Intraoperative and postoperative. Medical search. Frequent questions

Scholars@Duke publication: Impact of intraoperative dexmedetomidine on postoperative analgesia following gynecologic surgery. (duke.edu)
OBJECTIVE: To assess the impact of intraoperative dexmedetomidine infusion on postoperative analgesia in women undergoing major open and laparoscopic gynecologic surgery under general anesthesia. (duke.edu)
The incidence and effect of medical complications as well as the impact of intraoperative management strategies are now attracting increasing interest. (bmj.com)
Background: This study examined the impact of intraoperative myocardial acidosis and adverse postoperative outcomes on the cost of cardiac surgical care. (elsevierpure.com)

25 optimizes intraoperative opioid dosing. (iasp-pain.org)
CONCLUSIONS: Intraoperative dexmedetomidine infusion provided an opioid sparing effect intraoperatively and in PACU in women undergoing open gynecologic surgery but did not reduce the need for rescue antiemetics or the duration of PACU stay and did not provide any benefit beyond PACU discharge. (duke.edu)
80 mm Hg, time outside of end-tidal carbon dioxide (ETCO 2 ) range of 3-5 kPa, maintenance anaesthetic, operative time and opioid dose) on postoperative stay was assessed using Cox regression. (bmj.com)
In the Society for Ambulatory Anesthesia Consensus Guidelines for the management of PONV, one of the strategies for reducing the baseline risk factors of PONV is the minimization of intraoperative and postoperative opioid use [ 5 ]. (ekja.org)
Although a number of clinical reports have identified the use of postoperative opioids as one of the major risk factors of PONV, few studies have been performed that focus on the effects of intraoperative opioid use on the incidence and severity of PONV [ 12 , 13 , 14 ]. (ekja.org)

Objectives We used electronic health record data to study the profile of in-hospital morbidity and examine associations between various intraoperative events and postoperative stay. (bmj.com)
We found no evidence of an association between intraoperative events and postoperative stay. (bmj.com)
Conclusions: Intraoperative adverse events and postoperative pulmonary complications occurred more often in patients undergoing night-time surgery. (unimi.it)

Conclusions There is a high postoperative morbidity burden in this cohort, which was associated with postoperative stay. (bmj.com)
A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers Anesthesiology. (bjan-sba.org)
Conclusions: Intraoperative myocardial acidosis is a determinant of postoperative adverse outcomes and cost in cardiac surgery. (elsevierpure.com)

Nociception Level Index-Guided Intraoperative Analgesia for Improved Postoperative Recovery: A Randomized Trial. (iasp-pain.org)
In the postoperative period, VAS and Colorado analgesic scores were lower for the dogs that received the higher nalbuphine dose, which only required supplemental analgesia 10 h following its administration, compared with dogs that received the lower dose. (scielo.br)
Epidural nalbuphine significantly reduces the intra-operative isoflurane requirement and provides prolonged postoperative analgesia after ovariohysterectomy in dogs. (scielo.br)
A comparison of extradural and intravenous methadone on intraoperative isoflurane and postoperative analgesia requirements in dogs. (scielo.br)
Torske KE, Dyson DH, Pettifer G. End tidal halothane concentration and postoperative analgesia requirements in dogs: a comparison between intravenous oxymorphone and epidural bupivacaine alone and in combination with oxymorphone. (scielo.br)
In addition to postoperative analgesia, opioids have often been used to reduce the hemodynamic response to laryngoscopy and tracheal intubation or to blunt surgical stimulation during anesthesia management. (ekja.org)

A number of subspecialties have started implementing ERAS in their patients and have shown improved postoperative outcomes. (medscape.com)
Results: Long XC duration was associated with significantly increased acidosis and adverse postoperative outcomes. (elsevierpure.com)
End reperfusion of myocardial tissue pH 37C of less than 7.0, diabetes mellitus, and body surface area were significant determinants of postoperative adverse outcomes. (elsevierpure.com)
Reducing XC duration and improving intraoperative myocardial protection should improve outcomes and reduce cost. (elsevierpure.com)

