RESUMEN
OBJECTIVE: The objective of this study was to compare the effectiveness and safety of local anesthesia (LA) and epidural anesthesia (EA) for percutaneous transforaminal endoscopic discectomy (PTED) and provide reference data for clinical decision-making. METHODS: We searched PubMed, EMBASE, the Cochrane library, Web of Science, Medline, Science Direct, and China National Knowledge Infrastructure from inception to March 2022 to identify randomized and nonrandomized controlled trials comparing LA and EA for PTED. Studies that assessed at least 2 of the following indicators were considered eligible: surgical duration, X-ray exposure time, satisfaction rate, visual analog scale scores for pain, Oswestry Disability Index, and complications. Meta-analysis was conducted using Review Manager 5.3.3 software. RESULTS: Five randomized controlled trials and 5 retrospective cohort studies involving a total of 1660 patients were included. The LA and EA groups included 803 and 857 patients, respectively. Meta-analysis revealed significant intergroup differences in the intraoperative lumbar visual analog scale scores (P < 0.00001) and anesthesia satisfaction rate (P < 0.00001). There were no significant intergroup differences in the surgical duration, X-ray exposure time, postoperative Oswestry Disability Index, and complication rate. CONCLUSIONS: EA is as safe as LA and produces better anesthetic effects than LA in patients undergoing PTED. Therefore, EA should be promoted as a reliable anesthetic technique for PTED.
Asunto(s)
Anestesia Epidural , Discectomía Percutánea , Desplazamiento del Disco Intervertebral , Anestesia Local , Discectomía Percutánea/métodos , Endoscopía/métodos , Humanos , Desplazamiento del Disco Intervertebral/cirugía , Vértebras Lumbares/cirugía , Ensayos Clínicos Controlados Aleatorios como Asunto , Estudios Retrospectivos , Resultado del TratamientoAsunto(s)
Discectomía Percutánea , Cirujanos , Endoscopía , Mano , Humanos , Resultado del TratamientoAsunto(s)
Fracturas de Tobillo/clasificación , Educación Médica/métodos , Ortopedia/educación , Enseñanza , Muñeca , HumanosRESUMEN
The determination of water content in crude oil is important for oil transportation, refining, and trade. However, the sensitivity and accuracy of the conventional azeotropic distillation (AD) method are inadequate. Karl Fischer titration methods may give false high results because of the reducing sulfur compounds in crude oil. The present study developed an azeotropic distillation Karl Fischer coulometric titration (AD-KFCT) method which required a modified instrument and a new calibration procedure. The method was modified to decrease the interference caused by reducing sulfur compounds. A certified reference material for water content in liquid was used to determine the recovery of water mass achieved using the AD-KFCT method. The effect of the sample polarity on the method accuracy was assessed. The relative error and relative standard deviations of the water content in three crude oils containing known amounts of water were -7.5% to 2.9% and 0.4% to 6.0%, respectively. The interference by reducing sulfur compounds was studied. The crude oil containing 1-propanethiol was measured using a sulfur dioxide-free anolyte, and the amount of iodine consumed by the distilled 1-propanethiol was determined. The contribution of 1-propanethiol was then subtracted from the water content measured using the normal Karl Fischer reagent. Finally, the relative error of the modified water content in the crude oil samples containing 1-propanethiol was -4.4% to 0.7%. Therefore, the modified AD-KFCT method is accurate and convenient for crude oil.
