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Preoperative fasting

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https://www.readbyqxmd.com/read/29690961/shortened-preoperative-fasting-time-to-allow-oral-rehydration-solution-clear-liquid-up-to-two-hours-before-elective-major-surgery-in-adults
#1
Jay N Shah, Shantabir Maharjan, Rajan Gurung
OBJECTIVE: To generate evidence of feasibility to allow clear liquid 2 hours before elective surgery. STUDY DESIGN: Cross-sectional observational study. PLACE AND DURATION OF STUDY: The Department of Surgery, Patan Hospital, Patan Academy of Health Sciences, Nepal, from October to December 2016. METHODOLOGY: One hundred consecutive adult elective major surgery patients of American Society of Anesthesiologist criteria 1 or 2 were enrolled...
May 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29684984/effects-of-preoperative-oral-carbohydrate-administration-on-patient-well-being-and-satisfaction-in-thyroid-surgery
#2
A Ram Doo, Hyunsup Hwang, Min-Jong Ki, Jun-Rae Lee, Dong-Chan Kim
Background: Although the positive effects of preoperative oral carbohydrate administration on clinical outcomes following major surgery have been reported continuously, there are few investigations of them in minor surgical patients. The present study was designed to examine the effects of preoperative oral carbohydrate administration on patient well-being and satisfaction in patients undergoing thyroidectomy. Methods: Fifty adults aged 20-65 years and scheduled for elective thyroidectomy in first schedule in the morning were allocated to one of two groups...
April 24, 2018: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/29681179/-femtosecond-laser-assisted-keratoplasty
#3
László Módis, Eszter Szalai, Zsuzsanna Flaskó, Bence Kolozsvári, András Berta
INTRODUCTION AND AIM: To present our results on femtosecond laser-assisted penetrating keratoplasty. PATIENTS AND METHOD: Twenty-five eyes of 25 patients underwent surgery with the following indications: pseudophakic bullous keratopathy (n = 10), keratoconus (n = 4), corneal dystrophy (n = 5), corneal scar (n = 4), band keratopathy (n = 2). Trephination of both the donor and recipient corneas were performed with VisuMax femtosecond laser device (Carl Zeiss Meditec AG, Jena, Germany)...
April 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29676839/analgesic-consumption-trajectories-in-8-975-patients-1-year-after-fast-track-total-hip-or-knee-arthroplasty
#4
C C Jørgensen, M Petersen, H Kehlet, E K Aasvang
BACKGROUND: Persistent or increased long-term opioid consumption has previously been described following total hip- (THA) and knee arthroplasty (TKA). However, detailed information on postoperative analgesic consumption trajectories and risk factors associated with continued need of analgesics in fast-track THA and TKA is sparse. METHODS: Descriptive multicenter study in primary unilateral fast-track THA or TKA with prospective data on patient characteristics and information on reimbursement entitled dispensed prescriptions of paracetamol, non-steroidal anti-inflammatory drugs, opioids, anticonvulsants, and antidepressants one month preoperatively and one year postoperatively...
April 20, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29671199/automatic-planning-of-needle-placement-for-robot-assisted-percutaneous-procedures
#5
Esia Belbachir, Ehsan Golkar, Bernard Bayle, Caroline Essert
PURPOSE: Percutaneous procedures allow interventional radiologists to perform diagnoses or treatments guided by an imaging device, typically a computed tomography (CT) scanner with a high spatial resolution. To reduce exposure to radiations and improve accuracy, robotic assistance to needle insertion is considered in the case of X-ray guided procedures. We introduce a planning algorithm that computes a needle placement compatible with both the patient's anatomy and the accessibility of the robot within the scanner gantry...
