• 2021. Intraoperative Simulation: Team Training for Resuscitation While Using Intraoperative Computed Tomography: 2-Dimensional Operative Video. . (cornell.edu)
  • LEAG: study conception, de datos PubMed y Cochrane, se incluyeron artículos originales, estudios aleatorizados y de revisión, en español y en inglés, manuscript design, publicados entre 2017-2021. (bvsalud.org)
  • Intractable intraoperative hypoxemia secondary to pulmonary embolism in the presence of undiagnosed patent foramen ovale. (uci.edu)
  • 3 Postoperative residual neuromuscular block seems to be a risk factor for postoperative pulmonary complications and critical respiratory events. (bariatrictimes.com)
  • Our objectives were to test the hypothesis that LPV could improve intraoperative oxygenation function, pulmonary mechanics and early postoperative atelectasis in laparoscopic surgeries. (springer.com)
  • The primary endpoints were the changes in the ratio of PaO 2 to FiO 2 (P/F). The secondary endpoints were the differences between the two groups in PaO 2 , alveolar-arterial oxygen gradient (A-aO 2 ), intraoperative pulmonary mechanics and the incidence of atelectasis detected on chest x-ray on the first postoperative day. (springer.com)
  • Lung protective mechanical ventilation significantly improved intraoperative pulmonary oxygenation function and pulmonary compliance in patients experiencing various abdominal laparoscopic surgeries, but it could not ameliorate early postoperative atelectasis and oxygenation function on the first day after surgery. (springer.com)
  • We tested the hypothesis that the lung-protective ventilation strategy including a low tidal volume, an appropriate level of PEEP and periodic recruitment maneuvers could improve intraoperative oxygenation function, pulmonary mechanics, and early postoperative atelectasis. (springer.com)
  • In anesthesiology, rapid and accurate the main applications of ultrasound in anes- diagnostic tools are for surgical emergen- thesia as airway evaluation, vascular access, cies, and ultrasound has become a neces- regional anesthesia, pulmonary ultrasound, sary and routine tool2. (bvsalud.org)
  • Intraoperative cardiac arrest (ICA) is complex in relation to the anesthetic procedure (i.e. consciousness and breathing are altered by anesthetic drugs), in relation to surgical procedures (i.e. thoracic, general nonvascular and robotic surgery), in relation to election, urgency or emergency. (jscimedcentral.com)
  • Intraoperative Management: What are the options for anesthetic management and how to determine the best technique? (renalandurologynews.com)
  • An ideal anesthetic technique for CTR surgery should provide excellent surgical conditions that allow identification of critical anatomical structures such as the transverse carpal ligament and median nerve. (renalandurologynews.com)
  • This narrative review describes the main applications of de la ultrasonografía en ultrasound in anesthesia, ultrasound-guided techniques, and current trends in the perioperative anesthetic management of anestesia the surgical patient. (bvsalud.org)
  • Although usual perioperative care is commonly consistent with a hypertension-avoidance strategy (i.e., most patients continue their antihypertensive medications throughout the perioperative period and intraoperative mean arterial pressures of 60 mmHg are commonly accepted), a hypotension-avoidance strategy may improve perioperative outcomes. (biomedcentral.com)
  • Transfus Med Hemother (2023) 50 (3): 245-255. (karger.com)
  • Guidelines on Human Factors in Critical Situations 2023. (ahrq.gov)
  • He is also in charge of developing Point of care Ultrasound Curriculum for the University of Toronto Residency program, has organized and lead numerous point of care ultrasound courses around the world. (criticalcarecanada.com)
  • Anesthesiology Residency Recruitment: A Prospective Study Comparing In-Person and Virtual Interviews. (uchicago.edu)
  • What are the cardiopulmonary sequelae that can impact intraoperative management? (snacc.org)
  • Some authors identified roles and competences of health care provider in OR, others elaborated treatment algorithms, but many subject continue to be remain controversial (i.e. the application of open chest cardiopulmonary resuscitation and the absence of a team leader). (jscimedcentral.com)
  • Intraoperative dexmedetomidine to prevent postoperative delirium: in search of the magic bullet. (ucsf.edu)
