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Ultrasound-guided forearm selective nerve block: A bright future on the horizon

Ziwei Xia1,2, Guangkuo Ma1,2, Huanjia Xue1,2, Hui Wu1,2, Liwei Wang1,2, Kai Wang1,2

1Graduate School, Xuzhou Medical University, Xuzhou 221009, Jiangsu Province, China. 2Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou 221009, Jiangsu Province, China.

Address correspondence to: Kai Wang, Department of Anesthesiology, Xuzhou Central Hospital, No. 199 Jiefang South Road, Quanshan District, Xuzhou 221009, Jiangsu Province, China. Tel: +86-18112012729; E-mail: wangkaistream99@sina.com or 760020230115@xzhmu.edu.cn.

Acknowledgement: This work was supported by the Department of Anesthesiology of Xuzhou Central Hospital. The authors would like to thank all the guest editors and anonymous reviewers for their constructive comments.

DOI: https://doi.org/10.61189/768941essmpc

Received January 25, 2024; Accepted April 2, 2024; Published September 30, 2024

Highlights

● In the realm of forearm, wrist, and hand surgeries, ultrasound-guided forearm selective nerve block techniques offer distinct advantages over alternative methods such as Bier's block, brachial plexus block, and wrist block. These advantages include reduced anesthesia-related time, prolonged duration of analgesia, and minimal inter-ference with upper extremity motor function. 

● Ultrasound-guided forearm selective nerve block stands as a straightforward and conducive anesthesia method ideally suited for distal upper limb surgeries. This approach harmonizes seamlessly with the principles of fast surgical recovery and enhances patient comfort during both diagnostic and therapeutic procedures. 

● Supplementation of dexmedetomidine or dexamethasone in ultrasound-guided selective nerve blocks of the forearm has been shown to significantly prolong the duration of analgesia.

Review Article |Published on: 30 September 2024

[Perioperative Precision Medicine] 2024; 2 (3): 90-98

DOI: https://doi.org/10.61189/768941essmpc
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The effectiveness of a novel modified retracting arm for transaxillary endoscopic thyroid surgery to minimize complications: A randomized controlled study

Mingling Wang1*, Gaolei Jia2*, Kai Wang3, Haifeng Zhuang4, Li Ma2, Ping Wang4 

1Department of Operating Room, Xuzhou Central Hospital, Xuzhou 221009, China. 2Department of Thyroid, Xuzhou Central Hospital, Xuzhou 221009, China. 3Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou 221009, China. 4Department of Nursing, Xuzhou Central Hospital, Xuzhou 221009, China. 

*The authors contribute equally.

Address correspondence to: Ping Wang, Department of Nursing, Xuzhou Central Hospital, No. 199 Jiefang South Road, Xuzhou 221009, China. Tel: +86-18952172176; Fax: 0086-0516-83956203;  E-mail: wangkaistream99@xzhmu.edu.cn. Li Ma, Department of Thyroid, Xuzhou Central Hospital, No. 199 Jiefang South Road, Xuzhou 221009, China. Tel: +86-18112023690; E-mail: 675694863@ qq.com.

Acknowledgement: This study was financially supported by a grant from the Xuzhou City Science and Technology Project (KC22156). We thank International Science Editing (http://www.internationalscienceediting.com) for editing this manuscript.

DOI: https://doi.org/10.61189/031494xruanc

Received May 17, 2024; Accepted August 9, 2024; Published September 30, 2024

Highlights

● A novel modified retracting arm for transaxillary endoscopic thyroid surgery was designed. 

● The modified hook better exposed and protected the recurrent laryngeal nerve and parathyroid glands.

● The modified retracting arm achieved better visual analog scale and cosmetic scores.

Research Article |Published on: 30 September 2024

[Perioperative Precision Medicine] 2024; 2 (3): 116-123

DOI: https://doi.org/10.61189/031494xruanc
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Multi-objective teaching improves learning results: A randomized controlled trial

Kai Wang1 , Zhe Zhang1 , Mingling Wang2 , Shiming Feng3 , Huanjia Xue1 , Xiang Huan1 , Liwei Wang1 

1Department of Anesthesiology, 2Operating Room, 3Department of Orthopaedics, Xuzhou Clinical College Affiliated  to Xuzhou Medical University, Xuzhou 221009, Jiangsu, China. 

