keyword
https://read.qxmd.com/read/38537236/comparison-of-perioperative-outcomes-in-obese-and-non-obese-patients-subjected-to-open-lumbar-spine-surgery
#1
JOURNAL ARTICLE
Parménides Guadarrama-Ortiz, César O Ruíz-Rivero, Deyanira Capi-Casillas, Alondra Román-Villagómez, Ulises Palacios-Zúñiga, Ángel D Prieto-Rivera, José A Choreño-Parra
OBJECTIVE: Obesity is a global epidemic affecting developing countries. The relationship between obesity and perioperative outcomes during elective lumbar spine surgery remains controversial, especially in those without morbid disease. MATERIALS AND METHODS: We retrospectively revised the medical records of patients with lumbar spine degeneration subjected to elective surgery. The data retrieved included demographic and clinical characteristics, body mass index (BMI), obesity status (BMI ≥ 30), surgical interventions, estimated blood loss (EBL), operative time, length of stay (LOS), and post-operative complications...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38537084/personal-versus-therapist-perioperative-music-intervention-a-randomized-controlled-trial
#2
JOURNAL ARTICLE
Fan Jiang, Tingting Wang, Liqiong Hu, Shangui Chen, Lijian Chen, Xuesheng Liu, Yao Lu, Erwei Gu, Luis Ulloa
INTRODUCTION: Music interventions can alleviate patient anxiety and improve post-surgical satisfaction. However, it remains uncertain whether music personal preferences affect efficacy. We tested whether personal music intervention with patient-selected songs played ad libitum is more effective than standard therapist-designed treatment with classical music. METHODS: A prospective, parallel-group, single-blinded, randomized controlled trial with 229 participants (aged 18 to 60 y) previously scheduled for elective surgery...
April 3, 2024: International Journal of Surgery
https://read.qxmd.com/read/38536790/cause-and-preventability-of-in-hospital-mortality-after-pci-a-statewide-root-cause-analysis-of-1-163-deaths
#3
JOURNAL ARTICLE
Francesco Moroni, Milan Seth, Hameem U Changezi, Milind Karve, Dilip S Arora, Manoj Sharma, Elizabeth Pielsticker, Aaron D Berman, Daniel Lee, M Imran Qureshi, Lorenzo Azzalini, Devraj Sukul, Hitinder S Gurm
BACKGROUND: Mortality is the most devastating complication of percutaneous coronary interventions (PCI). Identifying the most common causes and mechanisms of death after PCI in contemporary practice is an important step in further reducing periprocedural mortality. OBJECTIVES: To systematically analyze the cause and circumstances of in-hospital mortality in a large, multi-center, statewide cohort. METHODS: In-hospital deaths after PCI occurring at 39 hospitals included in the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) between 2012 and 2014 were retrospectively reviewed using validated methods...
2024: PloS One
https://read.qxmd.com/read/38536739/a-scoping-review-of-the-mechanisms-underlying-developmental-anesthetic-neurotoxicity
#4
JOURNAL ARTICLE
Matthew Thomas Borzage, Bradley S Peterson
Although anesthesia makes painful or uncomfortable diagnostic and interventional health care procedures tolerable, it may also disrupt key cellular processes in neurons and glia, harm the developing brain, and thereby impair cognition and behavior in children. Many years of studies using in vitro, animal behavioral, retrospective database studies in humans, and several prospective clinical trials in humans have been invaluable in discerning the potential toxicity of anesthetics. The objective of this scoping review was to synthetize the evidence from preclinical studies for various mechanisms of toxicity across diverse experimental designs and relate their findings to those of recent clinical trials in real-world settings...
March 27, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38536674/technical-note-a-comparison-of-physician-doses-in-c-arm-and-ct-fluoroscopy-procedures
#5
JOURNAL ARTICLE
Jonathan Troville, Emily Knott, Carlos Alberto Reynoso-Mejia, Martin Wagner, Fred T Lee, Timothy P Szczykutowicz
PURPOSE: We address the misconception that the typical physician dose is higher for CT fluoroscopy (CTF) procedures compared to C-Arm procedures. METHODS: We compare physician scatter doses using two methods: a literature review of reported doses and a model based on a modified form of the dose area product (DAP). We define this modified form of DAP, "cumulative absorbed DAP," as the product of the area of the x-ray beam striking the patient, the dose rate per unit area, and the exposure time...
