Effects of Thermal Softening of Double-Lumen Endobronchial Tubes on the Prevention of Postoperative Sore Throat in Smokers: A Randomized Controlled Trial.

OBJECTIVE: Tracheal intubation-related complications, such as postoperative sore throat (POST), hoarseness, and vocal cords injuries, are not uncommon. It is well known that thermal softening of double-lumen endobronchial tubes (DLTs) has been used to prevent these events from happening in non-smokers; however, no study has ever assessed the effects of thermal softening of DLTs in smokers undergoing one-lung anesthesia. The authors aimed to investigate whether thermal softening of DLT can achieve a better effect in preventing POST. DESIGN: A total of 258 smokers scheduled for one-lung anesthesia were randomly assigned to 1 of the following 2 groups: (1) group C (non-thermal softening group) and (2) group T (DLTs were placed in 40°C 0.9% saline for 10 minutes). Incidence and severity of POST and hoarseness were assessed until 48 hours after surgery. Vocal cords were examined using laryngoscope before intubation and immediately after extubation. Patients' hemodynamic change at intubation and extubation was recorded. The primary outcomes were the incidence and severity of POST. The secondary outcomes were the incidence and severity of hoarseness, vocal cords injuries, and patients' hemodynamic change at intubation and extubation. MEASUREMENTS AND MAIN RESULTS: Sore throat and vocal cord injuries occurred less frequently in the thermal softening group than in the control group (31/129 v 60/129, p < 0.01; 21/129 v 49/129, p < 0.001; 12/129 v 35/129, p < 0.001 for sore throat; 14/70 v 27/70, risk ratio (95% confidence interval): 0.52 (0.30-0.90), p = 0.025 for sore throat; 5/129 v 52/129, p < 0.05 for vocal cord injuries). CONCLUSION: Thermal softening of DLTs significantly reduced the incidence and severity of DLTs intubation-related POST within 72 hours after extubation.

Effect of dexmedetomidine for prevention of acute kidney injury after cardiac surgery: an updated systematic review and meta-analysis.

BACKGROUND: Acute kidney injury (AKI) is a serious complication related to cardiac surgery. Several studies have been conducted to investigate the effect of dexmedetomidine administration on AKI prevention. OBJECTIVE: To assess if dexmedetomidine is associated with a protective effect of renal function after cardiac surgery. And the aim of conducting this meta-analysis is to summarize the literature and determine the clinical utility of dexmedetomidine administration in patients undergoing cardiac surgery. METHODS: PubMed, Cochrane Library, and EMBASE databases were comprehensively searched for all randomized controlled trials (RCTs) published before 1 December, 2021 that investigated the effect of dexmedetomidine on AKI prevention. RESULTS: Our analysis included 16 studies involving 2148 patients. Compared with the control group, dexmedetomidine administration significantly reduced AKI incidence (OR, 0.47; 95% CI, 0.36-0.61; p < 0.00001; I2 = 26%) and the length of stay in the intensive care unit (ICU) but did not alter mortality rate, length of stay in the hospital, and mechanical ventilation time. Furthermore, the incidence of delirium among patients treated with dexmedetomidine was significantly decreased. CONCLUSION: Dexmedetomidine administration has a positive effect on preventing AKI and postoperative delirium after cardiac surgery and significantly reduces the length of stay in the ICU.

Performance and retention mechanisms of corn silk to atmospheric heavy metal lead.

Atmospheric heavy metals are seriously harmful, and porous materials have unique advantages in the control of air pollutants. However, the direct use of plant porous materials to purify atmospheric heavy metals are rare. So agricultural waste corn silk with porous structures was selected to analyze the retention capability and mechanism to the atmospheric lead. The results show that the corn silk can effectively retain atmospheric lead in natural growing state or fixed experimental conditions. The analysis of a total of 765 corn silk samples from 17 different regions in Shandong province, China, shows that atmospheric lead is the main source of lead in the corn silk, and corn silk can be used for biological monitoring of atmospheric lead to some extent. Based on the analysis with different techniques including scanning electron microscope (SEM), energy spectrum dispersive X-ray spectrometer (EDS), Fourier infrared spectrometer (FTIR) and Zeta potential, the effective retention of lead by corn silk is due to a variety of mechanisms, including physical adsorption, electrostatic adsorption, complexation, chelation and ion exchange. So agricultural waste corn silk has great potential in the application of biosorption or preparation of porous materials in purification of atmospheric heavy metals.

(1) Atmospheric lead is the main source of lead in the corn silk based on the analysis of a total of 765 corn silk samples from 17 different regions in Shandong province, China.(2) The pore diameter in the corn silk is 1.62­3.51 µm, suitable for lead retention, and the functional groups ­OH, ­COOH and ­O­ of the corn silk play a vital role in the lead retention process.(3) The potential value of agricultural waste corn silk was firstly revealed in the purification of atmospheric heavy metals.

Retention properties and mechanism of agricultural waste maize whisker on atmospheric mercury.

Mercury (Hg) is a global pollutant transmitted mainly through the atmosphere, posing a serious threat to biological survival and human health. Porous materials, with high specific surface area, high porosity, and high adsorption, are particularly suitable for the purification of atmospheric Hg mixtures. However, plant porous materials are rarely directly used for atmospheric Hg purification. In this study, the properties and mechanism of maize whisker in removing atmospheric Hg were analyzed. The results show that the Hg content in the whiskers increases significantly as the initial Hg concentration increases, and 79.38% Hg can be removed by 0.2 g maize whiskers after 1 h exposure when the initial Hg concentration is 0.1 µg m-3, indicating that maize whiskers can accumulate atmospheric Hg rapidly and effectively. The hole diameter of the maize whisker is between 0.83 and 3.06 µm, which is suitable for the adsorption of small substances. Correlation analysis shows that maize whiskers have a significant correlation between atmospheric Hg retention and its specific surface area, pore size, medium pore ratio, and micropore ratio, suggesting that the maize whisker hole feature has a significant influence on its ability to retain atmospheric Hg. Compared with the energy profiles before and after Hg treatment, the peak of Mg decreased after Hg adsorption. Fourier infrared spectrometer analysis suggests that functional groups such as -OH, -COOH, and -O- are involved in the adsorption process. The change in pH value shows an obvious effect on the overall change in zeta potential in the adsorption process. Therefore, a variety of mechanisms, including physical adsorption, electrostatic adsorption, complexation, chelation, and ion exchange, are involved in Hg retention with the maize whisker. This study reveals the important potential value of agricultural waste maize whiskers in the purification of atmospheric heavy metal Hg.