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Perioperative Precision Medicine
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Search Result (311)
Perioperative Precision Medicine
Review Article
Open Access
Progress of end-tidal carbon dioxide monitoring in non-intubated patients
Yue Wang
Yue Wang
Department of Anesthesiology, The Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University, Nanjing 210009, Jiangsu, China.
,
Miao Zhou
Miao Zhou
Department of Anesthesiology, The Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University, Nanjing 210009, Jiangsu, China.
,
Pengxin Li
Pengxin Li
Xuzhou Medical University, Jiangsu Province Key Laboratory of Anesthesiology, Jiangsu Province Key Laboratory of Anesthesia and Analgesia Application Technology, Xuzhou 221002, Jiangsu, China.
,
Lianbing Gu
Lianbing Gu
13951947684@163.com
Xuzhou Medical University, Jiangsu Province Key Laboratory of Anesthesiology, Jiangsu Province Key Laboratory of Anesthesia and Analgesia Application Technology, Xuzhou 221002, Jiangsu, China.
2023 Jun;1(1):15-23
https://doi.org/10.61189/343605tjncke
Article Preview PDF CITE
Wang Y, Zhou M, Li PX, et al. Progress of end-tidal carbon dioxide monitoring in non-intubated patients. Perioper Precis Med. 2023 Jun;1(1):15-23. doi: 10.61189/343605tjncke.
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End-tidal carbon dioxide (ETCO2) monitoring is an important tool for assessing respiratory and circulatory status of patients. It has become an integral component of perioperative anesthesia care in patients undergoing general anesthesia with endotracheal intubation. ETCO2 monitoring can also benefit non-intubated patients. This review covers the basics of ETCO2 and methods of partial pressure of ETCO2 (PETCO2) monitoring and focuses on the literature regarding PETCO2 monitoring for non-intubated patients. Most studies explored the superiority of PETCO2 monitoring in patients under sedation outside operating room, while others investigated the potential advantages of PETCO2 monitoring in other scenarios such as post-anesthesia care unit, cardiopulmonary resuscitation, and patient-controlled analgesia. As carbon dioxide detection technology and sampling circuits continue to improve, PETCO2 monitoring is expected to be used in more medical scenarios.

Metaverse in Medicine
Abstract interpretation
Open Access
The abstract interpretation of Metaverse surgical planning with three-dimensional virtual models for minimally invasive partial nephrectomy
2024,1(3):64
https://doi.org/10.61189/547973fjqnxm
PDF CITE
TURSUN·A. The abstract interpretation of Metaverse surgical planning with three-dimensional virtual models for minimally invasive partial nephrectomy[J]. Metaverse Med,2024,1(3):64.
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Metaverse in Medicine
Frontier Trends
Open Access
Brief introduction of digital OSA specialist BAIMGPT 1· 0
Published March 28, 2024
PDF
Perioperative Precision Medicine
Review Article
Open Access
Research progress on mitochondrial autophagy in sepsis-related acute lung injury
Kecheng Zhai
Kecheng Zhai
School of Anesthesiology, Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Yangmengna Gao
Yangmengna Gao
School of Anesthesiology, Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Yu Xiang
Yu Xiang
School of Anesthesiology, Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Jiameng Liu
Jiameng Liu
School of Anesthesiology, Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Shangping Fang
Shangping Fang
20180041@wnmc.edu.cn
School of Anesthesiology, Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui Province, China.
2025 Mar;3(1):16-27
https://doi.org/10.61189/619896szhnms
Article Preview PDF CITE

Zhai KC, Gao YMN, Xiang Y, Liu JM, Fang SP. Research progress on mitochondrial autophagy in sepsis-related acute lung injury. Perioper Precis Med. 2025 Mar; 3 (1): 16-27. doi: 10.61189/619896szhnms.

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Sepsis is a systemic inflammatory response syndrome caused by infection, leading to acute lung injury and acute respiratory distress syndrome, which are common life-threatening complications in intensive care units. Mitochondrial autophagy, a process that selectively removes damaged mitochondria, is essential for maintaining the stability of the intracellular environment and cellular function. In recent years, the role of mitochondrial autophagy in sepsis-associated acute lung injury and acute respiratory distress syndrome has garnered significant attention. This review summarizes the research progress of mitochondrial autophagy in sepsis-associated acute lung injury and acute respiratory distress syndrome, focusing on its mechanism, influencing factors, and potential therapeutic agents.
Metaverse in Medicine
Frontier Trends
Open Access
Medical research assistant based on LLM technology
Published March 28, 2024
PDF
Progress in Medical Devices
Review Article
Open Access
Electromagnetic induction detection techniques for craniocerebral injury: A review
Ruoyu Song
Ruoyu Song
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, P. R. China.
,
Tao Xu
Tao Xu
Department of Neurosurgery, Changzheng Hospital, Naval Medical University, Shanghai 200003, P. R. China.
,
Tingting Shi
Tingting Shi
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, P. R. China.
,
Xinrui Gui
Xinrui Gui
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, P. R. China.
,
Rongguo Yan
Rongguo Yan
yanrongguo@usst.edu.cn
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, P. R. China.
2023 Jun;1(1):19-26
https://doi.org/10.61189/729316upqdwc
Article Preview PDF CITE

Song RY, Xu T, Shi TT, et al. Electromagnetic induction detection techniques for craniocerebral injury: A review. Prog Med Devices. 2023 Jun;1(1):19-26. doi: 10.61189/729316upqdwc.

