Volume 3, Issue 2

June 2025

Pages: 39-70

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Volume 3, Issue 2

Letter to the Editor

Open Access

A novel multi-functional introducer - Safe Easy Endotracheal kit-flexible

Chenglong Zhu

School of Anesthesiology, Naval Medical University, Shanghai 200433, China.

Jianhua Xia

Department of Anesthesiology, Shanghai Pudong New Area People's Hospital, Shanghai 201200, China.

Zui Zou

zouzui@smmu.edu.cn

School of Anesthesiology, Naval Medical University, Shanghai 200433, China.

2025 Jun;3(2):39-40

https://doi.org/10.61189/905466eqluyw

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Expert Consensus

Open Access

Abdominal drainage in peacetime and wartime: An expert consensus

Tian Zhou

School of Anesthesiology, Naval Medical University, Shanghai, 200433, China.

Chenglong Zhu

School of Anesthesiology, Naval Medical University, Shanghai, 200433, China.

Feixiang Wu

Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China.

Xingzhi Liao

Department of Anesthesiology, The 904th Hospital of the Logistics Support Force of the Chinese People's Liberation Army, Wuxi 214044, Jiangsu Province, China.

Wenyun Xu

Department of Anesthesiology, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, 200003, China.

Hui Chen

Department of Anesthesiology and Perioperative medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai 200434, China.

Jinlong Qu

Department of Emergency and Critical Care Medicine, Shanghai Changzheng Hospital, Naval Medical University, Shanghai 200003, China.

Jinfei Shi

Department of Anesthesiology, Anhui Provincial Hospital of the Armed Police, Hefei 230001, Anhui Province, China.

Yaohua Yu

Department of Anesthesiology, The First Hospital of Putian City, Putian 351100, Fujian Province, China.

Ying Huang

Department of Intensive Care Unit, the Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University, Huai'an 223300, Jiangsu Province, China.

Miao Zhou

Department of Anesthesiology, the Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University, Nanjing 210009, Jiangsu Province, China.

Hua Tang

Department of Thoracic Surgery, Shanghai Changzheng Hospital, Naval Medical University, Shanghai 200003, China.

Shengyun Cai

caicai24@126.com

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Naval Medical University, Shanghai 200433, China.

Wenchao Gao

gaowenchao2007@163.com

Department of Colorectal Surgery, Shanghai Changzheng Hospital, Naval Medical University, Shanghai 200003, China.

Zui Zou

zouzui@smmu.edu.cn

School of Anesthesiology, Naval Medical University, Shanghai, 200433, China.

2025 Jun;3(2):41-47

https://doi.org/10.61189/707615erclry

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Abdominal drainage is a key technique in abdominal surgery, primarily aimed at removing fluid, gas, foreign bodies, and necrotic tissue from the peritoneal cavity, reducing the risk of infection, and promoting recovery. The placement and strategy of abdominal drainage should be decided based on individual circumstances to minimize the risk of complications and accelerate the patient's recovery. In wartime, abdominal drainage is mainly used to control intraperitoneal hemorrhage and intraperitoneal infection. This consensus aims to enhance understanding of the application and management of abdominal drainage during both peacetime and wartime, with the goal of improving drainage therapy outcomes and patient safety.

Research Article

Open Access

Optimal placement of gastrointestinal decompresion catheter in patients with gastric cancer: A randomized and controlled clinical study

Mingling Wang

Department of Operating Room, Xuzhou Central Hospital, Xuzhou 221009, Jiangsu Province, China.

Lien Qi

Department of Operating Room, Xuzhou Central Hospital, Xuzhou 221009, Jiangsu Province, China.

Kai Wang

Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou 221009, Jiangsu Province, China.

Jing Zhang

2038634928@qq.com

Department of Nursing, Xuzhou Central Hospital, Xuzhou 221009, Jiangsu Province, China.

Xiaoyan Wang

531446635@qq.com

Department of Operating Room, Xuzhou Central Hospital, Xuzhou 221009, Jiangsu Province, China.

2025 Jun;3(2):48-53

https://doi.org/10.61189/082747tokokd

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Objective: To investigate the optimal site for intraoperative gastrointestinal decompression (GID). Methods: In this prospective study, 62 gastric cancer patients who underwent surgery at Xuzhou Central Hospital from January 2022 to May 2023 were randomly assigned to either a control or experimental group (31 patients/group). For patients in the control group, the conventional method was used for measurement of the gastric tube length, and GID was placed near the cardia. For patients in the experimental group, the gastric tube length was measured using conventional method with an additional 5–10 cm, and GID was placed near the gastric body. Intraoperative gastric tube placement, intraoperative tube adjustments, gastric contents, GID effectiveness, postoperative gastric fluid drainage volume, and gastrointestinal peristalsis recovery were compared between the two groups. Results: Intraoperative gastric tube adjustment (x²=24.952, p<0.001) and volume of gastric fluid drainage (x²=-14.376, p<0.001) significantly affects GID effectiveness. There were notable differences in GID effectiveness between the two groups (x²=-4.353, p<0.001). GID near the gastric body reduced postoperative complications (nausea/vomiting: x²=5.905, p=0.015; aspiration: x²=4.292, p=0.038) and improved gastrointestinal peristalsis recovery (x²=3.085, p=0.032). Conclusion: GID near the gastric body is safe and effective.

Review Article

Open Access

Impact of intestinal immunologic barrier dysfunction on perioperative complications

Wenxin Shi