Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Surgical Procedures, Operative: Operations carried out for the correction of deformities and defects, repair of injuries, and diagnosis and cure of certain diseases. (Taber, 18th ed.)Emergency Service, Hospital: Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Emergency Medicine: The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.Emergency Treatment: First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.Emergency Medical Services: Services specifically designed, staffed, and equipped for the emergency care of patients.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Preoperative Care: Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)Anesthesia, General: Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Perioperative Care: Interventions to provide care prior to, during, and immediately after surgery.Operating Rooms: Facilities equipped for performing surgery.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.General Surgery: A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Emergency Nursing: The specialty or practice of nursing in the care of patients admitted to the emergency department.Channel Islands: A group of four British islands and several islets in the English Channel off the coast of France. They are known to have been occupied prehistorically. They were a part of Normandy in 933 but were united to the British crown at the time of the Norman Conquest in 1066. Guernsey and Jersey originated noted breeds of cattle. (From Webster's New Geographical Dictionary, 1988, p242)Ambulatory Surgical Procedures: Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.Postoperative Period: The period following a surgical operation.Intubation, Intratracheal: A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia.Cardiac Surgical Procedures: Surgery performed on the heart.Preanesthetic Medication: Drugs administered before an anesthetic to decrease a patient's anxiety and control the effects of that anesthetic.Digestive System Surgical Procedures: Surgery performed on the digestive system or its parts.Anesthesia: A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.Surgery Department, Hospital: Hospital department which administers all departmental functions and the provision of surgical diagnostic and therapeutic services.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Laryngoscopy: Examination, therapy or surgery of the interior of the larynx performed with a specially designed endoscope.Vascular Surgical Procedures: Operative procedures for the treatment of vascular disorders.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Monitoring, Intraoperative: The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).Surgical Procedures, Minor: Surgery restricted to the management of minor problems and injuries; surgical procedures of relatively slight extent and not in itself hazardous to life. (Dorland, 28th ed & Stedman, 25th ed)Postoperative Care: The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)Anesthetics, Intravenous: Ultrashort-acting anesthetics that are used for induction. Loss of consciousness is rapid and induction is pleasant, but there is no muscle relaxation and reflexes frequently are not reduced adequately. Repeated administration results in accumulation and prolongs the recovery time. Since these agents have little if any analgesic activity, they are seldom used alone except in brief minor procedures. (From AMA Drug Evaluations Annual, 1994, p174)Waiting Lists: Prospective patient listings for appointments or treatments.Anesthesia Recovery Period: The period of emergence from general anesthesia, where different elements of consciousness return at different rates.Colectomy: Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)Pneumonia, Aspiration: A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.Intraoperative Period: The period during a surgical operation.Herniorrhaphy: Surgical procedures undertaken to repair abnormal openings through which tissue or parts of organs can protrude or are already protruding.Orthopedic Procedures: Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Preoperative Period: The period before a surgical operation.Intraoperative Care: Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.Surgical Procedures, Minimally Invasive: Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.Anesthesia, Inhalation: Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract.Aortic Aneurysm, Abdominal: An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm.Cholecystectomy: Surgical removal of the GALLBLADDER.Bariatric Surgery: Surgical procedures aimed at affecting metabolism and producing major WEIGHT REDUCTION in patients with MORBID OBESITY.Anesthetics, Inhalation: Gases or volatile liquids that vary in the rate at which they induce anesthesia; potency; the degree of circulation, respiratory, or neuromuscular depression they produce; and analgesic effects. Inhalation anesthetics have advantages over intravenous agents in that the depth of anesthesia can be changed rapidly by altering the inhaled concentration. Because of their rapid elimination, any postoperative respiratory depression is of relatively short duration. (From AMA Drug Evaluations Annual, 1994, p173)Propofol: An intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (From Smith and Reynard, Textbook of Pharmacology, 1992, 1st ed, p206). Propofol has been used as ANTICONVULSANTS and ANTIEMETICS.Blood Grouping and Crossmatching: Testing erythrocytes to determine presence or absence of blood-group antigens, testing of serum to determine the presence or absence of antibodies to these antigens, and selecting biocompatible blood by crossmatching samples from the donor against samples from the recipient. Crossmatching is performed prior to transfusion.Pain, Postoperative: Pain during the period after surgery.Oral Surgical Procedures: Surgical procedures used to treat disease, injuries, and defects of the oral and maxillofacial region.Laryngoscopes: Endoscopes for examining the interior of the larynx.Surgical Wound Infection: Infection occurring at the site of a surgical incision.Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)Anesthesiology: A specialty concerned with the study of anesthetics and anesthesia.Hospital Mortality: A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.Gynecologic Surgical Procedures: Surgery performed on the female genitalia.Emergency Services, Psychiatric: Organized services to provide immediate psychiatric care to patients with acute psychological disturbances.Diverticulitis, Colonic: Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Thoracic Surgical Procedures: Surgery performed on the thoracic organs, most commonly the lungs and the heart.Reconstructive Surgical Procedures: Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.Blood Loss, Surgical: Loss of blood during a surgical procedure.Ophthalmologic Surgical Procedures: Surgery performed on the eye or any of its parts.Isoflurane: A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.Laryngeal Masks: A type of oropharyngeal airway that provides an alternative to endotracheal intubation and standard mask anesthesia in certain patients. It is introduced into the hypopharynx to form a seal around the larynx thus permitting spontaneous or positive pressure ventilation without penetration of the larynx or esophagus. It is used in place of a facemask in routine anesthesia. The advantages over standard mask anesthesia are better airway control, minimal anesthetic gas leakage, a secure airway during patient transport to the recovery area, and minimal postoperative problems.Anesthesia, Intravenous: Process of administering an anesthetic through injection directly into the bloodstream.Intraoperative Complications: Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.Patient Admission: The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Laparoscopy: A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.Thoracic Surgery: A surgical specialty concerned with diagnosis and treatment of disorders of the heart, lungs, and esophagus. Two major types of thoracic surgery are classified as pulmonary and cardiovascular.Surgery, Plastic: The branch of surgery concerned with restoration, reconstruction, or improvement of defective, damaged, or missing structures.Urologic Surgical Procedures: Surgery performed on the urinary tract or its parts in the male or female. For surgery of the male genitalia, UROLOGIC SURGICAL PROCEDURES, MALE is available.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Emergency Medical Technicians: Paramedical personnel trained to provide basic emergency care and life support under the supervision of physicians and/or nurses. These services may be carried out at the site of the emergency, in the ambulance, or in a health care institution.Neuromuscular Nondepolarizing Agents: Drugs that interrupt transmission at the skeletal neuromuscular junction without causing depolarization of the motor end plate. They prevent acetylcholine from triggering muscle contraction and are used as muscle relaxants during electroshock treatments, in convulsive states, and as anesthesia adjuvants.Hospital Costs: The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).Neurosurgical Procedures: Surgery performed on the nervous system or its parts.Abdomen: That portion of the body that lies between the THORAX and the PELVIS.Cardiovascular Surgical Procedures: Surgery performed on the heart or blood vessels.Hospitals, University: Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research.Cholecystectomy, Laparoscopic: Excision of the gallbladder through an abdominal incision using a laparoscope.Methyl Ethers: A group of compounds that contain the general formula R-OCH3.Blood Transfusion, Autologous: Reinfusion of blood or blood products derived from the patient's own circulation. (Dorland, 27th ed)Hospitals: Institutions with an organized medical staff which provide medical care to patients.EnglandTomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Atracurium: A non-depolarizing neuromuscular blocking agent with short duration of action. Its lack of significant cardiovascular effects and its lack of dependence on good kidney function for elimination provide clinical advantage over alternate non-depolarizing neuromuscular blocking agents.Obstetric Surgical Procedures: Surgery performed on the pregnant woman for conditions associated with pregnancy, labor, or the puerperium. It does not include surgery of the newborn infant.Patient Selection: Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.Fluid Therapy: Therapy whose basic objective is to restore the volume and composition of the body fluids to normal with respect to WATER-ELECTROLYTE BALANCE. Fluids may be administered intravenously, orally, by intermittent gavage, or by HYPODERMOCLYSIS.Blood Transfusion: The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed)Emergency Medical Service Communication Systems: The use of communication systems, such as telecommunication, to transmit emergency information to appropriate providers of health services.Fiber Optic Technology: The technology of transmitting light over long distances through strands of glass or other transparent material.Postoperative Nausea and Vomiting: Emesis and queasiness occurring after anesthesia.Surgery, Computer-Assisted: Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.Recurrence: The return of a sign, symptom, or disease after a remission.Nitrous Oxide: Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream.Aortic Rupture: The tearing or bursting of the wall along any portion of the AORTA, such as thoracic or abdominal. It may result from the rupture of an aneurysm or it may be due to TRAUMA.