  • Background Dexmedetomidine has analgesic properties, but the intraoperative analgesic effect of dexmedetomidine is often masked by the effects of other general anaesthetics. (researchgate.net)
  • He's involved in development of on line echocardiography teaching resources for the Perioperative Interactive Education website (pie.med.utoronto.ca). (criticalcarecanada.com)
  • His main research interest is 3D intraoperative echocardiography, he funded and leads the Anesthesiology Cardiovascular Imaging Research Centre at Toronto General Hospital. (criticalcarecanada.com)
  • Learning Critical Care Echocardiography: The Start of an Evidence-Based Approach? (uchicago.edu)
  • The PeriOperative Ischemic Evaluation (POISE)-3 Trial is a large international randomized controlled trial designed to determine if TXA is superior to placebo for the composite outcome of life-threatening, major, and critical organ bleeding, and non-inferior to placebo for the occurrence of major arterial and venous thrombotic events, at 30 days after randomization. (biomedcentral.com)
  • He is a teacher and examiner for Fellowship in Critical Care and Cardiac Anaesthesia, National Board of Examinations and ISCCM & IACTA fellowship in India. (medanta.org)
  • It is therefore imperative that anaesthetists have a comprehensive understanding of the indications, techniques and potential pitfalls associated with this area of anaesthesia, in order to provide high quality care and maintain patient safety. (wfsahq.org)
  • Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. (ahrq.gov)
  • Individually optimized hemodynamic therapy reduces complications and length of stay in the intensive care unit: a prospective, randomized controlled trial. (edwards.com)
  • Overview of adverse events related to invasive procedures in the intensive care unit. (ahrq.gov)
  • ScvO₂ was measured continuously in the operating room and for up to 24 h post-Intensive Care Unit admission. (silverchair.com)
  • Significant correlations resulted between the ScvO₂ area under the curve less than 40% and creatinine clearance at 12 h in the Intensive Care Unit (r = -0.58), Intensive Care Unit length of stay (r = 0.56), max inotrope use (r = 0.52), inotrope use at 24 h (r = 0.40), inotrope index score (r = 0.39), hospital length of stay (r = 0.36), and length of intubation (r = 0.32). (silverchair.com)
  • Survival or mortality rate is a reasonable choice of an outcome measure for critically ill patients in intensive care unit (ICU). (annexpublishers.co)
  • Patients who received RBC transfusions had longer intensive care unit (31.40 ± 25.42 hours) and hospital (11.18 ± 6.75 days) stays. (turkjanaesthesiolreanim.org)
  • In the general intensive care unit (ICU) population, the use of high tidal volumes (Vt) and inspiratory pressures have been shown to overstretch the alveoli and to be the leading cause of ventilator-induced lung injury (VILI) [ 5 , 6 ]. (biomedcentral.com)
  • Transport of Critically Ill Patients by the Anesthesia Versus the Intensive Care Unit Service: A Before-After Study of Operating Room Workflows. (uchicago.edu)
  • Previously Senior Consultant Anaesthesiology and Critical Care at Apollo Hospital, New Delhi and Director, Department of Anaesthesiology and Critical Care at Escorts Heart Institute and Research Centre, New Delhi. (medanta.org)
  • Main Outcomes and Measures: The primary outcomes were avoidance of postoperative hypothermia (defined as the proportion of patients with a final recorded intraoperative core temperature >36 °C) and hyperglycemia (defined as the proportion of patients with diabetes who had a blood glucose level ≤180 mg/dL on arrival to the postanesthesia recovery area). (bvsalud.org)
  • This research started after a professional experience of several episodes of intraoperative cardiac arrest in a road trauma victim. (jscimedcentral.com)
  • In particular, intraoperative cardiac arrest (ICA) differs from other setting in- and out-of-hospital events because during anesthesia it's usually witnessed and anticipated [9]. (jscimedcentral.com)
  • The literature suggests that quantitative management of neuromuscular blockade reduces the residual weakness that can lead to critical respiratory events in the postoperative period. (bariatrictimes.com)
  • Thus, we investigated which approach, qualitative or quantitative monitoring of neuromuscular blockade, left patients with a degree of residual neuromuscular block that created a greater risk of having critical respiratory events. (bariatrictimes.com)
  • By study design, there was no difference in the intraoperative dosing of intermediate neuromuscular blocking agents. (bariatrictimes.com)
