中华麻醉学杂志最新文献

{"title":"Constructing the system of epidemic prevention training to help the construction of the disciplinary connotation","authors":"Xiang-yang Guo, Tianzuo Li, W. Mi, Yuguang Huang","doi":"10.3760/CMA.J.CN131073.20200310.01109","DOIUrl":"https://doi.org/10.3760/CMA.J.CN131073.20200310.01109","url":null,"abstract":"","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46583868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric anesthesia-related specification during coronavirus disease 2019 epidemic","authors":"Weifeng Yu, Yuguang Huang, L. Yang","doi":"10.3760/CMA.J.CN131073.20200219.00306","DOIUrl":"https://doi.org/10.3760/CMA.J.CN131073.20200219.00306","url":null,"abstract":"Coronavirus disease 2019 is highly infectious and generally susceptible to all human beings Pediatric patients, as a special group which is prone to various respiratory infectious diseases, need more people to nurse and care and may cause a higher risk of cross-infection Therefore, greater attention should be paid to this group During the prevention and control of coronavirus disease 2019, it is an urgency to ensure the safety of children and medical staff, avoid cross-infection, reduce anesthesia-related complications, and accelerate the rehabilitation of pediatric patients The article introduces the following aspects based on the problem mentioned above: (1) perioperative treatment of surgery, involving preoperative consultation and assessment, necessity of surgery, arrangement of operating room, precautions during surgery, protection of children and medical staff, and the transportation route planning;(2) anesthesia process, including pick-up of the pediatric patient, preoperative sedation, choice of anesthesia method, anesthesia induction, identification and management of difficult airways, intraoperative management, as well as problems related to the extubation;(3) the disinfection of the ground, air and medical equipment after surgery, and registration and follow-up of the children;(4) protection and preparation of emergency tracheal intubation, selection and performance of intubation, precautions in intubation and judgement after intubation outside the operating room;(5) protection and preparation of central vein catheterization, selection of the catheter, anesthesia management of the central vein catheterization and relevant precautions;(6) protection of medical staff, sedation program and sedation procedure during the comfort treatment in outpatient sedation center;(7) problems of family signature of the in-hospital treatment for pediatric patients during special epidemic period © 2020 Chinese Medical Association","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":"40 1","pages":"281-286"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44660994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anesthesia management for cesarean section during coronavirus disease 2019 epidemic","authors":"Zhi-qiang Zhou, Xingxing Sun, Shiyong Li, L. Wan, A. Luo, Dongji Han","doi":"10.3760/CMA.J.CN131073.20200210.00308","DOIUrl":"https://doi.org/10.3760/CMA.J.CN131073.20200210.00308","url":null,"abstract":"Thirty-six puerperas who underwent emergency cesarean section at Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology from January 24, 2020 to February 9, 2020, who all wore medical surgical masks, were retrospectively included in this study Anesthesia management was performed under tertiary medical protection measures A dedicated anesthesia equipment was separately sterilized Narcotic drugs were used for one patient only, and disposable medical supplies were used for anesthetic supplies Contact transmission should be avoided when a neonate required resuscitation, and early isolation and nucleic acid testing were provided for the neonates The rate of suspected cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was 11% , and the rate of clinically diagnosed cases was 17% before surgery The rate of clinically diagnosed cases of SARS-CoV-2 was 22%, the rate of confirmed cases was 8%, and the total positive rate of diagnosis was 31% after surgery The rate of neuraxial anesthesia was 86%, the rate of general anesthesia was 14%, the time of spinal puncture was (15±7) min, the time of tracheal intubation under general anesthesia was (2 1±1 3) min, the operation time was (95±36) min, and blood loss was (276±166) ml The Apgar score of newborns was 8 8±0 5 There was 1 neonate whose mother was diagnosed as having coronavirus disease 2019 after operation, an oropharyngeal swab specimen was obtained at 36 h of birth, and the swab was tested positive for SARS-CoV-2 by nucleic acid testing As of February 10, 2020, an anesthesiologist involved in the operation was diagnosed to have infection by SARS-CoV-2 In conclusion, diagnosis of coronavirus disease 2019 during pregnancy is more difficult, it is necessary to perform anesthesia