keyword
MENU ▼
Read by QxMD icon Read
search

Preanesthesia evaluation

keyword
https://www.readbyqxmd.com/read/29685727/utilization-of-the-stop-bang-questionnaire-as-a-standardized-screening-tool-for-obstructive-sleep-apnea-in-veteran-administration-surgical-patients
#1
Kaitlyn E Bazemore, Michelle Barker, Brett T Morgan, Victoria Goode
PURPOSE: Obstructive sleep apnea (OSA) affects an estimated 20% of the adult surgical population. Veteran patients have many characteristics consistent with OSA, but lack of standardized screening results in decreased detection of patients at risk for OSA. DESIGN: Pre-post implementation design. METHODS: Preanesthesia clinic providers were educated about OSA and the STOP-Bang questionnaire. Chart reviews evaluating screening and patient demographics were conducted before and after intervention...
April 20, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29649026/evidence-review-conducted-for-the-agency-for-healthcare-research-and-quality-safety-program-for-improving-surgical-care-and-recovery-focus-on-anesthesiology-for-colorectal-surgery
#2
Kristen A Ban, Melinda M Gibbons, Clifford Y Ko, Elizabeth C Wick, Maxime Cannesson, Michael J Scott, Michael C Grant, Christopher L Wu
The Agency for Healthcare Research and Quality, in partnership with the American College of Surgeons and the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, has developed the Safety Program for Improving Surgical Care and Recovery (ISCR), which is a national effort to disseminate best practices in perioperative care to more than 750 hospitals across multiple procedures in the next 5 years. The program will integrate evidence-based processes central to enhanced recovery and prevention of surgical site infection, venous thromboembolic events, catheter-associated urinary tract infections with socioadaptive interventions to improve surgical outcomes, patient experience, and perioperative safety culture...
April 11, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29505442/the-association-between-timing-of-routine-preoperative-blood-testing-and-a-composite-of-30-day-postoperative-morbidity-and-mortality
#3
Kurt Ruetzler, Peirong Lin, Jing You, Yehoshua Schacham, Amanda J Naylor, Daniel I Sessler, Leif Saager
BACKGROUND: Laboratory testing is a common component of preanesthesia evaluation and is designed to identify medical abnormalities that might otherwise remain undetected. While blood testing might optimally be performed shortly before surgery, it is often done earlier for practical reasons. We tested the hypothesis that longer periods between preoperative laboratory testing and surgery are associated with increased odds of having a composite of 30-day morbidity and mortality. METHODS: We obtained preoperative data from 2,320,920 patients in the American College of Surgeons National Surgical Quality Improvement Program who were treated between 2005 and 2012...
March 1, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29470378/preanesthesia-concerns-in-a-patient-with-a-thyroid-mass
#4
Gayle B Bodner, Ashley L Talbott
Preoperative evaluation helps identify patient comorbidities and surgical characteristics that increase perioperative risk, and also can help identify patients with potentially difficult airways. Identifying patients with difficult airways before surgery lets clinicians plan appropriate perioperative management and prepare for potential complications. This article focuses on management of a difficult airway in a patient undergoing surgery for a thyroid mass.
March 2018: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/28537983/comparison-of-the-mallampati-classification-in-sitting-and-supine-position-to-predict-difficult-tracheal-intubation-a-prospective-observational-cohort-study
#5
COMPARATIVE STUDY
Jean-Luc Hanouz, Vincent Bonnet, Clément Buléon, Thérèse Simonet, Dorothée Radenac, Guillaume Zamparini, Marc Olivier Fischer, Jean-Louis Gérard
BACKGROUND: The Mallampati classification (MLPT) is normally evaluated in the sitting position. However, many patients cannot be evaluated in the sitting position for medical reasons. Thus, we compared the MLPT in sitting and supine positions in predicting difficult tracheal intubation (DTI). We hypothesized that the diagnostic accuracy of the MLPT performed in sitting and supine positions would differ. METHODS: We performed a single-center prospective observational study in adult patients who received general anesthesia and orotracheal intubation for noncardiac surgery...
January 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28343636/interruptions-in-preanesthesia-nursing-workflow-a-pilot-study-of-pediatric-patient-safety
#6
Heidi M Filer, Brooke L Beringuel, Kathleen M Frato, Mary K Anthony, Pimpanitta Saenyakul
PURPOSE: Preanesthesia care is a high-risk system where interruptions during the preanesthesia assessment may jeopardize the quality of information obtained. The objective of this study was to (1) identify the number and nature of interruptions occurring during the nursing preanesthesia assessment, (2) evaluate effectiveness of a no interruption zone (NIZ) on the number and nature of interruptions experienced, and (3) determine the frequency with which nurses returned to their original task after interruption...
