keyword
https://read.qxmd.com/read/37588470/venothromboembolism-following-shoulder-arthroscopy-a-systematic-review
#1
REVIEW
Jacob J Triplet, Hayden B Schuette, Adnan N Cheema, Erick M Marigi, Leslie C Hassett, Jonathan D Barlow, Christopher L Camp, Mark E Morrey, John W Sperling, Joaquin Sanchez-Sotelo
BACKGROUND: Venous thromboembolic events (VTEs) following orthopedic surgery may lead to serious morbidity and mortality. Fortunately, VTEs following upper extremity procedures are uncommon. However, the true incidence is likely underreported. The aim of this study is to provide a systematic review, excluding large database studies, to report on the incidence of VTEs following shoulder arthroscopic procedures. METHODS: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, a systematic review of multiple databases was performed...
November 2022: JSES Rev Rep Tech
https://read.qxmd.com/read/37344753/increased-bleeding-risk-with-enoxaparin-venothromboembolism-prophylaxis-compared-with-heparin-in-patients-undergoing-bariatric-surgery
#2
JOURNAL ARTICLE
Audra J Reiter, Joanne Prinz, Yan Li, Alexander P Nagle, Eric S Hungness, Ezra N Teitelbaum
BACKGROUND: Perioperative venothromboembolism (VTE) chemoprophylaxis is an established tenant of bariatric surgery; however, there is little comparative data to guide medication choice. The objective of this study was to determine if a change in VTE prophylaxis from heparin to enoxaparin was associated with differing rates of postoperative bleeding and VTE occurrence after bariatric surgery. METHODS: This retrospective cohort study included patients 18 years or older who underwent primary bariatric surgery (sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB)) at a single institution between March 2012 and December 2021...
June 21, 2023: Surgical Endoscopy
https://read.qxmd.com/read/37191713/sex-disparities-in-adverse-outcomes-after-surgically-managed-isolated-traumatic-spinal-injury
#3
JOURNAL ARTICLE
Ahmad Mohammad Ismail, Maximilian Peter Forssten, Babak Sarani, Marcelo A F Ribeiro, Parker Chang, Yang Cao, Frank Hildebrand, Shahin Mohseni
BACKGROUND: Traumatic spinal injury (TSI) encompasses a wide range of injuries affecting the spinal cord, nerve roots, bones, and soft tissues that result in pain, impaired mobility, paralysis, and death. There is some evidence suggesting that women may have different physiological responses to traumatic injury compared to men; therefore, this study aimed to investigate if there are any associations between sex and adverse outcomes following surgically managed isolated TSI. METHODS: Using the 2013-2019 TQIP database, all adult patients with isolated TSI, defined as a spine AIS ≥ 2 with an AIS ≤ 1 in all other body regions, resulting from blunt force trauma requiring spinal surgery, were eligible for inclusion in the study...
May 16, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/36933548/effectiveness-of-body-mass-index-based-prophylactic-enoxaparin-dosing-in-bariatric-surgery-patients
#4
JOURNAL ARTICLE
Catherine K Chang, Rana M Higgins, Lisa Rein, William J Peppard, David J Herrmann, Tammy Kindel
INTRODUCTION: Enoxaparin is administered for venous thromboembolic (VTE) prophylaxis in bariatric surgery patients. There is concern whether body mass index (BMI)-based enoxaparin dosing consistently achieves prophylactic targets in patients with severe obesity. METHODS: This retrospective study included patients who underwent bariatric surgery at an academic medical center from Jan 2015-May 2021 and had an anti-Xa level drawn 2.5-6 h after ≥3 doses of BMI-based prophylactic enoxaparin...
July 2023: Journal of Surgical Research
https://read.qxmd.com/read/36614976/patient-factors-impacting-perioperative-outcomes-for-t1b-t2-localized-renal-cell-carcinoma-may-guide-decision-for-partial-versus-radical-nephrectomy
#5
JOURNAL ARTICLE
Yash B Shah, Rishabh K Simhal, Kerith R Wang, Hanan Goldberg, Costas D Lallas, Thenappan Chandrasekar
There remains debate surrounding partial (PN) versus radical nephrectomy (RN) for T1b-T2 renal cell carcinoma (RCC). PN offers nephron-sparing benefits but involves increased perioperative complications. RN putatively maximizes oncologic benefit with complex tumors. We analyzed newly available nephrectomy-specific NSQIP data to elucidate predictors of perioperative outcomes in localized T1b-T2 RCC. We identified 2094 patients undergoing nephrectomy between 2019-2020. Captured variables include surgical procedure and approach, staging, comorbidities, prophylaxis, peri-operative complications, reoperations, and readmissions...
