Predictive factors of postoperative complications related to free flap reconstruction in head and neck cancer patients admitted to intensive care unit: a retrospective cohort study.

BACKGROUND: The epidemiology and risk factors for postoperative complications related to free flap reconstruction in head and neck cancer patients admitted to the Intensive Care Unit (ICU) are unknown. METHODS: We performed a retrospective cohort study of patients with free flap reconstruction of head and neck cancer between September 2015 and April 2023 admitted to the ICU of Beijing Tongren Hospital. The univariate and multivariate analyses were used to explore the risk factors for postoperative complications related to free flap reconstruction admitted to ICU, including flap necrosis, bleeding, fistula, and infection. RESULTS: A total of 239 patients were included in this study, and 38 (15.9%) patients had postoperative complications related to free flap reconstruction. The median length of ICU stay was 1 day (interquartile range, 1-2 days). Multivariate analysis found that low BMI (P < 0.001), high postoperative CRP (P = 0.005), low hemoglobin (P = 0.012), and inadequate fluid intake (P < 0.05) were independent risk factors for complications. CONCLUSIONS: Postoperative complications related to free flap reconstruction were common in this ICU population. Careful fluid management and monitoring of CRP and hemoglobin levels may reduce complications.

Vanadium pentoxide interfacial layer enables high performance all-solid-state thin film batteries.

Lithium cobalt oxide (LiCoO2) is considered as one of the promising building blocks that can be used to fabricate all-solid-state thin film batteries (TFBs) because of its easy accessibility, high working voltage, and high energy density. However, the slow interfacial dynamics between LiCoO2 and LiPON in these TFBs results in undesirable side reactions and severe degradation of cycling and rate performance. Herein, amorphous vanadium pentoxide (V2O5) film was employed as the interfacial layer of a cathode-electrolyte solid-solid interface to fabricate all-solid-state TFBs using a magnetron sputtering method. The V2O5 thin film layer assisted in the construction of an ion transport network at the cathode/electrolyte interface, thus reducing the electrochemical redox polarization potential. The V2O5 interfacial layer also effectively suppressed the side reactions between LiCoO2 and LiPON. In addition, the interfacial resistance of TFBs was significantly decreased by optimizing the thickness of the interfacial modification layer. Compared to TFBs without the V2O5 layer, TFBs based on LiCoO2/V2O5/LiPON/Li with a 5 nm thin V2O5 interface modification layer exhibited a much smaller charge transfer impedance (Rct) value, significantly improved discharge specific capacity, and superior cycling and rate performance. The discharge capacity remained at 75.6% of its initial value after 1000 cycles at a current density of 100 µA cm-2. This was mainly attributed to the enhanced lithium ion transport kinetics and the suppression of severe side reactions at the cathode-electrolyte interface in TFBs based on LiCoO2/V2O5/LiPON/Li with a 5 nm V2O5 thin layer.

The synergistic effect of the PEO-PVA-PESf composite polymer electrolyte for all-solid-state lithium-ion batteries.

Blending with poly(vinyl alcohol) (PVA) and poly(oxyphenylene sulfone) (PESf) has been investigated to improve the properties of a polymer electrolyte based on a poly(ethylene oxide) (PEO) matrix. The composite electrolyte shows a high ionic conductivity of 0.83 × 10-3 S cm-1 at 60 °C due to the significant inhibition of crystallization caused by the synergistic effects of PVA and PESf. The symmetrical cell Li/CPE/Li is continuously operated for at least 200 hours at a current density of 0.1 mA cm-2 without the enhancement in the polarization potential. In addition, the all-solid-state LiFePO4/CPE/Li cells exhibit small hysteresis potential (about 0.10 V), good cycle stability and excellent reversible capacity (126 mA h g-1 after 100 cycles).

Porous CoC2O4/Graphene Oxide Nanocomposite for Advanced Potassium-Ion Storage.

Potassium-ion batteries (PIBs), as one of the alternatives to lithium-ion batteries (LIBs), have attracted considerable attention on account of the affluence and low-cost of potassium. Moreover, CoC2O4 and graphene oxide (GO) have been used very well in lithium-ion batteries. Hence, the hybrid CoC2O4/GO was investigated as a new anode material for PIBs. The hybrid CoC2O4/GO was synthesized by a facile and cheap method combined with supersonic dispersion. Electrochemical measurements reveal that the hybrid CoC2O4/GO delivered an excellent cycling stability of 166 mAh g-1 at 50 mA g-1 and a superior rate capability even at 1 A g-1. These results demonstrate although the cycle ability was insufficient for practical applications, transition-metal oxalates composites can still bring new hope to the development of PIBs.

LiF Splitting Catalyzed by Dual Metal Nanodomains for an Efficient Fluoride Conversion Cathode.

The critical challenges for fluoride conversion cathodes lie in the absence of built-in Li source, poor capacity retention, and rate performance. For lithiated fluorides, the reason to limit their competitiveness is rooted in the facile coarsing of insulating LiF (as built-in Li source) and its insufficient splitting kinetics during charging. Previous efforts on blending LiF nanodomains with reductive metal, metal oxide, or fluoride by ball-milling method still face the problems of large overpotential and low current density. Herein we propose a strategy of dual-metal (Fe-Cu) driven LiF splitting to activate the conversion reaction of fluoride cathode. This lithiated heterostructure (LiF/Fe/Cu) with compact nanodomain contact enables a substantial charge process with considerable capacity release (300 mAh g-1) and low charge overpotential. Its reversible capacity is as high as 375-400 mAh g-1 with high energy efficiency (76%), substantial pseudocapacitance contribution (>50%), and satisfactory capacity retention (at least 200 cycles). The addition of Cu nanodomains greatly catalyzes the kinetics of Fe-Cu-F formation and decomposition compared with the redox process of Fe-F, which lead to the energy and power densities exceeding 1000 Wh kg-1 and 1500 W kg-1, respectively. These results indicate that LiF-driven cathode is promising as long as its intrinsic conductive network is elegantly designed.