April 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/28217077/concerns-about-use-of-whatsapp-for-sharing-preanesthesia-evaluation-form-among-anesthesiologists
#7
Anjana S Wajekar
No abstract text is available yet for this article.
January 2017: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/28065227/influence-of-anesthetic-brochure-on-patient-s-information-gain-preoperative-anxiety-trust-and-satisfaction
#8
RANDOMIZED CONTROLLED TRIAL
Min-Na Li, Xue-Rong Yu, Ya-Juan Wang, Man-Yun Bo, Yu-Guang Huang
Objective To assess the impacts of anesthetic brochure on anesthetic information gain, preoperative anxiety, trust to anesthesiologists, and satisfaction to the preanesthesia visit for patients undergoing general anesthesia. Methods Totally 134 patients scheduled for elective thyroid surgery under general anesthesia in Peking Union Medical College Hospital were assigned to two groups using the random number table method, among whom 68 patients received brochure before preoperative visit (brochure group) and 66 patients did not (control group)...
December 20, 2016: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
https://www.readbyqxmd.com/read/27979371/melatonin-premedication-improves-quality-of-recovery-following-bariatric-surgery-a-double-blind-placebo-controlled-prospective-study
#9
RANDOMIZED CONTROLLED TRIAL
Michal Ivry, David Goitein, Wiam Welly, Haim Berkenstadt
BACKGROUND: Melatonin has hypnotic, sedative, analgesic, anti-inflammatory, and antioxidant properties, and is a widely used sleep agent. OBJECTIVES: Our aim was to evaluate the effect of melatonin premedication on postoperative recovery in patients undergoing bariatric surgery. SETTING: University Hospital, Israel. METHODS: Patients undergoing bariatric surgery were randomized to receive either 5 mg melatonin (M group) or placebo (P group) once on the night before surgery and again 2 hours before surgery...
March 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27833503/use-of-whatsapp-for-sharing-preanesthesia-evaluation-form-among-anesthesiologists
#10
Abhijit S Nair, Ravi Kiran Mudunuri, Muthuswamy Ganapathy, Venugopal Kulkarni
No abstract text is available yet for this article.
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27811595/objective-assessment-of-checklist-fidelity-using-digital-audio-recording-and-a-standardized-scoring-system-audit
#11
Douglas Salgado, Kimberly R Barber, Michael Danic
OBJECTIVES: The use of the World Health Organization Surgical Safety Checklist (SSC) has been reported to significantly reduce operative morbidity and mortality rates. Recent findings have cast doubt on the efficacy of such checklists in improving patient safety. The effectiveness of surgical safety checklists cannot be fully measured or understood without an accurate assessment of implementation fidelity, most effectively through direct observations of the checklist process. Here, we describe the use of a secure audio recording protocol in conjunction with a novel standardized scoring system to assess checklist compliance rates...
November 2, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27529323/development-of-a-preoperative-patient-clearance-and-consultation-screening-questionnaire
#12
Thomas R Vetter, Arthur M Boudreaux, Brent A Ponce, Joydip Barman, Sandra J Crump
The optimal timing of the preanesthesia evaluation varies with the patient's comorbidities. As anesthesiologists assume a broader role in perioperative care, there may be opportunities to provide additional patient management beyond historical routine anesthesia services. This study was thus undertaken to survey our institutional perioperative clinicians regarding their perceptions of patient medical conditions that (a) need additional time for preoperative clearance by anesthesiology before actually scheduling the date of surgery and (b) warrant additional preoperative evaluation and management services by an anesthesiologist...
December 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27393809/a-new-decision-support-model-for-preanesthetic-evaluation
#13
Olivier Sobrie, Mohammed El Amine Lazouni, Saïd Mahmoudi, Vincent Mousseau, Marc Pirlot
BACKGROUND AND OBJECTIVE: The principal challenges in the field of anesthesia and intensive care consist of reducing both anesthetic risks and mortality rate. The ASA score plays an important role in patients' preanesthetic evaluation. In this paper, we propose a methodology to derive simple rules which classify patients in a category of the ASA scale on the basis of their medical characteristics. METHODS: This diagnosis system is based on MR-Sort, a multiple criteria decision analysis model...
September 2016: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/27028775/a-multicenter-pilot-study-assessing-regional-cerebral-oxygen-desaturation-frequency-during-cardiopulmonary-bypass-and-responsiveness-to-an-intervention-algorithm
#14
MULTICENTER STUDY
Balachundhar Subramanian, Charles Nyman, Maria Fritock, Rebecca Y Klinger, Roman Sniecinski, Philip Roman, Julie Huffmyer, Michelle Parish, Gayane Yenokyan, Charles W Hogue
BACKGROUND: The purpose of this multicenter pilot study was to: (1) determine the frequency of regional cerebral oxygen saturation (rScO2) desaturations during cardiac surgery involving cardiopulmonary bypass (CPB); (2) evaluate the accuracy of clinician-identified rScO2 desaturations compared with those recorded continuously during surgery by the near-infrared spectroscopy (NIRS) monitor; and (3) assess the effectiveness of an intervention algorithm for reversing rScO2 desaturations...