December 26, 2022: Journal of Clinical Medicine
https://read.qxmd.com/read/36151753/racial-disparities-in-administration-of-venous-thromboembolism-prophylaxis-after-severe-traumatic-injuries
#6
JOURNAL ARTICLE
James A Zebley, Jordan M Estroff, Maximilian Peter Forssten, Gary Alan Bass, Yang Cao, Megan T Quintana, Babak Sarani, Shahin Mohseni
BACKGROUND: Race is associated with differences in quality of care process measures and incidence of venous thromboembolism (VTE) in trauma patients. We aimed to investigate if racial disparities exist in the administration of VTE prophylaxis in trauma patients. METHODS: We queried the Trauma Quality Improvement Project database from 2017 to 2019. Patients ages ≥16 years old with ISS ≥15 were included. Patients with no signs of life on arrival, any AIS ≥6, hospital length of stay <1 day, anticoagulant use before admission, or without recorded race were excluded...
September 23, 2022: American Surgeon
https://read.qxmd.com/read/36040336/long-term-lung-abnormalities-associated-with-covid-19-pneumonia
#7
REVIEW
Jeffrey P Kanne, Brent P Little, Jefree J Schulte, Adina Haramati, Linda B Haramati
In the third year of the SARS-CoV-2 pandemic, much has been learned about the long- term effect of COVID-19 pneumonia on the lungs. Approximately one-third of patients with moderate-to-severe pneumonia, especially those requiring intensive care therapy or mechanical ventilation, have residual abnormalities on chest CT one year after presentation. Abnormalities range from parenchymal bands to bronchial dilation to frank fibrosis. Less is known about the long-term pulmonary vascular sequelae, but there appears to be a persistent, increased risk of venothromboembolic events in a small cohort of patients...
August 30, 2022: Radiology
https://read.qxmd.com/read/35751772/randomized-controlled-trial-of-two-tranexamic-acid-dosing-protocols-in-adult-spinal-deformity-surgery
#8
JOURNAL ARTICLE
John C F Clohisy, Lawrence G Lenke, Mostafa H El Dafrawy, Rachel C Wolfe, Elfaridah Frazier, Michael P Kelly
BACKGROUND: Tranexamic acid (TXA) is an anti-fibrinolytic effective in reducing blood loss in orthopedic surgery. The appropriate dosing protocol for adult spinal deformity (ASD) surgery is not known. The purpose of this study was to evaluate two TXA protocols [low dose (L): 10 mg/kg bolus, 1 mg/kg/hr infusion; high dose (H): 50 mg/kg, 5 mg/kg/hr] in complex ASD surgery. METHODS: Inclusion criteria were ASD reconstructions with minimum 10 fusion levels or planned 3-column osteotomy (3CO)...
June 25, 2022: Spine Deformity
https://read.qxmd.com/read/34473072/venovo-venous-stent-in-treating-iliac-vein-compression-a-single-center-experience
#9
JOURNAL ARTICLE
Nicolas W Shammas, Qais Radaideh, Gail Shammas, Sue Jones-Miller, Shaddy Khalafallah, Amanda Abi Doumet, Rusina Karia, Andrew N Shammas, Sri Kasula, Rommy Khalafallah, W John Shammas
BACKGROUND: The Venovo venous stent (BD/Bard Peripheral Vascular) is indicated to treat iliofemoral veno-occlusive disease. We present our own experience with the Venovo venous stent in treating iliac vein compression (ILVC). METHODS: In this retrospective cohort, we included consecutive patients treated with the Venovo venous stent for ILVC at our center. Stent deployment and sizing were guided by intravascular ultrasound (IVUS). Minimal luminal areas at the compression before and after treatment were measured by IVUS...
September 2021: Journal of Invasive Cardiology
https://read.qxmd.com/read/33992874/anti-xa-levels-in-critically-ill-children-receiving-enoxaparin-for-venothromboembolism-prophylaxis
#10
JOURNAL ARTICLE
Amanda M Marshall, Taylor M Trussell, Addison M Yee, Mathew P Malone
Venothrombolism (VTE) prophylaxis is increasingly utilized in pediatric intensive care units (PICUs). Enoxaparin, a low-molecular weight heparin, is frequently used for this purpose. Enoxaparin can also be used for therapeutic anticoagulation in cases of known thrombus. In such cases, monitoring involves obtaining serum anti- Xa levels with a target value of 0.5-1 units/mL. No monitoring recommendations currently exist for enoxaparin when intended for pediatric VTE prophylaxis. We hypothesize that a clinically important number of patients on VTE prophylaxis with enoxaparin have serum anti-Xa levels consistent with values targeted for therapeutic anticoagulation...
