keyword
https://read.qxmd.com/read/38429192/-perioperative-smoking-cessation-conventional-smoking-and-e-cigarettes-in-2023-a-narrative-review-of-the-literature
#1
REVIEW
M Mestdag, S Degey, E Deflandre
INTRODUCTION: Tobacco addiction is the leading cause of preventable death. During the perioperative period, patients who smoke are at increased risk of systemic as well as surgical site complications. STATE OF THE ART: Surgery is an ideal time for change of lifestyle habits. It is vital to seize this opportunity to improve the patient's health in the long- as well as the short-term. Smoking cessation should be encouraged in all surgical patients. Initiating smoking cessation combines pharmacological treatment and a behavioral approach...
February 29, 2024: Revue des Maladies Respiratoires
https://read.qxmd.com/read/36693753/first-trimester-surgical-abortion-practice-in-canada-in-2012
#2
JOURNAL ARTICLE
Regina-Maria Renner, Vivien Hu, Édith R Guilbert, Arianne Y K Albert, Katharine O'Connell White, Heidi E Jones, Xiaoning Guan, Wendy V Norman
OBJECTIVE: To evaluate practices among first-trimester surgical abortion facilities and providers in Canada in 2012 and examine the characteristics of the surgical abortion work force. DESIGN: Self-administered paper or electronic survey adapted from a survey previously fielded in the United States. SETTING: Canada. PARTICIPANTS: Facility administrators and physicians. MAIN OUTCOMES MEASURES: Descriptive statistics on reported first-trimester surgical abortion practice and provider demographic characteristics...
January 2023: Canadian Family Physician Médecin de Famille Canadien
https://read.qxmd.com/read/35831738/improving-30-day-postoperative-mortality-after-surgery-expanding-anesthesia-s-footprint-in-perioperative-medicine
#3
EDITORIAL
Martin Krause, Karsten Bartels
No abstract text is available yet for this article.
September 2022: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/35766854/-toward-precision-surgery-for-head-and-neck-tumors
#4
JOURNAL ARTICLE
Zuzana Saidak, Antoine Galmiche, Martial Ouendo, Denis Chatelain, Jean-Marc Constans, Sylvie Testelin
Surgical resection is the most frequent curative treatment proposed to patients with head and neck cancers. It is currently integrated into specific therapeutic schemes and therapeutic stratification, but the surgical procedure itself as well as its evaluation do not rely on tumor biology. Here, we present a number of recent studies, mostly based on system analyses and genomics, that show how tumor analyses could help to: i) define the indications and the extent of surgical resections; ii) personalize the perioperative management; iii) facilitate the detection of post-surgical tumor recurrence...
June 2022: Médecine Sciences: M/S
https://read.qxmd.com/read/35703865/-eras-perioperative-care-for-the-benefit-of-the-patient
#5
JOURNAL ARTICLE
Didier Roulin, Martin Hübner, Chikara Shirata, Nicolas Demartines
During surgical procedures, surgery, and anesthesia lead to pathophysiological stress on the human body. The goal of perioperative medicine is to prepare patients and take all possible measures to reduce this pathophysiological stress. The emergence of ERAS over the past 15 years has made it possible to set up a multimodal program based on scientific evidence, showing that the adequate application of an improved rehabilitation program after surgery, ERAS-type, is possible in all surgical specialties, including gynecology, cardiac surgery, and neurosurgery...
June 15, 2022: Revue Médicale Suisse
https://read.qxmd.com/read/35393087/incident-cardiovascular-events-and-early-mortality-in-patients-with-revascularized-critical-limb-ischemia
#6
JOURNAL ARTICLE
R Gaisset, F Lin, O Borry, C Quemeneur, I Lazareth, J Emmerich, P Priollet, A Yannoutsos
OBJECTIVES: Patients with critical limb ischemia (CLI) present a high risk of cardiovascular events and death. This study aimed to investigate the incidence of major adverse cardiovascular events (MACE) and one-year mortality in patients undergoing percutaneous revascularization procedure for CLI. METHODS: This investigation is a retrospective analysis of an ongoing cohort study in patients with CLI undergoing endovascular revascularization, hospitalized in the vascular medicine department from November 2013 to December 2018...
February 2022: Journal de Médecine Vasculaire
https://read.qxmd.com/read/33432497/pupillometry-in-perioperative-medicine-a-narrative-review
#7
REVIEW
Senthil Packiasabapathy, Valluvan Rangasamy, Senthilkumar Sadhasivam
PURPOSE: Pupillometry is a technique for objective quantification of nociception that takes into account the central processing of noxious stimuli and its sympathetic response. This narrative review provides an overview of the physiology of the pupil, the principles of pupillometry, and its potential application in the perioperative environment, especially in nociception monitoring and quantifying responses to opioids. SOURCE: Relevant articles, including reports of original investigation, review articles, and meta-analyses were identified from searches of PubMed and Google Scholar databases...
