keyword
https://read.qxmd.com/read/38526301/-review-of-anesthetic-technique-and-30-day-mortality-for-cholecystectomies-based-on-the-swedish-perioperative-registry
#21
JOURNAL ARTICLE
Johanna Ly, Johanna Albert, Jan Jakobsson
The Swedish Perioperative Registry (SPOR) offers a unique opportunity for monitoring the peri- and early postoperative processes. It can be utilized for quality monitoring within individual clinics or for epidemiological studies. Combining SPOR's data with organ-specific registries provides a more comprehensive understanding of the overall peri- and early postoperative care and outcomes of surgical procedures. In our example, we present the expected patient profile for gall bladder surgery in Sweden. Inhalation anesthesia is the dominant technique, but Total Intravenous Anesthesia (TIVA) is showing an increasing trend in usage...
March 25, 2024: Läkartidningen
https://read.qxmd.com/read/38526065/the-effect-of-the-concurrent-use-of-dexmedetomidine-dex-during-the-perioperative-period-on-the-renal-function-of-patients-following-craniocerebral-interventional-surgery
#22
JOURNAL ARTICLE
Lu Qian, Nianqiang Hu, Yijin Yu
BACKGROUND: Craniocerebral interventional surgery is a common and essential treatment for cerebrovascular diseases. Despite continuous progress in interventional diagnosis and treatment technology, there is no effective method to alleviate contrast-induced kidney injuries. In this retrospective cohort study, we investigated the effect of the concurrent use of Dexmedetomidine (DEX) during the perioperative period on the renal function of patients following craniocerebral interventional surgery...
March 25, 2024: International Journal of Neuroscience
https://read.qxmd.com/read/38525317/risk-factors-for-postoperative-cognitive-decline-after-orthopedic-surgery-in-elderly-chinese-patients-a-retrospective-cohort-study
#23
JOURNAL ARTICLE
Xian Li, Hong Lai, Peng Wang, Shuai Feng, Xuexin Feng, Chao Kong, Dewei Wu, Chunlin Yin, Jianghua Shen, Suying Yan, Rui Han, Jia Liu, Xiaoyi Ren, Ying Li, Lu Tang, Dong Xue, Ying Zhao, Hao Huang, Xiaoying Li, Yanhong Zhang, Xue Wang, Chunxiu Wang, Ping Jin, Shibao Lu, Tianlong Wang, Guoguang Zhao, Chaodong Wang
PURPOSE: We aimed to identify the risk factors for postoperative cognitive decline (POCD) by evaluating the outcomes from preoperative comprehensive geriatric assessment (CGA) and intraoperative anesthetic interventions. PATIENTS AND METHODS: Data used in the study were obtained from the Aged Patient Perioperative Longitudinal Evaluation-Multidisciplinary Trial (APPLE-MDT) cohort recruited from the Department of Orthopedics in Xuanwu Hospital, Capital Medical University between March, 2019 and June, 2022...
2024: Clinical Interventions in Aging
https://read.qxmd.com/read/38524770/impact-of-goal-directed-hemodynamic-therapy-on-perioperative-outcomes-in-head-and-neck-free-flap-surgery-a-before-and-after-pilot-study
#24
JOURNAL ARTICLE
Justine Philteos, Stuart A McCluskey, Sophia Emerson, George Djaiani, David Goldstein, Sabri Soussi
BACKGROUND: Free flap reconstruction for head and neck cancer is associated with a high risk of perioperative complications. One of the modifiable risk factors associated with perioperative morbidity is intraoperative hypotension (IOH). The main aim of this pilot study is to determine if the intraoperative use of goal-directed hemodynamic therapy (GDHT) is associated with a reduction in the number of IOH events in this population. METHODS: A before-and-after study design...
March 2024: Health Science Reports
https://read.qxmd.com/read/38524686/effect-of-aggressive-warming-versus-routine-thermal-management-on-the-incidence-of-perioperative-hypothermia-in-patients-undergoing-thyroid-surgery-a-prospective-randomized-double-blind-controlled-trial
#25
JOURNAL ARTICLE
Yue Zhang, Yafan Bai, Yi Zhang, Yingjie Du, Min Liu, Jiayu Zhu, Guyan Wang
PURPOSE: Despite the implementation of various insulation measures, the incidence of hypothermia during thyroid surgery remains high. This randomized controlled study aimed to evaluate the effects of aggressive thermal management combined with resistive heating mattresses to prevent perioperative hypothermia in patients undergoing thyroid surgery. PATIENTS AND METHODS: 142 consecutive patients scheduled for elective thyroid surgery were enrolled in the study. They were randomly and equally allocated to the aggressive warming or routine care groups (n = 71)...
