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Objectives: To investigate the efficacy and safety of endotracheal intubation combined with deep analgesia and sedation in the prevention of preoperative dissection rupture in acute Standford type A aortic dissection. Methods: This study evaluated the impact of preoperative endotracheal intubation combined with deep analgesia and sedation on acute Stanford Type-A aortic dissection. Conducted at the First Affiliated Hospital of the University of South China’s cardiac intensive care unit from June 2018 to December 2021, 134 diagnosed patients participated. They were divided into experimental (n=42) and control (n=92) groups. Data collected included clinical details, biochemical markers, VAS and SAS scores, and preoperative dissection rupture occurrences. Criteria involved acute Stanford Type-A aortic dissection diagnosis and complete data. Exclusions encompassed rupture, vital sign instability after vasoactive drugs, or prolonged coma. Standardized methods were used for sample collection and analysis. The study’s design, duration, and location ensured comprehensive evaluation of the intervention’s effects on patients. Results: The experimental group showed significantly fewer deaths due to dissection rupture compared to the control group (P < 0.05). Initial VAS and SAS scores (T0) were similar between groups (P > 0.05), indicating good comparability. However, at T1, T2, and T3, analgesia and sedation were significantly better in the experimental group (P < 0.05). By T4, patient numbers were too low in both groups for a significant difference (P > 0.05). Conclusion: Preoperative endotracheal intubation combined with deep analgesia and sedation in patients with acute Stanford Type-A aortic dissection can produce good analgesic and sedative effects, effectively reduce the incidence of preoperative dissection rupture, and create conditions for subsequent surgical treatment of patients. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the impact of integrating Mini-CEX assessment with Segmented teaching on the improvement of surgical clinical practice skills among first-year resident physicians, and to compare its effectiveness with traditional teaching methods., Methods: A total of 42 first-year resident physicians undergoing standardized training at the First Affiliated Hospital of Hengyang Medical School, University of South China from April to June 2024, who were participating in surgical clinical practice skills training for excision of superficial tumors, were selected as subjects. The participants were randomly divided into 2 groups: an experimental group and a control group, with 21 participants in each. The control group employed traditional teaching methods, while the experimental group utilized the Mini-CEX assessment combined with Segmented teaching methods. Both groups were assessed on their practical skills, theoretical knowledge, Mini-CEX evaluations, and Student Evaluation of Educational Quality (SEEQ) before and after the training, and their results were compared., Results: There were no statistically significant differences in practical skills and theoretical knowledge scores between the experimental and control groups before training (p < 0.05). However, after the training, the experimental group scored significantly higher than the control group in theoretical and practical exams, Mini-CEX evaluation dimensions, and SEEQ teaching quality assessment scores, with statistically significant differences (p < 0.05)., Conclusion: The combination of Mini-CEX assessment with Segmented teaching methods can achieve better training outcomes in surgical clinical practice skills training., (Copyright © 2025 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)