June 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26781803/three-dimensional-printing-as-an-aid-to-airway-evaluation-after-tracheotomy-in-a-patient-with-laryngeal-carcinoma
#15
Bin Han, Yajie Liu, Xiaoqing Zhang, Jun Wang
BACKGROUND: Difficult airway may result in significant morbidity and mortality. Proficient airway evaluation, therefore, is one of the key elements in the safe conduct of anesthesia. A three-dimensional (3D) printing model was recently introduced for medical application. 3D printing is a fast, convenient, and relatively affordable technique. We present a case in which a 3D-printed airway model was successfully used for airway evaluation. CASE PRESENTATION: A 77-year-old man who had previously undergone total laryngectomy was scheduled for resection of a pelvic mass...
January 19, 2016: BMC Anesthesiology
https://www.readbyqxmd.com/read/26626609/preoperative-cognitive-and-frailty-screening-in-the-geriatric-surgical-patient-a-narrative-review
#16
REVIEW
Michael S Axley, Katie J Schenning
PURPOSE: The identification of older patients who may have deficits in cognitive or functional domains will become more pressing as increasing numbers of these patients present for preoperative evaluations. The number of older adults with deficiencies in these areas is projected to grow, and more of these patients will present for assessment in preoperative clinics with the expectation that surgeries will be performed. METHODS: We review current outcomes data for preoperative cognitive impairment and frailty...
December 1, 2015: Clinical Therapeutics
https://www.readbyqxmd.com/read/26516395/usefulness-of-routine-preoperative-testing-in-a-developing-country-a-prospective-study
#17
Julien Bordes, Pierre-Julien Cungi, Pierre-Henry Savoie, Stéphane Bonnet, Eric Kaiser
INTRODUCTION: The assessment of anesthetic risks is an essential component of preoperative evaluation. In developing world, preanesthesia evaluation may be challenging because patient's medical history and records are scare, and language barrier limits physical examination. Our objective was to evaluate the impact of routine preoperative testing in a low-resources setting. METHODS: Prospective observational study performed in a French forward surgical unit in Abidjan, Ivory Coast...
2015: Pan African Medical Journal
https://www.readbyqxmd.com/read/26275306/atypical-presentation-of-a-pulmonary-embolism-in-the-perioperative-setting
#18
Omar Viswanath, Allan F Simpao, Sushmitha Santhosh
We present the case of an asymptomatic 82-year-old patient with no coronary artery disease and a negative cardiac workup who presented to the hospital for an elective total knee replacement. The patient had stable vital signs in the preanesthesia holding unit, yet the anesthesiologist recognized new-onset atrial fibrillation on the patient's monitor. The dysrhythmia was confirmed with a 12-lead electrocardiogram. The procedure was canceled, and the patient was sent for additional evaluation. An echocardiogram revealed a pulmonary embolism...
August 15, 2015: A & A Case Reports
https://www.readbyqxmd.com/read/25846629/development-of-a-nurse-assisted-preanesthesia-evaluation-program-for-pediatric-outpatient-anesthesia
#19
Eric Wittkugel, Anna Varughese
BACKGROUND: Historically, anesthesiologists have conducted preanesthesia evaluation, but more recently, nurse practitioners (NPs) are increasingly assisting with the preanesthesia evaluation of children. In the current economic environment for healthcare, strategies to provide superior outcomes and exceptional patient experience at the lowest possible cost are constantly being explored. We examined whether well trained nurses, working alongside NPs, could safely and effectively assist in preanesthesia evaluation...
July 2015: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/25318622/-question-prompt-list-for-premedication-consultation-patient-oriented-information-on-anesthesia
#20
S Fischbeck, S Zimmer, R Laufenberg-Feldmann, W Laubach
BACKGROUND: The anesthesia premedication consultation is an obligatory procedure prior to any upcoming surgery. It is the anesthesiologist's responsibility to collect all necessary information regarding the patient's medical condition to decide on the appropriate narcosis and to ensure that the patient comprehends the anesthesia procedure and its effects. AIM: Information needs of patients regarding anesthesia are often not adequately fulfilled. This study was carried out to develop a structured questionnaire containing questions that patients may wish to ask the anesthesiologist (question prompt list anesthesiology QPL-A) to support information transfer from the anesthesiologist to the patient in the premedication consultation...
November 2014: Der Anaesthesist
keyword
keyword
63093
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"