2024: Therapeutics and Clinical Risk Management
https://read.qxmd.com/read/38524322/a-simplified-sclerocorneal-tunnel-approach-in-performing-pediatric-cataract-surgery
#26
JOURNAL ARTICLE
Omer Othman Abdullah, Huseyin Oksuz
BACKGROUND/AIMS: Performing pediatric lensectomy, anterior vitrectomy with intraocular lens implantation in one session, using a long sclerocorneal tunnel and covering the incision site with 8/0 Vicryl sutures. MATERIALS AND METHODS: This study includes 52 eyes of 30 patients with pediatric cataracts. At the temporal side, the conjunctival peritomy was performed, followed by two long sclerocorneal side ports and the main incision for intraocular lens (IOLs) implantation...
2024: Oman Journal of Ophthalmology
https://read.qxmd.com/read/38524150/successful-transition-to-same-calendar-day-discharge-in-total-joint-arthroplasty-at-an-academic-center
#27
JOURNAL ARTICLE
Candler G Mathews, Jeffrey B Stambough, Benjamin Stronach, Eric R Siegel, C Lowry Barnes, Simon C Mears
BACKGROUND: There has been a shift toward same-day discharge (SDD) in total joint arthroplasty (TJA) in recent years. Our clinical standard had been next-day discharge, but the COVID pandemic led to a hospital bed shortage, causing us to shift to SDD directly from the Post-Anesthesia Care Unit (PACU). The aim of our project was to investigate if the SDD protocol was successful and if it changed complications or 90-day readmission rates. Our secondary aim was to investigate if the protocol created disparities in patient selection...
June 2024: Arthroplasty Today
https://read.qxmd.com/read/38524059/ultrasound-guided-selective-glossopharyngeal-nerve-block-for-severe-gag-reflex-during-dental-treatment-a-report-of-two-cases
#28
Yuki Kojima, Daisuke Oiwa
The ultrasound-guided selective glossopharyngeal nerve block (UGSGNB) has been developed as an approach to overcome the drawbacks of the conventional glossopharyngeal nerve block. The UGSGNB may be performed when a gag reflex occurs during dental treatment. Case 1 involved a 67-year-old man with a medical history of cervical spondylosis and dilated cardiomyopathy. Dental treatment with conscious sedation and the UGSGNB was performed three times. Case 2 involved a 25-year-old woman who was scheduled for dental treatment under general anesthesia because of dental phobia and gagging...
February 2024: Curēus
https://read.qxmd.com/read/38524021/intraoperative-acute-cardiac-tamponade-as-a-result-of-intracardiac-perforation-requiring-emergency-continuous-pericardiocentesis-and-open-sternotomy-a-case-report-and-literature-review-of-a-rare-but-fatal-complication
#29
Christopher M Russo, Mitchell E Harrison, Nathaniel M Harry, John R Benjamin, Christian Popa
Intraoperative acute cardiac tamponade associated with iatrogenic intracardiac perforation from percutaneous interventional cardiac procedures is a rare but potentially catastrophic complication. We report a case of intraoperative acute hemopericardium caused by a left atrial (LA) perforation resulting in cardiac tamponade in a patient undergoing a baffling procedure for the correction of two anomalous pulmonary veins draining into her superior vena cava (SVC) that required continuous pericardiocentesis with autologous blood transfusion via the femoral vein and an emergency intraoperative transfer from the interventional cardiology cath lab to the cardiac operating room for an open sternotomy and primary repair...
February 2024: Curēus
https://read.qxmd.com/read/38523899/shifting-to-transperineal-prostate-biopsy-a-narrative-review
#30
REVIEW
Younsoo Chung, Sung Kyu Hong
To address the limitations and challenges associated with transrectal (TR) biopsy and to present transperineal (TP) biopsy as a viable and potentially safer alternative to TR biopsy. Prostate cancer (PCa) is a significant global health concern. The prevalence of advanced-stage prostate cancer in Asia is higher than that in the United States, emphasizing the need for effective screening and diagnosis methods. The gold standard of diagnosis is a TR biopsy. However, it has limitations due to the risk of infection and potential complications, such as injury to the rectal artery...
