keyword
https://read.qxmd.com/read/38449953/the-significance-of-equipment-availability-and-anesthesia-educational-conferences-to-decision-making-for-ekg-lead-v5-abnormalities
#21
JOURNAL ARTICLE
Kimberly L Skidmore, Joseph Drinkard, Henson M Randall, Giustino Varrassi, Sahar Shekoohi, Alan D Kaye
Introduction To predict postoperative myocardial infarction rates in patients who undergo noncardiac surgery, the Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management recommends assessment of brain natriuretic peptide (BNP) in certain patients. Serial troponins are measured if the BNP level is elevated. In certain cases, Revised Cardiac Risk Index (RCRI) alone does not perform well, for example, during vascular surgery. Cardiac events occur in 20% of all vascular surgery patients...
February 2024: Curēus
https://read.qxmd.com/read/38424616/preoperative-endothelial-dysfunction-for-the-prediction-of-acute-kidney-injury-after-cardiac-surgery-using-cardiopulmonary-bypass-a-pilot-study-based-on-a-second-analysis-of-the-mons-study
#22
JOURNAL ARTICLE
Stanislas Abrard, Antoine Streichenberger, Jérémie Riou, Jeanne Hersant, Emmanuel Rineau, Matthias Jacquet-Lagrèze, Olivier Fouquet, Samir Henni, Thomas Rimmelé
BACKGROUND: Up to 42% of patients develop acute kidney injury (AKI) after cardiac surgery. The aim of this study was to describe the relationship between preoperative microcirculatory function and postoperative AKI after cardiac surgery using cardiopulmonary bypass (CPB). METHODS: The prospective observational cohort MONS enrolled 60 patients scheduled for valvular (n = 30, 50%) or coronary (n = 30, 50%) surgery using CPB. Preoperative microcirculation was assessed during preoperative consultation from January 2019 to April 2019 at the University Hospital of Angers, France, using endothelium-dependent and endothelium-independent reactivity tests on the forearm (iontophoresis of acetylcholine (ACh) and sodium nitroprusside (SNP), respectively)...
February 29, 2024: Perioperative Medicine
https://read.qxmd.com/read/38418712/the-value-of-preoperative-diagnostic-testing-and-geriatric-assessment-in-frail-institutionalized-elderly-with-a-hip-fracture-a-secondary-analysis-of-the-frail-hip-study
#23
JOURNAL ARTICLE
Miliaan L Zeelenberg, Dennis Den Hartog, Esther M M Van Lieshout, Hugo H Wijnen, Hanna C Willems, Taco Gosens, Jeroen Steens, Romke Van Balen, Rutger G Zuurmond, Sverre A I Loggers, Pieter Joosse, Michael H J Verhofstad
PURPOSE: The aim of this study was to provide a comprehensive overview of (preoperative and geriatric) diagnostic testing, abnormal diagnostic tests and their subsequent interventions, and clinical relevance in frail older adults with a hip fracture. METHODS: Data on clinical consultations, radiological, laboratory, and microbiological diagnostics were extracted from the medical files of all patients included in the FRAIL-HIP study (inclusion criteria: hip fracture, > 70 years, living in a nursing home with malnourishment/cachexia and/or impaired mobility and/or severe co-morbidity)...
February 28, 2024: European Geriatric Medicine
https://read.qxmd.com/read/38418234/camrelizumab-in-combination-with-chemotherapy-versus-concurrent-chemoradiotherapy-for-the-conversion-of-locally-advanced-unresectable-oesophageal-squamous-carcinoma-protocol-for-a-two-arm-open-label-phase-ii-trial
#24
JOURNAL ARTICLE
Maohui Chen, Yizhou Huang, Shuliang Zhang, Yixiong Zheng, Taidui Zeng, Chun Chen, Bin Zheng
INTRODUCTION: Oesophageal cancer (OC) has higher morbidity and mortality rate than most other malignancies. The standard treatment for unresectable locally advanced oesophageal squamous cell carcinoma (OSCC) is concurrent chemoradiotherapy, with tumour regression observed in a proportion of patients after treatment, but prognostic improvement remains limited. Immunotherapy in combination with chemotherapy (CT) has been shown to be efficacious as the first-line treatment of advanced OC and neoadjuvant therapy...