April 18, 2018: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/29664527/-perioperative-nutrition-in-eras-protocols
#6
Andrés Sánchez C, Karin Papapietro V
The trauma involved in any surgical procedure, even if elective, causes a metabolic stress response characterized by postoperative insulin resistance (PIR). PIR is considered a surgical stress marker and is associated with increased morbidity and postoperative length of stay. PIR worsens when the patient is operated in a state of prolonged preoperative fasting or when postoperative feeding is delayed. The ERAS Protocols (Enhanced Recovery After Surgery) includes anesthetic, surgical, kinesiology, nutritional and nursing interventions aimed to modulate PIR...
November 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/29661461/urgent-living-donor-liver-transplantation-in-a-patient-with-concurrent-active-tuberculosis-a-case-report
#7
B-H Jung, J-I Park, S-G Lee
BACKGROUND: Although active tuberculosis (TB) is considered a contraindication for liver transplantation (LT), this is the only treatment in patients with liver failure and concurrent active TB. We report a case with successful urgent living-donor LT for irreversible liver failure in the presence of active TB. CASE PRESENTATION: A 48-year-old man, with a history of decompensated alcoholic liver cirrhosis, was presented with stupor. At admission, his consciousness had deteriorated to semi-coma, and his renal function also rapidly deteriorated to hepatorenal syndrome...
April 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29659161/neurovascular-relations-of-the-trigeminal-nerve-in-asymptomatic-individuals-studied-with-high-resolution-three-dimensional-magnetic-resonance-imaging
#8
Fernando Ruiz-Juretschke, Laín H González-Quarante, Roberto García-Leal, Vicente Martínez de Vega
Neurovascular compression (NVC) is considered the main cause of classic trigeminal neuralgia (TN) and may be surgically addressed with microvascular decompression (MVD). Preoperative high-resolution three-dimensional magnetic resonance has proven a reliable tool to diagnose NVC in patients with refractory TN undergoing MVD. However there is still scarce data regarding the rate, degree and characteristics of neurovascular compression in asymptomatic individuals. This article describes the vascular relations of the trigeminal nerve in the cerebellopontine angle (CPA) in 100 subjects without known TN studied with 3...
April 16, 2018: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/29649026/evidence-review-conducted-for-the-agency-for-healthcare-research-and-quality-safety-program-for-improving-surgical-care-and-recovery-focus-on-anesthesiology-for-colorectal-surgery
#9
Kristen A Ban, Melinda M Gibbons, Clifford Y Ko, Elizabeth C Wick, Maxime Cannesson, Michael J Scott, Michael C Grant, Christopher L Wu
The Agency for Healthcare Research and Quality, in partnership with the American College of Surgeons and the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, has developed the Safety Program for Improving Surgical Care and Recovery (ISCR), which is a national effort to disseminate best practices in perioperative care to more than 750 hospitals across multiple procedures in the next 5 years. The program will integrate evidence-based processes central to enhanced recovery and prevention of surgical site infection, venous thromboembolic events, catheter-associated urinary tract infections with socioadaptive interventions to improve surgical outcomes, patient experience, and perioperative safety culture...
