Objective： The aim of this study was to anesthesia analyse the factors of conversing video-assisted thoracic surgery to thoracectomy in pulmonary carcinoma. Methods： Double-lumen tube bronchial catheter intubation a...Objective： The aim of this study was to anesthesia analyse the factors of conversing video-assisted thoracic surgery to thoracectomy in pulmonary carcinoma. Methods： Double-lumen tube bronchial catheter intubation and interstitial positive pressure ventilation （IPPV） were used in all patients with video-assisted thoracic surgery after fast-speed venous induced anesthesia. IPPV, positive expiratory pressure （PEEP） and continuous positive airway pressure （CPAP） in collapse lobes of lung were used in one lung ventilation, and ventilation parameters were adjusted. Results： Two hundred and fifity- two patients double-lumen bronchial tube intubation used by fiberscope was located very well. The level of oxygen saturation of blood （Sp02）, end.tidal carbon dioxide pressure （PETCO2） could be maintained normal. 5 cases were forced to converse video-assisted thoracic surgery to thoracotomy because of 2 cases pulmonary adhesion, 2 cases severe pulmonary dysfunction and 1 case abnormal anatomy respectively. Conclusion： Long one lung ventilation such as pulmonary adhesion, severe pulmonary dysfunction and abnormal anatomy should be considered to be relative contraindication.展开更多
Objective To investigate the effects of pentobarbital anesthesia on nociceptive processing in the medial and lateral pain pathways.Methods Laser stimulation was employed to evoke nociceptive responses in rats under aw...Objective To investigate the effects of pentobarbital anesthesia on nociceptive processing in the medial and lateral pain pathways.Methods Laser stimulation was employed to evoke nociceptive responses in rats under awake or anesthetic conditions.Pain-related neuronal activities were simultaneously recorded from the primary somatosensory cortex （SI） ,ventral posterolateral thalamus （VPL） ,anterior cingulate cortex （ACC） ,and medial dorsal thalamus （MD） with 4 eight-wire microelec-trode arrays.Results Compared with the awake state,pentobarbital anesthesia significantly suppressed the neural activities induced by noxious laser stimulation.Meanwhile,the pain-evoked changes in the neuronal correlations between cortex and thalamus were suppressed in both medial and lateral pain pathways.In addition,the spontaneous firing rates in all the 4 areas were altered （including inhibition and excitation） under the condition of anesthesia.Conclusion The nociceptive processing in the brain can be dramatically changed by anesthesia,which indicates that there are considerable differences in the brain activities between awake and anesthetized states.It is better to employ awake animals for recording neural activity when investigating the sensory coding mechanisms,especially pain coding,in order to obtain data that precisely reflect the physiological state.展开更多
Objective The present study was aimed to investigate the pharmacological modulatory effects of ropivacaine,an amide-type local anesthetic,on rat Nav1.2（rNav1.2）and rNav1.5,the two Na＋channel isoforms heterologously...Objective The present study was aimed to investigate the pharmacological modulatory effects of ropivacaine,an amide-type local anesthetic,on rat Nav1.2（rNav1.2）and rNav1.5,the two Na＋channel isoforms heterologously expressed in Xenopus oocytes and in HEK293t cell line,respectively.Methods Two-electrode voltage-clamp（TEVC）and whole-cell patchclamp recordings were employed to record the whole-cell currents.Results Ropivacaine induced tonic inhibition of peak Na＋ currents of both subtypes in a dose-and frequency-dependent manner.rNav1.5 appeared to be more sensitive to ropivacaine.In addition,for both Na＋channel subtypes,the steady-state inactivation curves,but not the activation curves,were significantly shifted to the hyperpolarizing direction by ropivacaine.Use-dependent blockade of both rNav1.2 and rNav1.5 channels was induced by ropivacaine through a high frequency of depolarization,suggesting that ropivacaine could preferentially bind to the 2 inactivated Na＋channel isoforms.Conclusion The results will be helpful in understanding the pharmacological modulation by ropivacaine on Nav1.2 subtype in the central nervous system,and on Nav1.5 subtype abundantly expressed in the heart.展开更多
Bilateral hip dislocation rarely occurs. In this paper, a case of bilateral hip dislocation associated with bilateral sciatic nerve palsy resulted from a road traffic accident is reported. Both hips were emergently re...Bilateral hip dislocation rarely occurs. In this paper, a case of bilateral hip dislocation associated with bilateral sciatic nerve palsy resulted from a road traffic accident is reported. Both hips were emergently reduced under general anaesthesia. Acetabular reconstruction was done bilaterally due to the unstable hips. The patient subsequently developed heterotopic ossification and avascular necrosis on the left hip and underwent total hip arthroplasty. The sciatic nerve on the right side achieved complete recovery but that on the left side only partly recovered and was augmented by tendon transfer. Such injuries are serious and one should be aware of the complications because they can resurface and so patients should be followed up for a long time. To the best of our knowledge, this kind of injury has not been reported in the English .language literature.展开更多
文摘Objective： The aim of this study was to anesthesia analyse the factors of conversing video-assisted thoracic surgery to thoracectomy in pulmonary carcinoma. Methods： Double-lumen tube bronchial catheter intubation and interstitial positive pressure ventilation （IPPV） were used in all patients with video-assisted thoracic surgery after fast-speed venous induced anesthesia. IPPV, positive expiratory pressure （PEEP） and continuous positive airway pressure （CPAP） in collapse lobes of lung were used in one lung ventilation, and ventilation parameters were adjusted. Results： Two hundred and fifity- two patients double-lumen bronchial tube intubation used by fiberscope was located very well. The level of oxygen saturation of blood （Sp02）, end.tidal carbon dioxide pressure （PETCO2） could be maintained normal. 5 cases were forced to converse video-assisted thoracic surgery to thoracotomy because of 2 cases pulmonary adhesion, 2 cases severe pulmonary dysfunction and 1 case abnormal anatomy respectively. Conclusion： Long one lung ventilation such as pulmonary adhesion, severe pulmonary dysfunction and abnormal anatomy should be considered to be relative contraindication.