July 2021: Thrombosis Research
https://read.qxmd.com/read/33747414/unusual-presentation-of-covid-19-in-a-child-complicated-by-massive-acute-pulmonary-embolism-and-lung-infarction
#11
JOURNAL ARTICLE
Tahani Bin Ali, Ghaleb Elyamany, Maha Nojoom, Mohamed Alfaki, Hassan Alahmari, Abdulwahab Alharthi, Muwaffak Hijazi, Atif Alsahari, Fahad Alabbas, Abdulnasir Al-Otaibi
The Novel Coronavirus 2019 (SARSCoV- 2), which was first reported on in Wuhan, China, in late December 2019, causes a respiratory illness called COVID- 19 Disease. COVID-19 is most likely causing a hypercoagulable state, however the prevalence of acute venothromboembolism is still unknown. Limited data suggest pulmonary microvascular thrombosis may play a role in progressive respiratory failure. Here, we report a case of a child with an unusual presentation of COVID-19 presented initially by dry cough without fever and complicated by massive acute pulmonary embolism and lung infarction and treated successfully by hydroxychloroquine and azithromycin, in addition to anticoagulant therapy...
March 5, 2021: Hematology Reports
https://read.qxmd.com/read/33398577/robotic-assisted-surgery-enhances-the-learning-curve-while-maintaining-quality-outcomes-in-sleeve-gastrectomy-a-preliminary-multicenter-study
#12
REVIEW
Omar Bellorin, Mariana Vigiola-Cruz, Francesca Dimou, Rachel At, Omar Al Hussein Alawamlh, Alfons Pomp, Gregory Dakin, Cheguevara Afaneh
BACKGROUND: The frequency of robotic-assisted bariatric surgery has been on the rise. An increasing number of fellowship programs have adopted robotic surgery as part of the curriculum. Our aim was to compare technical efficiency of a surgeon during the first year of practice after completing an advanced minimally invasive fellowship with a mentor surgeon. METHODS: A systematic review of a prospectively maintained database was performed of consecutive patients undergoing robotic-assisted sleeve gastrectomy between 2015 and 2019 at a tertiary-care bariatric center (mentor group) and between 2018 and 2019 at a semi-academic community-based bariatric program (mentee 1 group) and 2019-2020 at a tertiary-care academic center (mentee 2 group)...
January 4, 2021: Surgical Endoscopy
https://read.qxmd.com/read/33034229/venous-thromboembolism-prophylaxis-in-elective-spine-surgery
#13
JOURNAL ARTICLE
Samantha Solaru, Ram K Alluri, Jeffrey C Wang, Raymond J Hah
STUDY DESIGN: Review. OBJECTIVE: Venothromboembolic (VTE) complications, composed of deep vein thrombosis and pulmonary embolism are commonly observed in the perioperative setting. There are approximately 500 000 postoperative VTE cases annually in the United States and orthopedic procedures contribute significantly to this incidence. Data on the use of VTE prophylaxis in elective spinal surgery is sparse. This review aims to provide an updated consensus within the literature defining the risk factors, diagnosis, and the safety profile of routine use of pharmacological prophylaxis for VTE in elective spine surgery patients...
September 2021: Global Spine Journal
https://read.qxmd.com/read/32854972/cost-effectiveness-of-apixaban-for-prevention-of-venous-thromboembolic-events-in-patients-after-gynecologic-cancer-surgery
#14
RANDOMIZED CONTROLLED TRIAL
Amanda Glickman, Alyse Brennecke, Anna Tayebnejad, Koji Matsuo, Saketh R Guntupalli, Jeanelle Sheeder
OBJECTIVE: The cost-effectiveness of apixaban was compared with enoxaparin for prevention of postoperative venothromboembolic events (VTE) in gynecologic oncology patients. Current guidelines recommend thromboprophylaxis with low molecular weight heparin for 28 days following gynecologic cancer surgery, but recent trials suggest that oral apixaban may be a safe, patient-preferred alternative. Apixaban was superior to enoxaparin in a Canadian cost-effectiveness analysis using orthopedics trial data...