Address correspondence to: Liwei Wang, Department of Anesthesiology, Xuzhou Central Hospital, No.199 Jiefang South Road, Quanshan District, Xuzhou 221009, Jiangsu, China. Email:  760020230115@xzhmu.edu.cn.

Acknowledgement: This work was supported by Young Scientist Fund of National Natural Science Foundation of  China (81700078) and Xuzhou Medical Key Talents program (XWRCHT20220051). 

DOI: https://doi.org/10.61189/143336qedqgl

Received November 2, 2024; Accepted February 14, 2025; Published March 31, 2025

Highlights

● Training with the multi-objective teaching model significantly improved in perioperative skills of residents. 

● Multi-objective teaching model effectively facilitates the acquisition of comprehensive theoretical knowledge in   anesthesiology. 

● Multi-objective teaching model emphasizes the development of teamwork skills.

Research Article |Published on: 31 March 2025

[Perioperative Precision Medicine] 2025; 3 (1): 9-15

DOI: https://doi.org/10.61189/143336qedqgl
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Main types, application conditions, and standards of thoracic drainage tubes in peacetime and wartime: An expert consensus

Wangzheqi Zhang1, Chenglong Zhu1, Xingzhi Liao2, Feixiang Wu3, Hui Chen4, Wenyun Xu5, Jinlong Qu6, Miao Zhou7, Jinfei Shi8, Liangqing Lin9, Shengyun Cai10, Wenchao Gao11, Hua Tang12, Ying Huang13, Zui Zou1

1School of Anesthesiology, Naval Medical University, Shanghai 200433, China. 2Department of Anesthesiology, 904th Hospital of The Joint Logistics Support Force of the PLA, Wuxi 214044, Jiangsu, China. 3Department of An-esthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China. 4De-partment of Anesthesiology and Perioperative medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai 200434, China. 5Department of Anesthesiology, Second Affiliated Hospital of Naval Medical University, Shanghai 200003, China. 6Department of Emergency and Critical Care Medicine Second Affili-ated Hospital of Naval Medical University, Shanghai 200003, China. 7Department of Anesthesiology, the Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University, Nanjing 210009, Jiangsu, China. 8Department of Anesthesiology, Anhui Provincial Hospital of the Armed Police, Hefei 230001, China. 9Department of Anesthesiology, The First Hospital of Putian City, Teaching Hospital of Fujian Medical University, Putian 351100, Fujian, China. 10Department of Obstetrics and Gynecology, First Affiliated Hospital of Naval Medical University, Shanghai 200433, China. 11Department of Col-orectal Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai 200003, China. 12Department of Thoracic Surgery, The Second Affiliated Hospital of Naval University, Shanghai 200003, China. 13Department of Intensive Care Unit, the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University, Huaian, Jiangsu 223300, China. 

Address correspondence to: Hua Tang, Department of Thoracic Surgery, The Second Affiliated Hospital of Naval University, Shanghai 200003, China. Email: Tangh_mits@163.com. Ying Huang, Department of Intensive Care Unit, the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University, Huaian, Jiangsu 223300, China. Email: huangying5249@163.com. Zui Zou, School of Anesthesiology, Naval Medical University, 168 Changhai Road, Shanghai 200433, China. Email: zou-zui@smmu.edu.cn.

Acknowledgement: This study was funded by the following projects: Shanghai Industrial Collaborative Innovation Project (HCXBCY - 2023 – 041, XTCX - KJ - 2024 - 39, HCXBCY - 2024 – 033), 2024 Basic Medicine Innovation Open Topic (JCKFKT - MS - 002), and the 2024 Annual Pharmaceutical Science and Technology Key Research Project of the China Medicine Education Association (2024KTZ011).

DOI: https://doi.org/10.61189/447393ljoyfh

Received January 20, 2025; Accepted February 20, 2025; Published March 31, 2025

Expert Consensus |Published on: 31 March 2025

[Perioperative Precision Medicine] 2025; 3 (1): 1-8.

DOI: https://doi.org/10.61189/447393ljoyfh
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