April 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/32139492/anaesthesia-care-providers-employed-in-humanitarian-settings-by-m%C3%A3-decins-sans-fronti%C3%A3-res-a-retrospective-observational-study-of-173-084-surgical-cases-over-10-years
#8
JOURNAL ARTICLE
Søren Kudsk-Iversen, Miguel Trelles, Elie Ngowa Bakebaanitsa, Longin Hagabimana, Abdul Momen, Rahmatullah Helmand, Carline Saint Victor, Khalid Shah, Adolphe Masu, Judith Kendell, Hilary Edgcombe, Mike English
OBJECTIVE: To describe the extent to which different categories of anaesthesia provider are used in humanitarian surgical projects and to explore the volume and nature of their surgical workload. DESIGN: Descriptive analysis using 10 years (2008-2017) of routine case-level data linked with routine programme-level data from surgical projects run exclusively by Médecins Sans Frontières-Operational Centre Brussels (MSF-OCB). SETTING: Projects were in contexts of natural disaster (ND, entire expatriate team deployed by MSF-OCB), active conflict (AC) and stable healthcare gaps (HG)...
March 4, 2020: BMJ Open
https://read.qxmd.com/read/27407057/averted-health-burden-over-4-years-at-m%C3%A3-decins-sans-fronti%C3%A3-res-msf-trauma-centre-in-kunduz-afghanistan-prior-to-its-closure-in-2015
#9
JOURNAL ARTICLE
Miguel Trelles, Barclay T Stewart, Hamayoun Hemat, Masood Naseem, Sattar Zaheer, Mutallib Zakir, Edris Adel, Catherine Van Overloop, Adam L Kushner
BACKGROUND: On October 3, 2015, a United States airstrike hit Médecins Sans Frontières (Doctors Without Borders) Trauma Centre in Kunduz, Afghanistan. Our aim was to describe the care provided and estimate the health burden averted by surgical care at the hospital. We also report the benefit rendered by the Trauma Centre to the health of the local population prior to its destruction. METHODS: All operations performed in an operating theater at the Trauma Centre from its opening on August 30, 2011, to August 31, 2015, were described...
November 2016: Surgery
https://read.qxmd.com/read/26883163/perioperative-mortality-analysis-of-3-years-of-operative-data-across-7-general-surgical-projects-of-m%C3%A3-decins-sans-fronti%C3%A3-res-in-democratic-republic-of-congo-central-african-republic-and-south-sudan
#10
JOURNAL ARTICLE
Jessica F Davies, Annick Lenglet, Marten van Wijhe, Cono Ariti
BACKGROUND: The African continent has the greatest burden of surgical disability-adjusted life years, yet the least is known about operative care here. This analysis describes the surgical patients admitted to 7 hospitals supported by the Médécins Sans Frontières (MSF) over 3 years in 3 conflict-affected countries-Eastern Democratic Republic of Congo, Central African Republic, and South Sudan. METHODS: A standardized operative data collection tool was used for routine collection of operative inpatient data between 2011 and 2013 at 7 MSF surgical facilities...
May 2016: Surgery
https://read.qxmd.com/read/26881395/providing-anesthesia-care-in-resource-limited-settings-a-6-year-analysis-of-anesthesia-services-provided-at-m%C3%A3-decins-sans-fronti%C3%A3-res-facilities
#11
JOURNAL ARTICLE
Promise Ariyo, Miguel Trelles, Rahmatullah Helmand, Yama Amir, Ghulam Haidar Hassani, Julien Mftavyanka, Zenon Nzeyimana, Clemence Akemani, Innocent Bagura Ntawukiruwabo, Adelin Charles, Yanang Yana, Kalla Moussa, Mustafa Kamal, Mohamed Lamin Suma, Mowlid Ahmed, Mohamed Abdullahi, Evan G Wong, Adam Kushner, Asad Latif
BACKGROUND: Anesthesia is integral to improving surgical care in low-resource settings. Anesthesia providers who work in these areas should be familiar with the particularities associated with providing care in these settings, including the types and outcomes of commonly performed anesthetic procedures. METHODS: The authors conducted a retrospective analysis of anesthetic procedures performed at Médecins Sans Frontières facilities from July 2008 to June 2014. The authors collected data on patient demographics, procedural characteristics, and patient outcome...