Conclusion Preoperative biliary drainage alone has no significant influence on postoperative pancreatic fistula except when combined with pancreatic stenting. (thieme-connect.de)

However, the patients who underwent both biliary and pancreatic stenting had a significant increase in postoperative pancreatic fistula compared with the not stented ( p = 0.003). (thieme-connect.de)
In both studies, there was a significant reduction in the length of hospital stay in the ERAS group with no increase in postoperative complications. (medscape.com)

Patients who received intraoperative opioids with a dexmedetomidine infusion were compared to those who received opioids alone. (duke.edu)
We designed a prospective study to evaluate the incidence of postoperative bleeding complications in patients taking aspirin, warfarin, or nonsteroidal antiinflammatory agents. (psu.edu)
Data were collected from patients undergoing Mohs surgery regarding preoperative medication history, operative bleeding, and postoperative bleeding. (psu.edu)
There was no statistically significant difference in postoperative bleeding complications between patients on aspirin, warfarin, or nonsteroidal antiinflammatory agents, when compared with controls. (psu.edu)
In 14 patients significant intraoperative MMEP changes occurred, resulting in a transient motor deficit in one patient and a permanent motor deficit in six. (elsevierpure.com)
Imbalances in patients' clinical characteristics, types of surgery, and intraoperative management at night-time partially explained the higher incidence of postoperative pulmonary complications, but not the higher incidence of adverse events. (unimi.it)
This study aimed to comparatively analyze sociodemographic data and postoperative parameters of patients undergoing bypass and sleeve surgeries in a private hospital in São Luís, MA. (bvsalud.org)
The cost-effectiveness of these swabs and their influence on the patients' postoperative course have often been questioned. (unibo.it)
All patients were followed clinically for postoperative complications. (unibo.it)
Twenty-eight of the 340 patients (8.2%) developed an infection, but none of them had a positive intraoperative swab culture. (unibo.it)
Patients who underwent biliary stenting alone, biliary and pancreatic stenting, and no stenting prior to pancreaticoduodenectomy were the three study cohort groups and their records were scrutinized for the incidence of postoperative pancreatic fistula. (thieme-connect.de)
Patients who have anemia or sickle cell anemia are at increased risk for postoperative complications, including the need for blood transfusions and delayed healing. (lww.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)
There were no major intraoperative or postoperative complications except for retention of urine in 8 patients. (scirp.org)
Objective: To assess the prevalence of intraoperative and postoperative complications in patients undergoing a sagittal split osteotomy of the mandibular rami. (bvsalud.org)
Conclusion Intraoperative AEs occurred in 25% of patients treated with microsurgery for ruptured intracerebral aneurysm in this nationwide survey. (lu.se)
What's the Optimal Intraoperative BP Among High-Risk Patients? (medscape.com)
What Is the Optimal Intraoperative Blood Pressure Among High-Risk Patients? (medscape.com)
In the standard BP arm, patients were given a vasoconstrictive agent (intravenous ephedrine ) if their intraoperative systolic BP dropped below 80 mm Hg or was at least 40% lower than their preoperative value. (medscape.com)
Contrast this arm to the personalized (ie, intervention) arm in which patients were given a vasoconstrictive agent (in this arm, it was norepinephrine ) if their intraoperative BP was 10% of their preoperative value. (medscape.com)
patients with four risk factors would have a nearly ninefold higher likelihood of developing postoperative AKI. (medscape.com)
Using Machine Learning Algorithms to Predict High-Risk Factors for Postoperative Delirium in Elderly Patients. (cdc.gov)
After statistical correction for the extent of PC, the overall postoperative complication rate was significantly higher in MMC-patients (OR = 2.68 (95% CI: 1.04-6.91), P = 0.04), with a comparable intra-abdominal complication (IAC) rate (OR = 0.78 (95% CI: 0.30-2.03), P = 0.61), but a tendency towards more extra-abdominal complications (EAC) in MMC-patients (OR = 2.23 (95% CI: 0.91-5.43), P = 0.079). (lu.se)