February 28, 2024: BMJ Open
https://read.qxmd.com/read/38414686/examining-postoperative-posterior-cruciate-ligament-index-a-structural-paradigm-in-anterior-cruciate-ligament-acl-reconstructions-with-hamstring-tendon-autograft
#25
JOURNAL ARTICLE
Mustafa Yalın, Sefa Key, Mustafa Yıldırım, Anıl Agar
BACKGROUND: The current study aimed to compare the posterior cruciate ligament (PCL) index values of patients who underwent hamstring tendon (HT) autograft reconstruction due to an anterior cruciate ligament (ACL) tear. The comparison involved assessing these values in a similar cohort and evaluating the association between the alteration in the PCL index and functional results. METHODS: Patients who were clinically diagnosed with a complete, unilateral ACL tear and underwent ACL reconstruction (ACLR) using HT autograft between January 2018 and January 2021 constituted the operated group (Group 1) of the study...
January 2024: Curēus
https://read.qxmd.com/read/38410604/cohort-study-investigating-evolution-and-factors-associated-with-dyspnoea-after-anatomic-lung-resection
#26
JOURNAL ARTICLE
Cecilia Pompili, Javeria Tariq, Sanjush Dalmia, Amelie Harle, Alexandra Gilbert, Laura Valuckiene, Alessandro Brunelli
BACKGROUND: Dyspnoea is common following surgical resection for non-small cell lung cancer (NSCLC). The effects range from reduced quality of life to impact on adjuvant therapy outcomes. Currently, dyspnoea beyond the immediate postoperative phase and risk factors are not well characterised. We hope to assess the evolution of patient-reported dyspnoea after anatomic lung resection and associated factors. METHODS: Single-centre cohort study with analysis on data collected longitudinally of 131 patients undergoing anatomic lung resections for NSCLC between September 2014 and December 2018...
January 30, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38397301/use-of-validated-questionnaires-to-predict-cosmetic-outcomes-of-hypospadias-repair
#27
JOURNAL ARTICLE
Amos Neheman, Omri Schwarztuch Gildor, Andrew Shumaker, Ilia Beberashvili, Yuval Bar-Yosef, Shmuel Arnon, Amnon Zisman, Kobi Stav
INTRODUCTION: Hypospadias is a syndrome of penile maldevelopment. The primary goal of hypospadias surgery is to create a penis with normal appearance and function. Historically, the outcome of hypospadias repair has been assessed based on the need for reoperation due to urethroplasty complications (UC), including fistula formation, dehiscence, meatal stenosis, or development of a urethral stricture. The Glans-Urethral Meatus-Shaft (GMS) score is a standardized tool to predict UC. Analysis of the cosmetic outcomes of hypospadias repair based on the appearance of the reconstructed penis has been validated, and standardized scores have been published...
February 2, 2024: Children
https://read.qxmd.com/read/38394548/perioperative-care-of-neonates-with-critical-pulmonary-stenosis-case-report
#28
JOURNAL ARTICLE
Qiong He, Min Song, Yanping Huang, Ling Wan
RATIONALE: Summarizing the perioperative nursing experience in the successful treatment of 4 neonates with critical pulmonary stenosis (CPS). PATIENT CONCERNS: Of the 4 patients, 3 had postnatal shortness of breath and varying degrees of cyanosis, aggravated by crying and noise, and 1 had no obvious shortness of breath and cyanosis. The preoperative auscultation of the precordial region could be heard 3-4/6 systolic murmur; echocardiography was diagnosed as CPS, combined with patent ductus arteriosus, right ventricular dysplasia, and severe tricuspid regurgitation...