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Acute Disease: Disease having a short and relatively severe course.Thiopental: A barbiturate that is administered intravenously for the induction of general anesthesia or for the production of complete anesthesia of short duration.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Diverticulum, Colon: A pouch or sac opening from the COLON.Anesthetics, Local: Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.Triage: The sorting out and classification of patients or casualties to determine priority of need and proper place of treatment.Surgery, Oral: A dental specialty concerned with the diagnosis and surgical treatment of disease, injuries, and defects of the human oral and maxillofacial region.Aortic Aneurysm: An abnormal balloon- or sac-like dilatation in the wall of AORTA.Androstanols: Androstanes and androstane derivatives which are substituted in any position with one or more hydroxyl groups.Anesthesia, Spinal: Procedure in which an anesthetic is injected directly into the spinal cord.Aorta, Abdominal: The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.Double-Blind Method: A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.Hospitalization: The confinement of a patient in a hospital.Otorhinolaryngologic Surgical Procedures: Surgery performed on the ear and its parts, the nose and nasal cavity, or the throat, including surgery of the adenoids, tonsils, pharynx, and trachea.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.State Medicine: A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.Thoracic Surgery, Video-Assisted: Endoscopic surgery of the pleural cavity performed with visualization via video transmission.Thoracotomy: Surgical incision into the chest wall.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.Coronary Artery Bypass: Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.Appointments and Schedules: The different methods of scheduling patient visits, appointment systems, individual or group appointments, waiting times, waiting lists for hospitals, walk-in clinics, etc.Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Neuromuscular Blocking Agents: Drugs that interrupt transmission of nerve impulses at the skeletal neuromuscular junction. They can be of two types, competitive, stabilizing blockers (NEUROMUSCULAR NONDEPOLARIZING AGENTS) or noncompetitive, depolarizing agents (NEUROMUSCULAR DEPOLARIZING AGENTS). Both prevent acetylcholine from triggering the muscle contraction and they are used as anesthesia adjuvants, as relaxants during electroshock, in convulsive states, etc.Dermatologic Surgical Procedures: Operative procedures performed on the SKIN.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Contraceptives, Postcoital: Contraceptive substances to be used after COITUS. These agents include high doses of estrogenic drugs; progesterone-receptor blockers; ANTIMETABOLITES; ALKALOIDS, and PROSTAGLANDINS.Contraception, Postcoital: Means of postcoital intervention to avoid pregnancy, such as the administration of POSTCOITAL CONTRACEPTIVES to prevent FERTILIZATION of an egg or implantation of a fertilized egg (OVUM IMPLANTATION).United StatesSuture Techniques: Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).Decompression, Surgical: A surgical operation for the relief of pressure in a body compartment or on a body part. (From Dorland, 28th ed)Cataract Extraction: The removal of a cataractous CRYSTALLINE LENS from the eye.Xenon: A noble gas with the atomic symbol Xe, atomic number 54, and atomic weight 131.30. It is found in the earth's atmosphere and has been used as an anesthetic.Great BritainCardiopulmonary Bypass: Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs.Ambulances: A vehicle equipped for transporting patients in need of emergency care.Surgical Flaps: Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.Surgical Instruments: Hand-held tools or implements used by health professionals for the performance of surgical tasks.Microsurgery: The performance of surgical procedures with the aid of a microscope.Anastomosis, Surgical: Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.Laparotomy: Incision into the side of the abdomen between the ribs and pelvis.Obesity, Morbid: The condition of weighing two, three, or more times the ideal weight, so called because it is associated with many serious and life-threatening disorders. In the BODY MASS INDEX, morbid obesity is defined as having a BMI greater than 40.0 kg/m2.Anesthesia, Local: A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.Pulmonary Surgical Procedures: Surgery performed on the lung.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Equipment Design: Methods of creating machines and devices.Disaster Planning: Procedures outlined for the care of casualties and the maintenance of services in disasters.Respiration, Artificial: Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).Medical Staff, Hospital: Professional medical personnel approved to provide care to patients in a hospital.Specialties, Surgical: Various branches of surgical practice limited to specialized areas.Surgical Equipment: Nonexpendable apparatus used during surgical procedures. They are differentiated from SURGICAL INSTRUMENTS, usually hand-held and used in the immediate operative field.Colorectal Surgery: A surgical specialty concerned with the diagnosis and treatment of disorders and abnormalities of the COLON; RECTUM; and ANAL CANAL.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.Oral Surgical Procedures, Preprosthetic: Surgery necessary for a denture to rest on a firm base, free from marked osseous protuberances or undercuts, and devoid of interfering muscle attachments, excess mucoperiosteum, hyperplasias, and fibrous or papillary growths.Comorbidity: The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Orthopedics: A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.Hospitals, Teaching: Hospitals engaged in educational and research programs, as well as providing medical care to the patients.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Hospitals, Urban: Hospitals located in metropolitan areas.Infant, Newborn: An infant during the first month after birth.Medical Audit: A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.Ultrasonic Surgical Procedures: The use of HIGH-ENERGY SHOCK WAVES, in the frequency range of 20-60 kHz, to cut through or remove tissue. The tissue fragmentation by ultrasonic surgical instruments is caused by mechanical effects not heat as with HIGH-INTENSITY FOCUSED ULTRASOUND ABLATION.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Hemodynamics: The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Survival Rate: The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.Osteotomy: The surgical cutting of a bone. (Dorland, 28th ed)Hysterectomy: Excision of the uterus.Evidence-Based Emergency Medicine: A way of providing emergency medical care that is guided by a thoughtful integration of the best available scientific knowledge with clinical expertise in EMERGENCY MEDICINE. This approach allows the practitioner to critically assess research data, clinical guidelines, and other information resources in order to correctly identify the clinical problem, apply the most high-quality intervention, and re-evaluate the outcome for future improvement.Pneumonectomy: The excision of lung tissue including partial or total lung lobectomy.Methods: A series of steps taken in order to conduct research.Otologic Surgical Procedures: Surgery performed on the external, middle, or internal ear.Gastric Bypass: Surgical procedure in which the STOMACH is transected high on the body. The resulting small proximal gastric pouch is joined to any parts of the SMALL INTESTINE by an end-to-side SURGICAL ANASTOMOSIS, depending on the amounts of intestinal surface being bypasses. This procedure is used frequently in the treatment of MORBID OBESITY by limiting the size of functional STOMACH, food intake, and food absorption.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Combined Modality Therapy: The treatment of a disease or condition by several different means simultaneously or sequentially. Chemoimmunotherapy, RADIOIMMUNOTHERAPY, chemoradiotherapy, cryochemotherapy, and SALVAGE THERAPY are seen most frequently, but their combinations with each other and surgery are also used.Spinal Fusion: Operative immobilization or ankylosis of two or more vertebrae by fusion of the vertebral bodies with a short bone graft or often with diskectomy or laminectomy. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed, p236; Dorland, 28th ed)Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Utilization Review: An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.Video-Assisted Surgery: Endoscopic surgical procedures performed with visualization via video transmission. When real-time video is combined interactively with prior CT scans or MRI images, this is called image-guided surgery (see SURGERY, COMPUTER-ASSISTED).Orthognathic Surgical Procedures: Surgery performed to repair or correct the skeletal anomalies of the jaw and its associated dental and facial structures (e.g. CLEFT PALATE).Emergency Responders: Personnel trained to provide the initial services, care, and support in EMERGENCIES or DISASTERS.Transportation of Patients: Conveying ill or injured individuals from one place to another.Laminectomy: A surgical procedure that entails removing all (laminectomy) or part (laminotomy) of selected vertebral lamina to relieve pressure on the SPINAL CORD and/or SPINAL NERVE ROOTS. Vertebral lamina is the thin flattened posterior wall of vertebral arch that forms the vertebral foramen through which pass the spinal cord and nerve roots.Operative Time: The duration of a surgical procedure in hours and minutes.Ontario: A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)Robotics: The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.Endoscopy: Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.Laser Therapy: The use of photothermal effects of LASERS to coagulate, incise, vaporize, resect, dissect, or resurface tissue.Blood Vessel Prosthesis Implantation: Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.Piperidines: A family of hexahydropyridines.Prostheses and Implants: Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.Perioperative Period: The time periods immediately before, during and following a surgical operation.
... of patients undergoing emergent surgery versus 4.8% in elective cases. All patients who developed an esophageal leak died. For ... Surgery. 1994;115(3):282-289. Belloli G, Campobasso P, and Musi L. Sugiura procedure in the surgical treatment of bleeding ... Retrospective analyses of patients who received the Sugiura procedure between 1967 and 1984 for either elective, emergency, or ... and elective surgery (3.0%) Recent reports of selected patients undergoing Sugiura procedure reported that recurrence of ...
