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https://www.readbyqxmd.com/read/27849676/platelet-transfusion-in-critical-care-and-surgery-evidence-based-review-of-contemporary-practice-and-future-directions
#1
Eric W Etchill, Sara P Myers, Jay S Raval, Adnan Hassoune, Anirban SenGupta, Matthew D Neal
Thrombocytopenia is prevalent in critical care, surgical, and trauma settings. Despite the fact that a significant proportion of these patients receive platelet transfusion during their hospital course, much work remains to be done with regard to development of platelet transfusion guidelines. Given the wide variety of platelet transfusion practices and the frequency with which patients present with thrombocytopenia, it is paramount to understand standards of care and to identify deficiencies that may exist...
November 15, 2016: Shock
https://www.readbyqxmd.com/read/27842957/clinical-validity-and-relevance-of-accidental-puncture-or-laceration-as-a-patient-safety-indicator-for-children
#2
Heather L Short, Kurt F Heiss, Mark L Wulkan, Mehul V Raval
PURPOSE: Accidental puncture or laceration (APL) has been endorsed as a patient safety indicator and is being used to compare hospital performance and for reimbursement. We sought to determine the positive predictive value (PPV) of APL as a quality metric in a pediatric population. METHODS: We retrospectively reviewed all cases that met APL administrative criteria over 5years in a quaternary pediatric hospital system. Events were categorized as false positive (FP) or true positive (TP)...
October 28, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27575600/impact-of-hospital-volume-on-quality-indicators-for-rectal-cancer-surgery-in-british-columbia-canada
#3
Ryan J McColl, Colleen E McGahan, Eric Cai, Rob Olson, Winson Y Cheung, Manoj J Raval, Paul Terry Phang, Ahmer A Karimuddin, Carl J Brown
BACKGROUND: The relationship between hospital volume and patient outcomes remains controversial for rectal cancer. METHODS: This is a population-based database study. Patients treated with surgery for a stage I to III rectal adenocarcinoma from 2003 to 2009 were identified. High-volume hospitals (HVH) were those centers performing 20 surgeries or more per year. Primary outcomes were operative and perioperative factors that have proven influence on patient outcomes...
August 4, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27083963/enhancing-recovery-in-pediatric-surgery-a-review-of-the-literature
#4
REVIEW
Julia K Shinnick, Heather L Short, Kurt F Heiss, Matthew T Santore, Martin L Blakely, Mehul V Raval
BACKGROUND: Enhanced recovery after surgery (ERAS), guidelines entail a strategy of perioperative management proven to hasten postoperative recovery and reduce complications in adult populations. Relatively few studies have investigated the applicability of this paradigm to pediatric populations. Our objective was to perform a systematic review of existing evidence regarding the use and efficacy of enhanced recovery protocols (ERPs) in the pediatric population. MATERIALS AND METHODS: Data were collected through a PubMed/MEDLINE literature search...
May 1, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27079966/emergency-department-visits-and-readmissions-among-children-after-gastrostomy-tube-placement
#5
Adam B Goldin, Kurt F Heiss, Matt Hall, David H Rothstein, Peter C Minneci, Martin L Blakely, Marybeth Browne, Mehul V Raval, Samir S Shah, Shawn J Rangel, Charles L Snyder, Charles D Vinocur, Loren Berman, Jennifer N Cooper, Marjorie J Arca
OBJECTIVES: To define the incidence of 30-day postdischarge emergency department (ED) visits and hospital readmissions following pediatric gastrostomy tube (GT) placement across all procedural services (Surgery, Interventional-Radiology, Gastroenterology) in 38 freestanding Children's Hospitals. STUDY DESIGN: This retrospective cohort study evaluated patients <18 years of age discharged between 2010 and 2012 after GT placement. Factors significantly associated with ED revisits and hospital readmissions within 30 days of hospital discharge were identified using multivariable logistic regression...
July 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27003734/endophthalmitis-after-pars-plana-vitrectomy-clinical-features-risk-factors-and-management-outcomes
#6
Vivek Pravin Dave, Avinash Pathengay, Sayan Basu, Namrata Gupta, Soumyava Basu, Vishal Raval, Taraprasad Das, Savitri Sharma, Annie Mathai, Raja Narayanan, Jay Chhablani, Pranjali Sharma, Mudit Tyagi, Divya Balakrishnan, Subhadra Jalali, Padmaja Kumari Rani, Rajeev Reddy Pappuru
PURPOSE: To report the clinical presentations, risk factors, and outcomes of endophthalmitis after pars plana vitrectomy at 4 tertiary eye care centers of an institute in South India. DESIGN: A retrospective case series. METHODS: The records of 38,591 patients undergoing vitrectomy were reviewed using the coding assigned by the medical records department. Consecutive cases diagnosed as endophthalmitis after pars plana vitrectomy (PPV) between 1990 and 2014 for various indications were analyzed...
