Abstract:
:Despite its benignity, upper respiratory infections (URIs) 1 increase the risk of postoperative respiratory complications during the perioperative and postoperative periods. Flumazenil could improve the symptoms of respiratory obstruction.To evaluate the effect of flumazenil on the occurrence of respiratory complications during anesthesia emergence of children with preoperative URI.This was a prospective study of 164 consecutive pediatric patients who underwent strabismus surgery under general anesthesia at the Tianjin Eye Hospital between August 2016 and April 2017. The patients were grouped as: normal airway (N), recent mild URI (I), normal airway and flumazenil (NF), and recent mild URI and flumazenil (group IF) (n = 41/group). An initial dose of flumazenil (0.1 mg) was administrated intravenously to groups IF and NF. The intraoperative and postoperative respiratory complications were recorded by one anesthesiologist unaware of the grouping.All patients underwent surgery uneventfully. The incidence of postoperative respiratory complications in post-anesthesia care unit (PACU) was higher in group I compared with the other 3 groups (IF: 17%; I: 41%; NF: 5%; N: 10%; P = .0147). During the PACU period, significant differences among groups were seen for cough (IF: 15%; I: 20%; NF: 2%; N: 0%; P = .004), secretion (IF: 17%; I: 29%; NF: 5%; N: 7%; P = .007), low oxygen saturation (IF: 12%; I: 32%; NF: 2%; N: 7%; P = .001), and glossocoma (IF: 15%; I: 34%; NF: 10%; N: 32%; P = .015).Respiratory complications during anesthesia emergence were higher in patients with recent preoperative URI compared to patients with healthy airways. Postoperative flumazenil could reduce the incidence of glossocoma.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Sun R,Wang G,Gao X,Wang Sdoi
10.1097/MD.0000000000010516subject
Has Abstractpub_date
2018-04-01 00:00:00pages
e0516issue
17eissn
0025-7974issn
1536-5964pii
00005792-201804270-00052journal_volume
97pub_type
杂志文章相关文献
MEDICINE文献大全abstract::Strip meniscometry (SM) is a new method for quantification of tear volume using meniscometry strips inserted into the tear meniscus for 5 seconds. The dry eye (DE)-related quality-of-life score (DEQS) questionnaire comprises 15 questions regarding bothersome ocular symptoms and their impact on daily life. These 2 exam...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012969
更新日期:2018-10-01 00:00:00
abstract::It has been suggested by the first voxel-based morphometry investigation that betel quid dependence (BQD) individuals are presented with brain structural changes in previous reports, and there may be a neurobiological basis for BQD individuals related to an increased risk of executive dysfunction and disinhibition, su...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002638
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Traumatic brain injury (TBI) is a debilitating medical and emerging public health problem that is affecting people worldwide due to a multitude of factors including both domestic and war-related acts. The objective of this paper is to systematically review the status of TBI in Lebanon - a Middle Eastern coun...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000005342
更新日期:2016-11-01 00:00:00
abstract::The objective of this study was to assess the frequency of comorbidities and multimorbidities in rheumatoid arthritis (RA) patients under biologic therapy and their effects on biological disease modifying antirheumatic drugs (DMARDs) choice, timing, and response.Hacettepe University Biologic Registry (HUR-BIO) is sing...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009930
更新日期:2018-03-01 00:00:00
abstract::Arterial spin labeling (ASL) magnetic resonance imaging analyses allow for the quantification of altered cerebral blood flow, and provide a novel means of examining the impact of dopaminergic treatments. The authors examined the cerebral perfusion differences among 17 Parkinson disease (PD) patients, 17 PD with dement...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002206
更新日期:2016-02-01 00:00:00
abstract::Increased bone turnover and other less frequent comorbidities of hyperthyroidism, such as heart failure, have only rarely been reported in association with central hyperthyroidism due to a thyrotropin (TSH)-secreting pituitary adenoma (TSHoma). Treatment is highly empirical and relies on eliminating the tumor and the ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002358
更新日期:2016-01-01 00:00:00