I Michael Leitman
Farivar BS, Flannagan M, Leitman IM (2014). "General Surgery Residents' Perception of Robot-Assisted Procedures During Surgical ... "Incidence and risk factors for the development of incisional hernia following elective laparoscopic versus open colon ... World Journal of Emergency Surgery. 8: 47. doi:10.1186/1749-7922-8-47. PMC 3874654 . PMID 24499618. ... "Outcome and complications of gastric bypass surgery in super-super obesity versus morbid obesity". Obesity Surgery. 16: 16-18. ...
Manhattan Eye, Ear and Throat Hospital
The Plastic Surgery Clinic provides aesthetic surgical procedures including: facelift, browlift (eyebrows), blepharoplasty ( ... surgery for sleep apnea, ear surgery, emergency services, plastic and reconstructive surgery, minimally invasive skull base ... In January, 2004 Olivia Goldsmith, a novelist, died at MEETH after elective facial surgery and in February, 2004, another ... ophthalmic plastic surgery, and LASIK laser vision correction. MEETH v Spitzer case summary "Deal Struck to ...
... where he trained in emergency and elective surgery. Originally, he had planned to do surgical research, but Sheffield had no ... Forces successfully used hypnotism as the sole means of anæsthesia for a wide range of dental and surgical procedures. At the ... He also worked on the phenomenon known as runt disease (graft versus host disease). Although Woodruff had been productive in ... During this time he also read Maingot's surgery textbook, as a copy was in the camp, and he later said that reading about the ...
Caesarean delivery on maternal request
... to become an emergency with the increased risk of surgical and anaesthetic complications that can follow from emergency surgery ... An elective caesarean will be agreed in advance. An elective caesarean can be suggested by either the mother or her ... Another contributing factor for doctor-ordered procedures may be fear of medical malpractice lawsuits. Italian gynaecologyst ... Liu, Shiliange, Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned ...
This type of procedure is typically elective and outcomes following the procedure are typically good. The rate of ... CS1 maint: Extra text: authors list (link) Mason, RJ (August 2008). "Surgery for appendicitis: is it necessary?". Surgical ... Tintinalli, editor-in-chief Judith E. (2011). Emergency medicine : a comprehensive study guide (7. ed.). New York: McGraw-Hill ... Ulcerative colitis at eMedicine Neri V; Ambrosi A; Fersini A; Tartaglia N; Valentino TP (2007). "Antegrade dissection in ...
... the association between mortality and day of elective surgical procedure suggests a higher risk in procedures carried out later ... Emergency surgery is surgery which must be done promptly to save life, limb, or functional capacity. ... Monier-Williams, A Sanskrit Dictionary, s.v. "suśruta" *^ History of plastic surgery in India. Rana RE, Arora BS, - J Postgrad ... means to perform surgery. The adjective "surgical" means pertaining to surgery; e.g. surgical instruments or surgical nurse. ...
... the association between mortality and day of elective surgical procedure suggests a higher risk in procedures carried out later ... Emergency surgery is surgery which must be done promptly to save life, limb, or functional capacity. Based on purpose: ... In fact, medical specialty professional organizations recommend against routine pre-operative chest x-rays for patients who ... means to perform surgery. The adjective "surgical" means pertaining to surgery; e.g. surgical instruments or surgical nurse. ...
They may observe, but not perform, physical examinations, surgeries, endoscopic or laparoscopic procedures, radiological or ... internal medicine and surgery) as well as one elective, which can be one of the other clinical subjects (e. g. family medicine ... assist in surgical procedures, and assist in general administrative tasks. Sometimes, they are charged with ordering diagnostic ... general surgery, anaesthesiology, orthopaedics, gynaecology and obstetrics, and emergency medicine. The extent of the ...
Annals of Surgery 224;10-18, 1996. Wittmann MM, Wittmann AM, Wittmann DH; AIDS, Emergency Operations, and Infection Control. ... of infection by analyzing body fluids and bone chips and that would have been disposed in the course of surgical procedures. ... Prophylaxis of infections after elective colon surgery. Result of a prospective controlled double blinded study. Chirurg 54:272 ... Wittmann DH, Berghoff D, Reynders-Frederix V, Schassan H-H. Significance of hydroxyl apatite with regard to determination of ...
2008 Western Australian gas crisis
... "reductions in elective surgical procedures", "prioritisation of equipment for sterilisation", sourcing oxygen supplies from ... Further reductions could lead to cancellations in elective surgery, rationing food and transporting "infectious linen" ... On 11 June, Carpenter warned he might need to invoke emergency powers and take control of all of WA's gas and electricity ... If Apache Energy was found responsible for the pipeline explosion, compensation claims could be made against the company. State ...
Procedures The Diagnosis of Swellings Obstructive Jaundice Basic Surgical Procedures In addition, Dr Mufti published in Arabic ... "Ceftriaxone versus clavulanate-potentiated amoxycillin for prophylaxis against post-operative sepsis in biliary surgery: a ... El-Mufti ME, Rakas F, Glessa A, Sanallah B, Abusidra A (1989). "A single prophylactic antibiotic for emergency appendicectomy ... clavulanate-potentiated amoxycillin versus three-dose cefotaxime in the prevention of wound infection following elective ...
Inguinal hernia surgery
Mortality rates for non-urgent, elective procedures was demonstrated as 0.1% and around 3% for procedures performed urgently. ... A hernia in which the small intestine has become incarcerated or strangulated constitutes a surgical emergency. Symptoms ... "Risk factors and outcomes of acute versus elective groin hernia surgery". Journal of the American College of Surgeons. 213 (3 ... and prevent future complications that may require emergency surgery. Surgery is offered to the majority of people who: have ...
Elective surgery is not indicated until at least six weeks after recovery from the acute event. Emergency surgery is indicated ... 21 (3): 395-400, v. doi:10.1016/S0733-8635(03)00031-7. PMID 12956194. Bowel resection procedure Archived 2010-01-29 at the ... The first surgical approach consists of the resection and primary anastomosis. This first stage of surgery is performed on ... In most cases, elective surgery is deemed to be indicated when the risks of the surgery are less than the risks of the ...
Emergency surgery for incarceration and strangulation carry much higher risk than planned, "elective" procedures. However, the ... Surgery is commonly performed as outpatient surgery. There are various surgical strategies which may be considered in the ... Pediatric Surgery - Inguinal Hernia Fitzgibbons RJ, Giobbie-Hurder A, Gibbs JO, et al. (January 2006). "Watchful waiting vs ... Repair may be done by open surgery or by laparoscopic surgery. Open surgery has the benefit of possibly being done under local ...
However, it is not entirely valid to compare weekend vs weekday mortality in elective and non-elective surgical patients; as ... "Day of week of procedure and 30 day mortality for elective surgery: retrospective analysis of hospital episode statistics". BMJ ... including both emergency and surgical-elective patients. This was an important study as it compared different healthcare ... medical and surgical; for both non-elective and (interestingly) elective admissions, in most countries in the developed world. ...
... elective vs emergency); In many cases emergency resection of colon with anastomosis needs to be done and this carries a higher ... although his overuse of the procedure called the wisdom of the surgery into question. List of surgeries by type Bucher P, Pugin ... Basic surgical principles include ensuring a good blood supply to the opposing ends, and a lack of tension at the join. The use ... Study of Emergency Intestinal Resection and Anastomosis in Adults Authors: Dr Aarti Mitra, Dr Unmed Chandak, Dr Ninad Sawant, ...
Conventionally, caesarean sections are classified as being either an elective surgery or an emergency operation. ... The EXIT procedure is a specialized surgical delivery procedure used to deliver babies who have airway compression. ... "As there was a cultural taboo against burying an undelivered woman in Roman and German societies, according to Lex Caesarea ... Obstetrical surgery and other procedures (ICD-9-CM V3 72-75, ICD-10-PCS 1) ...
Abdominal aortic aneurysm
Biancari F, Catania A, D'Andrea V (November 2011). "Elective endovascular vs. open repair for abdominal aortic aneurysm in ... the EVAR procedure does not offer any benefit for overall survival or health-related quality of life compared to open surgery, ... Wittels K (November 2011). "Aortic emergencies". Emergency medicine clinics of North America. 29 (4): 789-800, vii. doi:10.1016 ... In those with aortic rupture of the AAA, treatment is immediate surgical repair. There appears to be benefits to allowing ...
