Postop, preop, surgery, complications

Research regarding the accuracy of estimating blood loss by anesthesia providers has been limited, generally consisting of small sample sizes with conflicting findings. We conducted a prospective study using a convenience sample of 91 anesthesia providers: 36 Certified Registered Nurse Anesthetists (CRNAs), 48 student registered nurse anesthetists (SRNAs), and 7 anesthesiologists. We applied a known volume of moulage (theater) blood to items at 4 stations and asked each participant to estimate the amount of blood present at each station...

The purpose of the article was to understand that the variations in common surgical procedures, physical, laboratory, and radiographic examinations that are typical in the postoperative patient can help direct treatment options. Nurse practitioners in outpatient settings need to quickly identify and treat postoperative complications. This article discusses three postoperative patients who presented to the emergency department. Data sources included personal health records and review of literature. Various factors that decrease hospital readmission rates include proper discharge education regarding signs and symptoms of infection, importance of medication compliance, and appropriate follow-up care...

BACKGROUND: Reducing hospital-readmission rates is a clinical and policy priority, but little is known about variation in rates of readmission after major surgery and whether these rates at a given hospital are related to other markers of the quality of surgical care. METHODS: Using national Medicare data, we calculated 30-day readmission rates after hospitalization for coronary-artery bypass grafting, pulmonary lobectomy, endovascular repair of abdominal aortic aneurysm, open repair of abdominal aortic aneurysm, colectomy, and hip replacement...

INTRODUCTION: Patients undergoing surgery for colorectal cancer are at high risk of post-operative venous thromboembolism (VTE). Thromboprophylaxis has been shown to have significant risk reduction, although there remains some controversy surrounding the optimal duration of pharmacological prophylaxis. Our institution does not routinely practise extended prophylaxis. The aim of this study was to retrospectively review the rate of post-operative thromboprophylaxis in colorectal cancer patients, and incidence of symptomatic VTE...

Peritoneal adhesions represent an important clinical challenge in gastrointestinal surgery. Peritoneal adhesions are a consequence of peritoneal irritation by infection or surgical trauma, and may be considered as the pathological part of healing following any peritoneal injury, particularly due to abdominal surgery. The balance between fibrin deposition and degradation is critical in determining normal peritoneal healing or adhesion formation. Postoperative peritoneal adhesions are a major cause of morbidity resulting in multiple complications, many of which may manifest several years after the initial surgical procedure...