基金supported by National Natural Science Foundation of China(No.30700223,30770688,30970959)the Hundred Talents Program of the Chinese Academy of Sciences and the grant from NIH Fogarty International Center(No.5R03TW008038)
文摘Objective To investigate the effects of pentobarbital anesthesia on nociceptive processing in the medial and lateral pain pathways.Methods Laser stimulation was employed to evoke nociceptive responses in rats under awake or anesthetic conditions.Pain-related neuronal activities were simultaneously recorded from the primary somatosensory cortex （SI） ,ventral posterolateral thalamus （VPL） ,anterior cingulate cortex （ACC） ,and medial dorsal thalamus （MD） with 4 eight-wire microelec-trode arrays.Results Compared with the awake state,pentobarbital anesthesia significantly suppressed the neural activities induced by noxious laser stimulation.Meanwhile,the pain-evoked changes in the neuronal correlations between cortex and thalamus were suppressed in both medial and lateral pain pathways.In addition,the spontaneous firing rates in all the 4 areas were altered （including inhibition and excitation） under the condition of anesthesia.Conclusion The nociceptive processing in the brain can be dramatically changed by anesthesia,which indicates that there are considerable differences in the brain activities between awake and anesthetized states.It is better to employ awake animals for recording neural activity when investigating the sensory coding mechanisms,especially pain coding,in order to obtain data that precisely reflect the physiological state.
基金supported by the National Basic Research Development Program of China(No. 2006CB500801,2010CB529806)the National Natural Science Foundation of China(No.30900422)+2 种基金the Natural Science Foundation of Shanghai Municipality,China(No.08JC1409500)State Key Laboratory of Medical Neurobiology,Fudan University(No.09-02)National Laboratory of Biomacro-molecules,Institute of Biophysics,Chinese Academy of Sciences(No.O5SY021097)
文摘Objective The present study was aimed to investigate the pharmacological modulatory effects of ropivacaine,an amide-type local anesthetic,on rat Nav1.2（rNav1.2）and rNav1.5,the two Na＋channel isoforms heterologously expressed in Xenopus oocytes and in HEK293t cell line,respectively.Methods Two-electrode voltage-clamp（TEVC）and whole-cell patchclamp recordings were employed to record the whole-cell currents.Results Ropivacaine induced tonic inhibition of peak Na＋ currents of both subtypes in a dose-and frequency-dependent manner.rNav1.5 appeared to be more sensitive to ropivacaine.In addition,for both Na＋channel subtypes,the steady-state inactivation curves,but not the activation curves,were significantly shifted to the hyperpolarizing direction by ropivacaine.Use-dependent blockade of both rNav1.2 and rNav1.5 channels was induced by ropivacaine through a high frequency of depolarization,suggesting that ropivacaine could preferentially bind to the 2 inactivated Na＋channel isoforms.Conclusion The results will be helpful in understanding the pharmacological modulation by ropivacaine on Nav1.2 subtype in the central nervous system,and on Nav1.5 subtype abundantly expressed in the heart.
文摘Bilateral hip dislocation rarely occurs. In this paper, a case of bilateral hip dislocation associated with bilateral sciatic nerve palsy resulted from a road traffic accident is reported. Both hips were emergently reduced under general anaesthesia. Acetabular reconstruction was done bilaterally due to the unstable hips. The patient subsequently developed heterotopic ossification and avascular necrosis on the left hip and underwent total hip arthroplasty. The sciatic nerve on the right side achieved complete recovery but that on the left side only partly recovered and was augmented by tendon transfer. Such injuries are serious and one should be aware of the complications because they can resurface and so patients should be followed up for a long time. To the best of our knowledge, this kind of injury has not been reported in the English .language literature.