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Assessing the severity and prognosis of patients with craniocerebral damage is a major research area in medicine since it is a prevalent clinical disease. Acute craniocerebral injury, a common traumatic condition, is often caused by traffic accidents, collisions, and falls in daily life. Secondary craniocerebral injury refers to symptoms such as brain edema and intracranial hemorrhage after acute craniocerebral injury, which will aggravate the injury. Secondary craniocerebral injury can be avoided by effective and timely treatment, and real-time detection of brain edema and intracranial hemorrhage by non-invasive medical imaging is a solution. Therefore, non-invasive medical imaging technology has recently emerged as a new area of study. A new imaging technology, namely the brain injury detection technology based on electromagnetic induction, has been discovered after years of research on non-invasive detection of brain injury. Initially, electromagnetic induction technology was widely used in metal nondestructive testing. The human body, as a conductor, also has electromagnetic induction, allowing this technology to be used on the human body. This study reviews the technologies for detecting electromagnetic induction in cases of craniocerebral damage, including induced current electrical impedance tomography, magneto-acoustic tomography, and eddy current damping sensors for detection and imaging.

Perioperative Precision Medicine
Review Article
Open Access
Role of intravenous iron therapy for management of perioperative anaemia: A narrative review
Mayura Thilanka Iddagoda
Mayura Thilanka Iddagoda
Mayura.Iddagoda@health.wa.gov.au
Perioperative Medical Service, Royal Perth Hospital, Perth, Western Australia 6000, Australia; School of Medicine, University of Western Australia, Perth, Western Australia 6000, Australia.
,
Christopher Etherton-Beer
Christopher Etherton-Beer
Perioperative Medical Service, Royal Perth Hospital, Perth, Western Australia 6000, Australia; School of Medicine, University of Western Australia, Perth, Western Australia 6000, Australia.
,
Leon Flicker
Leon Flicker
Perioperative Medical Service, Royal Perth Hospital, Perth, Western Australia 6000, Australia; School of Medicine, University of Western Australia, Perth, Western Australia 6000, Australia.
2024 Mar;2(1):20-28
https://doi.org/10.61189/956852bomilz
Article Preview PDF CITE
Mayura TL, Christopher EB, Leon F. Role of intravenous iron therapy for management of perioperative anaemia: A narrative review. Peroper Precis Med. 2024 Mar;2(1):20-28. doi: 10.61189/956852bomilz.
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Anaemia is a frequent problem in surgical patients, and the commonest cause is iron deficiency. There is no agreement among perioperative clinicians on the utility of intravenous (IV) iron therapy in surgical patients. In this study, publications in Medline, Web of Science, and Embase databases, along with major perioperative guidelines up until 2022 were searched using speciffc key words, and relevant papers that investigated IV iron therapy in the perioperative settings were screened out. Management of perioperative anaemia is comprehensively discussed in major guidelines. However, the diagnosis and management of iron deffciency is not as straightforward as those for anaemia. Iron metabolism is a complex process. IV iron supplementation remains the treatment choice for perioperative iron deffciency; however, it has limited and confficting evidence of beneffts in surgical patients. IV iron replacement, as a part of patient blood management, has shown benefft in perioperative anaemia.
Progress in Medical Devices
Review Article
Open Access
Measurement methods for positioning accuracy of multileaf collimators in radiation therapy: A mini review
Yuxi Fang
Yuxi Fang
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Rongguo Yan
Rongguo Yan
yanrongguo@usst.edu.cn
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Chunying Jiao
Chunying Jiao
Beijing Institute of Medical Device Testing, Beijing 101111, China.
,
Yueling Li
Yueling Li
Beijing Institute of Medical Device Testing, Beijing 101111, China.
,
Baolin Liu
Baolin Liu
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
2025 Mar;3(1):21-25
https://doi.org/10.61189/284918qpvynd
Article Preview PDF CITE

Fang YX, Yan RG, Jiao CY, Li YL, Liu BL. Measurement methods for positioning accuracy of multileaf collimators in radiation therapy: A mini review. Prog Med Devices 2025 Mar;3(1):21-25. doi: 10.61189/284918qpvynd

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Radiation therapy is a complex and high-precision technique that requires strict performance criteria for linear accelerators. One of the key factors influencing the quality of radiotherapy is the positioning accuracy of each leaf of the multileaf collimator. This mini-review discusses three commonly used dosimetry-based methods for evaluating multileaf collimator positioning accuracy: the dose film method, the Matrixx ionization chamber array method, and the electronic portal imaging device method. The review highlights the differences between these methods, showing that both the electronic portal imaging device and Matrixx methods offer higher measurement repeatabil ity compared to the dose film method. However, the electronic portal imaging device method is more complex to implement than the Matrixx method.