  • Design, Setting, and Participants: This single-center pilot randomized clinical trial (Anesthesiology Control Tower-Feedback Alerts to Supplement Treatments [ACTFAST-3]) was conducted from April 3, 2017, to June 30, 2019, at a large academic medical center in the US. (bvsalud.org)
  • In recent years, intraoperative lung-protective mechanical ventilation (LPV) has been reportedly able to attenuate ventilator-induced lung injuries (VILI). (springer.com)
  • For patients undergoing surgery or those in the intensive care units (ICUs), CO monitoring has been used to guide intravenous fluid replacement and pharmacologic therapy to maintain adequate organ perfusion. (cms.gov)
  • Intervention: Patients received either usual care (medical direction from the anesthesia care team) or intraoperative anesthesia care monitored and augmented by decision support from the Anesthesiology Control Tower (ACT), a real-time, live telemedicine intervention. (bvsalud.org)
  • Patients, physicians, and health care workers can benefit in terms of well-being by access to reading, reflecting on, and writing poetry. (stanford.edu)
  • Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care. (cornell.edu)
  • With a legacy of putting patients first, Weill Cornell Medicine is committed to providing exemplary and individualized clinical care, making groundbreaking biomedical discoveries, and educating generations of exceptional doctors and scientists. (cornell.edu)
  • Review of the intraoperative management and hemodynamic goals for patients with aortic stenosis, mitral stenosis, aortic insufficiency, and mitral valve regurgitation. (asda.org)
  • Encouraging patients to speak up about problems in cancer care. (ahrq.gov)
  • There has been a gradual increase in use of tracheal stents with an advancement in palliative care for this category of patients [1]. (jaccr.com)
  • Over a long term, the patients with tracheal stents may present to health care facilities with issues related to complications of stents. (jaccr.com)
  • Initial Clinical Impressions of the Critical Care of COVID-19 Patients in Seattle, New York City, and Chicago. (uchicago.edu)
  • Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. (ahrq.gov)
  • Enhanced recovery after surgery (ERAS) programs are evidence-based protocols designed to standardize and optimize perioperative medical care. (medscape.com)
  • Preoperative, intraoperative, and postoperative components of Enhanced Recovery After Surgery (ERAS). (medscape.com)
  • Objective: To pilot the implementation of a real-time intraoperative telemedicine decision support program and evaluate whether it reduces postoperative hypothermia and hyperglycemia as well as other quality of care measures. (bvsalud.org)
  • Therefore, the degree to which it reduces intraoperative pain intensity remains unclear. (researchgate.net)
  • Souza's project resulted in the Handhero, a $20 retractable hand splint that she and her colleague Jana Lim, a PhD student in neurosurgery, hope to market to nonprofit health care agencies working in developing countries. (stanford.edu)
  • The anesthesia care provider, who was 32 hours into a 48-hour call shift and had only had 3 hours of sleep in the prior 32 hours, performed L3-4 combined spinal epidural analgesia for labor and delivery. (ahrq.gov)
  • The components of ERAS may be broadly divided into preadmission, preoperative, intraoperative, and postoperative phases, each of which includes various distinct components (see the image below). (medscape.com)
  • In contrast to other studies that used limited intra- and postoperative care elements, the authors maximized the use of ERAS care elements in the study population, including the preoperative components whenever feasible and most of the intraoperative and postoperative components. (medscape.com)
  • Multifactorial risk index for prediction of intraoperative blood transfusion in endovascular aneurysm repair. (uchicago.edu)
  • The personal gap of knowledge about intraoperative phenomenon and the absence of specific guidelines about Perioperative context, a literature review was performed to study the ICA, with the development of a tool that can help the health care providers with a check list, as used in aviation, in a context of crew resource management to approach the OR rare crisis. (jscimedcentral.com)
  • There was no difference in the occurrence of critical respiratory events in the postanesthesia care unit. (bariatrictimes.com)