March 2024: Prostate International
https://read.qxmd.com/read/38523877/effect-of-dexmedetomidine-on-oxygen-and-intrapulmonary-shunt-qs-qt-during-one-lung-ventilation-in-pediatric-surgery-a-randomized-controlled-trial
#31
JOURNAL ARTICLE
Ayham Khddam, Faten Rostom, Mohammad Y Hajeer
Background One-lung ventilation (OLV) is a common ventilation technique used during thoracic surgery. It can cause serious complications in children, and hypoxic pulmonary vasoconstriction (HPV) is a protective mechanism against the resulting hypoxia. Dexmedetomidine does not affect HPV, so we will investigate its impact on the partial pressure of oxygen in arterial blood (PaO2) and pulmonary shunt fraction (Qs/Qt). Methods Children who underwent OLV were divided into two equal groups. The Dex group received 0...
March 2024: Curēus
https://read.qxmd.com/read/38521911/clinical-application-of-middle-descending-colon-double-lumen-ostomy-with-distal-stoma-narrowing-in-the-treatment-of-anorectal-malformation
#32
JOURNAL ARTICLE
Guoxian Huang, Wenni Li, Lili Ma, Xin Lei, Xiangde Lin, Yuandong Chen, Bo Xu
BACKGROUND: Anorectal malformations (ARMs) are the most common congenital anomaly of the digestive tract. And colostomy should be performed as the first-stage procedure in neonates diagnosed with intermediate- or high-type ARMs. However, the most classic Pe˜na's colostomy still has some disadvantages such as complicated operation procedure, susceptibility to infection, a greater possibility of postoperative incision dehiscence, difficulty of nursing and large surgical trauma and incision scarring when closing the stoma...
March 23, 2024: BMC Pediatrics
https://read.qxmd.com/read/38521631/associations-of-preoperative-nutritional-status-and-sarcopenia-with-mortality-in-patients-with-abdominal-aortic-aneurysm-after-open-and-endovascular-abdominal-aortic-aneurysm-repair-a-retrospective-study
#33
JOURNAL ARTICLE
Jiashu Yao, Yepeng Zhang, Bo Gao, Min Zhou
OBJECTIVE: The effect of preoperative malnutrition and sarcopenia on outcomes in patients with abdominal aortic aneurysm (AAA) after open surgical repair (OSR) and endovascular abdominal aortic aneurysm repair is undefined. The authors conducted the study to address this issue in this population. DESIGN: A retrospective observational study. SETTING: A large tertiary hospital. PARTICIPANTS: Patients with AAA who underwent OSR and endovascular aneurysm repair (EVAR)...
March 5, 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38520242/evaluation-of-the-management-of-gastroschisis-in-aristide-le-dantec-university-hospital-center-in-dakar
#34
JOURNAL ARTICLE
Souleymane Camara, Daniel Yonga Tenfa, S Y Fatou, Fall Yacine, Mbaye Fall, Oumar Ndour
INTRODUCTION: The management of gastroschisis remains problematic in low- and middle-income countries with high perioperative mortality. The objective of this work was to make an initial assessment of our management of gastroschisis. MATERIALS AND METHODS: This was a monocentric and cross-sectional study including all newborns with gastroschisis between January 2017 and December 2021 in the Pediatric Surgery and Anesthesia Resuscitation Department of the Aristide Le Dantec University Hospital Center from Dakar...
March 14, 2024: African Journal of Paediatric Surgery: AJPS
https://read.qxmd.com/read/38519945/association-of-adherence-to-the-enhanced-recovery-after-surgery-pathway-and-outcomes-after-laparoscopic-total-gastrectomy
#35
JOURNAL ARTICLE
Yiming Hao, Qingchuan Zhao, Kun Jiang, Xiangying Feng, Yumei Ma, Jianzhong Zhang, Xi'an Han, Gang Ji, Hailong Dong, Huang Nie
OBJECTIVE: The current study used a composite outcome to investigate whether applying the ERAS protocol would enhance the recovery of patients undergoing laparoscopic total gastrectomy (LTG). EXPOSURES: Laparoscopic total gastrectomy and perioperative interventions were the exposure. An ERAS clinical pathway consisting of 14 items was implemented and assessed. Patients were divided into either ERAS-compliant or non-ERAS-compliant group according the adherence above 9/14 or not...