March 27, 2024: Journal of Applied Clinical Medical Physics
https://read.qxmd.com/read/38536649/emergent-coronary-thrombectomy-for-acute-myocardial-infarction-immediately-following-craniotomy-with-tumor-resection
#6
JOURNAL ARTICLE
Curtis R Ginder, Giselle A Suero-Abreu, Saad S Ghumman, Brian A Bergmark, Omar Arnaout, Robert P Giugliano
The management of perioperative acute myocardial infarction (AMI) following oncologic neurosurgery requires balancing competing risks of myocardial ischemia and postoperative bleeding. There are limited human data to establish the safest timing of antiplatelet or anticoagulation therapy following neurosurgical procedures. For patients with malignancy experiencing AMI in the acute postoperative period, staged percutaneous coronary intervention (PCI) with upfront coronary aspiration thrombectomy followed by delayed completion PCI may offer an opportunity for myocardial salvage while minimizing postoperative bleeding risks...
March 27, 2024: Cardiology and Therapy
https://read.qxmd.com/read/38536509/mid-and-long-term-results-of-open-repair-for-chronic-type-b-aortic-dissection-in-endovascular-era
#7
JOURNAL ARTICLE
Akitoshi Takazawa, Toshihisa Asakura, Osamu Kinoshita, Hiroyuki Nakajima, Akihiro Yoshitake
Medical management is the standard treatment of chronic type B aortic dissection (CTBAD). However, the roles of open surgical repair (OSR) and thoracic endovascular repair (TEVAR) in patients with CTBAD remain controversial. Thus, this study aimed to assess and compare the mid- and long-term clinical outcomes of OSR via left thoracotomy with that of TEVAR for CTBAD. The data of 85 consecutive patients who underwent surgery for CTBAD from April 2007 to May 2021 were retrospectively reviewed. The patients were divided into two groups: Group G, which included patients who underwent OSR, and Group E, which included patients who underwent TEVAR...
March 27, 2024: Heart and Vessels
https://read.qxmd.com/read/38536450/surgical-management-of-chiari-ii-malformation-a-systematic-review-of-literature
#8
REVIEW
Rafael C C Vencio, Adriano M Lino-Filho, Renata C F Bonfim, Nayara M Pereira, Cilmária L Franco, Paulo Ronaldo J Ribeiro, Bárbara A Morais
PURPOSE: Chiari II malformation (CM-II) is a congenital malformation of the posterior fossa associated with myelomeningocele. Of the symptomatic patients, 10-33% require surgical treatment. To this date, there is not a consensus about the best surgical technique, and whether to do duroplasty. METHODS: A literature search of the PubMed database and crossed references was performed, per PRISMA guidelines. Data regarding demographic features, extent of cervicomedullary deformity, clinical presentation, surgical techniques, and clinical outcomes were extracted...
March 27, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38536186/quality-of-life-after-axillary-lymph-node-dissection-among-racial-and-ethnic-minority-women
#9
JOURNAL ARTICLE
Danielle R Heller, Bayley Axelrod, Varadan Sevilimedu, Monica Morrow, Babak J Mehrara, Andrea V Barrio
IMPORTANCE: Higher lymphedema rates after axillary lymph node dissection (ALND) have been found in Black and Hispanic women; however, there is poor correlation between subjective symptoms, quality of life (QOL), and measured lymphedema. Additionally, racial and ethnic differences in QOL have been understudied. OBJECTIVE: To evaluate the association of race and ethnicity with long-term QOL in patients with breast cancer treated with ALND. DESIGN, SETTING, AND PARTICIPANTS: This cohort study enrolled women aged 18 years and older with breast cancer who underwent unilateral ALND at a tertiary cancer center between November 2016 and March 2020...
March 27, 2024: JAMA Surgery
https://read.qxmd.com/read/38535984/italian-society-of-interventional-cardiology-gise-and-italian-society-of-arterial-hypertension-siia-position-paper-on-the-role-of-renal-denervation-in-the-management-of-the-difficult-to-treat-hypertension
#10
JOURNAL ARTICLE
Eugenio Stabile, Maria L Muiesan, Flavio L Ribichini, Giuseppe Sangiorgi, Stefano Taddei, Francesco Versaci, Bruno Villari, Alessandra Bacca, Daniela Benedetto, Vincenzo Fioretti, Eugenio Laurenzano, Massimilano Scapaticci, Francesco Saia, Giuseppe Tarantini, Guido Grassi, Giovanni Esposito
Renal denervation (RDN) is a safe and effective strategy for the treatment of difficult to treat hypertension. The blood pressure (BP)-lowering efficacy of RDN is comparable to those of many single antihypertensive medications and it allows to consider the RDN as a valuable option for the treatment of difficult to treat hypertension together with lifestyle modifications and medical therapy. A multidisciplinary team is of pivotal importance from the selection of the patient candidate for the procedure to the post-procedural management...