Surgical Outcomes Analysis and Research
"Is the growth in laparoscipic surgery reproducible with more complex procedures?". Surgery. 146 (2): 367-74. doi:10.1016/j.surg ... "Rankings versus reality in pancreatic cancer surgery: a real‐world comparison." HPB (2013). Edwards, Samuel T., et al. " ... "Alcohol exposure as a risk factor for adverse outcomes in elective surgery. J Gastrointest Surg. 210 Nov;14(11)1732-41. Piperdi ... doi:10.1111/j.1477-2574.2009.00150.x. Schermerhorn ML (Dec 2010). "Current management of selected vascular emergencies". Semin ...
Endovascular aneurysm repair
"Totally percutaneous versus surgical cut-down femoral artery access for elective bifurcated abdominal endovascular aneurysm ... The options for repair include traditional open aortic surgery or endovascular repair. Endovascular procedures aim to reduce ... S W Yusuf, S C Whitaker, TAM Chuter, PW Wenham, BR Hopkinson EMERGENCY ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM REPAIR (letter) ... Like many surgical procedures, EVAR has advanced to a more minimally invasive technique, by accessing the femoral arteries ...
... with the procedure potentially being partially surgical. In many cultures, referring to the penis is taboo or vulgar, and a ... Emergency medical assistance should be obtained as soon as possible. Prompt medical attention lowers the likelihood of ... Harcourt, A. H.; Harvey, P. H.; Larson, S. G.; Short, R. V. (1981). "Testis weight, body weight and breeding system in primates ... The first successful penis allotransplant surgery was done in September 2005 in a military hospital in Guangzhou, China. A man ...
... the risk of bleeding associated with the procedure is higher than during an elective procedure. Emergency bypass surgery for ... Bypass surgery has higher costs initially, but becomes cost-effective in the long term. A surgical bypass graft is more ... Hochman JS, Sleeper LA, Webb JG, Dzavik V, Buller CE, Aylward P, Col J, White HD (2006). "Early revascularization and long-term ... Surgeries performed may be minimally-invasive endovascular procedures such as a percutaneous coronary intervention (PCI), ...
Doe ex. rel. Tarlow v. District of Columbia
In 1994, defendants allegedly gave their consent for an elective surgical procedure to be performed on plaintiff Jane Doe II's ... Court upheld a 2003 District of Columbia statute that stated the conditions for authorizing a non-emergency surgical procedure ... "enjoined the District of Columbia from authorizing elective surgeries for MRDDA [Mental Retardation and Developmental ... and for whom District of Columbia officials have consented to or will consent to any elective surgical procedure since 1970"). ...
Conventionally, caesarean sections are classified as being either an elective surgery or an emergency operation. Classification ... The EXIT procedure is a specialized surgical delivery procedure used to deliver babies who have airway compression. The Misgav ... Bamigboye, AA; Hofmeyr, GJ (11 August 2014). "Closure versus non-closure of the peritoneum at caesarean section: short- and ... If a caesarean is performed in an emergency, the risk of the surgery may be increased due to a number of factors. The patient's ...
Airway control is compulsory if a surgical procedure is required.Flexible nasotracheal intubation require skills and experience ... Neck Surgery. 125 (5): 600. PMID 10326825. Chou YK, Lee CY, Chao HH (December 2007). "An upper airway obstruction emergency: ... Elective tracheostomy is described as a safer and more logical method of airway management in patients with fully developed ... This should be given in combination with a drug effective against anaerobes such as clindamycin or metronidazole. Parenteral ...
Coarctation of the aorta
Surgical treatment involves resection of the stenosed segment and re-anastomsis. Two complications specific to this surgery are ... and recoarctation in elective aortic coarctation repair. Including long-term results after elective aortic coarctation repair ... This procedure is most common in infant patients and is uncommon in adult patients. In a study conducted by Koller et al., 10.8 ... Cohen, M.; Fuster, V.; Steele, P. M.; Driscoll, D.; McGoon, D. C. (1989). "Coarctation of the aorta. Long-term follow-up and ...
Adventist HealthCare Shady Grove Medical Center
Shady Grove Medical Center acquired the da Vinci surgical robot in 2011, offering the next level of minimally invasive surgery ... an early life-saving medical procedure for heart attack patients since 1996 Elective PCI- waiver from Maryland Healthcare ... More than 36,000 patients receive emergency care at the Germantown emergency center each year.  The Center opened August 7 ... https://www.facebook.com/ShadyGroveAdventist?v=app_4949752878&ref=ts http://cpedia.com/wiki?q=Care+Commission&guess_ambig= ...
Immediate surgery vs. ultrasound surveillance (and treatment for rapid expansion or AAA ,5.5); 30-day mortality after elective ... minimally-invasive catheter procedures, and surgical reconstruction. The specialty evolved from general and cardiac surgery as ... vascular surgery also includes dialysis access surgery and transplant surgery.. The main disease categories and procedures ... American Board of Surgery, American Osteopathic Board of Surgery. Society for Vascular Surgery American College of Surgeons ...
What are the surgical treatment options for inguinal hernias?
Surgical options depend on type and location of hernia. Basic types of inguinal hernia repair include the following: Bassini ... Abi-Haidar Y, Sanchez V, Itani KM. Risk factors and outcomes of acute versus elective groin hernia surgery. J Am Coll Surg. ... Textbook of Pediatric Emergency Procedures. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2008. 840-847/87. ... Drugs & Diseases , General Surgery , Abdominal Hernias Q&A What are the surgical treatment options for inguinal hernias?. ...
What are the surgical complications and recurrence rates for abdominal inguinal hernias?
Abi-Haidar Y, Sanchez V, Itani KM. Risk factors and outcomes of acute versus elective groin hernia surgery. J Am Coll Surg. ... Textbook of Pediatric Emergency Procedures. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2008. 840-847/87. ... Half of Surgical Residents Report Mistreatment, Tied to Burnout, Suicidal Thoughts * Adherence to 20 Emergency General Surgery ... Central Surgical Association, Johns Hopkins Medical and Surgical Association, Southeastern Surgical Congress, and Southern ...
Endovascular stenting versus open surgery for thoracic aortic disease: systematic review and meta-analysis of perioperative...
... surgery; Blood Vessel Prosthesis Implantation /adverse effects /instrumentation; Elective Surgical Procedures; Emergency ... Emergency versus elective surgery (three studies, n=187): a reduction in perioperative mortality was found in the endovascular ... Aneurysm, Dissecting /surgery; Aorta, Thoracic /injuries /surgery; Aortic Aneurysm, Thoracic /surgery; Aortic Diseases / ... Walsh S R, Tang T Y, Sadat U, Naik J, Gaunt M E, Boyle J R, Hayes P D, Varty K. Endovascular stenting versus open surgery for ...
Surveillance of antimicrobial prophylaxis for surgical procedures.
METHODS: A list of all major procedures performed in our hospital, with recommendations for prophylax ... To assess the practice of antimicrobial prophylaxis for surgical procedures in eight surgical departments in a 550-bed teaching ... Female gender, clean surgery, elective operations, and infrequently performed procedures were all significant indicators of ... of procedures were elective, 28% emergencies. Of 1,631 operations requiring prophylaxis, 1,142 (70%) received it, 489 (30%) did ...
Has Current French Training for Military Orthopedic Surgeons Deployed in External Operations Been Appropriately Adapted?,...
Surgical procedures for war-related traumas represented 32% of the surgical activity and 2% elective surgery. Surgical ... Surgical indications were varied, ranging from emergency surgery to limb reconstructive surgery. A lot of non-orthopedic ... Elective pediatric surgical care in a forward deployed setting: what is feasible vs. what is reasonable . J Pediatr Surg 2015 ... Surgical procedures for war-related traumas represented 32% of the surgical activity and 2% elective surgery. Surgical ...
Preoperative mechanical bowel preparation with oral antibiotics reduces surgical site infection after elective colorectal...
MBP should be recommended for patients undergoing elective colorectal surgery, particularly for operations on the left side of ... Age, surgical duration, and application of OA were all independent factors associated with the occurrence of SSIs. These ... Subgroup analyses were performed to further explore protective effects of OA in different surgical sites. The combination of ... A retrospective analysis of eligible patients was conducted using the databases of the Gastrointestinal Surgery Centre, Third ...
Effects of High-dose Intravenous Selenium (Selenase®) in Adult Patients Subjected to Elective All-cause Heart Surgery
... clinicaltrials.gov Selenoenzymes play a major role in protecting cells against lipid peroxidation and they are involved in the ... Robotic Surgical Procedures. Surgical procedures performed using a computer that remotely controls surgical instruments ... Selenoenzymes play a major role in protecting cells against lipid peroxidation and they are involved in the inflammatory ... Exclusion criteria: pregnancy, lack of written concent, emergency operation. Study Design. Observational Model: Cohort, Time ...