April 11, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29629204/vats-group-eras-registry
#10
REVIEW
Jacopo Vannucci, Stefano Costi, Alberto Matricardi, Elisa Scarnecchia, Andrea Droghetti
Enhanced recovery after surgery (ERAS) is a multimodal, polyhedral approach to surgical management for patients undergoing surgical therapy. Since ERAS is not a specific procedure, these protocols are not exclusively created for particular clinical settings but they are prone to be adapted to a large variety of healthcare programs after surgery. ERAS Society was the platform in which a new multidisciplinary methodology to promote a fast recovery, a considerable patient involvement and resource optimization has been developed...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29629200/enhanced-recovery-pathways-in-thoracic-surgery-from-italian-vats-group-preoperative-optimisation
#11
REVIEW
Antonio D'Andrilli, Domenico Massullo, Erino A Rendina
Preoperative patient optimisation is a key point of enhanced recovery after thoracic surgery pathways. This could be particularly advantageous when considering video-assisted thoracic surgery (VATS) lobectomy, because reduced trauma related to minimally invasive techniques is one of the main factors favouring improved postoperative outcome. Main specific interventions for clinical optimisation before major lung resection include assessment and treatment of comorbidities, minimizing preoperative hospitalization, optimisation of pharmacological prophylaxis (antibiotic and thromboembolic) and minimizing preoperative fasting...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29628847/bedside-ultrasound-assessment-of-gastric-content-in-children-noncompliant-with-preoperative-fasting-guidelines-is-it-time-to-include-this-in-our-practice
#12
Uma R Parekh, Niraja Rajan, Robyn C Iglehart, Patrick M McQuillan
Ultrasound assessment of gastric contents and volume is gaining popularity in adults and children. At present, a preoperative verbal check is used to determine the fasting status. Due to fear of delay or cancellation of surgery, parents may not disclose noncompliance with fasting guidelines. Pulmonary aspiration of gastric contents is a potential cause of morbidity and mortality. Ultrasound assessment of gastric contents is noninvasive and easy to learn. We present a series of three cases to demonstrate how the use of ultrasound to assess gastric contents in children can provide an objective means for decision-making and impact anesthetic management when preoperative fasting status is uncertain...
April 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29625649/validation-of-a-novel-software-tool-for-automatic-aortic-annular-sizing-in-three-dimensional-transesophageal-echocardiographic-images
#13
Sandro Queirós, Pedro Morais, Christophe Dubois, Jens-Uwe Voigt, Wolfgang Fehske, Andreas Kuhn, Tobias Achenbach, Jaime C Fonseca, João L Vilaça, Jan D'hooge
BACKGROUND: Accurate aortic annulus (AoA) sizing is crucial for transcatheter aortic valve implantation planning. Three-dimensional (3D) transesophageal echocardiography (TEE) is a viable alternative to the standard multidetector row computed tomography (MDCT) for such assessment, with few automatic software solutions available. The aim of this study was to present and evaluate a novel software tool for automatic AoA sizing by 3D TEE. METHODS: One hundred one patients who underwent both preoperative MDCT and 3D TEE were retrospectively analyzed using the software...
April 2018: Journal of the American Society of Echocardiography
https://www.readbyqxmd.com/read/29623539/registration-of-3d-freehand-ultrasound-to-a-bone-model-for-orthopedic-procedures-of-the-forearm
#14
Matija Ciganovic, Firat Ozdemir, Fabien Pean, Philipp Fuernstahl, Christine Tanner, Orcun Goksel
PURPOSE: For guidance of orthopedic surgery, the registration of preoperative images and corresponding surgical plans with the surgical setting can be of great value. Ultrasound (US) is an ideal modality for surgical guidance, as it is non-ionizing, real time, easy to use, and requires minimal (magnetic/radiation) safety limitations. By extracting bone surfaces from 3D freehand US and registering these to preoperative bone models, complementary information from these modalities can be fused and presented in the surgical realm...
April 5, 2018: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/29616446/biomechanics-based-graph-matching-for-augmented-ct-cbct
#15
Jaime Garcia Guevara, Igor Peterlik, Marie-Odile Berger, Stéphane Cotin
PURPOSE: Augmenting intraoperative cone beam computed tomography (CBCT) images with preoperative computed tomography data in the context of image-guided liver therapy is proposed. The expected benefit is an improved visualization of tumor(s), vascular system and other internal structures of interest. METHOD: An automatic elastic registration based on matching of vascular trees extracted from both the preoperative and intraoperative images is presented. Although methods dedicated to nonrigid graph matching exist, they are not efficient when large intraoperative deformations of tissues occur, as is the case during the liver surgery...