abstract::Endothelial dysfunction and chronic inflammatory process are prevalent in patients with end-stage renal disease (ESRD) on maintenance hemodialysis (HD). The aim of this study was to evaluate the acute and short-term effects of online hemodiafiltration (OL-HDF) versus conventional HD on endothelial function and inflamm...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000003440
更新日期:2016-04-01 00:00:00
abstract::Soft-tissue defects overlying the Achilles tendon are common complications after bicycle or motorcycle spoke injuries in children and usually require surgical management by various flaps. There is no apparent consensus on the optimal choice of flaps for these injuries. We designed a novel step-advanced rectangular fla...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017268
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:This study aimed to determine the efficacy and safety of extracorporeal shock-wave therapy (ESWT) for treating patients with chronic rotator cuff tendonitis (CRCT). METHODS:In this study, 84 patients with CRCT were randomly divided into intervention and control groups in a ratio of 1:1. Patients in the inte...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000007940
更新日期:2017-09-01 00:00:00
abstract::Preeclampsia is characterized by an increased sensitivity to angiotensin II (Ang II). We herein assessed whether serum Ang II levels measured by a new developed bioassay are associated with preeclampsia, its severity, and the risk for developing this disease.Using a cross-sectional design, we studied 90 pregnant women...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012498
更新日期:2018-09-01 00:00:00
abstract::The incidence of colorectal cancer (CRC) is increasing in young-age patients, but the clinical history is not established. Authors analyzed the clinical characteristics of young-age onset CRC to support basic information for setting treatment policies.Between January 2006 to January 2014, 100 CRC patients diagnosed at...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004840
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Early and/or late onset in patients with brain injury (BI) is associated with a poorer prognosis, and phenytoin (PHT) is standard of care to prevent seizures. Levetiracetam (LEV), an alternative antiepileptic drug, is associated with less cognitive disruption. The purpose of this study was to evaluate the sa...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000013247
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:To investigate the relationship between intracerebral hemorrhage hematoma expansion with low serum calcium level. METHODS:We will search the following electronic bibliographic databases: MEDLINE, Embase, PubMed, The Cochrane Library, and Web of Science. All sources have to be searched from the earliest date...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018844
更新日期:2020-01-01 00:00:00
abstract::Disseminated intravascular coagulation (DIC) is a life-threatening condition that frequently occurs in patients with hematologic malignancies. Currently, recombinant human soluble thrombomodulin (rTM) is a therapeutic DIC drug that is manufactured and sold in Japan only. We evaluated the efficacy of rTM compared to th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012981
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Anterior cruciate ligament rupture is a common motor system injury, and the most effective treatment is anterior cruciate ligament reconstruction (ACLR). Choosing the right graft is an important factor to ensure the success of the surgery. Current research shows that the clinical effect of autologous ligamen...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022832
更新日期:2020-10-23 00:00:00
abstract::The aim of the study was to compare the radiographic and clinical outcomes between posterior short-segment pedicle instrumentation combined with lateral-approach interbody fusion and traditional anterior-posterior (AP) surgery for the treatment of thoracolumbar fractures.Lateral-approach interbody fusion has achieved ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001946
更新日期:2015-11-01 00:00:00
abstract::Several points can be made from analysis of the published cases of cutaneous mycobacteriosis and those in our series: 1) mycobacterial cutaneous infections are probably more common than is reported-we collected 34 cases over a 10-year period; 2) most patients with cutaneous infections caused by nontuberculous mycobact...