Search Results | jns
Data were analyzed for 5361 consecutive surgical cases, either elective or emergency procedures, performed during 2009 at ... Tuberculum sellae meningiomas: grading scale to assess surgical outcomes using the transcranial versus transsphenoidal approach ... The median age at surgery was 59 years (range 29.9-81.6 years), 53% of the lesions had been treated previously, and the median ... Of the 5361 surgical procedures performed, two-thirds were spinal procedures and one-third were cranial procedures. ...
ASA II | definition of ASA II by Medical dictionary
... even if the median ASA score was lower in the elective surgery group (ASA II vs.. Short Communication - Determination of ... Patients with age group 18 to 60 years planned for surgical procedure under general anaesthesia with ASA I and ASA II were ... Geriatrik Hastalarda Elektif ve Acil Laparoskopik Kolesistektominin Karsilastirilmasi/Comparison of Emergency and Elective ... COMPARISON OF EFFICACY OF SEVOFLURANE AND DESFLURANE IN SURGICAL PROCEDURES LASTING LESS THAN 120 MINUTES ...
Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study...
Background Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income ... Emergency surgery was defined as any unplanned, non-elective operation, including re-operation after a previous procedure. ... World Society of Emergency Surgery (WSES), World Surgical Association (WSA). Individuals assisting in dissemination ( ... Taguchi Y, Komatsu S, Sakamoto E, Norimizu S, Shingu Y, Hasegawa H (2016) Laparoscopic versus open surgery for complicated ...
Most recent papers with the keyword Post Anesthesia | Read by QxMD
... emergency versus elective surgery, types of anesthetic and post-operative analgesic procedures, and transfusion aspects... ... with a large number of these cases seen following intraoral surgical procedures. Classically, subcutaneous emphysema occurs ... BACKGROUND: Ambulatory surgery for anorectal procedures has been proven to be safe and effective. Specific perioperative ... Spinal versus general anesthesia for lumbar spine surgery in high risk patients: Perioperative hemodynamic stability, ...
Masseter Muscle Rigidity: Definition, Relationship to Malignant Hyperthermia, and Management - MHAUS
Antognini, J.F., Creatine kinase alterations after acute malignant hyperthermia episodes and common surgical procedures. Anesth ... evidence exists in the literature of cases in which MH ensued following MMR that it is prudent to cancel elective surgery when ... Donlon, J.V., et al., Implications of masseter spasm after succinylcholine. Anesthesiology, 1978. 49(4): p. 298-301. ... This approach of employing non-triggering anesthetic in emergency cases, was first reported in a definitive fashion by Donlon ...
Principal Investigators Archive - MHRI
Gaps exist between the percentages of Medicaid patients receiving emergency general surgery vs more complex surgical care at ... Medicaid beneficiaries do not have equal access to high-volume centers for complex surgical procedures. ... the same hospital and may be exaggerated in hospitals with very high volume of complex elective surgeries. DOI: 10.1016/j. ... Hall is board certified in general surgery and surgical critical care. She completed a surgical critical care, trauma, and ...
A Prospective Study of Surgical Site Infection in Elective and Emergency General Surgery in a Tertiary Public Hospital in...
... all offering significant contributions to knowledge in clinical surgery, experimental surgery, surgical education and history. ... Madridge Journal of Surgery (MJS) is a peer-reviewed scientific journal dedicated to the dissemination of new knowledge and ... information on all sciences relevant to surgical science. This Journal is dedicated to publishing original research, review ... Operation details (wound class, surgical diagnosis and procedure, position in surgical list, elective or emergency surgery, ...
Impact of sepsis on risk of postoperative arterial and venous thromboses: large prospective cohort study | The BMJ
... emergency versus non-emergency surgical procedure, and local versus general anaesthesia. An emergency procedure is performed ... Patients undergoing elective procedures are brought to the hospital or facility for a scheduled surgery from their home or ... Because non-emergency surgical procedures can include semi-urgent cases, we also used the elective and non-elective criteria ... Emergency, non-emergency, elective, and non-elective procedure categories also all had a similar odds ratio between 1.9 and 2.0 ...
Altmetric - Totally percutaneous versus standard femoral artery access for elective bifurcated abdominal endovascular aneurysm...
... critical to identify and repair these as an elective procedure before they rupture and require emergency surgery. Repair has ... traditionally been an open surgical technique that required a large incision across the abdomen. More recently endovascular ... Totally percutaneous versus standard femoral artery access for elective bifurcated abdominal endovascular aneurysm repair. ... Totally percutaneous versus standard femoral artery access for elective bifurcated abdominal endovascular aneurysm repair ...
Capitol Fax.com - Your Illinois News Radar » Pritzker to former health workers: "We need your help now"; 168 new cases, one...
... elective surgery and other medical and surgical procedures, including dental procedures until further notice. ... Today Im issuing a call to action in the fight against COVID 19. Were in the middle of a battle and we need reinforcements. ... During this unprecedented public health emergency, stocks of personal protective equipment, also known as PPE, are being used ... IDPH to limit non-essential adult elective surgery; State got only 25 percent of PPE from feds that it requested; "My optimism ...
SSI Prevention: Crossing Environments of Care, Standardizing Incision Management | Infection Control Today
Although SSI occurs in approximately 2 percent of surgical procedures, infection rates vary widely, according to the type of ... procedure. At any given time, about 1 in every 20 inpatients has an infection related to hospital care. These infections cost ... More than 20 percent of all hospital acquired infection can be attributed to the infection of a surgical site. ... Emergency or elective procedure. - Time of day when surgery is done. - Inadequate surgical hand scrub, skin preparation, and ...
Hospitals in Yucatan | Yucatan Living
Whether you are going for a minor issue, elective surgery or major surgical procedures, cancer treatment or any other medical ... We have one friend who had emergency surgery there who said that if it hadnt been for the surgery, it was one of the nicest ... versus $5,000 USD for the procedure at a local clinic. Both surgeries would be done by the same doctor, just in two different ... Services : Emergency room, Surgery and rehabilitation, Tocosurgery(Surgery in Pregnancy), ICU and recovery, Nursery and ...
Search | Global Index Medicus
Mortality and morbidity rates after emergency surgery were higher than elective surgery. Selection of the surgical procedure ... and other 59 patients of elective colonic surgery. Morbidity rates were 27.1% versus 10.2% after emergency and elective surgery ... Ulcerative/surgery , Colitis, Ulcerative/epidemiology , Prevalence , Elective Surgical Procedures , Colectomy/statistics & ... Elective Surgical Procedures , Emergency Medicine , Remission Induction/methods , Parenteral Nutrition, Total ...
Sugiura procedure - Wikipedia
... of patients undergoing emergent surgery versus 4.8% in elective cases. All patients who developed an esophageal leak died. For ... Surgery. 1994;115(3):282-289. Belloli G, Campobasso P, and Musi L. Sugiura procedure in the surgical treatment of bleeding ... Retrospective analyses of patients who received the Sugiura procedure between 1967 and 1984 for either elective, emergency, or ... and elective surgery (3.0%) Recent reports of selected patients undergoing Sugiura procedure reported that recurrence of ...
Randomised controlled trial to investigate the effectiveness of thoracic epidural and paravertebral blockade in reducing...
Objectives Thoracotomy is considered one of the most painful surgical procedures. The incidence of chronic post-thoracotomy ... required chest wall resection or emergency thoracic surgery or had a previous thoracotomy. ... Conclusions A large, multicentre randomised controlled trial of PVB versus TEB is feasible as it is possible to randomise and ... Participants All adult patients admitted for elective open thoracotomy. Participants were excluded if they were American ...
PCI With No Surgeon on Standby Appears Safe | Medpage Today
Percutaneous coronary intervention without surgical backup did not increase the risk of inhospital mortality or need for ... emergency bypass surgery, according to a systematic review of published literat ... The elective/non-STEMI population consisted of 30,423 patients who had procedures without surgical backup, and 883,865 who ... surgery were 1.4% versus 2.1%, and 0.17% versus 0.29%, for centers with and without surgical backup, respectively. ...
Darrell Gaskin - Research Output - Johns Hopkins University
Incremental cost of emergency versus elective surgery. Haider, A. H., Obirieze, A., Velopulos, C. G., Richard, P., Latif, A., ... Elective Surgical Procedures The quality of care delivered to patients within the same hospital varies by insurance type. ... State-by-state variation in emergency versus elective colon resections: Room for improvement. Obirieze, A. C., Kisat, M., Hicks ... Erratum: State-by-state variation in emergency versus elective colon resections: Room for improvement (Journal of Trauma and ...