May 2016: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/26969317/presentation-and-management-of-pulmonary-sequestration-with-total-visceral-inflow-and-outflow
#7
Christopher L Sudduth, Sarah J Hill, Mehul V Raval
Two of the most common types of congenital thoracic malformations are congenital pulmonary airway malformations (CPAMs) and bronchopulmonary sequestrations (BPS). Here we present the first known case of a hybrid lesion, with coexisting features of an extralobar sequestration (ELS) and CPAM type 2, with arterial inflow from the celiac trunk and venous outflow to the portal vein. The clinical presentation, investigative imaging and timing of surgery are discussed.
July 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/26852302/transcatheter-device-closure-of-pseudoaneurysms-of-the-left-ventricular-wall-an-emerging-therapeutic-option
#8
Tarun Madan, Manish Juneja, Abhishek Raval, Bhavesh Thakkar
Left ventricular pseudoaneurysm is a rare but serious complication of acute myocardial infarction and cardiac surgery. While surgical intervention is the conventional therapeutic option, transcatheter closure can be considered in selected patients with suitable morphology of the pseudoaneurysm. We report a case of successful transcatheter closure of a left ventricular pseudoaneurysm orifice and isolation of the sac using an Amplatzer septal occluder.
February 2016: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/26511684/return-to-driving-after-total-knee-arthroplasty
#9
Prasad Ellanti, Pradyumna Raval, Paul Harrington
OBJECTIVE: The aim of this study was to ascertain the duration from time of surgery to resumption of driving after total knee arthroplasty (TKA) and to examine recommendations in the literature. METHODS: All patients who underwent primary unilateral TKA and were driving within 6 months preceding the arthroplasty were included. The patients' age, gender and side of the TKA were noted. The time taken to resume driving by each patient as well as the type of vehicle were noted...
2015: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/26445181/surgical-site-infection-rates-following-implementation-of-a-colorectal-closure-bundle-in-elective-colorectal-surgeries
#10
Amandeep Ghuman, Tiffany Chan, Ahmer A Karimuddin, Carl J Brown, Manoj J Raval, P Terry Phang
BACKGROUND: Surgical site infections of up to 27% are reported for colorectal surgery. Care bundles have been introduced to decrease surgical site infection rates, but are variable in composition. OBJECTIVE: This study aimed to determine whether the addition of a "Colorectal Closure Bundle" in our Enhanced Recovery After Surgery pathway decreased surgical site infection rates. DESIGN: This is a retrospective study of elective colon resections before and after the addition of a closure bundle...
November 2015: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/26435634/tissue-engineering-step-ahead-in-maxillofacial-reconstruction
#11
REVIEW
Raj Rai, Rushik Raval, Rakshit Vijay Sinai Khandeparker, Swati K Chidrawar, Abdul Ahad Khan, Makne Sachin Ganpat
Within the precedent decade, a new field of "tissue engineering" or "tissue regeneration" emerge that offers an innovative and exhilarating substitute for maxillofacial reconstruction. It offers a new option to supplement existing treatment regimens for reconstruction/regeneration of the oral and craniofacial complex, which includes the teeth, periodontium, bones, soft tissues (oral mucosa, conjunctiva, skin), salivary glands, and the temporomandibular joint (bone and cartilage), as well as blood vessels, muscles, tendons, and nerves...
September 2015: Journal of International Oral Health: JIOH
https://www.readbyqxmd.com/read/26202139/avascular-necrosis-complicating-chondral-resurfacing-techniques
#12
Simon M Thompson, Anja Saso, Parag Raval, Mary Jones, Andrew M Williams
Autologous chondrocyte implantation (ACI) and mosaicplasty have become established operations used to treat full-thickness chondral lesions in the knee and elsewhere. Although complications of both have been documented, there are no previous reports of avascular necrosis (AVN) complicating these procedures. Awareness of AVN as a complication of ACI might have prompted an earlier diagnosis, with possible non-surgical treatment or more minor surgery being possible. At the very least, an appropriate form of management could have been initiated earlier, so shortening the period of disability and suffering for the patient...
May 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/25885233/addition-of-epidural-clonidine-enhances-postoperative-analgesia-a-double-blind-study-in-total-knee-replacement-surgeries
#13
Shobhana Gupta, Dipak Raval, Mita Patel, Nirav Patel, Nehal Shah
BACKGROUND: This study was undertaken to evaluate the analgesic effect of the combination of epidural Clonidine with Bupivacaine versus epidural Bupivacaine alone in patients undergone knee replacement surgery. MATERIALS AND METHODS: A randomized double-blind design was used, and 60 adult patients (40-60 years) of ASA grade I and II scheduled for post-operative pain relief in total knee replacement surgeries by epidural Clonidine were studied. Patients received either an epidural Clonidine (1μg/kg) with Bupivacaine (1...
July 2010: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/25763759/locked-deflection-during-flexible-ureteroscopy-incidence-and-elucidation-of-the-mechanism-of-an-underreported-complication
#14
Scott G Hubosky, Amar J Raval, Demetrius H Bagley
BACKGROUND AND PURPOSE: Flexible ureteroscopy (URS) is widely implemented with a well-defined safety profile and low complication rates. Although rare, locked deflection of a flexible ureteroscope in the upper tract is a potentially serious complication with poorly understood etiology and is likely underreported. MATERIALS AND METHODS: We attempted to capture all cases of locked deflection during URS by performing an anonymous, online computer survey targeting members of the Endourological Society...
