A Two-Person Verbal Check to Confirm Tracheal Intubation: Evaluation of Practice Changes to Prevent Unrecognised Oesophageal Intubation

Background Tracheal intubation is a critical procedure in anesthesia and intensive care. However, despite international campaigns emphasizing the use of capnography to confirm tracheal intubation, unrecognized esophageal intubation continues to result in patient deaths. Esophageal intubation is an avoidable and potentially fatal complication, espec...

International Multi-Institutional External Validation of Preoperative Risk Scores for 30-Day In-Hospital Mortality in Paediatric Patients

External Validation of Preoperative Risk Scores for 30-Day In-Hospital Mortality in Pediatric Patients Academic Background Although the perioperative mortality rate in pediatric patients is low (<0.5%), it remains a significant issue in clinical practice. Traditional risk assessment tools, such as the American Society of Anesthesiologists (ASA) Phy...

Effect of Perioperative Blood Transfusion on Preoperative Haemoglobin Levels as a Risk Factor for Long-Term Outcomes in Patients Undergoing Major Noncardiac Surgery: A Prospective Multicentre Observational Study

Academic Background Preoperative anemia and red blood cell (RBC) transfusions are closely associated with poorer surgical outcomes. Although RBC transfusions can increase oxygen delivery, they are also linked to an increased risk of infectious complications, thromboembolic events, pneumonia, sepsis, cardiac events, and mortality. Therefore, when st...

CT-Guided Left Stellate Ganglion Cryoneurolysis for Refractory Ventricular Arrhythmias

Report on CT-Guided Left Stellate Ganglion Cryoneurolysis for Refractory Ventricular Arrhythmias Academic Background Ventricular arrhythmias (VAs), including ventricular tachycardia and ventricular fibrillation, pose a significant challenge in cardiovascular medicine due to their high morbidity, mortality, and increasing prevalence. Although curren...

Mechanical Ventilation Guided by Driving Pressure Optimizes Local Pulmonary Biomechanics in an Ovine Model

Optimization of Respiratory Pressure Under Mechanical Ventilation Guidance - A Study on Improving Local Lung Biomechanics Mechanical ventilation is commonly used in clinical practice to treat acute respiratory distress syndrome (ARDS) and prevent pulmonary complications after general anesthesia. However, mechanical ventilation can cause harmful str...

Electroencephalography-Guided Anesthesia and Delirium in Older Adults after Cardiac Surgery

EEG-Guided Anesthesia and Delirium in Elderly Patients After Cardiac Surgery Research Background Delirium is a common postoperative complication in elderly patients, particularly after cardiac surgery. Delirium not only leads to cognitive decline but also increases hospitalization time and medical costs. Current preventive measures are limited in e...

Optogenetic Inhibition of Glutamatergic Neurons in the Dysgranular Posterior Insular Cortex Modulates Trigeminal Neuropathic Pain in CCI-Ion Rat

Optogenetic Inhibition of Insular Cortex Glutamatergic Neurons Regulates Trigeminal Neuropathic Pain Introduction and Background Trigeminal neuropathic pain (TNP) is a severe facial disorder characterized by rapid and intense stabbing pain attacks that spread along the cutaneous segments of the trigeminal nerve. TNP occurs almost twice as frequentl...

Microglial EPOR Contribute to Sevoflurane-Induced Developmental Fine Motor Deficits Through Synaptic Pruning in Mice

Contemporary Anesthesia Safety Research: New Pathological Mechanism of Fine Motor Deficits in Mice With the advancement of modern anesthesia techniques, millions of lives rely on successful surgeries each year. However, various clinical studies, including those by the Mayo Anesthesia Safety in Kids (MASK) group, suggest that children who undergo mu...

Triggering Receptor Expressed on Myeloid Cells 2 Alleviated Sevoflurane-Induced Developmental Neurotoxicity via Microglial Pruning of Dendritic Spines in the CA1 Region of the Hippocampus

TREM2 Expression on Mouse Astrocytes Prevents Sevoflurane-Induced Developmental Neurotoxicity Through Microglial Pruning of Dendritic Spines in Hippocampal CA1 Region Research Background and Significance Sevoflurane is one of the most widely used anesthetics in pediatric anesthesia. Early multiple exposures to sevoflurane can lead to developmental ...

Development and Application of a Mitochondrial Genetically Encoded Voltage Indicator in Narcosis

Development and Application of a Mitochondrial Genetically Encoded Voltage Indicator in Narcosis

Mitochondrial Targeting Application of Genetically Encoded Voltage Indicators (GEVIs) Background and Research Motivation Mitochondria, as the energy factories of eukaryotic cells, play crucial roles in various cellular processes, including bioenergetic conversion, metabolite synthesis, cell survival, calcium storage, and heat production. In organs ...