journal_title:Medicine
pub_type: 杂志文章
doi:
更新日期:1981-03-01 00:00:00
abstract:BACKGROUND:Chronic pelvic inflammatory disease (CPID) is a difficult-to-treat gynaecological disorder, which has complex etiologies, among married women. In recent years, moxibustion has gradually shown its clinical advantages and been more and more widely used In China. The protocol is try to synthesize and assess the...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021925
更新日期:2020-08-28 00:00:00
abstract::The Helicobacter species in the gut microbiota comprise Helicobacter pylori (H pylori) and enterohepatic Helicobacter species (EHS), which can colonize the intestinal mucosa. However, it is unclear whether EHS are associated with inflammatory bowel disease (IBD). Therefore, we conducted this meta-analysis to examine t...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000001773
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:To investigate the effect of high-volume hemofiltration (HVHF) on Th17/Treg imbalance in patients with severe acute pancreatitis (SAP). METHODS:Forty-two patients with SAP were randomly received 24 hours of continuous HVHF (n = 21) or without HVHF (n = 21). At day 28, all 42 patients were divided into survi...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000021491
更新日期:2020-07-31 00:00:00
abstract:RATIONALE:The ischemic penumbra assessment is essential for the subsequent therapy and prediction of evolution in patients with acute ischemic infraction. Although controversial as a perfect equivalence to penumbra, perfusion-weighted imaging (PWI)-diffusion-weighted imaging (DWI) mismatch may predict the response to t...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006091
更新日期:2017-02-01 00:00:00
abstract::Esophageal squamous cell carcinoma (ESCC) is one of the most aggressive malignancies in gastrointestinal tract cancers and even patients with early ESCC have a high metastatic potential. Difficulties are associated with clinically predicting tumor progression and prognosis based on conventional tumor markers determine...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001702
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Allergic rhinitis is a major chronic inflammatory disease of the respiratory tract. A large number of epidemiological investigations have shown that the prevalence of allergic rhinitis (AR) is increasing, resulting in a large burden of disease. Desensitizing drugs such as nasal glucocorticoids and antihistam...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013772
更新日期:2018-12-01 00:00:00
abstract::Mechanical ventilation may cause diaphragm weakness an effect termed ventilator-induced diaphragm dysfunction (VIDD). The prevalence of VIDD among patients receiving mechanical ventilation is very high, with the degree of diaphragmatic atrophy being associated with the length of mechanical ventilation. Theophylline is...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013982
更新日期:2019-01-01 00:00:00
abstract:RATIONALE:Metastatic cardiac tumor (MCT) is rare in clinical practice. MCT presenting initially as atrial fibrillation (AF) is even rarer. PATIENT CONCERNS:We report a 47-year-old woman with no previous medical history presented with intermittent palpitation for 3 days. DIAGNOSES:The electrocardiography showed AF wit...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007649
更新日期:2017-08-01 00:00:00
abstract:STUDY OBJECTIVE:Computed tomography (CT) is an important imaging modality in diagnosing a variety of disorders. Although systolic heart failure is a well-known risk factor for postcontrast acute kidney injury (PC-AKI), few studies have evaluated the association between diastolic dysfunction and PC-AKI. Therefore, the a...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017994
更新日期:2019-11-01 00:00:00
abstract::Health-related quality of life (HRQoL) is impaired in HIV/HCV-coinfected patients (HIV/HCV) and further decreased by interferon (IFN)-based therapies. We aimed to investigate the impact of IFN- and ribavirin (RBV)-free therapies on HRQoL and fatigue.Thirty-three HIV/HCV-coinfected patients who underwent HCV therapy wi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004061
更新日期:2016-07-01 00:00:00
abstract::Neurofilament (NF), one of the major axonal cytoskeletal proteins, plays a critical role in degenerative diseases in both the central and the peripheral nervous systems. The aim of this study is to explore the relationship between serum phosphorylated neurofilament-heavy chain (pNF-H) and diabetic peripheral neuropath...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001908
更新日期:2015-11-01 00:00:00
abstract::The incidence of type II diabetes mellitus (T2DM) is increasing worldwide and affecting the quality of people's life. This study was designed to evaluate the effect of care intervention on body weight and glycemic parameters in obese T2DM patients.One hundred twenty-six obese T2DM cases were randomly divided into 2 gr...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000007524
更新日期:2017-10-01 00:00:00
abstract:ABSTRACT:There is no established protocol regarding the timing of administration of antiemetics in patients undergoing total knee arthroplasty (TKA). The purpose of this study was to determine whether preoperative, rather than postoperative administration of an antiemetic could reduce postoperative nausea and vomiting ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000024143
更新日期:2021-01-08 00:00:00