August 2015: Journal of Endourology
https://www.readbyqxmd.com/read/25692789/randomized-double-blind-trial-comparing-the-cosmetic-outcome-of-cutting-diathermy-versus-scalpel-for-skin-incisions
#15
RANDOMIZED CONTROLLED TRIAL
L N F Aird, S G Bristol, P T Phang, M J Raval, C J Brown
BACKGROUND: Controversy exists about whether cutting diathermy for skin incisions leads to a cosmetically inferior scar. Cosmetic outcomes were compared between skin incisions created with cutting diathermy versus scalpel. Wound infection rates and postoperative incisional pain were also compared. METHODS: This was a randomized double-blind trial comparing cutting diathermy and scalpel in patients undergoing bowel resection. Scar cosmesis was assessed at 6 months after surgery by a plastic surgeon and a research associate using the Vancouver Scar Scale (VSS) and the Patient and Observer Scar Assessment Scale (POSAS)...
April 2015: British Journal of Surgery
https://www.readbyqxmd.com/read/25336779/post-operative-adult-onset-tic-disorder-a-rare-presentation
#16
Suneet Kumar Upadhyaya, Chintan M Raval, Devendra Kumar Sharma, Devendra Kumar Vijayvergiya
Tics are rapid and repetitive muscle contractions resulting in stereotype movements and vocalizations that are experienced as involuntary. Onset before 18-year is a diagnostic criterion for tic disorders. Children and adolescents may exhibit tic behaviors after a stimulus or in response to an internal urge. Tic behaviors increase during physical or an emotional stress. Adult onset tic disorders are reported by infections, drugs, cocaine, toxins, chromosomal disorders, head injury, stroke, neurocutaneous syndromes, neurodegenerative disorders and peripheral injuries...
October 2014: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/25332981/tuberculosis-a-disease-that-created-and-shaped-thoracic-surgery
#17
Francesco Inzirillo, Casimiro Giorgetta, Mario Robustellini, Eugenio Ravalli, Simon Tiberi, Claudio Della Pona
Today it is incredible to think that an infectious disease, Tuberculosis (TB) as the disease that shaped Thoracic Surgery. The history of TB has so far evolved similarities with that of the mythological Phoenix, where the resurgence of this never completely eradicated "Insidious Disease" has now re-emerged and brought new challenges to modern medicine that of multi drug resistance. The probability of success, in treating complicated multi-drug resistant (MDR) TB pushing us back to the pre-antibiotic era, now depends on several factors: (I) optimal antibiotic management; (II) patient compliance; (III) multi-disciplinary teamwork; (IV) experience in carrying out "not-routine" surgical procedures; and finally (V) ability to offer long term patient hospitalization, frequently months, without bureaucratic and economical problems...
January 2014: Annals of Translational Medicine
https://www.readbyqxmd.com/read/25161359/complications-following-an-unnecessary-peri-operative-plasma-transfusion-and-literature-review
#18
Jay S Raval, Jonathan H Waters, Darrell J Triulzi, Mark H Yazer
Plasma is used to correct coagulopathies, but not all coagulation abnormalities are clinically significant enough to require correction before an invasive procedure. We report an 82-year-old female who, in response to a mildly prolonged INR of unknown etiology, was unnecessarily transfused with plasma in advance of elective surgery. The patient suffered a moderately severe transfusion reaction, including hives and voice hoarseness, which caused a 4-week delay in her surgery. This delay and adverse reaction could have been avoided had the principles of evidence based plasma therapy, which we herein review, been followed and if the etiology of the mildly elevated INR been investigated before the day of her surgery...
July 2014: Asian Journal of Transfusion Science
https://www.readbyqxmd.com/read/25076737/distinguishing-qi-projects-from-human-subjects-research-ethical-and-practical-considerations
#19
Mehul V Raval, Joseph V Sakran, Rachel Laura Medbery, Peter Angelos, Bruce L Hall
No abstract text is available yet for this article.
July 2014: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/25038030/transcatheter-valve-in-valve-implantation-a-systematic-review-of-literature
#20
REVIEW
Jwalant Raval, Vinayak Nagaraja, Guy D Eslick, A Robert Denniss
INTRODUCTION: Transcatheter aortic valve implantation (TAVI) has become an alternative to open surgery in those deemed high risk. The purpose of this study was to evaluate the effectiveness and outcomes of this emerging procedure. We have examined available literature to provide an overview of valve-in-valve implantation using transcatheter heart valves (THVs) in aortic, mitral, pulmonary, tricuspid positions. METHODS: A systematic search was conducted using MEDLINE, PubMed, EMBASE, Current Contents Connect, Cochrane library, Google Scholar, Science Direct, and Web of Science...
November 2014: Heart, Lung & Circulation
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