Hernandez-Boussard T[au] - PubMed - NCBI
Emergency Department Visits Following Elective Total Hip and Knee Replacement Surgery: Identifying Gaps in Continuity of Care. ... Effect of Medicares Nonpayment Policy on Surgical Site Infections Following Orthopedic Procedures. ... Sutureless vs Sutured Gastroschisis Closure: A Prospective Randomized Controlled Trial.. Bruzoni M, Jaramillo JD, Dunlap JL, ... Ambulatory surgery center utilization by vitreoretinal surgeons: 1999-2011.. Vaziri K, Moshfeghi DM, Hernandez-Boussard T, ...
Neurosurgery at Night May Hold Greater Risk for Complications
Neurosurgical procedures performed overnight (between 9:00 p.m. and 7:00 a.m.) are tied to a greater risk of patient ... even after accounting for whether the case was an emergency versus elective procedure or if the patient had co-morbid ... Neurosurgical procedures are necessary at all times of day. Prior research has shown a link between surgical and medical ... significant factor that predicted severity of the complication was if the surgery was an emergency compared to being elective. ...
Surgical Mistakes - WSAVA2002 - VIN
Every surgical procedure must be assessed, evaluated and planned ahead when dealing with elective surgeries. Planning may save ... When determining the surgical risk, the benefits of a certain surgical procedure must be weighed against the potential of ... When confronted with a surgical emergency scheduling according to experience must also be present because there is where you ... Incomplete surgical area preparation (i.e., trimming) may create complications during the surgical procedure if additional room ...
... type of surgery (emergency vs. elective), type of In this retrospective study, we collected pertinent demo- anesthesia (general ... and graphic and laboratory data of patients who had been duration of surgical procedures. Types of brain surgery were admitted ... 87 Brain/spine/PNS surgery Traumatic brain injury Emergency surgery General/local anesthesia Duration of surgery (≥3.2 hr) ... elective noncardiac surgery. JAMA 271 : 134-139, 1994. be helpful to include the probable incidence of POD with 20. Marcantonio ...
Diverticulitis Treatment & Management: Approach Considerations, Medical Care, Surgical Care
Percutaneous drainage is also beneficial in that it may allow for elective surgery rather than emergency surgery, and it ... Halim H, Askari A, Nunn R, Hollingshead J. Primary resection anastomosis versus Hartmanns procedure in Hinchey III and IV ... A two-stage surgical approach is generally the most common procedure performed for the emergency treatment of acute ... A one-stage surgical approach with resection and primary anastomosis is often possible in elective settings because the disease ...
Comparison of the planned one- and elective two-stent techniques in patients with coronary bifurcation lesions with or without...
Surgical Procedures, Elective. Surgery which could be postponed or not done at all without danger to the patient. Elective ... Patients presenting with ACS (Acute Coronary Syndrome) in the emergency department will be screened for clinical eligibility ... SERIES III RUN-IN Clinical Trial: A Comparison of the Supralimus® Stent With the Xience V™ Stent ... Elective Surgical Procedures. Surgery which could be postponed or not done at all without danger to the patient. Elective ...
ComplicationsPostoperativeResectionOutcomesPerioperativeAbdominalInterventionMorbidity and mortaInfectionPercentage of elective cases decreasedEmergentEndovascularIncisionNeurosurgeryCentersMortality and morbidityHospitalClinicalPreoperative2020Urgent2018TraumaOrthopedicUndergo an electivePercutaneousColonAntibioticsInvasivePatientLaparoscopyPatient'sSite infectionsPediatric populationInterventionsEndoscopicTreatmentLaparoscopicComplicationUndergoneCoronaryUnderwent surgeryAdmissionInfectionsCardiac surgeryRetrospectiveDepartment of SurgerySurgeonColonic surgeryOperativeOutcome measuresDiagnosisNeurosurgicalCONCLUSIONSMETHODSFracturesAmbulatoryAdultsRiskIndicationsCohortGeneral surgicalAnesthesiaColorectal cancer
- What are the surgical complications and recurrence rates for abdominal inguinal hernias? (medscape.com)
- Primary outcomes included 30-day mortality, re-intervention rates (further invasive procedures required to manage complications) and major neurological injury (spinal cord injury or cerebrovascular injury). (york.ac.uk)
- Discussion The large variety and technical nature of the performed operations requires the training of highly qualified military orthopedic surgeons with both experience in war surgery and management of after-effects and complications. (deepdyve.com)
- Heart surgery is associated with a complex systemic inflammatory response and the extent correlates with the development of postoperative complications. (bioportfolio.com)
- Neurosurgical procedures performed overnight (between 9:00 p.m. and 7:00 a.m.) are tied to a greater risk of patient complications than those conducted during the day, according to a new study published in the journal Neurosurgery . (psychcentral.com)
- The researchers acknowledge that although the after-hour effect is a potential explanation for the increased odds of surgical complications, there could be other explanations. (psychcentral.com)
- Postoperative delirium(POD), one of the most unexpected and perplexing complications encountered in theperioperative period, is relatively well reported and investigated in the field of cardiac andmajor non-cardiac orthopedic surgery. (hmamedicalclinic.com)
- Emergency colectomy is performed when severe complications arise or when the patient's condition does not respond to medical treatment. (medscape.com)
- Complications requiring surgical intervention include the following: purulent peritonitis, uncontrolled sepsis, fistula, and obstruction. (medscape.com)
- Surgery is recommended when Crohn's related complications occur. (medtronic.com)
- Abstract Objective: To describe the success rate and the complications after procedures to diagnose abdominal non-Hodgkin's lymphoma in children and adolescents. (bvsalud.org)
- The potential risk of surgical complications is always balanced against the risk of the primary disease. (sages.org)
- The ratio of elective to emergency surgery (1:1) indicates a need for a more proactive approach in preparing patients for operative intervention to reduce complications and prolonged admissions. (bmj.com)
- A new study published in Neurosurgery finds that patients who undergo a neurosurgical procedure with surgical start times between 9 pm and 7 am are at an increased risk of developing complications compared to patients with a surgical start time earlier in the day. (eurekalert.org)
- The researchers believe that it is of the utmost importance to understand whether surgical start time might be related to neurosurgical procedural complications. (eurekalert.org)
- The authors acknowledge that while the after-hour effect is a potential explanation for the increased odds of complications with later surgical start times, there could be other explanations. (eurekalert.org)
- We need to continue to study this relationship as we aim to minimize surgery related complications," said lead author Aditya Pandey. (eurekalert.org)
- These are important questions that must be raised as we continue to solidify the relationship between surgical start time and surgical complications. (eurekalert.org)
- first assessment of the safety of applying A-Part® Gel as adhesion prophylaxis after major abdominal surgery by specific observation of two major complications of abdominal surgery (wound healing impairment, and/or postoperative peritonitis) in comparison to a control group. (clinicaltrials.gov)
- The aim of the study is to investigate whether the addition of oral antibiotics to Mechanical Bowel Preparation (MBP) prior to colorectal cancer surgical procedures reduce the superfical and deep surgical site (SSI) infectious complications. (clinicaltrials.gov)
- RATIONALE : Postoperative anastomotic leakage is one of the most devastating and feared complications in colorectal surgery. (stanford.edu)
- Surgical site infection is one of the most common postoperative complications, occurring in at least 5% of all patients undergoing surgery and 30-40% of patients undergoing abdominal surgery, depending on the level of contamination. (bmj.com)
- Although the incidence of endoscopic procedures-related infectious complications is rare, it remains one of the serious complications of endoscopic procedures when it occurs. (hindawi.com)
- The use of prophylactic antibiotics (PA) during high-risk endoscopic procedures is known to reduce the risk of significant endogenous infectious complications in a guideline published by the ASGE [ 12 ]. (hindawi.com)
- An understanding of surgical management remains important since surgery is the mainstay of emergency treatment of these life-threatening complications and for disease that is refractory to medical management. (uptodate.com)
- Because of the decrease in the hospitalization rate for PUD, surgeons-in-training now have less exposure to the overall management of PUD, including complications, as well as some of the more technically demanding procedures for treating PUD, such as highly selective vagotomy (parietal cell vagotomy) [ 5,6 ]. (uptodate.com)
- The patient could not be saved and succumbed to the secondary complications of major surgical exploration and exsanguinations leading to death on the seventh postoperative day. (ispub.com)
- The majority of surgical procedures were considered low or intermediate risk for developing sickle cell-related complications. (ox.ac.uk)
- Major complications are also very rare following minor surgeries. (news-medical.net)
- Acute Care Surgery during the COVID-19 pandemic in Spain: Changes in volume, causes and complications. (cdc.gov)
- Outcomes: mortality and complications resulting in emergency unplanned procedure. (east.org)