February 23, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38387423/machine-learning-analysis-of-online-patient-questions-regarding-breast-reconstruction
#29
JOURNAL ARTICLE
Nicholas C Oleck, Hani I Naga, Mehdi S Lemdani, Christopher C Tseng, Joseph S Weisberger, Roger W Cason, Brett T Phillips
BACKGROUND: Social media has become a dominant educational resource for breast reconstruction patients. Rather than passively consuming information, patients interact directly with other users and healthcare professionals. While online information for breast reconstruction has been analyzed previously, a robust analysis of patient questions on online forums has not been conducted. In this study, the authors used a machine learning approach to analyze and categorize online patient questions regarding breast reconstruction...
February 1, 2024: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/38385235/-influencing-factors-on-effectiveness-of-reverse-total-shoulder-arthroplasty
#30
JOURNAL ARTICLE
Xuemiao Liu, Chao Liu, Zhi Li, Kang Tian, Jie Li
OBJECTIVE: To summarize the influencing factors on the effectiveness of reverse total shoulder arthroplasty (RTSA), so as to provide reference for clinical treatment. METHODS: The related research literature of RTSA at home and abroad was extensively consulted, and the factors that may affect the effectiveness were summarized from the aspects of surgical technique, muscle condition, general condition of patients, psychological expectation, and lifestyle. RESULTS: For surgical techniques, different surgical approaches have their own advantages...
February 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38364068/enhancement-of-preoperative-mental-health-assessment-through-clinical-nurse-specialist-project-leadership
#31
JOURNAL ARTICLE
Jill S Dinsmore, Carrie L Schmidt, Penny K Messner, Ann R Loth, Sonja J Meiers
PURPOSE/OBJECTIVES: The aim of the project was to discern whether a collaborative, consultative-rich, clinical nurse specialist-led project could increase completion rates of a patient health questionnaire for depression and a generalized anxiety disorder questionnaire with appropriate referrals in adult patients in the ambulatory and hospital settings of a robust cardiovascular surgery practice before cardiovascular surgery. DESCRIPTION OF PROJECT: The Define, Measure, Analyze, Improve, Control implementation methodology guided this quality improvement project...
March 2024: Clinical Nurse Specialist CNS
https://read.qxmd.com/read/38350761/improvement-of-mood-and-sleep-quality-in-patients-with-primary-hyperparathyroidism-after-parathyroidectomy-a-prospective-case-control-study
#32
JOURNAL ARTICLE
Beatriz Febrero, Juan José Ruiz-Manzanera, Inmaculada Ros-Madrid, Adrián Vergara, José M Rodríguez
BACKGROUND: Primary hyperparathyroidism can impact patient quality of life with psychopathological symptoms like mood and sleep disturbances. In the latest recommendations published according to the primary hyperparathyroidism surgical consensus, these neuropsychological symptoms continue to be excluded. This study aims to assess the negative effects of mood and sleep on patients with primary hyperparathyroidism compared to healthy controls and analyze their improvement after surgery...
February 12, 2024: Surgery
https://read.qxmd.com/read/38344478/compliance-with-world-health-organization-who-world-federation-of-societies-of-anesthesiologists-wfas-standards-for-general-anesthesia-at-ibn-sina-university-hospital-center-morocco
#33
JOURNAL ARTICLE
Wafaa Harfaoui, Hicham Ziani, Zakaria Slaihi, Manal Arfaoui, Bouchra Armel, Hamza Elhamzaoui, Lahcen Belyamani, Mustapha Alilou, Majdouline Obtel
INTRODUCTION: Patient safety in anaesthesia has significantly improved over the past decades, largely due to pharmacological and technological advancements, as well as the widespread adoption of guidelines and standards recommended by international organisations. This study aimed to evaluate the practice of anaesthesia and its compliance with the international standards for safe anaesthesia practice recommended by the World Federation of Societies of Anaesthesiologists (WFSA) and the World Health Organization (WHO)...
