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Keywords the association of perioperati...

the association of perioperative practice

https://read.qxmd.com/read/38450477/status-and-future-directions-for-balloon-pulmonary-angioplasty-in-chronic-thromboembolic-pulmonary-disease-with-and-without-pulmonary-hypertension-a-scientific-statement-from-the-american-heart-association
#21
REVIEW
Vikas Aggarwal, Jay Giri, Scott H Visovatti, Ehtisham Mahmud, Hiromi Matsubara, Michael Madani, Frances Rogers, Deepa Gopalan, Kenneth Rosenfield, Vallerie V McLaughlin
Balloon pulmonary angioplasty continues to gain traction as a treatment option for patients with chronic thromboembolic pulmonary disease with and without pulmonary hypertension. Recent European Society of Cardiology guidelines on pulmonary hypertension now give balloon pulmonary angioplasty a Class 1 recommendation for inoperable and residual chronic thromboembolic pulmonary hypertension. Not surprisingly, chronic thromboembolic pulmonary hypertension centers are rapidly initiating balloon pulmonary angioplasty programs...
March 7, 2024: Circulation
https://read.qxmd.com/read/38445036/nurses-knowledge-regarding-recommended-practices-on-using-surgical-attire-in-operating-theatre
#22
JOURNAL ARTICLE
Joshua Alayemi, Wilma Ten Ham-Baloyi, Sihaam Jardien-Baboo
BACKGROUND: To reduce the risk for surgical site infections, nurses in the operating theatre environment must have knowledge of and adhere to recommended practices regarding the use of surgical attire. AIM: To evaluate the effect of an educational intervention on nurses' knowledge related to recommended practices regarding the use of surgical attire in operating theatre. SETTING: Operating theatres in two public and two private hospitals in the Eastern Cape province, South Africa...
2024: Health SA, SA Gesondheid
https://read.qxmd.com/read/38441068/the-intersection-of-pediatric-anesthesiology-and-social-determinants-of-health
#23
JOURNAL ARTICLE
Sarah R Martin, Zeev N Kain
PURPOSE OF REVIEW: There is increasing evidence of racial and ethnic disparities in pediatric perioperative care, which indicates a need to identify factors driving disparities. Social determinants of health (SDOH) play a fundamental role in pediatric health and are recognized as key underlying mechanisms of healthcare inequities. This article summarizes recent research exploring the influence of SDOH on pediatric perioperative outcomes. RECENT FINDINGS: Despite the scarcity of research exploring SDOH and pediatric perioperative outcomes, recent work demonstrates an association between SDOH and multiple outcomes across the perioperative care continuum...
February 27, 2024: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/38429503/imaging-of-aqueous-outflow-in-health-and-glaucoma-justifying-the-re-direction-of-aqueous
#24
REVIEW
Jed A Lusthaus
A wave of less invasive surgical options that target or bypass the conventional aqueous outflow system has been incorporated into routine clinical practice to mitigate surgical risks associated with traditional glaucoma drainage surgery. A blanket surgical approach for open-angle glaucoma is unlikely to achieve the desired IOP reduction in an efficient or economical way. Developing a precise approach to selecting the most appropriate surgical tool for each patient is dependent upon understanding the complexities of the aqueous outflow system and how devices influence aqueous drainage...
March 1, 2024: Eye
https://read.qxmd.com/read/38420784/interspecialty-variation-in-perioperative-health-care-resource-usage-for-carpal-tunnel-release
#25
JOURNAL ARTICLE
Azeem Tariq Malik, James S Lin, Sonu Jain, Hisham Awan, Safdar N Khan, Kanu S Goyal
BACKGROUND: We investigated whether any interspecialty variation exists, regarding perioperative health care resource usage, in carpal tunnel releases (CTRs). METHODS: The 2010 to 2021 PearlDiver Mariner Database, an all-payer claims database, was queried to identify patients undergoing primary CTRs. Physician specialty IDs were used to identify the specialty of the surgeon-orthopedic versus plastic versus general surgery versus neurosurgery. Multivariate logistic regression analysis was used to identify whether there was any interspecialty variation between the use of health care resources...
