Iranian Red Crescent Medical Journal (IRCMJ)

Percutaneous reduction and external fixation for the treatment of 2-part surgical neck fractures of the proximal humerus

Aqin Peng; Bo Han; Baorui Xing; Xiuxiu Hou; Yunmei Li; Wenyu Zhang; Bin Li

Volume 25, Issue 12 , 2023

Abstract

Background: Most proximal humerus fractures (4-5% of all systemic fractures) can be treated without surgery through early mobilization. However, the management of displaced fractures remains a subject of debate.Objectives: To evaluate the outcomes of closed reduction and percutaneous pinning for two-part ... Read More

Research on the Transitional Care Model-based Health Management Protocol for Patients after Sleeve Gastrectomy

Ying Lin; Xinping Wang; Chenchen Wang; Jian Zhou; Jihong Tao; Guoquan Song

Volume 25, Issue 10 , 2023

Abstract

Background: Postoperative care after sleeve gastrectomy is critical to a successful outcome because of the increasing popularity of the procedure in the treatment of obesity and related conditions. Objectives: The purpose of this study was to evaluate the effectiveness of a health intervention plan for ... Read More

Perioperative Nursing Influence on Cerebrospinal Fluid Biochemical Markers in Cerebral Hemorrhage Patients Undergoing Minimally Invasive Intracranial Hematoma Removal Surgery

Shuang Liu; Lu Wang

Volume 25, Issue 9 , 2023

Abstract

Background: Cerebral hemorrhage refers to a hemorrhagic disease caused by primary non-traumatic rupture of blood vessels in the brain parenchyma. It is a common acute cerebrovascular disease in the elderly.Objectives: To observe the effect of perioperative nursing on minimally invasive intracranial hematoma ... Read More

Effect of Goal-directed Fluid Therapy on Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Combined Lingual and Cervical Radical Surgery

Liang Fuqiu; Fu Junjie

Volume 25, Issue 6 , 2023

Abstract

Background: The intraoperative rehydration technique known as the effect of Goal-Directed Fluid Therapy (GDFT), which is guided by the dynamic monitoring of volume responsiveness, has received a lot of attention recently. According to a meta-analysis by Bene, GDFT can maintain intraoperative hemodynamic ... Read More Background: The intraoperative rehydration technique known as the effect of Goal-Directed Fluid Therapy (GDFT), which is guided by the dynamic monitoring of volume responsiveness, has received a lot of attention recently. According to a meta-analysis by Bene, GDFT can maintain intraoperative hemodynamic stability, which lowers the incidence of postoperative complications and reduces stay at the intensive care unit. Objectives: This study aimed to determine how GDFT affected elderly patients who underwent combined lingual and cervical radical surgery after an operation for postoperative cognitive dysfunction (POCD). Methods: This interventional study was conducted between December 2021 and December 2022 in a medical center affiliated with Fujian Medical University on people undergoing radical neck and tongue surgery for tongue cancer. The samples (n=36) were selected using an availability sampling method and randomly divided into conventional fluid therapy (the Non-GDFT, n=18) and GDFT (n=18) groups. The Non-GDFT group was hydrated normally during anesthesia. A continuous infusion of 8 mL/(kg/h) of compounded sodium chloride was administered to the GDFT group to maintain basal hydration volume during the operation. Before and following surgery, Montreal Cognitive Assessment Scale scores were completed, arterial blood lactate values and bilateral cerebral oxygen saturation levels were measured at various times following the stabilization of anesthesia, and the levels of interleukin 6 (IL-6) and S100 protein in venous blood were calculated. Results: The Non-GDFT group had a higher incidence of POCD than the GDFT group, the GDFT group had significantly lower levels of IL-6 and S100 than the Non-GDFT group, the GDFT group had significantly lower levels of serum lactate than the Non-GDFT group. The GDFT group experienced significantly lower rates of intraoperative hypotensive and intraoperative low rSO2 events than the Non-GDFT group, and this difference was statistically significant (P<0.05). Conclusion: Assuring the balance of cerebral oxygen supply and demand, lowering the production of inflammatory mediators, and successfully reducing the incidence of POCD are all possible benefits of GDFT.

Iranian Red Crescent Medical Journal (IRCMJ)

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Author = Junjie, Fu

Percutaneous reduction and external fixation for the treatment of 2-part surgical neck fractures of the proximal humerus

Abstract

Research on the Transitional Care Model-based Health Management Protocol for Patients after Sleeve Gastrectomy

Abstract

Perioperative Nursing Influence on Cerebrospinal Fluid Biochemical Markers in Cerebral Hemorrhage Patients Undergoing Minimally Invasive Intracranial Hematoma Removal Surgery

Abstract

Effect of Goal-directed Fluid Therapy on Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Combined Lingual and Cervical Radical Surgery

Abstract