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Preoperative stress tests

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https://www.readbyqxmd.com/read/27868328/long-term-outcome-of-the-adjustable-transobturator-male-system-atoms-results-of-a-european-multicentre-study
#1
Alexander Friedl, Sandra Mühlstädt, Roman Zachoval, Alessandro Giammò, Danijel Kivaranovic, Maximilian Rom, Paolo Fornara, Clemens Brössner
OBJECTIVE: To evaluate the long-term effectiveness and safety of the adjustable transobturator male system (ATOMS(®) , Agency for Medical Innovations A.M.I., Feldkirch, Austria) in a European-wide multicentre setting. PATIENTS AND METHODS: In all, 287 men with stress urinary incontinence (SUI) were treated with the ATOMS device between June 2009 and March 2016. Continence parameters (daily pad test/pad use), urodynamics (maximum urinary flow rate, voiding volume, residual urine), and pain/quality of life (QoL) ratings (visual analogue scale/Leeds Assessment of Neuropathic Symptoms and Signs, International Consultation on Incontinence Questionnaire-Short Form [ICIQ-SF]/Patient Global Impression of Improvement [PGI-I]) were compared preoperatively and after intermediate (12 months) as well as after individual maximum follow-up...
November 21, 2016: BJU International
https://www.readbyqxmd.com/read/27865641/canadian-cardiovascular-society-guidelines-on-perioperative-cardiac-risk-assessment-and-management-for-patients-who-undergo-noncardiac-surgery
#2
Emmanuelle Duceppe, Joel Parlow, Paul MacDonald, Kristin Lyons, Michael McMullen, Sadeesh Srinathan, Michelle Graham, Vikas Tandon, Kim Styles, Amal Bessissow, Daniel I Sessler, Gregory Bryson, P J Devereaux
The Canadian Cardiovascular Society Guidelines Committee and key Canadian opinion leaders believed there was a need for up to date guidelines that used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system of evidence assessment for patients who undergo noncardiac surgery. Strong recommendations included: 1) measuring brain natriuretic peptide (BNP) or N-terminal fragment of proBNP (NT-proBNP) before surgery to enhance perioperative cardiac risk estimation in patients who are 65 years of age or older, are 45-64 years of age with significant cardiovascular disease, or have a Revised Cardiac Risk Index score ≥ 1; 2) against performing preoperative resting echocardiography, coronary computed tomography angiography, exercise or cardiopulmonary exercise testing, or pharmacological stress echocardiography or radionuclide imaging to enhance perioperative cardiac risk estimation; 3) against the initiation or continuation of acetylsalicylic acid for the prevention of perioperative cardiac events, except in patients with a recent coronary artery stent or who will undergo carotid endarterectomy; 4) against α2 agonist or β-blocker initiation within 24 hours before surgery; 5) withholding angiotensin-converting enzyme inhibitor and angiotensin II receptor blocker starting 24 hours before surgery; 6) facilitating smoking cessation before surgery; 7) measuring daily troponin for 48 to 72 hours after surgery in patients with an elevated NT-proBNP/BNP measurement before surgery or if there is no NT-proBNP/BNP measurement before surgery, in those who have a Revised Cardiac Risk Index score ≥1, age 45-64 years with significant cardiovascular disease, or age 65 years or older; and 8) initiating of long-term acetylsalicylic acid and statin therapy in patients who suffer myocardial injury/infarction after surgery...
October 4, 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/27862836/36-month-data-for-the-advance-xp-%C3%A2-male-sling-results-of-a-prospective-multicentre-study
#3
Ricarda M Bauer, Markus T Grabbert, Benedikt Klehr, Peter Gebhartl, Christian Gozzi, Roland Homberg, Florian May, Peter Rehder, Christian G Stief, Alexander Kretschmer
OBJECTIVES: To evaluate the efficacy and safety of the AdVance XP(®) sling (Boston Scientific, formerly American Medical Systems) in male stress urinary incontinence (SUI) after radical prostatectomy in a prospective multicentre study, as in recent years several studies have shown the effectiveness and safety of the AdVance sling for treating male SUI and in 2010 the second-generation AdVance XP was introduced with several changes in the sling design and a new needle shape. PATIENTS AND METHODS: In all, 115 patients were included...