February 29, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38420108/robotic-versus-open-partial-pancreatoduodenectomy-europa-a-randomised-controlled-stage-2b-trial
#26
JOURNAL ARTICLE
Rosa Klotz, André L Mihaljevic, Yakup Kulu, Anja Sander, Christina Klose, Rouven Behnisch, Maximilian C Joos, Eva Kalkum, Felix Nickel, Phillip Knebel, Frank Pianka, Markus K Diener, Markus W Büchler, Thilo Hackert
BACKGROUND: Open partial pancreatoduodenectomy (OPD) represents the current gold standard of surgical treatment of a wide range of diseases of the pancreatic head but is associated with morbidity in around 40% of cases. Robotic partial pancreatoduodenectomy (RPD) is being used increasingly, yet, no randomised controlled trials (RCTs) of RPD versus OPD have been published, leaving a low level of evidence to support this practice. METHODS: This investigator-initiated, exploratory RCT with two parallel study arms was conducted at a high-volume pancreatic centre in line with IDEAL recommendations (stage 2b)...
April 2024: The Lancet regional health. Europe
https://read.qxmd.com/read/38418976/development-of-preoperative-and-postoperative-models-to-predict-recurrence-in-postoperative-glioma-patients-a-longitudinal-cohort-study
#27
JOURNAL ARTICLE
Wanyu Qiao, Yi Wang, Chen Luo, Jinsong Wu, Guoyou Qin, Jie Zhang, Ye Yao
BACKGROUND: Glioma recurrence, subsequent to maximal safe resection, remains a pivotal challenge. This study aimed to identify key clinical predictors influencing recurrence and develop predictive models to enhance neurological diagnostics and therapeutic strategies. METHODS: This longitudinal cohort study with a substantial sample size (n = 2825) included patients with non-recurrent glioma who were pathologically diagnosed and had undergone initial surgical resection between 2010 and 2018...
February 28, 2024: BMC Cancer
https://read.qxmd.com/read/38415881/pediatric-anesthesia-in-europe-variations-within-uniformity
#28
JOURNAL ARTICLE
Jurgen C de Graaff, Peter Frykholm, Thomas Engelhardt, Ehrenfried Schindler, Tamas Kovesi, Dusica Simic, Ignacio Malagon, Natasha Woodman, Simon Courtman, Nadia Najafi, Nicola Groes Claussen, Jacob Karlsson, Fanny Bonhomme, Anne Laffargue, Laszlo Vutskits
Organization of healthcare strongly differs between European countries and results in country-specific requirements in postgraduate medical training. Within the European Union (EU), the European Board of Anaesthesiology has set recommendations of training for the Specialty of Anaesthesiology including standards for Postgraduate Medical Specialist training including a description for providing service in pediatric anesthesia. However, these standards are advisory and not mandatory. Here we aimed to review the current state and associated challenges of pediatric anesthesia training in Europe...
February 28, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38411700/european-society-for-trauma-and-emergency-surgery-member-identified-research-priorities-in-emergency-surgery-a-roadmap-for-future-clinical-research-opportunities
#29
REVIEW
Gary Alan Bass, Lewis Jay Kaplan, Christine Gaarder, Raul Coimbra, Nathan John Klingensmith, Hayato Kurihara, Mauro Zago, Stefano Piero Bernardo Cioffi, Shahin Mohseni, Michael Sugrue, Matti Tolonen, Cristina Rey Valcarcel, Jonathan Tilsed, Frank Hildebrand, Ingo Marzi
BACKGROUND: European Society for Trauma and Emergency Surgery (ESTES) is the European community of clinicians providing care to the injured and critically ill surgical patient. ESTES has several interlinked missions - (1) the promotion of optimal emergency surgical care through networked advocacy, (2) promulgation of relevant clinical cognitive and technical skills, and (3) the advancement of scientific inquiry that closes knowledge gaps, iteratively improves upon surgical and perioperative practice, and guides decision-making rooted in scientific evidence...
February 27, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38410226/current-status-of-robot-assisted-total-pelvic-exenteration-focusing-on-the-field-of-urology-a-clinical-practice-review
#30
REVIEW
Jun Kamei, Tetsuya Fujimura
Total pelvic exenteration (TPE) is a highly invasive surgery associated with high rates of perioperative morbidity and mortality and is commonly performed for several types of locally advanced or recurrent pelvic cancers. It involves multivisceral resection, including the rectum, sigmoid colon, bladder, prostate, uterus, vagina, or ovaries, and urologists normally perform radical cystectomy or radical prostatectomy and urinary diversion in collaboration with colorectal surgeons and gynecologists. In the urological field, robot-assisted surgeries have been widely performed as one of the main minimally invasive procedures because of their superior perioperative or oncological outcomes compared to open or laparoscopic surgeries...