We counted retinal detachment, vitreous hemorrhage, endophthalmitis (as early postoperative complications), or cataract progression (as late postoperative complication) as endpoint. (nih.gov)
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)
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)
Early postoperative fluid retention is a strong predictor for complications after pancreatoduodenectomy. (cancercentrum.se)

However, there were no significant differences in the incidence of PONV between Groups C and R. The overall incidences of PONV for postoperative 24 h were 49%, 73%, and 59% in Groups C, F, and R, respectively (P = 0.008). (ekja.org)
A single bolus administration of fentanyl 2 µg/kg during anesthesia induction increases the incidence of PONV, but intraoperative remifentanil infusion with 2 ng/ml effect-site concentration did not affect the incidence of PONV. (ekja.org)
6 ]. The use of postoperative opioids strongly affects the incidence of PONV in a doserelated manner [ 7 ]. (ekja.org)
We hypothesized that intraoperative hypotension during general anesthesia might be responsible for the incidence of PONV. (bjan-sba.org)
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)

In the laparoscopic group, there was no difference between the groups in intraoperative or PACU opioids, pain scores, or need for rescue antiemetics. (duke.edu)
However, further evaluation for postoperative pain and long-term complications compared to standard laparoscopic TAPP mesh hernioplasty should be required. (sages.org)
Pneumoperitoneum and Trendelenburg position in laparoscopic surgeries could contribute to postoperative pulmonary dysfunction. (springer.com)

On postoperative day 3 (D3), 280 (58% of remaining) inpatients suffered at least 1 complication. (bmj.com)

To measure the change in the minimum alveolar concentration of isoflurane (EtISO) associated with epidural nalbuphine and the postoperative analgesic requirements in dogs after ovariohysterectomy. (scielo.br)
9. Marucio RL, Luna SP, Neto FJ, Minto BW, Hatschbach E. Postoperative analgesic effects of epidural administration of neostigmine alone or in combination with morphine in ovariohysterectomized dogs. (scielo.br)
The present study evaluates the clinical outcome of stapled hemorrhoidectomy with regards to postoperative morbidity like pain, bleeding, analgesic requirement and recurrence. (scirp.org)
Background Dexmedetomidine has analgesic properties, but the intraoperative analgesic effect of dexmedetomidine is often masked by the effects of other general anaesthetics. (researchgate.net)

We examined the effects of a single bolus administration of fentanyl during anesthesia induction and the intraoperative infusion of remifentanil on PONV. (ekja.org)
Two hundred and fifty women, aged 20 to 65 years and scheduled for thyroidectomy, were allocated to a control group (Group C), a single bolus administration of fentanyl 2 µg/kg during anesthesia induction (Group F), or 2 ng/ ml of effect-site concentration-controlled intraoperative infusion of remifentanil (Group R) groups. (ekja.org)
Therefore, smalldose fentanyl or remifentanil infusion is commonly employed to reduce the hemodynamic response to tracheal intubation during anesthesia induction or to ablate responsiveness to noxious intraoperative stimuli as a balanced anesthesia concept [ 8 , 9 , 10 , 11 ]. (ekja.org)
Postoperative nausea and vomiting (PONV) are major complications after general anesthesia. (bjan-sba.org)
In the postoperative period , sociodemographic characteristics, surgery and anesthesia duration, pain levels, adverse effects , weight loss , and complications from the surgical procedure were analyzed. (bvsalud.org)
To solve this problem, the authors describe a method in which the procedure was performed under general anesthesia and appropriate needle position was confirmed by intraoperative CT scans. (scirp.org)

nbsp;According to our series, intraoperative swab culture results were not predictive for higher risk of infection and did not affect the clinical behavior of the surgeons in postoperative management. (unibo.it)

Methods and outcome definition Complications were defined using a modified Electronic Postoperative Morbidity Score. (bmj.com)
In addition to demographic data, parity ing the peripartum period in relation to the and gestational age, details of any maternal number of previous caesarean sections and intra-operative, postoperative and puerperal the risks of maternal morbidity and mortal- morbidity and mortality were extracted. (who.int)