November 2020: Gynecologic Oncology
https://read.qxmd.com/read/31808864/complications-in-pregnant-women-with-sickle-cell-disease
#15
REVIEW
Kim Smith-Whitley
Pregnancy in women with sickle cell disease (SCD) is associated with increased maternal and fetal morbidity and mortality. Outcomes vary widely owing to methodological limitations of clinical studies, but overall, hypertensive disorders of pregnancy, venothromboembolism, poor fetal growth, and maternal and perinatal mortality are increased globally. Few therapeutic interventions have been explored other than prophylactic and selective transfusion therapy. Unfortunately, existing data are limited, and it remains unclear whether prophylactic use of chronic transfusions will improve pregnancy outcomes...
December 6, 2019: Hematology—the Education Program of the American Society of Hematology
https://read.qxmd.com/read/31775640/incidental-finding-of-diffuse-cavernous-rectal-haemangiomatosis-during-bowel-cancer-screening
#16
JOURNAL ARTICLE
Kushala W M Abeysekera, Daniel S Pearl, Paul Burn, Andrew Lowe
BACKGROUND: This case seeks to highlight to endoscopists a rare benign disorder that may be encountered during endoscopy. Clinicians may be tempted to biopsy, which could lead to a catastrophic gastrointestinal haemorrhage. CASE PRESENTATION: A 66-year-old asymptomatic Caucasian male was referred for colonoscopy with a positive faecal occult blood test as part of the UK national bowel cancer screening programme. Relevant past medical history included atrial fibrillation for which he took Dabigatran...
November 27, 2019: BMC Gastroenterology
https://read.qxmd.com/read/31540919/pulmonary-embolism-occurring-early-after-major-trauma
#17
JOURNAL ARTICLE
Paschalitsa Serchan, George Shorten, Michael Maher, Stephen P Power
Pulmonary embolism (PE) secondary to trauma is the third most common cause of death in trauma patients who have survived 24 hours following injury. We describe a case of PE diagnosed within 3 hours of a major trauma in a previously well adolescent female. The early occurrence of PE in this case is at odds with what is generally reported (3-5 days) after major trauma. General consensus is that patients who suffer major trauma move from an initial hypocoaguable state, with increased risk of bleeding, to normocoagulable or hypercoaguable state, with a subsequent increased risk of venothromboembolism...
September 20, 2019: BMJ Case Reports
https://read.qxmd.com/read/31285053/venothromboembolic-signs-and-medical-eponyms-part-i
#18
REVIEW
Fan Ye, Halil Tekiner, Eileen S Yale, Joseph J Mazza, Carolyn Stalvey, Steven H Yale
Eponyms are honorific terms ascribed to individuals who discovered a sign, test, syndrome, technique, or instrument. Despite some contentions, eponyms continue to be widely ingrained and incorporated into the medical literature and contemporary language. Physical signs are considered unreliable methods alone for detecting deep venous thrombosis (DVT). The accuracy of the majority of these signs is unknown. For those signs that have been studied, there are a number of methodological limitations hindering the ability to draw meaningful conclusions about their accuracy and validity in clinical practice...
October 2019: Thrombosis Research
https://read.qxmd.com/read/31285052/venothromboembolic-signs-and-medical-eponyms-part-ii
#19
REVIEW
Fan Ye, Halil Tekiner, Eileen S Yale, Joseph J Mazza, Carolyn Stalvey, Steven H Yale
Eponyms were established to serve the purpose of honoring individuals who have made important observations and discoveries. The use of eponyms remains controversial, and important questions have been raised regarding their appropriateness. Although there have been instances where eponyms were abandoned, the remainder are largely embedded within the established literature making their disappearance unlikely. Physicians used a variety of techniques to describe signs of medical eponyms as a method for diagnosing deep venous thrombosis (DVT), pulmonary embolism (PE) or venothromboembolism (VTE)...
October 2019: Thrombosis Research
https://read.qxmd.com/read/31124908/is-the-caprini-score-predictive-of-venothromboembolism-events-in-orthopaedic-fracture-patients
#20
JOURNAL ARTICLE
Jesse Dashe, Robert L Parisien, Matthew Pina, Anthony F De Giacomo, Paul Tornetta
OBJECTIVE: Explore the validity of the Caprini Score in orthopaedic patients with lower-extremity fractures. DESIGN: Retrospective cohort study. SETTING: Level I trauma academic medical center. PATIENTS/PARTICIPANTS: Eight hundred forty-eight patients with lower-extremity fractures from 2002 to 2015 with exclusion criteria: minors, follow-up less than 30 days. INTERVENTION: Stratify patients into 2 groups: high-risk (pelvic and acetabular fractures) and low-risk groups (isolated foot and ankle fractures)...
June 2019: Journal of Orthopaedic Trauma
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