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Wenwen Zhai,* Huili Liu,* Zhuoying Yu, Ye Jiang, Jing Yang, Min Li Department of Anesthesiology, Peking University Third Hospital, Beijing, People’s Republic of China*These authors contributed equally to this workCorrespondence: Min Li, Department of Anesthesiology, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing, 100191, People’s Republic of China, Tel +86 13522757239, Email liminanesth@bjmu.edu.cnPurpose: Cesarean section (C-section) is associated with moderate-to-severe postoperative pain. Many studies on pain management after C-section have been published in recent decades, many of which focused on new regional techniques. The purpose of this study is to outline the connections within the dynamic evolution of postcesarean delivery analgesia research publications using retrospective bibliometric analysis.Patients and Methods: Published studies on postoperative pain management of C-section were retrieved from the Science Citation Index Expanded (SCI-E) of Web of Science (WOS) Core collection database. All papers published from 1978 to October 22, 2022 were searched. The research progress and growing trend were quantitatively analyzed by total publications, research institutions, journal impact factors, and author’s contribution. Total citations frequency, average citations per item and h-index were used for evaluating literature quantity. Top 20 journals with the highest number of publications were charted. The keywords co-occurrence overlay map was visualized by the VOSviewer software.Results: From 1978 to 2022, a total of 1032 articles in postcesarean delivery analgesia research field were published, with 23,813 times cited, average citations of 23.07 per item, and an h-index of 68. The most high-yield publication year, countries, journals, authors, institutions were 2020 (n=79), the United States (n=288), Anesthesia and Analgesia (n=108), Carvalho B (n=25), and Stanford University (n=33), respectively. The United States had the most cited papers. The future research interest might be “prescription”, “quadratus lumborum block”, “postnatal depression”, “persistent pain”, “dexmedetomidine”, “enhanced recovery”, and “multimodal analgesia”.Conclusion: By employing the online bibliometric tool and VOSviewer software, we found that studies on postcesarean analgesia had grown markedly. The focus had evolved to nerve block, postnatal depression, persistent pain, and enhanced recovery.Keywords: postcesarean section, analgesia, bibliometric analysis, keywords analysis

The Tarim Basin, the largest continental and marine superimposed basin in the northwestern part of China, is typically viewed as a stable and uninterrupted sequence during the Ediacaran-Cambrian transition. Undeformed strata, thick shallow marine sediments and thin deep marine sediments characterize the basin. In this study, we identify various types of soft-sediment deformation structures (SSDS) and an unconformity at four localities in the Aksu area, NW Tarim Basin. SSDSs include large-scale load structures, plastic intrusions and extrusions, load casts and pillow structures, liquefied breccias, ground fissures and lateral liquefaction, boudinage-like SSDSs, mound and sag structures, slumps, and small syn-sedimentary faults. The deformed layers are sandwiched between undeformed sedimentary rocks. Deformation features are found in the (a) lower Cambrian Yuertusi Formation consisting of interbedded thin black shale and phosphorite chert layers, thick-bedded shallow gray dolomite and silicate layers; (b) upper Ediacaran Qigebulak Formation composed of dark gray to gray dolomite and grayish green mudstone layers; (c) in the brown sandstone layers of the lower Ediacaran Sugaitebulak Formation. These units contain fluvial-lacustrine, nearshore, carbonate platform, shelf, and bathyal sedimentary environments. The SSDSs and more detailed stratigraphy indicate a dynamic setting that includes the heretofore unrecognized unconformities, a sub-stratigraphic sequence interface and high magnitude seismic events. The SSDS were produced during rifting, short sub-aerial exposure and frequent seismic disturbances. Combined on the carbon and oxygen isotope records, gamma radiations and the concentrations of main and trace elements, the differences between the SSDS layers and the undeformed layers are preliminary analyzed. We propose that this sequence not reflect a stable tectonic-sedimentary environment during the Ediacaran-Cambrian transition. Therefore, these units provide a unique glimpse into paleo-tectonic activity and paleo-ecological-environmental variation in the Tarim Basin during the late period of Rodinia breakup and the assembly of Gondwana.

ObjectivesUnrecognised malposition of the endotracheal tube can lead to severe complications in patients under general anaesthesia. The purpose of this study was to verify the feasibility of using ultrasound to measure the distance between the upper edge of saline-inflated cuff and the vocal cords.DesignProspective case-control study.SettingA tertiary hospital in Beijing, China.MethodsIn this prospective study, 105 adult patients who required general anaesthesia were enrolled. Prior to induction, ultrasound was used to identify the position of the vocal cords. After intubation, the endotracheal tube (ETT) was fixed at a depth of 23 cm at the upper incisors in men and 21 cm in women. The depth of intubation was verified by video-assisted laryngoscopy. The distance between the upper edge of the saline-inflated cuff and the vocal cords was measured by ultrasound; the ideal distance was considered to be 1.9–4.1 cm.ResultsAmong the 105 cases, two cuffs were too close to the vocal cords and one too far away from the vocal cords. These diagnoses were made by ultrasound and were in agreement with results from direct laryngoscopy. The overall accuracy of ultrasound in identifying malposition of the cuff was 100.0% (95% CI: 96.6% to 100%). The sensitivity, specificity, positive predictive value and negative predictive value of ultrasound were, respectively, 100% (95% CI: 96.5% to 100%), 100% (95% CI: 29.2% to 100%), 100% (95% CI: 96.5% to 100%) and 100% (95% CI: 29.2% to 100%).ConclusionIdentification of the upper edge of the saline-inflated cuff and the vocal cords by ultrasound to assess the location of the ETT is a reliable method. It can be used to avoid malposition of the ETT cuff and reduce the incidence of vocal cords injury after intubation.Trial registration numberChiCTR-DDD-17011048.