- In this study, the techniques, clinical efficacy, safety and complications of the endoscopic stents applied in emergency conditions were evaluated in patients with acute mechanical intestinal obstruction (AMIO) due to colorectal cancer. (termedia.pl)
- SAPS II, SOFA score and occurrence of medical or surgical complications were postoperative characteristics associated with in-hospital mortality. (biomedcentral.com)
- Surgical site infections (SSIs) are a major postoperative complication after colorectal surgery. (springer.com)
- Results Among all surgical procedures, patients with preoperative systemic inflammatory response syndrome or any sepsis had three times the odds of having an arterial or venous postoperative thrombosis (odds ratio 3.1, 95% confidence interval 3.0 to 3.1). (bmj.com)
- Better evaluation of the impact of infection and its severity in postoperative thrombotic complication could help in the prevention of thrombotic events among surgical patients. (bmj.com)
- To determine whether an association exists between preoperative sepsis and the risk of arterial and venous thromboses in the postoperative period, we compared the risk of arterial and venous thromboses in patients with and without preoperative sepsis in a large multicentre surgical cohort. (bmj.com)
- Thirty-day unplanned postoperative inpatient and emergency department visits following thoracotomy. (nih.gov)
- 70 years, previous dementia or delirium, alcohol abuse, serum levels of sodium, potassium and glucose, and co-morbidities), perioperative factors (type of surgery and anesthesia, and duration of surgery) and postoperative data (length of stay in recovery room, severity of pain and use of opioid analgesics) were retrospectively collected and statistically analyzed. (hmamedicalclinic.com)
- and 2) evaluate the short-term postoperative outcomes following emergency and elective PEH procedures in elderly patients. (sages.org)
- The aim of this study was to investigate the pre and postoperative fasting period and the factors that influence it in patients who underwent elective operations. (isciii.es)
- Postoperative fasting period was 15.67 (1.67-90.42) hours and was influenced by type of surgery and lack of synchrony between the clinical meeting and the nutrition and dietetics service schedules. (isciii.es)
- In the last two decades a number of studies have demonstrated that several perioperative care behaviors influence surgical postoperative recovery 1,2 . (isciii.es)
- ERAS pathway aims to reduce the surgical stress and to promote early return to physiological function and to facilitate postoperative recovery 8 . (isciii.es)
- The authors note that although the overall rate of CS-SSIs was low, because of the large number of ambulatory surgical procedures performed annually, in absolute terms, a substantial number of patients develop clinically significant postoperative infections. (medicalxpress.com)
- Moreover, the impact of different underlying causes is unclear-for example, trauma, stroke, or FDP occurring after elective intracranial surgery, the FDP indicating rebleeding or postoperative brain oedema. (bmj.com)
- Recently, SEMS insertion in malignant colorectal obstruction is recommended for patients with clinical symptoms and imaging evidence, as an alternative treatment to emergency surgery in patients with high risk of postoperative mortality and as palliative treatment according to the clinical guideline published by European Society of Gastrointestinal Endoscopy (ESGE) [ 7 ] and reviewed and endorsed by the Governing Board of American Society for Gastrointestinal Endoscopy (ASGE) [ 8 ]. (hindawi.com)
- The protocol used by the team, Enhanced Recovery After Surgery (ERAS), includes a patient education portion about pain management before procedures, pre-emptive pain management, use of a non-opioid general anesthesia during operations, modified blocks of the abdominal nerves, and postoperative programmed non-narcotic analgesics. (medindia.net)
- Emergency surgery is an independent predictor of adverse postoperative outcomes in geriatric patients undergoing non-cardiac surgery. (oncologynurseadvisor.com)
- Conclusion The development of the CARES surgical risk calculator allows for a simplified yet accurate prediction of both postoperative mortality and need for ICU admission after surgery. (bmj.com)
- baseline conditions and modes of presentation to surgery can combine variably to give rise to disparate patient profiles with different risk of postoperative mortality. (hindawi.com)
- However, none of them is specific for the setting of endocarditis, although surgery for endocarditis is not comparable to other cardiac procedures in terms of postoperative morbidity and mortality risks [ 5 ]. (hindawi.com)
- THURSDAY, Aug. 27, 2020 (HealthDay News) -- Enhanced recovery after surgery (ERAS) protocols can reduce postoperative use of opioids in patients undergoing elective spine and peripheral nerve surgical procedures, according to a study published online Aug. 6 in Pain Medicine . (physiciansbriefing.com)
- Patient inclusion criteria were as follows: (1) patient underwent elective colorectal resection to treat a malignancy, (2) patient baseline characteristics and operative information were available, and (3) MBP was performed before surgery, with or without OA. (springer.com)
- Emergency resection, when possible, could approximate survival of elective resection. (bvsalud.org)
- required chest wall resection or emergency thoracic surgery or had a previous thoracotomy. (bmj.com)
- Elective resection of the involved bowel segment after three episodes of uncomplicated diverticulitis to prevent further attacks is generally recommended by consensus guidelines. (medscape.com)
- As most complicated diverticulitis occurs on the first presentation and data for elective resection have come from small retrospective studies, this recommendation remains controversial. (medscape.com)
- Severe cases may require surgery, such as bowel resection of the diseased portion of intestines, and/or temporary or permanent colostomy or ileostomy. (medtronic.com)
- Table to compare Crohn's patients who underwent surgical resection, divided by type of admission. (bmj.com)
- The first group comprised patients who had undergone elective tumour resection with curative intent for pT3c, pT3d, pT4 tumours, and the second comprised patients who had undergone elective tumour resection with curative intent for lymph node-positive tumours. (diva-portal.org)
- For the study on colon cancer patients operated as an emergency, the local colon cancer registry for the Stockholm-Gotland health care region was used to identify all colon cancer patients subjected to emergency resection with curative intent in this region 1997-2007. (diva-portal.org)
- The impact of reason for emergency resection, time from admission to surgery, daytime versus night-time operation, ASA score, blood loss, and T- and N-stages on the risk for locoregional recurrence was assessed. (diva-portal.org)
- Patients scheduled to undergo an elective surgical resection for colon or rectal cancer will be allocated to either formal MBP the day before surgery or a combined MBP with administration of oral antibiotics. (clinicaltrials.gov)
- STUDY DESIGN: This study is designed as a prospective, multi-center, multinational randomized, single-blind, double armed study PRIMARY OBJECTIVE: The primary objective of this study is to assess the efficacy and safety of LifeSeal™ Kit as measured by the change in overall anastomotic leak rates in subjects undergoing low anterior resection with an anastomosis below 10 cm from the anal verge, over the first 17 weeks after surgery. (stanford.edu)
- All eight general surgeons at Cleveland Clinic Akron General adopted the protocol in 2016, and the study researchers evaluated outcomes of 155 patients who had elective (not emergency) colon operations with resection after the ERAS protocol. (medindia.net)
- The important points in the surgery are proper dissection, resection and adequate lymph node dissection. (termedia.pl)
- The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. (springer.com)
- This study compares the operative outcomes of the replacement procedure of Contegra® and homografts in pulmonary position. (readbyqxmd.com)
- Prior research has shown a link between surgical and medical management of diseases at night leading to poorer outcomes. (psychcentral.com)
- Introduction Recent evidence shows that pre-operative exclusive enteral nutrition (EEN) in stricturing and penetrating Crohn's disease is associated with better outcomes after surgery (1). (bmj.com)
- We have audited our use of pre-operative EEN in Crohn's disease patients at a large district general hospital (DGH) over a 5 year period and described outcomes in both emergency and elective admissions. (bmj.com)
- There safety movement is that it has focused attention on outcomes has been on-going fragmentation and sub-specialisation of for emergency surgery. (who.int)
- To examine the effect of lowest core body temperature on adverse outcomes associated with coronary artery bypass graft (CABG) surgery, data were collected on 7134 isolated CABG procedures carried out in New England from 1997 to 2000. (biomedsearch.com)
- Cardiac surgery associated acute kidney injury (CSA-AKI) is associated with poor outcomes including increased mortality, length of hospital stay (LOS) and cost. (frontiersin.org)
- In this scenario, prognostic stratification tools could be helpful both in case-by-case clinical practice, to assist in the decision on surgical indication, and in clinical research, to warrant homogeneity of cohorts in comparative studies and to identify unique patient profiles in whom to assess surgical outcomes [ 1 - 3 ]. (hindawi.com)
- As an innovator of minimally invasive techniques for the treatment of abdominal conditions, Leitman is also known for his research on the outcomes following the surgical treatment of breast cancer, colon cancer, lower gastrointestinal hemorrhage, gallbladder disease and morbid obesity. (wikipedia.org)
