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第58卷 第3期 2025-5
Elevating the standards of scientific editing in clinical surgery: Learning from editorial and journal role models

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Improving online physician evaluations for surgeons using sentiment analysis and alternative perspectives

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Artificial intelligence for academic purpose in clinic surgery: ChatGPT, Turnitin, and false positive

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COVID-19, COVID-19 vaccination, risk of cardiac myxoma in view of clinical surgery

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Eggplant deformity in penile fracture

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Comments on “Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center”

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Impact of fluorescence-guided surgery on splenic preservation: A case of splenic hydatidosis

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Adult pancreatoblastoma presentingwith obstructive jaundice: A case report and literature review

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Pilonidal disease management in young adults: A retrospective analysis of practices in a single tertiary center in Bahrain

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Long-term comparative outcomes in patients undergoing transcatheter aortic valve implantation with self-expanding valves versus balloon-expandable valves: A retrospective observational study

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Comparative study between the effectiveness of Amnion-CollaGee (Collagen-Gelatin-Elastin) as a biological product wound dressing and conventional dressing on the donor site of the split-thickness skin graft in animals model (rats)

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Enhancing mortality Probability Model II predictive accuracy with the lethal triad in intensive care unit trauma patients: A retrospective study

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Dr. Shao-Wei Chen's contribution to analysis of outcomes of patients undergoing cardiac surgery and aortic disease: Big data analytics

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第58卷 第2期 2025-3
Predatory publisher and low standard journal: An emerging problem in clinical surgery field

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Conflict of interest in clinical surgery: Contemporary concern in digital era

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Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication

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Spontaneous bilateral basal ganglia hemorrhage

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Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis

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篇名 Effect of various analgesics combined with ropivacaine on pain, sensory-motor block and hemodynamic changes in intravenous regional anesthesia
作者 Amirreza Modir, Bijan Yazdi, Esmail Moshiri, Mehran Azami, Amir Almasi-Hashiani
卷期/出版年月 53卷2期 (2020/4)
頁次 41-47
摘要 Background: The study addressed the compared effects of adding dexmedetomidine (DEX), ketamine (KET), neostigmine (NEO), and magnesium sulfate (MS) to ropivacaine on pain relief and hemodynamic changes in intravenous regional anesthesia (IVRA) during distal radius surgery. Materials and Methods: This randomized, double blinded clinical trial recruited the following five groups of patients (n = 150) undergoing forearm surgery under IVRA, hospitalized at Valiasr Hospital (Arak, Iran): DEX, KET, NEO, MS, and placebo, in which ropivacaine 0.2% was used along with all the drugs. Subsequently, we measured the onset and duration of sensory motor block, pain score, arterial oxygen saturation (SaO2), mean arterial pressure (MAP), and heart rate (HR), as well as the quantity of opioid administration throughout the 24 h postoperatively. Results: In each group, thirty patients were randomized and included in the analysis. The time to the onset of sensory motor block was shorter in the DEX group (P = 0.001) who had a longer duration of sensory motor block (P = 0.001), lower pain score at all times (P = 0.001), and the lowest opioid use (P = 0.001). There was no statistically significant difference between the five groups in terms of MAP (P = 0.148), HR (P = 0.642), and SaO2 (P = 0.990), but the time trend of MAP (P = 0.001) and SaO2 (P = 0.001) was statistically significant and also the interaction of time and groups was statistically significant for MAP (P = 0.001) and HR (P = 0.001). Conclusion: DEX demonstrated the least amount of postoperative pain and opioid use, as well as a rapid onset and a longer duration of sensory motor block than other drugs used. Moreover, it could be thought to be an excellent recommendation to use as an adjuvant in IVRA.
關鍵詞 Dexmedetomidine, forearm surgeries, intravenous regional anesthesia, ketamine, magnesium sulfate, neostigmine, pain relief, ropivacaine
分類 Original Article

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