Effect of Dezocine on Hemodynamic Indexes of Postoperative Patients With Traumatic Brain Injury (TBI)---A Pilot Study

Feasibility study on intracranial pressure and prognosis of patients with moderate and severe craniocerebral injury using the Rotterdam computed tomography score: an observational study

Objective

The Rotterdam computed tomography (CT) score was used to evaluate the degree of coma and the prognosis of patients with moderate and severe craniocerebral injury, to analyze its feasibility, and to assess its value in guiding further clinical applications.

Methods

A total of 120 patients with moderate-to-severe craniocerebral injuries were selected as study participants, all of whom were treated at the Department of Neurosurgery of the Second Affiliated Hospital of Nantong University. All 120 patients underwent craniocerebral CT scans. The Glasgow Coma Scale was used to evaluate the degree of coma, and the Glasgow Outcome Scale was used to evaluate prognosis. The Rotterdam CT scores of patients with different degrees of coma and prognoses were compared.

Results

The Rotterdam CT score was significantly lower in patients with moderate coma than in those with severe coma (p < 0.05). The Rotterdam CT score of patients with a good prognosis was significantly lower than that of patients with a poor prognosis (p < 0.05).

Conclusion

The Rotterdam CT score is indicative of the degree of coma in patients with moderate and severe craniocerebral injuries and has prognostic value. The Rotterdam CT score also shows potential for broader clinical application.

Effects of Dezocine on the Reduction of Emergence Delirium after Laparoscopic Surgery: A Retrospective Propensity Score-Matched Cohort Study

In China, dezocine is commonly employed as a partial agonist of mu/kappa opioid receptors during anesthesia induction for surgical patients, yet evidence supporting its causal association with emergence delirium is limited. The objective of this investigation was to evaluate the impact of intravenous dezocine administered during anesthesia induction on emergence delirium. The retrospective studied existing data containing medical records of patients undergoing an elective laparoscopy procedure and the study was conducted with ethics-board approval. The primary outcome was the incidence of emergence delirium. Secondary outcomes included the VAS in the PACU and 24 h after surgery, the RASS score in the PACU, postoperative MMSE, hospital stay, and ICU stay. A total of 681 patients were analyzed, after being propensity score-matched, the dezocine and non-dezocine group each had 245 patients. Emergence delirium occurred in 26/245 (10.6%) of patients who received dezocine and 41/245 (16.7%) of patients did not receive dezocine. Patients on whom dezocine was used were associated with a significantly lower incidence of emergence delirium (absolute risk difference, −6.1%, 95% CI, −12% to −0.2%; relative risk [RR], 0.63; 95% CI, 0.18–0.74). All secondary outcome measures and adverse outcomes were not significantly different. The use of dezocine during anesthesia induction was associated with a decreased incidence of emergence delirium after elective laparoscopic surgeries.