High-thoracic ultrasound-guided erector spinae plane block for acute herpes zoster pain management in emergency department

Herpes zoster is a painful, eruptive, viral condition occurring with reactivation in immunosuppressed individuals. The selection of an effective analgesic method in the acute phase of herpes zoster can decrease the incidence of postherpetic neuralgia by reducing neural sensitization. The erector spinae plane block has been reported to provide diffuse and effective analgesia in the cervical, thoracic, and lumbar regions. We report an effective decrease in pain with the application of the high-thoracic erector spinae plane block in the emergency department in a patient with herpes zoster pain in the cervicothoracic and shoulder region.     

辽宁省92家三级医院麻醉可视化技术应用于气道管理情况的调查

目的调查2017—2019年辽宁省麻醉学领域可视化技术应用于气道管理的现状,为促进可视化技术的发展提供参考。方法采用自主设计调查问卷对辽宁省内全部92家三级医院进行问卷调查,调查内容包括2017—2019年麻醉学领域气道管理相关可视化技术的应用情况、医院基本状况及麻醉可视化技术相关内容。结果本次调查发放并收回有效问卷276份,其中三级甲等医院69家(207份问卷),三级乙等医院16家(48份问卷),三级丙等医院7家(21份问卷)。82家(89%)医院将可视化技术用于气道管理。50家(61%)医院将可视化技术用于处理困难气道,32家(39%)医院将可视化技术应用于处理非困难气道。2017—2019年分别有20、22、23家(24%、27%、28%)医院将纤维光导喉镜作为最常用的可视化设备,分别有37、39、40家(45%、48%、49%)医院将纤维支气管镜作为最常用的可视化设备。2017—2019年将可视化技术应用于气道管理的82家医院,仅有1家(1%)拥有2项发明与转化,7家(9%)医院获得2项论文交流,2家(2.4%)医院获得2项课题基金,3家(4%)医院获得2项奖项荣誉。结论 2017—2019年辽宁省三级医院麻醉可视化技术于气道管理的应用整体呈上升趋势,普及率逐年提高,但其应用质量及相关科研转化仍需进一步提高。     

Escasa notificación de las dosis de los antiinfecciosos de uso sistémico en los casos clínicos comunicados a la Revista Española de Anestesiología y Reanimación

ObjectiveTo describe the frequency of dose notification of antiinfectives for systemic use in clinical cases published in Revista Española de Anestesiología y Reanimación.Material and methodReview of individualized clinical cases published in the sections «Clinical case» or «Letter to the Editor» of the above mentioned journal from year 2010 to 2012, and identification of the drugs and their therapeutic regimens cited in such publications, being dose notification the main variable. Drugs have been classified according to the Anatomical Therapeutic Chemical Classification System.ResultsOne thousand one hundred and thirty-five drugs cited 1,317 times were identified in 167 articles describing the clinical pictures of 182 patients, 73 of the citations (5.6%) regarding to drugs belonging to group J (Antiinfectives for systemic use) which were divided into perioperative prophylaxis (n = 15) and active treatment (n = 58). Doses were scarcely notified for group J drugs as a whole (27.4%), but especially for active treatment (17.2%) compared to perioperative prophylaxis (66.7%), percentage which was similar to those more classical anesthetic drugs (fentanyl: 86.6%; remifentanil: 70.5%; sevoflurane: 78%; propofol: 79%; rocuronium:79.6%; cisatracurium: 68.4%) or even for antiemetics (ondansetron: 92.3%; dexamethasone: 84.6%).ConclusionsQuality of case reports could be improved by including dose notification for antiinfective agents.     

基于WeChat Public平台MOOC教学模式在麻醉外科规范化培训中的应用效果

目的探讨将微信公众( WeChat Public )平台与慕课( MOOC)的教学模式应用于麻醉外科住院医师规范化培训教学中的效果。方法选择2018年1月至2019年11 月来台州市第- -人民医院麻醉外科进行住院医师规范化培训的学员42名,随机分为对照组和观察组,每组各21名,观察组接受WeChat Publie平台上MOOC的学习,对照组采用集中带教与个体学习相结合的方式传统教学模式,以问卷调查和出科考试评估两组(教学内容、教学方式、教学理论知识掌握度教学技能掌握度、教学行为满意度)效果。结果 观察组在理论知识操作技能临床思维能力、医患沟通能力等方面成绩均优于对照组,差异有统计学意义(P<0.05)。两组在问卷调查评分总分上比较,差异有统计学意义(P<0.05)。对教学方式的感兴趣程度、操作知识的掌握程度以及教学行为满意度等方面的评分观察组显著高于对照组,差异有统计学意义(P<0.05)。结论对基于WeChat Public 平台的MOOC教学模式的实施可明显提高教学质量。