March 27, 2024: Minerva cardiology and angiology
https://read.qxmd.com/read/38535767/evaluation-of-radiation-exposure-and-influential-factors-in-cone-beam-computed-tomography-cbct-of-the-head-and-abdomen-during-interventional-procedures
#11
JOURNAL ARTICLE
Mingming Li, Weiwei Qu, Dong Zhang, Binyan Zhong, Zhi Li, Zhengyu Jiang, Guanyin Ni, Caifang Ni
Cone-beam computed tomography (CBCT) is a widely used imaging technique in interventional radiology. Although CBCT offers great advantages in terms of improving comprehension of complex angioarchitectures and guiding therapeutic decisions, its additional degree of radiation exposure has also aroused considerable concern. In this study, we aimed to assess radiation exposure and its influential factors in patients undergoing CBCT scans of the head and abdomen during interventional procedures. A total of 752 patients were included in this retrospective study...
February 26, 2024: Tomography: a Journal for Imaging Research
https://read.qxmd.com/read/38535146/magnetic-resonance-imaging-as-a-diagnostic-tool-for-ilio-femoro-caval-deep-venous-thrombosis
#12
JOURNAL ARTICLE
Lisbeth Lyhne, Kim Christian Houlind, Johnny Christensen, Radu L Vijdea, Meinhard R Hansen, Malene Roland V Pedersen, Helle Precht
This study aimed to test the accuracy of a magnetic resonance imaging (MRI)-based method to detect and characterise deep venous thrombosis (DVT) in the ilio-femoro-caval veins. Patients with verified DVT in the lower extremities with extension of the thrombi to the iliac veins, who were suitable for catheter-based venous thrombolysis, were included in this study. Before the intervention, magnetic resonance venography (MRV) was performed, and the ilio-femoro-caval veins were independently evaluated for normal appearance, stenosis, and occlusion by two single-blinded observers...
March 8, 2024: Journal of Imaging
https://read.qxmd.com/read/38535105/echocardiographic-fluoroscopic-fusion-imaging-improves-interventionalists-learning-curve-for-percutaneous-left-atrial-appendage-closure-initial-single-center-retrospective-observations
#13
JOURNAL ARTICLE
Dominika Kanschik, Houtan Heidari, Kathrin Klein, Amin Polzin, Verena Veulemans, Jürgen Leick, Malte Kelm, Christian Jung, Tobias Zeus, Shazia Afzal
Due to the complex and variable anatomy of the left atrial appendage, percutaneous left atrial appendage closure (LAAC) can be challenging. In this study, we investigated the impact of fusion imaging (FI) on the LAAC learning curve of two interventionalists. The first interventionalist (IC 1) was initially trained without FI and continued his training with FI. The second interventionalist (IC 2) performed all procedures with FI. We compared the first 36 procedures without FI of IC 1 (group 1) with his next 36 interventions with FI (group 2)...
February 29, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38535070/comparison-between-ultrasound-guided-and-palpatory-localization-of-the-dorsal-joint-space-of-the-shoulder-joint
#14
JOURNAL ARTICLE
Stephan Stein, Andreas Weimer, Svenja Berthold, Johannes Matthias Weimer, Arnold J Suda, Christopher Tuffs, Gerhard Schmidmaier, Christian T Schamberger
AIM OF THE STUDY: Arthroscopy ranks among the frequently performed interventions in orthopedics. The aim of this study was to compare the palpation technique with the ultrasound technique for locating the dorsal glenohumeral joint space (JS) in shoulder joint punctures. MATERIAL AND METHODS: Participants inexperienced in ultrasound examinations were included. Palpatory and ultrasound finding of the joint space by the participants was performed according to current recommendations and was initially demonstrated by an instructional video...
March 20, 2024: Diagnostics
https://read.qxmd.com/read/38535034/lifestyle-medicine-for-the-prevention-and-treatment-of-pancreatitis-and-pancreatic-cancer
#15
REVIEW
Sruthi Kapliyil Subramanian, Bhaumik Brahmbhatt, Jennifer M Bailey-Lundberg, Nirav C Thosani, Pritesh Mutha
The incidence of pancreatitis and pancreatic cancer is on the upswing in the USA. These conditions often lead to higher healthcare costs due to the complex nature of diagnosis and the need for specialized medical interventions, surgical procedures, and prolonged medical management. The economic ramification encompasses direct healthcare expenses and indirect costs related to productivity losses, disability, and potential long-term care requirements. Increasing evidence underscores the importance of a healthy lifestyle in preventing and managing these conditions...