January 31, 2024: Translational Cancer Research
https://read.qxmd.com/read/38407476/factors-in-the-perioperative-nurses-work-environment-that-predict-work-engagement
#31
JOURNAL ARTICLE
M Imelda Wright, Shuying Sha, Lynne A Hall, Brittany Hessler
Perioperative nurse engagement and certification are associated with a culture of safety, which is crucial in perioperative environments. Therefore, examining relationships between engagement, the practice environment, and certification is warranted. The purposes of this study were to examine the relationships between the perioperative practice environment and reported nurse engagement, determine differences in engagement based on certification, and identify facilitators and barriers to attaining and sustaining certification...
March 2024: AORN Journal
https://read.qxmd.com/read/38407342/sharing-perioperative-nursing-expertise-through-publication-a-guide-for-the-novice-author
#32
JOURNAL ARTICLE
Rebecca Vortman, Pamayla E Darbyshire, Ray-An Talatala
Perioperative nurses can share their expertise by writing for publication in a peer-reviewed journal. Writing can help perioperative nurses grow their professional careers and advance the science of the perioperative nursing specialty. Despite the value and importance of publishing, perioperative nurses may lack confidence and fear rejection and negative feedback; increasing their knowledge and understanding of the authoring and publishing processes can assuage these fears. This education article describes concepts associated with scholarly publishing for authors and offers strategies to encourage perioperative nurses to share their practice experiences or research via peer-reviewed journals...
March 2024: AORN Journal
https://read.qxmd.com/read/38407300/handoffs-and-transitions-of-care-a-systematic-review-meta-analysis-and-practice-management-guideline-from-the-eastern-association-for-the-surgery-of-trauma
#33
JOURNAL ARTICLE
Rachel D Appelbaum, Thaddeus J Puzio, Zachary Bauman, Sofya Asfaw, Audrey Spencer, Ryan P Dumas, Kavneet Kaur, Kyle W Cunningham, Dale Butler, Jaswin S Sawhney, Stephen Gadomski, Chelsea R Horwood, Mary Stuever, Alyssa Sapp, Rajesh Gandhi, Jennifer Freeman
BACKGROUND: The Joint Commission reports at least half of communication breakdowns occur during handovers or transitions of care. There is no consensus on how best to approach the transfer of care within Acute Care Surgery (ACS). We conduct a systematic review and meta-analysis of the current data on handoffs and transitions of care in ACS patients and evaluate the impact of standardization and formalized communication processes. METHODS: Clinically relevant questions regarding handoffs and transitions of care with clearly defined patient Population(s), Intervention(s), Comparison(s), and appropriately selected Outcomes (PICO) were determined...
February 26, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38402450/the-significance-of-g8-and-other-geriatric-assessments-in-urologic-cancer-management-a-comprehensive-review
#34
REVIEW
Shugo Yajima, Hitoshi Masuda
In urologic oncology, which often involves older patients, it is important to consider how to manage their care appropriately. Geriatric assessment (GA) is a method that can address the specific needs of older cancer patients. The GA encompasses various assessment domains, but these domains exhibit variations across the literature. Some of the common items include functional ability, nutrition, comorbidities, cognitive ability, psychosocial disorders, polypharmacy, social and financial support, falls/imbalance, and vision/hearing...
February 25, 2024: International Journal of Urology: Official Journal of the Japanese Urological Association
https://read.qxmd.com/read/38396517/effects-of-intratesticular-lidocaine-in-pet-rabbits-undergoing-orchiectomy
#35
JOURNAL ARTICLE
Matteo Serpieri, Giuseppe Bonaffini, Chiara Ottino, Giuseppe Quaranta, Mitzy Mauthe von Degerfeld
The use of local anesthetics for castration is both simple and cost-effective, and it may contribute to reducing the anesthetic requirements. Despite its common use in clinical practice, the literature regarding the effects of intratesticular lidocaine in rabbits is limited. In this study, nine rabbits per group were assigned to intratesticularly receive either 2% lidocaine (0.05 mL/kg into each testicle) or an equivalent volume of saline prior to elective orchiectomy. Anesthesia was induced by intranasal administration of ketamine, medetomidine, and butorphanol...