Although the use of postoperative opioids is a well-known risk factor for postoperative nausea and vomiting (PONV), few studies have been performed on the effects of intraoperative opioids on PONV. (ekja.org)
Postoperative nausea and vomiting (PONV) is a distressing adverse effect that may result in postoperative complications including bleeding, wound dehiscence, aspiration pneumonitis, and fluid and electrolyte imbalances [ 1 ]. (ekja.org)
Evaluation of three risk scores to predict postoperative nausea and vomiting Acta Anaesthesiol Scand. (bjan-sba.org)
2. P.S. Glass, P.F. White Practice guidelines for the management of postoperative nausea and vomiting: past, present, and future Anesth Analg. (bjan-sba.org)
3. T.J. Gan Postoperative nausea and vomiting--can it be eliminated? (bjan-sba.org)
Postoperative nausea and vomiting following orthognathic surgery Int J Oral Maxillofac Surg. (bjan-sba.org)

The effect of preoperative biliary drainage (PBD) prior to pancreaticoduodenectomy (PD) on postoperative pancreatic fistula (POPF) is variably reported in literature. (thieme-connect.de)
Major intraoperative bleeding during pancreatoduodenectomy - preoperative biliary drainage is the only modifiable risk factor. (cancercentrum.se)

Background: The aim of this post hoc analysis of a large cohort study was to evaluate the association between night-time surgery and the occurrence of intraoperative adverse events (AEs) and postoperative pulmonary complications (PPCs). (unimi.it)

Therefore, the degree to which it reduces intraoperative pain intensity remains unclear. (researchgate.net)

Among the risk factors of PONV, the use of postoperative opioids is one of the four major risk factors in the simplified risk scoring system devised by Apfel et al. (ekja.org)
Most anesthesiologists prefer shortacting opioids such as remifentanil or fentanyl rather than longacting opioids for this purpose because long-acting opioids may cause postoperative adverse effects including respiratory depression, PONV, urinary retention, and pruritus. (ekja.org)

We need more such studies from other centers to confirm that the rare event of preoperative biliary and pancreatic stenting has indeed this harmful effect on healing of postoperative pancreatic anastomosis. (thieme-connect.de)
Primary resection and anastomosis with intraoperative colonic lavage was performed. (improbable.com)

Intraoperative hypotension evaluated by AUC-s100% was related to PONV in thyroidectomy. (bjan-sba.org)
For surgeons, however, the reality of intraoperative hypotension is a common and concerning scenario that increases one's risk for kidney dysfunction. (medscape.com)

Simultaneous biliary and pancreatic drainage is rarely performed for very selected indications and its effects on postoperative pancreatic fistula are largely unknown. (thieme-connect.de)

Following the surgery ibuprofen and paracetamol (acetaminophen) may be used to treat postoperative pain. (wikipedia.org)
Intraoperative, sociodemographic, and postoperative parameters in individuals undergoing bariatric surgery. (bvsalud.org)
We analyzed 74 participants of both genders, aged between 18 and 70 years, with 31 undergoing Roux-en-Y gastric bypass surgery and 43 undergoing sleeve gastrectomy surgery . (bvsalud.org)
Males predominated in Roux-en-Y gastric bypass and females in sleeve gastrectomy surgery . (bvsalud.org)
Roux-en-Y gastric bypass showed a higher rate of weight loss from 1 month after surgery (14.2±4.15) and more variation in body mass index within 3 months after surgery (32.17±4.76). (bvsalud.org)
In spine surgery, allogenic bone grafts are often required to ensure bone fusion, however, the main concern regarding their use is the infection risk: therefore, an intraoperative swab for culture test is performed. (unibo.it)
Preoperative, intraoperative, and postoperative components of Enhanced Recovery After Surgery (ERAS). (medscape.com)

Prediction of postoperative infection in elderly using deep learning-based analysis: an observational cohort study. (cdc.gov)