November 8, 2016: BJU International
https://www.readbyqxmd.com/read/27773648/sling-surgery-for-the-treatment-of-urinary-incontinence-after-transurethral-resection-of-the-prostate-new-data-on-the-virtue-male-sling-and-an-evaluation-of-literature
#4
Cornelis R C Hogewoning, Louise A M Meij, Rob C M Pelger, Hein Putter, Esmée M Krouwel, Henk W Elzevier
OBJECTIVE: To provide a review of literature regarding the role of male slings in the treatment of stress urinary incontinence (SUI) following a transurethral resection of the prostate (TURP) and to evaluate the effects of the Virtue male sling in patients suffering from post TURP SUI. MATERIALS AND METHODS: A systematic review of literature was performed to identify all papers on the use of male slings in patients suffering from post TURP SUI. Secondly a prospective cohort study was conducted on 8 patients that received the Virtue as surgical treatment of post TURP SUI...
October 20, 2016: Urology
https://www.readbyqxmd.com/read/27755054/relationship-between-preoperative-evaluation-blood-pressure-and-preinduction-blood-pressure-a-cohort-study-in-patients-undergoing-general-anesthesia
#5
Wilton A van Klei, Judith A R van Waes, Wietze Pasma, Teus H Kappen, Leo van Wolfswinkel, Linda M Peelen, Cor J Kalkman
BACKGROUND: For outcomes research where changes in intraoperative blood pressure are a possible causative factor, it is important to determine an appropriate source for a reference value. We studied to what extent preinduction blood pressure values in the operating room differ from those obtained during preoperative evaluation outside the operating room. METHODS: Cohort study including 4408 patients aged 60 years or older undergoing noncardiac surgery. The outcome was the difference between the preinduction mean blood pressure (MBP) and the MBP obtained during preoperative evaluation...
October 11, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27753922/os-04-06-how-to-control-high-blood-pressure-after-coronary-revascularization-in-patients-referred-to-in-house-cardiac-rehabilitation-single-center-experience
#6
Ivana Burazor, Stamenko Susak
OBJECTIVE: After stent or bypass surgery blood pressure (BP) can go up for multiple reasons among which are: stress and tense of the patient unsure about the future, the pain of the cut and because some of the blood pressure medication, which the patient was receiving preoperatively may get withdrawn post operatively, thereby leading to shooting up the BP. In certain patients, BP actually comes down after surgery and returns back to the pre-operative levels 4 to 6 weeks down the track...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27746541/evolving-with-modern-technology-impact-of-incorporating-audiovisual-aids-in-preanesthetic-checkup-clinics-on-patient-education-and-anxiety
#7
Haramritpal Kaur, Gurpreet Singh, Amandeep Singh, Gagandeep Sharda, Shobha Aggarwal
BACKGROUND AND AIMS: Perioperative stress is an often ignored commonly occurring phenomenon. Little or no prior knowledge of anesthesia techniques can increase this significantly. Patients awaiting surgery may experience high level of anxiety. Preoperative visit is an ideal time to educate patients about anesthesia and address these fears. The present study evaluates two different approaches, i.e., standard interview versus informative audiovisual presentation with standard interview on information gain (IG) and its impact on patient anxiety during preoperative visit...
September 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/27742291/anxiety-and-stress-levels-on-liver-transplantation-candidates
#8
H R S Teixeira, D M Marques, A R F Lopes, L C Ziviani, J T J Magro, Ênio D Mente, O Castro-E-Silva, C M Galvão, K D S Mendes
The objective of the present study was to determine the anxiety and stress levels of liver transplant candidates during the preoperative period. A cross-sectional, prospective study was conducted on 52 liver transplantation candidates seen at a specialized public hospital outpatient clinic in the interior of the state of São Paulo, Brazil. Data were collected from November 2014 to April 2015 using a self-applicable questionnaire for the assessment of anxiety (State-Trait Anxiety Inventory, short version) and stress (Perceived Stress Scale), in addition to sociodemographic and clinic characterization...
September 2016: Transplantation Proceedings
https://www.readbyqxmd.com/read/27727094/-impact-of-anastomotic-strictures-on-treatment-of-post-prostatectomy-stress-incontinence-by-artificial-urinary-sphincter
#9
G Pic, J E Terrier, B Ozenne, N Morel-Journel, P Paparel, A Ruffion
INTRODUCTION: Stress urinary incontinence (SUI) is a degradation of the quality of life factor in the consequences of radical prostatectomy. Artificial urinary sphincter (AUS) is the standard treatment. Screening and preoperative treatment of anastomotic strictures (AS) is an essential step for the success of the intervention. The objective of the study was to assess the impact of AS on the results of AUA. METHODS: We retrospectively studied 147 AUS settlements from 2005 to 2013 in the urology department of the Centre Hospitalier Lyon by three operators...
