Hypoalbuminemia may increase the risk of acute kidney injury (AKI). The authors investigated whether immediate preoperative administration 20% albumin solution affects incidence AKI after off-pump coronary artery bypass surgery.In this prospective, single-center, randomized, parallel-arm double-blind trial, 220 patients with serum levels less than 4.0 g/dl were administered 100, 200, or 300 ml human according to level (3.5 3.9, 3.0 3.4, g/dl, respectively) an equal volume saline before...

Abstract Given that surgical stress response and excision may increase the likelihood of post-surgery cancer dissemination metastasis, appropriate choice anesthetics be important for oncologic outcomes. We evaluated association used general anesthesia with overall survival recurrence-free in patients who underwent esophageal surgery. Adult (922) elective surgery were included. The divided into two groups according to administered during surgery: volatile (VA) or intravenous propofol (TIVA)....

The purpose of this study was to develop a diagnostic tool automatically detect temporomandibular joint osteoarthritis (TMJOA) from cone beam computed tomography (CBCT) images with artificial intelligence. CBCT patients diagnosed disorder were included for image preparation. Single-shot detection, an object detection model, trained 3,514 sagittal the that showed signs osseous changes in mandibular condyle. region interest (condylar head) defined and classified into 2 categories—indeterminate...

Transit-time flow measurement (TTFM) is frequently used to evaluate intraoperative quality control during coronary artery bypass grafting (CABG) and has the ability assess graft failure intraoperatively. However, perioperative factors affecting TTFM CABG remain poorly understood. Patients who underwent at a single institution between July 2016 May 2018 were prospectively evaluated. blood viscosity measured haemodynamically, while mean (mL/min), pulsatility index, diastolic filling recorded....

Background: Minimalist transcatheter aortic valve replacement (TAVR) under monitored anesthesia care (MAC) emphasizes early recovery. Remimazolam is a novel benzodiazepine with short recovery time. This study hypothesized that remimazolam non-inferior to dexmedetomidine in terms of after TAVR.Methods: In this retrospective observational study, was compared patients who underwent TAVR MAC at tertiary academic hospital between July 2020 and 2022. The primary outcome timely TAVR, defined as...

Objective The efficacy and side-effects of nefopam were prospectively compared with those fentanyl for patient-controlled analgesia (PCA) following cardiac surgery. Methods Patients scheduled to undergo surgery randomly assigned between three PCA groups (nefopam, or + fentanyl). Pain was assessed at rest during movement 12, 24, 36, 48 72 h after using a visual analogue scale (VAS). Total infused volume, number rescue drug injections, duration intubation length stay in the intensive care unit...

Several studies have shown in animal models that remote ischemic preconditioning (rIPC) has a neuroprotective effect. However, randomized controlled trial human subjects to investigate the effect of rIPC after cardiac surgery not yet been reported. Therefore, we performed this pilot study determine whether reduced occurrence postoperative cognitive dysfunction patients who underwent off-pump coronary artery bypass graft (OPCAB) surgery.Seventy OPCAB were assigned either control or group...

Although serum aminotransferase levels are frequently measured for preoperative evaluation, their prognostic value to postoperative outcomes remain unclear.This study aimed investigate the relationship between and 90-day mortality in patients undergoing cardiovascular surgery.We included adult (n=6264) who underwent surgery January 2010 December 2016 at a tertiary academic hospital.Preoperative alanine (ALT), aspartate (AST), De Ritis ratio (defined as AST/ALT) were categorized into three...

A dual-mode transceiver integrates the transmitter of 0-dBm output power and receiver for both Bluetooth with -87 dBm sensitivity 802.11b -86 in a single chip. direct-conversion architecture enables maximum reuse optimal current consumption various building blocks each mode low-cost low-power solution. single-ended power-amplifer (PA) driver transmits nominal 0 18-dB gain control 3-dB steps. Only little area overhead is required baseband active filter programmable amplifier (PGA) to provide...

The analgesic effects of dexamethasone have been reported previously, and the present study determined preoperative on postoperative pain in patients who received thoracotomy. Forty participated this randomized, double-blind study. All either via a 0.1 mg/kg intravenous bolus before anesthetic induction or an equal volume saline. Postoperative analgesia was provided to both groups epidural patient-controlled (PCA), which consisted 250 μg sufentanil mL ropivacaine (0.18%) for 72 h. primary...

The present study investigated whether preoperative angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) use affected the incidence of postoperative atrial fibrillation (POAF) in patients undergoing off-pump coronary artery bypass graft (OPCAB).Preoperative ACEI ARB was related to POAF OPCAB.This retrospective, observational, cohort involved 1050 who underwent OPCAB from January 2006 December 2009.ACEI ARB, alone, and alone did not exert beneficial effect on...

To improve prognosis after esophageal surgery, intraoperative fluid optimization is important. Herein, we hypothesized that hydroxyethyl starch administration during esophagectomy reduce the total amount of infused and it could have a positive effect on postoperative complication occurrence mortality. All consecutive adult patients who underwent elective surgery for cancer were studied. The primary outcome was development composite complications including death, cardio-cerebrovascular...

Background The FloTrac/Vigileo™ system does not thoroughly reflect variable arterial tones, due to a lack of external calibration. ability this measure stroke volume and track its changes after fluid administration has been fully evaluated in patients with the high systemic vascular resistance that can develop during laparoscopic surgery. Methods In 42 undergoing prostatectomy, derived by third-generation (SV-Vigileo), measured using transesophageal echocardiography (SV-TEE) as reference...

During liver transplantation, the thermodilution cardiac output (CO) technique cannot respond to sudden hemodynamic changes associated with postreperfusion syndrome. Photoplethysmography (PPG) can reflect in intravascular volume and thus be used assess vasomotor tone arterial stiffness on pressure-volume relation. We investigated whether a beat-to-beat analysis of pressure-PPG relationship estimate dynamic vascular characteristics immediately after graft reperfusion.In 10 recipients, blood...

The aim of this retrospective study was to evaluate common causes upper extremity sensory disturbance in breast cancer patients. Breast patients who received surgery and taxane chemotherapy (CTx) with that began after CTx were included. With comprehensive clinical history, physical examination electrodiagnostic results, diagnosis for each patient made. Fifty-two included: 23 (44.2%) diagnosed chemotherapy-induced peripheral neuropathy (CIPN), 7 (13.5%) myofascial pain syndrome (MPS), six...

We present a 1.9-GHz Personal Handy-phone System (PHS) transceiver, fully integrated and fabricated in 0.25-mum CMOS technology. The receiver is based on 150-kHz low-IF architecture meets the fast channel switching DC-offset cancellation requirements of PHS. It includes low-noise amplifier (LNA), downconversion mixer, complex filter, programmable gain amplifier. A fractional-N frequency synthesizer achieves seamless handover with 25 mus time phase noise -121 dBc/Hz at 600-kHz offset...

Abstract Aims Avoiding propofol in patients with Brugada syndrome has been suggested because of the theoretical risk provoking ventricular arrhythmias, although may be selected for conscious sedation during electrophysiological procedures catheterization laboratories. This study aimed to document periprocedural electrocardiographic changes and adverse events undergoing implantable cardioverter defibrillator (ICD) implantation using sedation. Methods We reviewed clinical data 53 consecutive...