Allogenic bone grafts and postoperative surgical site infection: are positive intraoperative swab cultures predictive for a higher infectious risk? (unibo.it)
This study aims at determining whether positive spine allograft culture results are predictive of an increased risk of surgical site infection and whether they influence the surgeon's choices in postoperative management. (unibo.it)
Predictive Factors for Postoperative Pancreatic Fistula-A Swedish Nationwide Register-Based Study. (cancercentrum.se)

The primary endpoint for INPRESS was the development of any organ dysfunction within the first 7 postoperative days. (medscape.com)

GTS short stem was not associated with a clinically significant lower blood loss in the immediately postoperative period. (springer.com)

It is used as a day care procedure with minimal postoperative bleeding and pain with an additional benefit of early return to work. (scirp.org)

Postoperative course was favorable without any wound infection or intraabdominal sepsis. (improbable.com)
Preoperative, intraoperative, and postoperative images in the case of a patient who received an abdominal aortic endograft and was later diagnosed with Mycobacterium chimaera and Granulicatella adiacens infection, Switzerland, 2014. (cdc.gov)

The rate of intraoperative bone infractions was 1.6% and 0.3% in the GTS and CLS group, respectively ( p = 0.013). (springer.com)

The role of these medications in postoperative bleeding complications is unclear. (psu.edu)

Cox proportional hazard analysis showed no significant difference between vitrectomy 23-G vs 20-G with regard to postoperative complications (hazard ratio 0.79, 95% confidence interval 0.41-1.52). (nih.gov)

Review medical records, pertinent images, interview with the patient and surgical team, intraoperative and histopathological findings. (bvsalud.org)

This qualitative study examined how situational awareness and team culture impact intraoperative handoff practice. (ahrq.gov)

[ 6 ] They reported a better outcome in the ERAS group with implementation of only the postoperative components of ERAS. (medscape.com)

Frequency of postoperative bleeding complications was then evaluated. (psu.edu)
Excluding transient corneal effects associated with 5-FU therapy, there were no significant differences in the frequency of postoperative complications.These results suggest that 5-FU and MMC antiproliferative therapy are associated with similar short-term success rates and postoperative complications. (unifesp.br)

The risk-benefit ratio of intraoperative shunting during carotid endarterectomy. (elsevierpure.com)
Dive into the research topics of 'The risk-benefit ratio of intraoperative shunting during carotid endarterectomy. (elsevierpure.com)
Controlling one's intraoperative BP within a 10% range resulted in a 14% lower absolute risk. (medscape.com)
Keeping the intraoperative BP within a 10% range resulted in a relative risk of 0.70 (95% CI, 0.53-0.92). (medscape.com)

C) Satisfactory postoperative result of the axillo-bifemoral bypass on volume-rendered reconstructions of a contrast-enhanced computed tomography. (cdc.gov)

The intraoperative loss of MMEPs reliably predicts both severe and permanent postoperative motor deficits. (elsevierpure.com)

In comparison to CV group, the intraoperative P/F and PaO 2 in LPV group were significantly higher while the intraoperative A-aO 2 was clearly lower. (springer.com)

Anatomy17

Diseases39

Chemicals and Drugs27

Analytical, Diagnostic and Therapeutic Techniques and Equipment157

Psychiatry and Psychology2

Phenomena and Processes10

Disciplines and Occupations5

Technology, Industry, Agriculture2

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Named Groups1

Health Care26

Impact of intraoperative4

Opioid5

Events and postoperative3

CONCLUSIONS3

Analgesia6

Outcomes4

Influence on postoperative1

Increase in postoperative2

Patients23

Early postoperative4

Incidence5

Laparoscopic3

Complication1

Analgesic4

Anesthesia6

Clinical1

Morbidity2

Nausea6

Preoperative biliary drainage2

Pulmonary1

Reduces1

Opioids2

Anastomosis2

Hypotension2

Indications1

Surgery7

Cohort1

Predictive3

Dysfunction1

Clinically1

Pain1

Infection2

Bone1

Unclear1

Confidence interval1

Findings1

Study examined1

Outcome1

Frequency2

Risk4

Bypass1

Severe1

Significantly higher1