October 7, 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27721639/role-of-urodynamics-in-stress-urinary-incontinence-a-critical-appraisal
#10
Shirish Dattatraya Yande, Omkar Vinay Joglekar, Maya Joshi
INTRODUCTION: Role of urodynamics prior to surgery of stress urinary incontinence (SUI) is under constant debate. Demonstration of the presence of detrusor overactivity is the only aspect that has been emphasized in the literature so far. We believe that there are number of other factors which may influence the evaluation and in turn the choice of surgical management and prediction of outcome of treatment. They are as follows: (1) Presence of voiding inefficiency, (2) asymptomatic detrusor overactivity, (3) and severity of SUI...
July 2016: Journal of Mid-life Health
https://www.readbyqxmd.com/read/27714435/transobturator-versus-single-incision-slings-1-year-results-of-a-randomized-controlled-trial
#11
Aimee L Tieu, Aparna Hegde, Peter A Castillo, G Willy Davila, Vivian C Aguilar
INTRODUCTION AND HYPOTHESIS: To compare 1-year surgical outcomes following transobturator (TO) sling placement and single incision (SI) sling placement for the treatment of stress urinary incontinence (SUI). METHODS: We performed a randomized trial at a single institution. Patients with urodynamically proven SUI were offered participation and randomized to placement of a TO sling (Monarc™) or a SI sling (MiniArc™) between 2008 and 2011. The primary outcome measure was urinary leakage during standardized cough stress test (CST)...
October 6, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27711026/preoperative-functional-assessment-and-optimization-in-surgical-patient-changing-the-paradigm
#12
Francesco Carli, Enrico M Minnella
Functional capacity has been shown to be a major determinant of surgical outcome since it is related to postoperative complications, activity and daily function, level of independence and quality of life. Anesthesiologists as "perioperative physicians", can identify those scoring systems that assess functional capacity, whether from the basic physical history and walk test to the most complex such as cardiopulmonary exercise testing (CPET), and formulate intraoperative and postoperative interventions (rehabilitation) to minimize the impact of surgery on the recovery process...
October 6, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27705078/changes-in-thiol-disulfide-homeostasis-of-the-body-to-surgical-trauma-in-laparoscopic-cholecystectomy-patients
#13
Murat Polat, Onder Ozcan, Leyla Sahan, Yasemin Üstündag-Budak, Murat Alisik, Nigar Yilmaz, Özcan Erel
OBJECTIVE: We aimed to investigate the short-term effect of laparoscopic surgery on serum thiol-disulfide homeostasis levels as a marker of oxidant stress of surgical trauma in elective laparoscopic cholecystectomy patients. MATERIALS AND METHODS: Venous blood samples were collected, and levels of native thiols, total thiols, and disulfides were determined with a novel automated assay. Total antioxidant capacity (measured as the ferric-reducing ability of plasma) and serum ischemia modified albumin, expressed as absorbance units assayed by the albumin cobalt binding test, were determined...
October 5, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27696622/virtue-male-sling-for-post-prostatectomy-stress-incontinence-a-prospective-evaluation-and-mid-term-outcomes
#14
Matteo Ferro, Danilo Bottero, Carolina D'Elia, Deliu Victor Matei, Antonio Cioffi, Gabriele Cozzi, Alessandro Serino, Giovanni Cordima, Roberto Bianchi, Piero Giacomo Incarbone, Antonio Brescia, Gennaro Musi, Ferdinando Fusco, Serena Detti, Vincenzo Mirone, Ottavio de Cobelli
OBJECTIVE: To evaluate the efficacy and safety of the Virtue(®) male sling (Coloplast, Humlebaek, Denmark) in a cohort of patients affected by post-prostatectomy stress urinary incontinence (SUI). METHODS: All 29 consecutive patients treated with a Virtue male sling at our Institution between July 2012 and October 2013 were included in the present prospective, non-randomized study. Patients were evaluated preoperatively and at 1, 3, 6, 12, 24 and 36 months after surgery using a 24-h pad weight test, the International Consultation on Incontinence short-form questionnaire (ICIQ-SF), Urinary Symptom Profile (USP) questionnaire, a bladder diary, uroflowmetry and the Patient Global Impression of Improvement (PGI-I) and Patient Global Impression of Severity questionnaires...