March 2016: Anesthesiology
https://read.qxmd.com/read/26313079/care-of-surgical-infections-by-m%C3%A3-decins-sans-fronti%C3%A3-res-operations-centre-brussels-in-2008-14
#12
JOURNAL ARTICLE
Davina Sharma, Kate Hayman, Barclay T Stewart, Lynette Dominguez, Miguel Trelles, Sanaulhaq Saqeb, Cheride Kasonga, Theophile Kubuya Hangi, Jerome Mupenda, Aamer Naseer, Evan Wong, Adam L Kushner
BACKGROUND: Surgical infections represent a substantial yet undefined burden of disease in low-income and middle-income countries (LMICs). Médecins Sans Frontières (MSF) provides surgical care in LMICs and collects data useful to describe the operative epidemiology of surgical need that would otherwise be unmet by national health services. We aimed to describe the experience of MSF Operations Centre Brussels surgery for infections during crisis; aid effective resource allocation; prepare humanitarian surgical staff; and further characterise unmet surgical needs in LMICs...
April 27, 2015: Lancet
https://read.qxmd.com/read/26267351/surgical-care-of-pediatric-patients-in-the-humanitarian-setting-the-m%C3%A3-decins-sans-fronti%C3%A3-res-experience-2012-2013
#13
JOURNAL ARTICLE
Maeve O'Neill Trudeau, Emmanuel Baron, Patrick Hérard, Amy S Labar, Xavier Lassalle, Carrie Lee Teicher, David H Rothstein
IMPORTANCE: Little is known about the scope of practice and outcomes in pediatric surgery performed by humanitarian organizations in resource-poor settings and conflict zones. This study provides the largest report to date detailing such data for a major nongovernmental organization providing humanitarian surgical relief support in these settings. OBJECTIVE: To characterize pediatric surgical care provision by a major nongovernmental organization in specialized humanitarian settings and conflict zones...
November 2015: JAMA Surgery
https://read.qxmd.com/read/25358418/cesarean-section-surgical-site-infections-in-sub-saharan-africa-a-multi-country-study-from-medecins-sans-frontieres
#14
JOURNAL ARTICLE
Kathryn Chu, Rebecca Maine, Miguel Trelles
BACKGROUND: Surgical site infections (SSI) are a significant cause of post-surgical morbidity and mortality and can be an indicator of surgical quality. The objectives of this study were to measure post-operative SSI after cesarean section (CS) at four sites in three sub-Saharan African countries and to describe the associated risk factors in order to improved quality of care in low and middle income surgical programs. METHODS: This study included data from four emergency obstetric programs supported by Medecins sans Frontieres, from Burundi, the Democratic Republic of Congo (DRC), and Sierra Leone...
February 2015: World Journal of Surgery
https://read.qxmd.com/read/22999226/emergency-surgery-data-and-documentation-reporting-forms-for-sudden-onset-humanitarian-crises-natural-disasters-and-the-existing-burden-of-surgical-disease
#15
JOURNAL ARTICLE
Frederick M Burkle, Jason W Nickerson, Johan von Schreeb, Anthony D Redmond, Kelly A McQueen, Ian Norton, Nobhojit Roy
Following large-scale disasters and major complex emergencies, especially in resource-poor settings, emergency surgery is practiced by Foreign Medical Teams (FMTs) sent by governmental and non-governmental organizations (NGOs). These surgical experiences have not yielded an appropriate standardized collection of data and reporting to meet standards required by national authorities, the World Health Organization, and the Inter-Agency Standing Committee's Global Health Cluster. Utilizing the 2011 International Data Collection guidelines for surgery initiated by Médecins Sans Frontières, the authors of this paper developed an individual patient-centric form and an International Standard Reporting Template for Surgical Care to record data for victims of a disaster as well as the co-existing burden of surgical disease within the affected community...
December 2012: Prehospital and Disaster Medicine
https://read.qxmd.com/read/19232884/guidelines-for-indications-for-the-use-of-extracorporeal-life-support-in-refractory-cardiac-arrest-french-ministry-of-health
#16
REVIEW
(no author information available yet)
Around 50,000 cardiac arrests (CA) occur each year in France and survival remains as low as 3 to 5%. Cardiopulmonary resuscitation (CPR) includes several treatment techniques for CA that are regularly updated in French, European, and international guidelines. Extracorporeal life support (ECLS) has been suggested as a therapeutic option in refractory CA since 1976. However, the use of this technique has remained limited to hypothermic CA and to CA occurring during the perioperative period of cardiothoracic surgery, mainly because the results of the initial trials were deceptive...
February 2009: Annales Françaises D'anesthèsie et de Rèanimation
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