March 22, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38519449/risk-factors-for-complicated-perioperative-recovery-in-dogs-undergoing-staphylectomy-or-folded-flap-palatoplasty-seventy-six-cases-2018-2022
#36
JOURNAL ARTICLE
Agnieszka B Fracka, Min K Song, Trey L Dejong, Boel A Fransson
OBJECTIVE: To analyze risk factors for complicated perioperative recovery of dogs undergoing either staphylectomy or folded flap palatoplasty. STUDY DESIGN: Retrospective study. ANIMALS: Seventy-six client-owned dogs. METHODS: Medical records of dogs that underwent either staphylectomy or folded flap palatoplasty were reviewed for signalment, brachycephalic risk (BRisk) score, history of gastrointestinal signs, laryngeal collapse grade, presence of preoperative aspiration pneumonia, intraoperative respiratory and cardiovascular complications, length of general anesthesia, number of corrected brachycephalic obstructive airway syndrome (BOAS) components, and gastrointestinal and respiratory postoperative complications...
March 22, 2024: Veterinary Surgery
https://read.qxmd.com/read/38518053/iatrogenic-aortic-dissection-in-patients-undergoing-coronary-artery-bypass-grafting-surgery-a-systemic-review-of-published-literatures
#37
JOURNAL ARTICLE
Xi Yuan, Yanting Sun, Huaqiu Chen, Qiqing Lan, Wen Wu, Yuntai Yao
BACKGROUND: Iatrogenic aortic dissection (IAD) is a rare but highly lethal complication that may occur following coronary artery bypass grafting (CABG) surgery. Aortic dissection (AD) is often asymptomatic, making early detection difficult. We aimed to optimize preoperative evaluation strategies of CABG surgery for minimizing the incidence of IAD and assess early recognition and management of IAD for improving outcomes. METHODS: Electronic databases were searched to identify all case reports of patients undergoing CABG surgery who developed IAD...
March 22, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38517763/care-of-the-pediatric-patient-for-ambulatory-tonsillectomy-with-or-without-adenoidectomy-the-society-for-ambulatory-anesthesia-position-statement
#38
JOURNAL ARTICLE
Marjorie P Brennan, Audra M Webber, Chhaya V Patel, Wanda A Chin, Steven F Butz, Niraja Rajan
The landscape of ambulatory surgery is changing, and tonsillectomy with or without adenoidectomy is one of the most common pediatric surgical procedures performed nationally. The number of children undergoing tonsillectomy on an ambulatory basis continues to increase. The 2 most common indications for tonsillectomy are recurrent throat infections and obstructive sleep-disordered breathing. The most frequent early complications after tonsillectomy are hemorrhage and ventilatory compromise. In areas lacking a dedicated children's hospital, these cases are managed by a nonpediatric specialized anesthesiologist and general otolaryngology surgeon...
March 22, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38517762/metformin-use-in-type-2-diabetics-and-delirium-after-noncardiac-surgery-a-retrospective-cohort-analysis
#39
JOURNAL ARTICLE
Stephania Paredes, Ayoub Harb, Julian Rössler, Maede Zookaei Nikoo, Kurt Ruetzler, Alparslan Turan, Xuan Pu, Daniel I Sessler
INTRODUCTION: The cause of postoperative delirium is unknown, but it is thought to result at least in part from inflammation. Metformin, besides its hypoglycemic properties, demonstrates anti-inflammatory effects systemically and in the brain. We tested the primary hypothesis that chronic metformin use in adults with type 2 diabetes is associated with less delirium during the first 5 days after major noncardiac surgery. Secondary outcomes were a composite of serious complications (myocardial infarction, cardiac arrest, stage 2-3 acute kidney injury [AKI], and mortality) and time to discharge alive...
March 22, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38516868/benefits-of-simulation-for-ultrasound-guided-midline-placement-training-mc-in-sim-pilot-study
#40
JOURNAL ARTICLE
Côme Slosse, Anaïs Roche, Gabriela Hossu, Luca Fantin, Noémie Amouyal, Hind Hani, Hervé Bouaziz, Gaëlle Ambroise-Grandjean
INTRODUCTION: Ultrasound-guided placement of Midlines catheters (MCs) is a standard procedure with many benefits for patients. Even if there are some guidelines worldwide, this invasive technique is still taught at the patient's bed and relies on mentoring in many care centers. The performance of this care by novice practitioners raises ethical and quality of care issues mainly because of its risk of complications. This study aimed to propose and assess a simulation-based learning method for the placement of MCs in novice practitioners...
March 22, 2024: Journal of Vascular Access
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