March 14, 2024: Diagnostics
https://read.qxmd.com/read/38535016/robotic-platforms-for-therapeutic-flexible-endoscopy-a-literature-review
#16
REVIEW
Naoya Tada, Kazuki Sumiyama
Flexible endoscopy, initially developed for diagnosis and tissue sampling, has been adapted for therapeutic interventions, leading to the emergence of natural orifice transluminal endoscopic surgery (NOTES) in the 2000s. The need for a triangulation function to enhance the intuitiveness and safety of NOTES has prompted the development of dual-arm, flexible endoscopic robotic platforms. Although the global interest in NOTES has decreased in the last decade, no-scar surgery concepts are still being applied to other complex endoluminal interventions, such as endoscopic submucosal dissection (ESD) and endoscopic full-thickness resection (EFTR), with ongoing research and development...
March 11, 2024: Diagnostics
https://read.qxmd.com/read/38534990/safety-and-diagnostic-yield-of-medical-pleuroscopy-mp-performed-under-balanced-analgosedation-by-a-pneumological-team-compared-to-video-assisted-thoracic-surgery-vats-a-retrospective-controlled-real-life-study-torapo
#17
JOURNAL ARTICLE
Valentino Allocca, Luca Guidelli, Angela Galgano, Lucia Benedetti, Roberto Fabbroni, Andrea Bianco, Piero Paladini, Raffaele Scala
INTRODUCTION: Medical pleuroscopy (MP) is an invasive technique that provides access to the pleural space with a rigid or semi-rigid work instrument, allowing for visualization and the obtaining of bioptic pleural samples. Using pulmonologist-based analgosedation to perform pleuroscopy is still debated for safety reasons. The aim of this real-life study is to demonstrate the safety and diagnostic yield of MP performed under balanced analgosedation by a pulmonologist team with expertise in the management of critically ill patients in the respiratory intensive care unit (RICU) and interventional pulmonology unit as compared to video-assisted thoracic surgery (VATS) performed by a thoracic surgeon team under anesthesiologist-based analgosedation...
March 7, 2024: Diagnostics
https://read.qxmd.com/read/38534966/impact-of-covid-19-pandemic-on-cardiovascular-healthcare-in-croatia-a-comprehensive-nationwide-survey
#18
JOURNAL ARTICLE
Josip Lukenda, Josip Andelo Borovac
The impact of the COVID-19 pandemic on cardiovascular healthcare in Croatia remains largely unexplored. This study aimed to compare the utilization and provision of cardiovascular services during the pre-pandemic (2017-2019) and pandemic (2020-2021) periods, leveraging nationwide data from the Croatian Health Insurance Fund, which covers 95% of all insurance claims in the country. Our findings reveal that while the use of coronary angiographies decreased during the pandemic, there was a notable increase in the utilization of advanced heart failure treatment modalities and percutaneous coronary interventions, particularly in the context of acute myocardial infarction...
February 22, 2024: Diseases (Basel)
https://read.qxmd.com/read/38534892/mastering-sedation-and-associated-respiratory-events-through-simulation-based-training-a-randomised-controlled-trial-involving-non-anaesthesiology-residents
#19
JOURNAL ARTICLE
Jean-Noël Evain, Tran Do, Hakim Harkouk, Pierre Drolet, Roger Perron, Mihai Georgescu, Arnaud Robitaille, Issam Tanoubi
Non-anaesthetists commonly administer procedural sedation worldwide, posing the risk of respiratory events that can lead to severe complications. This study aimed to evaluate whether simulation-based learning could lead to enhancements in the clinical proficiency of non-anaesthesiology residents in managing sedation and related respiratory complications. Following the evaluation of baseline clinical performance through a pre-test simulation, 34 residents were randomly allocated to either participate in an innovative simulation-based learning module (intervention group) or view a brief self-learning video (control group)...
February 23, 2024: European journal of investigation in health, psychology and education
https://read.qxmd.com/read/38534820/biomimicking-atherosclerotic-vessels-a-relevant-and-yet-sub-explored-topic
#20
REVIEW
Joana Henriques, Ana M Amaro, Ana P Piedade
Atherosclerosis represents the etiologic source of several cardiovascular events, including myocardial infarction, cerebrovascular accidents, and peripheral artery disease, which remain the leading cause of mortality in the world. Numerous strategies are being delineated to revert the non-optimal projections of the World Health Organization, by both designing new diagnostic and therapeutic approaches or improving the interventional procedures performed by physicians. Deeply understanding the pathological process of atherosclerosis is, therefore, mandatory to accomplish improved results in these trials...
February 23, 2024: Biomimetics
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