Progress in Medical Education
Research Article
Open Access
Efficacy of visual double-lumen bronchial catheter in teaching lung isolation
Minhao Zhang
Minhao Zhang
Department of Anesthesiology, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, Jiangsu Province, China.
,
Halisa Paerhati
Halisa Paerhati
Department of Anesthesiology, the Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Nanjing 210009, Jiangsu Province, China.
,
Miao Zhou
Miao Zhou
Department of Anesthesiology, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, Jiangsu Province, China.
,
Jiahui Chen
Jiahui Chen
Affiliated Anesthesia College of Xuzhou Medical University, Xuzhou 221004, Jiangsu Province, China.
,
Zhiyan Wang
Zhiyan Wang
Department of Nursing, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, Jiangsu Province, China.
,
Lianbing Gu
Lianbing Gu
Department of Anesthesiology, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, Jiangsu Province, China.
,
Pengyi Li
Pengyi Li
lipengyi@njmu.edu.cn
Department of Anesthesiology, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, Jiangsu Province, China.
2025 Apr;1(1):23-31
https://doi.org/10.61189/937243auxvcj
Article Preview PDF CITE

Zhang MH, Paerhati H, Zhou M, Chen JH, Wang ZY, Gu LB, Li PY. Efficacy of visual double-lumen bronchial catheter in teaching lung isolation. Prog Med Educ. 2025 Apr; 1(1): 23-31. doi: 10.61189/937243auxvcj

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Objective: To assess the effectiveness of a visual double-lumen bronchial catheter in teaching lung isolation skills to anesthesia resident trainees. Methods: Between September 2023 and September 2024, 20 anesthesiology residents from Jiangsu Cancer Hospital were randomly divided into two groups: the visual double-lumen group (n=10) and the conventional double-lumen group (n=10). Randomization was achieved using a random number table. The study assessed several outcomes, including total intubation time, positioning time, one-time intubation success rate, intraoperative catheter displacement rate, surgeon satisfaction scores, and the incidence of postoperative complications (pharyngeal pain, hoarseness, and dry cough) within 24 hours. Results: The visual double-lumen group demonstrated superior results compared to the conventional double-lumen group in the following measures: total intubation time (70.2±11.8 s vs 224.9±35.6 s), positioning time (30.1±5.7s vs 176.6±26.4 s), one-time intubation success rate (85% vs 45%), intraoperative catheter displacement rate (10% vs 40%), surgeon’s intubation satisfaction score (8.10±1.07 vs 6.90±1.41), satisfaction score for pulmonary isolation (8.35±1.04 vs 6.55±1.36), and airway management satisfaction score (8.40±1.3 vs 6.70±1.34). Additionally, the incidence of postoperative pharyngeal pain (15% vs 45%), hoarseness (10% vs 40%), and dry cough (5% vs 35%) was significantly lower in the visual double-lumen group (all P<0.05). Conclusion: The visual double-lumen bronchial catheter significantly enhances the training of anesthesia residents in lung isolation by reducing intubation and positioning times, improving intubation success rate, increasing surgeon satisfaction, and reducing intubation-related complications. This method offers a more effective teaching approach compared to conventional techniques.

Perioperative Precision Medicine
Review Article
Open Access
The interaction of Candida albicans with C-type lectin receptors
Lindong Cheng
Lindong Cheng
Graduate School, Hebei North University, Hebei 075000, China.
,
Ping Li
Ping Li
Graduate School, Wannan Medical College, Anhui 241000, China.
,
Duy Khanh La
Duy Khanh La
Foreign Training Group, Naval Military Medical University, Shanghai 200433, China; Facultyof Medicine, Vietnam Military Medical University, Hanoi 100000, Vietnam.
,
Zhen Xing
Zhen Xing
xingzhen@sina.com
Department of Anesthesiology, the First Affiliated Hospital of Hebei North University, Hebei 075000, China.
,
Chunhua Liao
Chunhua Liao
liaochh7@smmu.edu.cn
School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China.
2023 Jun;1(1):24-36
https://doi.org/10.61189/863627autews
Article Preview PDF CITE
Chen LD, Li P, La DK, et al. The interaction of Candida albicans with C-type lectin receptors. Perioper Precis Med. 2023 Jun;1(1):24-36. doi: 10.61189/863627autews.
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Candida albicans (C. albicans) is a ubiquitous commensal in the mammalian flora and the most prevalent fungal pathogen of humans. As an opportunistic fungus, C. albicans can cause mucosal and invasive infections. Invasive candidiasis infected by C. albicans is a leading cause of perioperative death in immunocompromised and immunodeficient patients. The morphological change from the yeast to the mycelium plays a key role in the pathogenesis of C. albicans. C-type lectin receptors (CLRs), including Dectin-1, Dectin-2, Dectin-3, Mincle, and dendritic cell-specific intercellular adhesion molecule-3-grabbing non-integrin, are among the pattern recognition receptors expressed by innate immune cells that can recognize C. albicans. The emergence of drug-resistant C. albicans put pressure on the healthcare system, whereby CLRs have also attracted extensive attention from physicians. Thus, in this article, we discuss the interaction between CLRs and C. albicans and the treatment prospects of CLRs on anti-C. albicans.

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