  • the intraoperative environment is a setting with unique characteristics respect other hospital place for example the presence of ALS team and advanced monitoring. (jscimedcentral.com)
  • But it is also important to assess the impact of critical illness and peri-operative complications on health status and quality of life (QoL) after hospital discharge. (annexpublishers.co)
  • As with any operation, maintaining patient normothermia is a critical process to prevent surgical site infections, additional respiratory distress and surgical bleeding. (wikipedia.org)
  • The patient is in the neurointesive care unit (NICU) on post-operative day 4 extubated and seemingly stable. (snacc.org)
  • There are interactions between other organ systems (for example the heart and lungs) that may complicate the care of a ruptured cerebral aneurysm patient and need consideration. (snacc.org)
  • An introduction to perioperative alternatives to opioids for general anesthesia, and a discussion of how reduced opioid use impacts patient care. (asda.org)
  • Thorough pre-operative patient assessment and planning is key to providing safe anaesthetic care. (wfsahq.org)
  • About one hour later, the anesthesia care provider's audit of the controlled substance box found that this patient had been given intrathecal morphine 1 mg instead of 5 micrograms sufentanil. (ahrq.gov)
  • This case provides an opportunity to discuss the implications of sleep deprivation, especially in high-risk settings such as anesthesia care and obstetric care, and approaches to improve patient safety during labor and delivery. (ahrq.gov)
  • Dr. Mehta was awarded with FIACTA (Honorary), Fellow in TEE by Indian Association of Cardiovascular Thoracic Anaesthesiologists in 2009 and FICCM (honorary) by Indian College of Critical Care Medicine. (medanta.org)
  • A Hero of Military Medicine is an individual who has distinguished himself/herself in medical research or clinical care through compassion, excellence and selfless dedication that go above and beyond the call of duty. (ufl.edu)
  • Current applications of Therefore, training and adequate learning in ultrasound should be part of the curriculum of any anesthesiology program. (bvsalud.org)
  • How do those translate into clinical care preoperatively? (snacc.org)
  • The intraoperative course remained uneventful, with no electrocardiogram (ECG) changes suggestive of hyperkalemia. (anesth-pain-med.org)
  • Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. (ahrq.gov)
  • Lack of sleep has also been increasingly recognized as a contributing factor for adverse events in health care. (ahrq.gov)
  • However, it did not decrease the risk of critical respiratory events. (bariatrictimes.com)
  • Efforts by The Joint Commission have been aimed at developing standardized approaches to VTE prophylaxis, with the institution of the Surgical Care Improvement Project (SCIP) measures. (medscape.com)
  • Effectiveness of the surgical safety checklist in a high standard care environment. (ahrq.gov)
  • Bleeding complications should be anticipated and blood loss reduced by interdisciplinary preventive measures and individually tailored care. (karger.com)
  • Improving Adherence to Intraoperative Lung-Protective Ventilation Strategies at a University Medical Center. (uc.edu)
  • Later, during his fourth year of medical school, CDR Rice completed a one-month rotation at the Casualty Care Research Center, Uniformed Services University of the Health Sciences, Bethesda, MD where he developed medical threat assessments in support of a Presidential Protection Detail, and in preparation of a FBI-Hostage Response Team mission. (ufl.edu)
  • More contemporary scholarship explores how poems, which include insights into the human condition, can enlarge our understanding of health, illness, mortality, and health care, including issues of diversity. (stanford.edu)
  • Projects delved into such topics as stem cell research, health care policy, bioinformatics and global health. (stanford.edu)
  • I believe health care is a human right. (stanford.edu)
  • Glob Adv Health Med 2013;2:38-43. (ijccm.org)
  • Importance: Telemedicine for clinical decision support has been adopted in many health care settings, but its utility in improving intraoperative care has not been assessed. (bvsalud.org)
  • Commander Darian Rice, MD, PhD, USN and former UF Anesthesiology Resident was one of this year's recipients. (ufl.edu)
  • however, a multidisplinary approach enables the maximum possible implementation of care elements in all phases of an ERAS protocol. (medscape.com)