April 3, 2018: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/29577632/interleukin-2-receptor-antagonists-a-protective-factor-against-new-onset-diabetes-after-renal-transplantation
#16
Mengjuan Xue, Chenhe Zhao, Chaoyang Lv, Minling Chen, Ming Xu, Ruiming Rong, Yao Zhang, Jing Liang, Jian Gao, Mingxiang Yu, Tongyu Zhu, Xin Gao
BACKGROUND: The aim of the study was to examine the association between interleukin-2 receptor antagonists (IL-2Ra) and new-onset diabetes after transplantation (NODAT) among renal transplant recipients (RTRs). METHODS: Overall, 915 patients underwent renal transplantation between January 1993 and March 2014 at our hospital. A total of 557 RTRs were included in the present retrospective cohort study. The incidence of NODAT in this cohort was collected. Multivariate cox regression analysis was used to evaluate the risk factors of NODAT and show the association between IL-2Ra use and NODAT development among RTRs...
March 25, 2018: Journal of Diabetes
https://www.readbyqxmd.com/read/29549811/surgical-results-of-cranioplasty-using-three-dimensional-printing-technology
#17
Cheng-Hsin Cheng, Hao-Yu Chuang, Hung-Lin Lin, Chun-Lin Liu, Chun-Hsu Yao
OBJECT: The aim of this research was to evaluate the surgical outcome of a new three-dimensional printing (3DP) technique using prefabrication molds and polymethyl methacrylate (PMMA). PATIENTS AND METHODS: The study included 10 patients with large skull defects (>100 cm2 ) who underwent cranioplasty. The causes of the skull defects were trauma (6), bone resorption (2), tumor (1), and infection (1). Before the operation, computed tomography (CT) scans were used to create a virtual plan, and these were then converted to 3-dimensional (3-D) images...
March 9, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29548699/clinical-predictor-of-postoperative-hyperkalemia-after-parathyroidectomy-in-patients-with-hemodialysis
#18
Sijia Li, Shuangxin Liu, Qiuhuan Chen, Pingjiang Ge, Jie Jiang, Xiaoli Sheng, Shaohua Chen
OBJECTIVE: Hyperkalaemia is one of the most common reasons for patients requiring emergency treatment. This study is to investigate the risk factors of postoperative hyperkalemia in renal failure patients undergoing parathyroidectomy with autotransplantation (PTXa). METHODS: One hundred and eight patients [ 54 men and 54 women; age, 45.1 ± 11.1 years (mean ± SD)] with secondary hyperparathyroidism undergoing parathyroidectomy with autotransplantation were involved in this study...
March 13, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29534412/-revision-of-schatzker-type-%C3%A2-tibial-plateau-fracture-failure-focus-on-the-recovery-of-lower-limb-alignment
#19
R J Cong, J F Liu, Y Jiang, Duolikun Dilixiati, X D Hou, L P Zheng
Objective: To explore the influence of the lower extremity abnormal alignment and the joint surface, and to explore the surgical skills. Methods: Twenty-two cases of tibial plateau Schatzker Ⅵ fracture internal fixation failure revision from January 2012 to January 2017 in Department of Orthopedics, Shanghai 10(th) Hospital.One year follow-up after initial surgery to make sure of failure.Three-dimensional CT scan, radiography, infection index, gait analysis, knee joint ROM, femur tibia angle, tibial plateau tibial shaft angle and posterior slope if tibial plateau were observed...
March 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29530778/a-multidisciplinary-protocol-driven-approach-to-improve-extubation-times-following-cardiac-surgery
#20
Joshua L Chan, Justin G Miller, Mandy Murphy, Ann Greenberg, Peggy Iraola, Keith A Horvath
BACKGROUND: Prolonged intubation following cardiac surgery is associated with significant morbidity. A fast-track extubation protocol primarily driven by bedside providers was instituted for all postoperative cardiac surgery patients to facilitate safe and expeditious extubation. METHODS: A retrospective review of 1581 cardiac surgery patients over an 8-year period was performed. Prior to 2011, non-protocolized standard perioperative management was utilized (n=807)...
March 9, 2018: Annals of Thoracic Surgery
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