January 2024: Curēus
https://read.qxmd.com/read/38335404/pulmonary-physician-consultancy-in-emergency-services-in-turkiye-pupcest-a-cross-sectional-multicenter-study
#34
JOURNAL ARTICLE
Özlem Erçen Diken, Şerife Kaya, Hayriye Bektaş Aksoy, Aydanur Ekici, Aylin Çapraz, Ali Tabaru, Özlem Şengören Dikiş, Hüseyin Arpağ, Hanifi Yildiz, Talat Kiliç, Tarkan Özdemir, Pinar Yildiz Gülhan, Sulhattin Arslan, Nalan Ogan, Canan Doğan, Ümit Tutar, Şeyma Başlilar, Dorina Esendağli, Gamze Kirkil, Ömer Tamer Doğan, Ümran Toru Erbay, Aysun Ayvaci, Mustafa Tosun, Efsun Gonca Uğur Chousein, Elif Yelda Niksarlioğlu, Sabri Serhan Olcay, Tuncer Özkisa, İclal Hocanli, Mehmet Karadağ, Neslihan Özçelik, Nuray Oktay, Elvan Şentürk, Sertaç Arslan, Sibel Pekcan Özyurt, Ahu Cerit, Yasemin Nennicioğlu, Nurhan Atilla, İbrahim Halil Üney, Mehmet Fatih Elverişli, Serdar Berk, Ayşe Baha, Nur Erik, Hasan Ölmez, Berat Kaçmaz, Hüseyin Erzurumluoğlu, Ezgi Demirdöğen Çetinoğlu, Tevfik Özlü
Pulmonology is one of the branches that frequently receive consultation requests from the emergency department. Pulmonology consultation (PC) is requested from almost all clinical branches due to the diagnosis and treatment of any respiratory condition, preoperative evaluation, or postoperative pulmonary problems. The aim of our study was to describe the profile of the pulmonology consultations received from emergency departments in Turkiye. A total of 32 centers from Turkiye (the PuPCEST Study Group) were included to the study...
February 9, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38328455/dural-metastasis-of-prostate-carcinoma-mimicking-intracranial-hematoma-a-case-report-and-literature-review
#35
Klaudia Kokot, Jarosław Dzierżanowski, Michał Krakowiak, Justyna Fercho, Rami Yuser, Laura Kosel, Eryk Nowiński, Jacek Nacewicz, Dorota Modliborska, Tomasz Szmuda, Piotr Zieliński
Dural metastases of prostate adenocarcinoma are an extremely rare complication and may mimic intracranial hematoma. Preoperatively diagnosis may be difficult due to similarities in symptoms and radiological appearance. We present a 65-year-old man admitted to the ED with a history of headache, nausea, vomiting, vertigo, diplopia, as well as numbness of his left lower extremity. Past medical history confirmed metastatic prostate cancer disease. After computed tomography and contrast computed tomography, the consulting radiologist diagnosed a chronic subdural hematoma...
February 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38326054/-application-of-modified-urethral-separation-method-in-artificial-urethral-sphincter-implantation-and-its-influence-on-intraoperative-urethral-pressure-profilometry
#36
JOURNAL ARTICLE
L F Meng, J B Jing, M Wang, X D Liu, H M Hou, Y H Zhou, Y Zhang, J Wang, J Wang, L Wang, Y Y Lyu, J Y Wu, Y G Zhang, X M Wang, J W Wang
Objective: To explore the application of modified urethral separation method in artificial urethral sphincter (AUS) implantation in patients with stress urinary incontinence (SUI), and its influence on the results of urethral pressure profilometry. Methods: A prospective collection of clinical data was conducted on 25 patients with stress urinary incontinence who underwent modified urethral separation method in AUS implantation and underwent urethral pressure profilometry in Beijing Hospital, Beijing Jishuitan Hospital Affiliated to Capital Medical University and the Second Hospital Affiliated to Tianjin Medical University from March 2019 to June 2023...