management for cesarean section under tertiary medical protection Although the difficulty in anesthesia operation is increased under tertiary medical protection, anesthesiologists can carry out standardized anesthesia management and guarantee the safety of maternal and infants and anesthesiologists themselves as long as they are rigorously trained and adhere to protective protocols © 2020 Chinese Medical Association","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":"40 1","pages":"291-295"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44232236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fighting against coronavirus disease 2019 outbreak: improvement in anesthesia-related infection control","authors":"Guyan Wang, Xiang-yang Guo","doi":"10.3760/CMA.J.CN131073.20200213.00301","DOIUrl":"https://doi.org/10.3760/CMA.J.CN131073.20200213.00301","url":null,"abstract":"","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48666644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendations for obstetric anesthesia during coronavirus disease 2019 epidemic","authors":"Shoujun Li, Yuguang Huang, Hailong Dong, Z. Lu","doi":"10.3760/CMA.J.CN131073.20200228.00305","DOIUrl":"https://doi.org/10.3760/CMA.J.CN131073.20200228.00305","url":null,"abstract":"Obstetric anesthesia is an important part of clinical anesthesia during the coronavirus disease 2019(COVID-19 )epidemic Obstetric anesthesia management faces challenges such as difficulty in evaluation, in managing patients with emergent or fluctuating conditions, and in taking care of both the mother and the fetus/newborn Obstetric anesthesia should focus on the following aspects First, detailed evaluation of COVID-19 should be carried out Except for epidemic-related evaluation, the effect of physiologic changes during pregnancy and complex condition of the parturient and critical condition on COVID-19 evaluation should be considered The possible effects of maternal lung conditions on the fetus should be paid attention to simultaneously to determine the optimal timing for delivery, delivery mode and degree of protection Second, tight infection control of the environment, staff and devices is necessary Delivery of the suspected or diagnosed cases of novel coronavirus infection should be performed in an isolation delivery room or in a negative pressure operating room Anesthetic personnel should be minimized, and skilled anesthetists should be arranged in priority Medical staff should wear personal protective equipment according to standards Third, the keypoint of optimizing anesthesia management is to maintain sufficient oxygenation and stable circulation For neuraxial anesthesia, coughing and hypotension should be minimized For general anesthesia, protection from infection during airway management is essential Fourth, humanistic care should be implemented, and psychological health education and psychological crisis intervention should be conducted for parturients Fifth, though no evidence supported the vertical transmission yet, the newborn of the suspected or diagnosed mother of novel coronavirus infection should be isolated, and breastfeeding is not permitted until the mother recover To minimize the risk of infection and optimize clinical safety, multi-discipline-based teamwork by the obstetricians, anesthetists, neonatologists, infect-control experts and intensive care unit staff on infection control and maternal-fetal management is important © 2020 Chinese Medical Association","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":"46 1","pages":"275-280"},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70011662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expert recommendations for tracheal intubation in critically ill patients with coronavirus disease 2019 (Version 1.0)","authors":"M. Zuo, Yuguang Huang","doi":"10.3760/CMA.J.CN131073.20200218.00307","DOIUrl":"https://doi.org/10.3760/CMA.J.CN131073.20200218.00307","url":null,"abstract":"","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47029751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anesthesiologist’s learning from experience of participating in the treatment of critically ill patients with COVID-19 in isolation wards","authors":"Xueyin Chen, Gang Wang, Kai Yang, Jing Wu, Xiangdong Chen","doi":"10.3760/CMA.J.ISSN.0254-1416.2020.0011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1416.2020.0011","url":null,"abstract":"After the outbreak of 2019 novel coronavirus diseases (COVID-19), the number of severe cases in Wuhan increased dramatically, which was far beyond the load of ICU. As a result, the isolation ward became the place for the treatment of severe cases. Because the important role of anesthesiologists, more than 20 anesthesiologists from Union Hospital of Tongji Medical College, Huazhong University of Science and Technology have been sent to eight isolation wards of