February 7, 2024: Animals: An Open Access Journal From MDPI
https://read.qxmd.com/read/38391543/management-of-penicillin-allergy-in-the-perioperative-setting
#36
REVIEW
Mary Elizabeth Sexton, Merin Elizabeth Kuruvilla
The selection of perioperative antibiotic prophylaxis is challenging in patients with a history of penicillin allergy; as such, we present a literature review exploring current best practices and the associated supporting evidence, as well as areas for future research. Guidelines recommend the use of alternative agents in patients with an IgE-mediated hypersensitivity reaction, but those alternative agents are associated with worse outcomes, including an increased risk of surgical site infection, and higher cost...
February 5, 2024: Antibiotics
https://read.qxmd.com/read/38389776/identification-of-early-delirium-and-its-outcomes-after-cardiopulmonary-bypass-among-adult-patients-with-cardiovascular-disease-a-prospective-observational-study
#37
JOURNAL ARTICLE
Saleh Mohammed Alhaj Othman, Qin Xu, Kang Zhao, Lina Kafi, Mohammed Ali Ali Aziz
PURPOSE: To identify the incidence and outcomes of postoperative delirium after cardiopulmonary bypass machine in adult cardiac surgery patients. METHOD: A prospective observational study was conducted in a single-center institution in the Republic of China. This study included 273 patients who underwent cardiac surgical procedures requiring cardiopulmonary bypass machine utilization. RESULTS: This study used the Confusion Assessment Method to screen for delirium...
March 2024: Indian Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38385268/neurodevelopmental-outcomes-for-individuals-with-congenital-heart-disease-updates-in-neuroprotection-risk-stratification-evaluation-and-management-a-scientific-statement-from-the-american-heart-association
#38
REVIEW
Erica Sood, Jane W Newburger, Julia S Anixt, Adam R Cassidy, Jamie L Jackson, Richard A Jonas, Amy J Lisanti, Keila N Lopez, Shabnam Peyvandi, Bradley S Marino
Over the past decade, new research has advanced scientific knowledge of neurodevelopmental trajectories, factors that increase neurodevelopmental risk, and neuroprotective strategies for individuals with congenital heart disease. In addition, best practices for evaluation and management of developmental delays and disorders in this high-risk patient population have been formulated based on literature review and expert consensus. This American Heart Association scientific statement serves as an update to the 2012 statement on the evaluation and management of neurodevelopmental outcomes in children with congenital heart disease...
February 22, 2024: Circulation
https://read.qxmd.com/read/38381207/the-impact-of-enhanced-recovery-on-long-term-survival-in-rectal-cancer
#39
JOURNAL ARTICLE
Ibrahim Gomaa, Sara Aboelmaaty, Avantika Lakshmi Narasimhan, Himani Bhatt, Courtney N Day, William S Harmsen, Kristen K Rumer, William R Perry, Kellie L Mathis, David W Larson
INTRODUCTION: Implementing perioperative interventions such as enhanced recovery pathways (ERPs) has improved short-term outcomes and minimized length of stay. Preliminary evidence suggests that adherence to the enhanced recovery after surgery protocol may also enhance 5-year cancer-specific survival (CSS) in colorectal cancer surgery. This retrospective study presents long-term survival outcomes and disease recurrence from a high-volume, single-center practice. METHODS: All patients over 18 years of age diagnosed with rectal adenocarcinoma and undergoing elective minimally invasive surgery (MIS) were retrospectively reviewed between February 2005 and April 2018...
February 21, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38378094/association-between-early-patient-characteristics-and-ige-mediated-allergy-in-the-perioperative-setting
#40
JOURNAL ARTICLE
Pascale Dewachter, Claudie Mouton-Faivre, Solohaja Faniaha Dimby, Eric Vicaut, Sadek Beloucif
BACKGROUND: Early recognition of perioperative anaphylaxis, a life-threatening, usually immunoglobulin E [IgE]-mediated, immediate hypersensitivity, is essential, but bedside diagnosis is not always straightforward as clinical presentation may vary. OBJECTIVES: To describe early characteristics of perioperative immediate hypersensitivity (POH), with a special attention on cutaneous phenotypes, and identify risk factors for IgE-mediated allergy. METHODS: We retrospectively analyzed data from adults with suspected POH who were investigated in two academic medical centers...
February 18, 2024: Journal of Allergy and Clinical Immunology in Practice
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