Qin Yin^1,*, Jinfeng Wang^2,*, Shu Wang³, Yu'e Sun⁴, Wei Cheng^1,5, Yinming Zeng¹

¹Department of Pain Clinic, The Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China. ²Department of Anesthesiology, Xuzhou Central Hospital, Xuzhou 221000, China. ³Department of Anesthesiology, Yancheng Third People's Hospital, Yancheng 224000, China. ⁴Department of Anesthesiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210000, China. ⁵Department of Anesthesiology, Huai'an First People's Hospital Affiliated to Nanjing Medical University, Huai'an 223000, China.

*The authors contribute equally.

Address correspondence to: Yinming Zeng, Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, No.99 West Huaihai Road, Xuzhou 221000, China. E-mail: xzkj2297@163.com. Wei Cheng, Department of Anesthesiology, Huai’an First People’s Hospital Affiliated to Nanjing Medical University, No.1 West Yellow River Road, Huai’an 223000, China/Department of Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, No.99 West Huaihai Road, Xuzhou 221000, China. E-mail: hayyyzxx@163.com. 

DOI: https://doi.org/10.61189/657934sjvovo

Received August 12, 2023; Accepted November 28, 2023; Published December 31, 2023

Highlights

● Complains of sleepless and tinnitus are common in sleep clinics, which is a different type of sleep disorder. In this article, we first summarize this disorder, which is defined as thyroid disease-related sleep disorder (TSD), and propose to categorize it as insomnia secondary to a somatic disorder.

● We have attempted to provide some preliminary diagnostic and therapeutic recommendations for TSD.

● In the treatment of TSD, we suggest relying on the theory of integrating Chinese and Western medicine, emphasizing holistic diagnosis and treatment, and precise medication.

Yunfei Hao^1,*, Haoyan Lou^1,*, Jingnuo Jiang¹, Wenhui Guo²,  Zhanheng Chen², Bing Xu²

¹College of Basic Medicine, Second Military Medical University/Naval Medical University, Shanghai 200433, China. ²School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China. 

*The authors contribute equally.

Address correspondence to: Wenhui Guo, School of Anesthesiology, Second Military Medical University/Naval Medical University, No.800 Xiangyin Road, Shanghai 200433, China. E-mail: wendyguo17@outlook.com; Zhanheng Chen, School of Anesthesiology, Second Military Medical University/Naval Medical University, No.800 Xiangyin Road, Shanghai 200433, China. E-mail: chenzhanheng17@mails.ucas.ac.cn; Bing Xu, School of Anesthesiology, Second Military Medical University/Naval Medical University, No.800 Xiangyin Road, Shanghai 200433, China. E-mail: xubing1992@smmu.edu.cn.

DOI: https://doi.org/10.61189/284605tsowfy

Received September 26, 2023; Accepted November 28, 2023; Published December 31, 2023

Highlights

● General anesthetics may cause neurotoxicity.

● Single general anesthesia before 3 years of age does not affect cognitive function in pediatric patients.

● The effect of general anesthetics on the cognitive function of pediatric patients is related to the number of anesthesia sessions, duration and the depth of anesthetic exposure.

Renke Sun^1,2, Hui Su^1,2, Kecheng Zhai^1,2, Yangmengna Gao^1,2, Shangping Fang^1,2

¹School of Anesthesiology, ²Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, China.

Address correspondence to: Shangping Fang, Anaesthesiology Experimental Training Center, College of Anesthesiology, Wannan Medical College, No.22 Wenchang West Road, Yijiang District, Wuhu 241002, Anhui, China. Tel:+86-19855362767; E-mail: 20180041@wnmc.edc.cn.

Acknowledgements: This work was supported by Wannan Medical College emphasis scientific research fund (WK2022Z10) and Anhui University Students’ innovation and entrepreneurship fund (S202210368107).

DOI: https://doi.org/10.61189/955623wnfjqd

Received September 28, 2023; Accepted November 14, 2023; Published December 31, 2023

Highlights

● The pharmacological action of chlorogenic acid was summarized. 

● The mechanism of acute kidney injury (AKI) was investigated.

● The signaling pathways through which chlorogenic acid plays its role in AKI were summarized for the first time.

● A possible new drug for treating a common perioperative complication, namely sepsis-induced AKI, is revealed.

Mayura Thilanka Iddagoda^1,2, Seng Gan^1,2, Leon Flicker^1,2

¹Perioperative Medical Service, Royal Perth Hospital, Perth, Western Australia 6000, Australia. ²School of Medicine, University of Western Australia, Perth, Western Australia 6000, Australia.

Address correspondence to: Mayura Thilanka Iddagoda, Perioperative Medical Service, Royal Perth Hospital, Wellington Street, Perth, Western Australia 6000, Australia. Phone: +61 8 9224 2244;  Email: Mayura.Iddagoda@health.wa.gov.au.

Acknowledgement: RACP Research Entry Scholarship 2022.

DOI: https://doi.org/10.61189/496028bkubbs

Received October 12, 2023; Accepted November 10, 2023; Published December 31, 2023

Highlights

● Amongst the many causes of adrenal insufficiency, primary adrenal failure or Addison’s disease is an important cause of hypoadrenalism.

● Adreanl insufficiency is a common medical problem in surgical patients and can cause preventable major adverse events.

● It is important to identify patients at high-risk of adrenal insufficiency and to give appropriate replacements perioperatively.

● Current guidelines clearly outline the required amount of steroid dose during the intraoperative and postoperative period in patients with insufficient adrenal function.