severe patients. They have participated in the treatment of more than 800 severe COVID-19 patients, including more than 300 critical cases and more than 120 cases were getting better recovery. Their work included endotracheal intubation, central venous catheterization, artery cannulation and blood gas analysis, and bedside cardiopulmonary ultrasound examination, and more importantly they have played an important role in respiratory management after endotracheal intubation, the treatment of cardiovascular events and precise fluid therapy. During these works, anesthesiologists improved their own professional skills through the cooperation with other specialists, including the standard writing skills of medical records and prescription, appropriate protection against infectious diseases, standard medication and oxygen therapy for respiratory diseases, and the capability of continuously management of critical cases. \u0000 \u0000Key words: \u0000Anesthesiologists; Hospitals, isolation; Critical care; COVID-19","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41966025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infection control in a department of anesthesiology during the epidemic period of COVID-19: experience of Wuhan Union Hospital","authors":"X. Lan, Lei Yang, Jing Wu, Zhouyang Wu, Ken Ling, Cuicui Sun, Xiangdong Chen","doi":"10.3760/CMA.J.ISSN.0254-1416.2020.0010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1416.2020.0010","url":null,"abstract":"During the prevention and control of coronavirus disease 2019 (COVID-19) epidemic, our hospital was a designated hospital for the treatment of COVID-19, and established the infection control system in the department of anesthesiology according to the clinical practice The relevant staff of our hospital strictly followed the rules and procedures for operation, and no staff members were found to be infected by emergency surgical anesthesia performed in COVID-19 patients The experience is summarized as follows: timely establishment and unified command of the emergency infection control management team in the department of anesthesiology;scientific formulation and dynamic improvement in comprehensive, systematic and feasible infection control strategies, norms and procedures;clear division of responsibilities and adequate management and supervision of infection control management team members;carrying out strict training of infection control, establishing a good awareness of infection control in the operating room, and implementing standard infection control procedures from the medical staff of the department to the cleaning staff © 2020 Chinese Medical Association","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46003183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Details of anesthesia-related infection control: inspiration from COVID-19 epidemic","authors":"Yingjie Du, Hao Cheng, Jun Li, Guyan Wang","doi":"10.3760/CMA.J.ISSN.0254-1416.2020.0009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1416.2020.0009","url":null,"abstract":"","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48498377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendations for anesthesia management and infection control in elderly patients with COVID-19","authors":"Tianlong Wang, Yuguang Huang, Xiangdong Chen, A. Luo, Z. Xia, Zongze Zhang, Dongxin Wang, W. Ouyang, Min Yan, W. Mei, Min Li, Qian Li, Wei Xiao, Xiaoming Deng, Lize Xiong","doi":"10.3760/CMA.J.ISSN.0254-1416.2020.00.101","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.0254-1416.2020.00.101","url":null,"abstract":"During the epidemic of coronavirus disease 2019 (COVID-19), the infection of the elderly population will bring great challenges to clinical diagnosis and treatment, outcome and management Combined with the characteristics of anesthesia and the pathophysiological characteristics of COVID-19 on lung function impairment in elderly patients, Chinese Society of Anesthesiology formulated the \" Recommendations for anesthesia management and infection control in elderly patients with COVID-19″ This recommendation expounds preoperative visit and infection control, anesthesia management protocol, anesthesia monitoring, anesthesia induction/endotracheal intubation, anesthesia maintenance and infection control, intraoperative lung protection strategy, anti-stress and anti-inflammatory management, hemodynamic optimization, infection control during emergence from anesthesia, and postoperative analgesia in elderly patients with COVID-19, and provides the reference for the safe and effective implementation of anesthesia management in elderly patients during the prevention and control of COVID-19 epidemic © 2020 Chinese Medical Association","PeriodicalId":10053,"journal":{"name":"中华麻醉学杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45933504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}