October 3, 2016: BJU International
https://www.readbyqxmd.com/read/27692750/-prethrombus-acute-constitution-during-dobutamine-stress-echocardiography
#15
F Aboukhoudir, I Aboukhoudir, S Rekik
Although generally regarded as a safe stress modality, dobutamine stress echocardiography (DSE) has been associated with several well described complications. However, to our knowledge, acute constitution of thrombi during the stress test has never been described. In this report, we present the case of a 64 year-old man with a history of ischemic heart disease who underwent a preoperative DSE; during the test, we witnessed a striking acute constitution of an intense prethrombotic state with almost a formation of a highly mobile massive thrombus adjacent to the infero-apical segment spontaneously resolving few minutes after the end of the test...
September 28, 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/27686569/five-years-after-midurethral-sling-surgery-for-stress-incontinence-obesity-continues-to-have-an-impact-on-outcomes
#16
Erin A Brennand, Selphee Tang, Colin Birch, Magnus Murphy, Sue Ross, Magali Robert
INTRODUCTION AND HYPOTHESIS: The objective was to evaluate the impact of preoperative body mass index ≥30 on objective and subjective cure rates 5 years after midurethral sling surgery. METHODS: Secondary analysis of the 5-year results of a randomized clinical trial evaluating tension-free vaginal tape vs transobturator tape surgery. Women (n = 176) were classified as obese or non-obese based on preoperative height and weight. Women self-reported symptoms and quality of life, and underwent standardized physical examinations and pad-testing...
September 29, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27678145/de-novo-stress-urinary-incontinence-after-pelvic-organ-prolapse-surgery-in-women-without-occult-incontinence
#17
Alexandriah N Alas, Orawee Chinthakanan, Luis Espaillat, Leon Plowright, G Willy Davila, Vivian C Aguilar
INTRODUCTION AND HYPOTHESIS: There is a paucity of data evaluating the risk of de novo stress urinary incontinence (SUI) after surgery for pelvic organ prolapse (POP) in women with no preoperative occult SUI. We hypothesized that apical suspension procedures would have higher rates of de novo SUI. METHODS: This was a retrospective database review of women who had surgery for POP from 2003 to 2013 and developed de novo SUI at ≥6 months postoperatively. Preoperatively, all patients had a negative stress test and no evidence of occult SUI on prolapse reduction urodynamics...
September 27, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27678141/outcome-of-coexistent-overactive-bladder-symptoms-in-women-with-urodynamic-urinary-incontinence-following-anti-incontinence-surgery
#18
Ching-Chung Liang, Wu-Chiao Hsieh, LuLu Huang
INTRODUCTION AND HYPOTHESIS: The objective was to investigate the outcome of stress urinary incontinence (SUI) and overactive bladder (OAB) symptoms in women with urodynamic stress incontinence (USI) after transobturator sling procedures (TOTs). METHODS: We evaluated 109 consecutive patients with USI, who had undergone TOT in a tertiary hospital between 2012 and 2014. All patients received evaluations, including structured urogynecological questionnaires and pelvic organ prolapse quantification examination before, and 3 and 12 months after surgery...
September 27, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27671885/general-anesthesia-versus-local-anesthesia-in-stereotactic-biopsies-of-brain-lesions-a-prospective-randomized-study
#19
Johanna Quick-Weller, Juergen Konczalla, Stephan Duetzmann, Claudia Franz-Jaeger, Ulrich Strouhal, Nina Brawanski, Matthias Setzer, Stephanie Lescher, Volker Seifert, Gerhard Marquardt, Lutz M Weise
BACKGROUND: Stereotactic biopsies (STX) of brain lesions with unknown entities, is a common neurosurgical procedure to obtain tumor tissue. Pathologist can then provide an exact diagnosis on which further therapy, such as resection, radiotherapy or chemotherapy can be based on. It is widely known that these procedures can be performed under local or general anesthesia. In this prospective study we aim to show whether stress levels are higher for patients who underwent stereotactic biopsy under local or general anesthesia...
September 23, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27643315/os-04-06-how-to-control-high-blood-pressure-after-coronary-revascularization-in-patients-referred-to-in-house-cardiac-rehabilitation-single-center-experience
#20
Ivana Burazor, Stamenko Susak
OBJECTIVE: After stent or bypass surgery blood pressure (BP) can go up for multiple reasons among which are: stress and tense of the patient unsure about the future, the pain of the cut and because some of the blood pressure medication, which the patient was receiving preoperatively may get withdrawn post operatively, thereby leading to shooting up the BP. In certain patients, BP actually comes down after surgery and returns back to the pre-operative levels 4 to 6 weeks down the track...
September 2016: Journal of Hypertension
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