was to explore postoperative changes enrolled patients with non-subpleural nodules.We collected clinical data undergoing VATS (video-assisted thoracoscopic surgery) or for single nodule. These nodules were...

Objective Randomized controlled research on the safety of use flexible laryngeal mask,classic mask and Supreme in breast surgeries under general anesthesia.Methods Sixty ASA Ⅰ-Ⅱpatients aged 27 y-77 y weighing 51 kg-82 kg scheduled for surgery anesthesia were randomly divided into 3 groups (n=20),according to random number table:flexible group (group A),classic B) C).After induction anesthesia,laryngeal insertion was performed,respectively.Noninvasive blood pressure (BP),heart rate (HR)...

Abstract Background Elderly patients are at a significantly higher risk of perioperative complications. Based on electroencephalogram (EEG) analysis, index consciousness (IoC) monitoring is new technique for anesthesia depth. IoC divided into two parts: 1 (depth sedation) and 2 analgesia). There have only been few studies in which simultaneously monitored to speed up postoperative recovery. We investigated whether combined can effectively improve recovery elderly undergoing laparoscopic...

Objective To investigate the influence of dexmedetomidine on hemodynamics peri-anesthesia in elderly patients undergoing intracranial aneurysm clipping perioperative period. Methods A total sixty were randomly divided into group (group D) and control C) with 30 cases each using random number table. Patients D was administrated Dex continuous infusion (0.5 μg·kg-1·h-1) C infused equal dose physiological saline until skin closure. The changes systolic blood pressure (SBP), diastolic...

Abstract Background: in the treatment of peripheral early-staged lung cancer and benign lesions, segmentectomy wedge resection are both reliable methods. It is debatable that how much pulmonary function will be lost after different sublobar deep-located NSCLC (non-small cell cancer). The purpose this study was to explore postoperative changes enrolled patients with non-subpleural nodules. Methods: we collected clinical data undergoing VATS (video-assisted thoracoscopic surgery) or for single...

Abstract Background: Prolonged postoperative ileus (PPOI) is the most frequent complication and significantly increases morbidity medical costs. The objective of this study was to identify incidence independent risk factors PPOI after intracranial tumor surgery, so as allow for advanced planning reduce PPOI. Methods: After retrospective review data from patients who underwent surgery January 2018 March 2021, a total 1135 (447 males 688 females; median age 51 [41–61] years) were included in...