AIM: To evaluate corneal injury during general anesthesia and analyze the protective effect of medical hydro-gel eye patch in clinics.METHODS:Seventy-sixpatientswith152 eyesundergoing general anesthesia were included....AIM: To evaluate corneal injury during general anesthesia and analyze the protective effect of medical hydro-gel eye patch in clinics.METHODS:Seventy-sixpatientswith152 eyesundergoing general anesthesia were included. None had positive corneal fluorescein staining before surgery. Both eyes of each patient were analyzed, with one randomly allocated to receive medical hydro-gel eye patch, and the other to receive common adhesive tape as a control. Corneal injuries were evaluated by scoring fluorescein staining under a hand-held slit lamp immediately after surgery in postanesthesia care unit and 24 h thereafter. Patients’ discomforts were also evaluated.RESULTS: Twelve eyes(15.8%) in the hydro-gel patch group and 30 eyes(39.5%) in the adhesive tape group showed corneal injury immediately after surgery. The eyes protected with hydro-gel patch showed statistically less corneal fluorescein staining than the control group.Four eyes in hydro-gel patch group and 6 eyes in adhesive tape group suffered discomfort immediately after surgery without intergroup difference and all discomforts disappeared after 24h(P =0.257). No side effect was observed in hydro-gel patch group, while 5eyes had brow avulsion and 2 got skin itching in adhesive tape group.CONCLUSION: Corneal injury complication was morefrequent than we thought following general anesthesia.The medical hydro-gel eye patch can protect the occurrence of corneal injury following general anesthesia.展开更多
Thermo-responsive multiblock polycarbonates were facilely synthesized by covalently binding poly(ethylene glycol)(PEG) and poly(propylene glycol)(PPG) blocks,using triphosgene as coupling agent and pyridine as catalys...Thermo-responsive multiblock polycarbonates were facilely synthesized by covalently binding poly(ethylene glycol)(PEG) and poly(propylene glycol)(PPG) blocks,using triphosgene as coupling agent and pyridine as catalyst.The aqueous solutions of thermo-responsive polycarbonates were investigated by rheological measurements.Steady-state shear measurements reveal that the polycarbonate solutions exhibit shear-thinning behavior and the hydrophilic content has a pronounced effect on the flow behavior of the polycarbonates aqueous solutions.The shear viscosity decreases with increasing poly(ethylene oxide)(PEO) composition.The increase of viscosity with increasing concentration is probably attributed to the formation of stronger network owing to interchain entanglement of PEO block at higher concentration.When the flow curves are fitted to the power law model,flow index is obtained to be less than 1,as exhibiting typical pesudoplastic fluid.The viscoelastic properties of the system also show close dependence on the composition of polycarbonates.Temperature sweep confirms that the multiblock polycarbonates exhibit thermo-responsive properties.For 7% aqueous solution of polycarbonate with composition ratio of EO to PO of 1/1,the sol-gel transition occurs at 37 ℃,which makes the system suitable as an injectable drug delivery system.展开更多
基金Supported by National Natural Science Foundation of China (No.81070705 81270974)+1 种基金Zhejiang Provincial Natural Science Foundation of China (LQ13H120003)Zhejiang Key Laboratory Fund of China (No.2011233)
文摘AIM: To evaluate corneal injury during general anesthesia and analyze the protective effect of medical hydro-gel eye patch in clinics.METHODS:Seventy-sixpatientswith152 eyesundergoing general anesthesia were included. None had positive corneal fluorescein staining before surgery. Both eyes of each patient were analyzed, with one randomly allocated to receive medical hydro-gel eye patch, and the other to receive common adhesive tape as a control. Corneal injuries were evaluated by scoring fluorescein staining under a hand-held slit lamp immediately after surgery in postanesthesia care unit and 24 h thereafter. Patients’ discomforts were also evaluated.RESULTS: Twelve eyes(15.8%) in the hydro-gel patch group and 30 eyes(39.5%) in the adhesive tape group showed corneal injury immediately after surgery. The eyes protected with hydro-gel patch showed statistically less corneal fluorescein staining than the control group.Four eyes in hydro-gel patch group and 6 eyes in adhesive tape group suffered discomfort immediately after surgery without intergroup difference and all discomforts disappeared after 24h(P =0.257). No side effect was observed in hydro-gel patch group, while 5eyes had brow avulsion and 2 got skin itching in adhesive tape group.CONCLUSION: Corneal injury complication was morefrequent than we thought following general anesthesia.The medical hydro-gel eye patch can protect the occurrence of corneal injury following general anesthesia.
基金Projects(2006GG2203007) supported by the Scientific Research Project of Shandong Province,China
文摘Thermo-responsive multiblock polycarbonates were facilely synthesized by covalently binding poly(ethylene glycol)(PEG) and poly(propylene glycol)(PPG) blocks,using triphosgene as coupling agent and pyridine as catalyst.The aqueous solutions of thermo-responsive polycarbonates were investigated by rheological measurements.Steady-state shear measurements reveal that the polycarbonate solutions exhibit shear-thinning behavior and the hydrophilic content has a pronounced effect on the flow behavior of the polycarbonates aqueous solutions.The shear viscosity decreases with increasing poly(ethylene oxide)(PEO) composition.The increase of viscosity with increasing concentration is probably attributed to the formation of stronger network owing to interchain entanglement of PEO block at higher concentration.When the flow curves are fitted to the power law model,flow index is obtained to be less than 1,as exhibiting typical pesudoplastic fluid.The viscoelastic properties of the system also show close dependence on the composition of polycarbonates.Temperature sweep confirms that the multiblock polycarbonates exhibit thermo-responsive properties.For 7% aqueous solution of polycarbonate with composition ratio of EO to PO of 1/1,the sol-gel transition occurs at 37 ℃,which makes the system suitable as an injectable drug delivery system.