February 6, 2024: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://read.qxmd.com/read/38310951/development-of-an-evaluation-system-for-the-prophylactic-use-of-antimicrobial-drugs-in-the-perioperative-period-of-class-i-surgical-incisions-in-neurosurgery
#37
JOURNAL ARTICLE
Jinping Wang, Qi Sheng, Kaixin Guo, Guanghui Xu, Xiaoru Chen, Defeng Luo, Sujuan Liu, Zhi-Ang Wu
BACKGROUND: This study aimed to establish a precise preoperative high-risk factor scoring system and algorithm for antibiotic prophylaxis decision-making, provide guidance for the judicious use of AMP, refine interventions, and ensure the appropriate application of AMP for class I incisions in neurosurgery. STUDY DESIGN: According to PRISMA guidelines, Literature searches, study selection, methodology development, and quality appraisal were performed. The quality of evidence across the study population was assessed using the Newcastle-Ottawa Scale...
February 2, 2024: World Neurosurgery
https://read.qxmd.com/read/38280271/diagnosis-and-management-of-complications-following-pelvic-organ-prolapse-surgery-using-a-synthetic-mesh-french-national-guidelines-for-clinical-practice
#38
JOURNAL ARTICLE
Xavier Deffieux, Marie-Aimée Perrouin-Verbe, Sandrine Campagne-Loiseau, Laurence Donon, Amélie Levesque, Jérome Rigaud, Nadja Stivalet, Aurélien Venara, Thibault Thubert, Adrien Vidart, Pierre-Olivier Bosset, Christine Revel-Delhom, Jean-Philippe Lucot, Jean François Hermieu
UNLABELLED: Complications associated with pelvic organ prolapse (POP) surgery using a synthetic non-absorbable mesh are uncommon (<5%) but may be severe and may hugely diminish the quality of life of some women. In drawing up these multidisciplinary clinical practice recommendations, the French National Authority for Health (Haute Autorité de santé, HAS) conducted an exhaustive review of the literature concerning the diagnosis, prevention, and management of complications associated with POP surgery using a synthetic mesh...
January 17, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38280210/is-it-safe-to-use-telephone-for-anaesthesia-consultation-in-high-risk-patients-before-non-invasive-surgery-a-pilot-study-in-ophthalmology
#39
JOURNAL ARTICLE
Gilles Guerrier, Johanna Ohayon, Pierre-Raphaël Rothschild, Christophe Baillard
BACKGROUND: Although telemedicine with video support for preoperative evaluation has been found effective, there is limited research on anaesthesia consultation by phone without video support, particularly among high-risk patients. To evaluate the effectiveness, safety and potential benefits of performing pre-anaesthesia evaluation by phone before eye surgery in patients having non-invasive surgery, we performed an observational study in a French teaching hospital. METHOD: All elective patients having elective ophthalmic surgery were included to have a consultation by phone instead of an in-person consultation, regardless of the type of anaesthesia or ASA score...
January 27, 2024: Journal of Telemedicine and Telecare
https://read.qxmd.com/read/38278589/beyond-the-consulting-room-and-telemedicine-unveiling-the-future-of-anesthesiology-with-virtual-preoperative-assessment
#40
REVIEW
Carolina S Romero, Mark G Filipovic, Markus M Luedi
Telemedicine has rapidly evolved, offering expanded applications including virtual consultations, remote patient education, and therapeutic options. It provides advantages such as increased accessibility, reduced travel time, and convenience. Challenges include privacy concerns, the digital divide, and the need for regulatory frameworks. Virtual preoperative assessment shows promise in safely identifying patients who do not require in-person consultations. Legal considerations and liability issues need to be addressed...
March 2024: Anesthesiology Clinics
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