- We reported the dichotomous outcomes of mortality and need for emergency, nonplanned operation as an odds ratio, with associated 95% confidence intervals and p values. (east.org)
- The authors concluded that endovascular thoracic repair reduces perioperative mortality and major neurological injury in stable patients with descending thoracic aortic aneurysms compared to open surgery. (york.ac.uk)
- Emergency versus elective surgery (three studies, n=187): a reduction in perioperative mortality was found in the endovascular stenting group compared with the open arm group (OR 0.23, 955 CI: 0.09, 0.59). (york.ac.uk)
- Despite advances in perioperative care and operative techniques, urgent colorectal operations are still associated with higher mortality and morbidity than elective surgery. (bvsalud.org)
- This concept was named fast track surgery or multimodal approach to perioperative care 3 . (isciii.es)
- In 2005, a group of European investigators published an interesting perioperative care multimodal protocol (on colonic surgery) which was named Enhanced Recovery After Surgery (ERAS) 4 . (isciii.es)
- It was updated in 2009 and 2013 and resulted in three different protocols for perioperative care in colonic surgery, rectal/pelvic surgery and pancreatoduodenectomy 5-7 . (isciii.es)
- As the usage of radiation in endourological surgery increases, urologists need to have an understanding of the variables affecting perioperative radiation exposure. (omicsonline.org)
- Here we look at how the operating consultant, the patient triage status (elective vs. emergency admission) and the endourological procedure performed impacts upon perioperative radiation exposure. (omicsonline.org)
- Variables such as the operating urologist, the exact procedure being carried out, the radiographer, the patient's diagnosis and the patient's urinary tract anatomy must also change the amount of perioperative radiation required. (omicsonline.org)
- Clinical process redesign of perioperative services and collocation of a separate elective surgery centre improved (i) timeliness of care for elective surgery patients and (ii) key indicators (LOS and HIP rates) for planned elective admissions. (mja.com.au)
- Investigation, optimization, and discussion can all add delays to emergency surgery in elderly patients but are warranted, given the higher overall perioperative mortalities that occur in emergency surgeries [ie: hip fractures]. (oncologynurseadvisor.com)
- OBJECTIVES: To determine whether there is evidence that preoperative blood transfusion in people with sickle cell disease undergoing elective or emergency surgery reduces mortality and perioperative or sickle cell-related serious adverse events.To compare the effectiveness of different transfusion regimens (aggressive or conservative) if preoperative transfusions are indicated in people with sickle cell disease. (ox.ac.uk)
- We designed a multicenter randomized controlled trial to test our hypothesis that a perioperative infusion of sodium bicarbonate (SB) during cardiac surgery will attenuate the post-operative rise in creatinine indicating renal injury when compared to a perioperative infusion with normal saline. (frontiersin.org)
- The difficulty in managing these patients who are on clopidogrel exists because the increased risk of perioperative bleeding and higher risk of spinal haematoma [ 13 ] during the use of regional anaesthesia must be weighed against the risks of delayed surgery and the risks associated with the withdrawal of anti-platelet drugs. (biomedcentral.com)
- This training includes the following:1,2 - A semester in a department of general (abdominal and/or thoracic) surgery, a semester in vascular surgery, and a semester in neurosurgery. (deepdyve.com)
- Appendicitis is the most common abdominal surgical emergency worldwide. (springer.com)
- Caso clínico: Se reporta el caso de un paciente masculino de 6 años de edad, que acude al cuerpo de guardia politraumatizado y presenta una avulsión músculo cutánea abdominal con evisceración intestinal, al sufrir caída en movimiento con traumatismo abdominal penetrante con biela de pedal de una bicicleta. (bvsalud.org)
- Clinical case: We report the case of a 6-year-old male patient who came to emergency, polytraumatized and presenting an abdominal skin muscle avulsion with intestinal evisceration, he suffered a fall during movement with penetrating abdominal trauma with a bike pedal crank. (bvsalud.org)
- Conclusion: Non-surgical procedures for the diagnosis of pediatric abdominal non-Hodgkin's lymphoma are an effective option with low morbidity rate, allowing an earlier resumption of a full diet and chemotherapy initiation. (bvsalud.org)
- Call at Denver Health embodies this paradigm of training, as the Fellow evaluates and operates on patients with trauma as well as thoracic, vascular, and abdominal, neurologic and orthopedic emergencies. (denverhealth.org)
- We included patients who underwent surgery of the digestive tract and abdominal wall. (isciii.es)
- Patients of both sexes, who are candidates for a primary and elective median abdominal incision with a length of ≥ 15 cm 2. (clinicaltrials.gov)
- Notable faculty have since participated, including Michael Zinner, De-partment of Surgery chair at Brigham and Women's Hospital, who taught a session on abdominal surgery last summer. (harvard.edu)
- In this large, randomized trial, endovascular repair of abdominal aortic aneurysm was associated with a significantly lower operative mortality than open surgical repair. (scienceopen.com)
- Objective To determine the clinical effectiveness of wound edge protection devices in reducing surgical site infection after abdominal surgery. (bmj.com)
- Abdominal surgery including laparoscopic adrenalectomy, splenectomy and abdominal mass/organ biopsy or removal. (singhsurgicalpartnership.com)
- Surgeons at Cleveland Clinic Akron General have since adopted ERAS for other major abdominal operations, such as bariatric procedures, gynecological and genital/urinary tract procedures, and operations of the liver and gallbladder. (medindia.net)
- A 25-year-old male was admitted to the emergency department with a history of blunt abdominal trauma by the handle of a motorbike. (ispub.com)
- Surgeries of the head and neck, as well as the chest and some abdominal operations, fall under the auspice of major surgery. (news-medical.net)
- Mixed abdominal cancer surgery. (lidco.com)
- Abdominoscopy - a type of surgery using a laparoscope, which is inserted into one or more small incisions, to examine the abdominal cavity. (nyhq.org)
- This argument has resonance: when a healthcare system is struggling to deliver basic surgical procedures, the introduction of a more complex intervention must be considered carefully. (springer.com)
- Erin C. Hall, MD, MPH, is the co-medical Director for the Surgical Intensive Care Unit at MedStar Washington Hospital Center and the medical director of the MedStar Washington Hospital Center-Community Violence Intervention Program. (medstarhealth.org)
- Note that in the past, 5% to 10% of percutaneous coronary intervention (PCI) patients required emergency coronary artery bypass grafting (CABG) within 24 hours, but today, with primary stenting, the risk of requiring emergency CABG surgery is 10 times lower. (medpagetoday.com)
- Percutaneous coronary intervention (PCI) without surgical backup did not increase the risk of inhospital mortality or need for emergency bypass surgery, according to a systematic review of published literature. (medpagetoday.com)
- For this reason, clinicians sometimes encounter unexpectedly �Accepted：March 18, 2008 intriguing situations, if uninformed or unprepared prior to the surgical intervention. (hmamedicalclinic.com)
- Coronary artery calcium score in predicting periprocedural myocardial infarction in patients undergoing an elective percutaneous coronary intervention. (bioportfolio.com)
- Efficacy and safety of loading doses with P2Y12-receptor antagonists in patients without dual antiplatelet therapy undergoing elective coronary intervention. (bioportfolio.com)
- Under the supervision of attending faculty members, the TACS Fellow will be the physician responsible for patient evaluation, care and intervention of all acutely ill surgical patients. (denverhealth.org)
- OBJECTIVES To clarify whether different causative events (trauma, stroke, intracranial surgery), time of intervention, and treatment mode influence outcome, patients with fixed and dilated pupils (FDPs) in a prospective neurosurgical series were evaluated. (bmj.com)
- Surgical evacuation of an intracranial mass, unilateral FDPs, early intervention, and younger age are related to better chances of survival or recovery. (bmj.com)
- Intervention: surgery. (east.org)
- METHODS: Using pre-intervention angiograms the relationship between GLASS and immediate technical failure (ITF), amputation free survival (AFS), limb salvage (LS), overall survival (OS), and freedom from major adverse limb events (FF-MALE) was examined in 377 patients undergoing endovascular therapy (EVT, n = 213) or bypass surgery (BS, n = 164) in the Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL)-1 trial (randomised 1999-2004). (bvsalud.org)
- Patients in whom the thrombosis leads to limitations are indicated for surgical intervention. (bvsalud.org)
- Treatment procedure, surgical or endovascular, depends on the aneurysmal site (proximal or distal) and the type of elective or urgent intervention. (bvsalud.org)
- Percutaneous Intervention in Patients With Prior Coronary Bypass Surgery. (onlinejacc.org)
Morbidity and morta4
- The goal with this retrospective cohort study was to understand the relationship of surgical start time to the development of neurosurgical morbidity and mortality. (eurekalert.org)
- If this commensal relationship is disrupted (eg, by surgery, other trauma, poor blood supply, or tissue necrosis), a few of these species together can cause infections with high morbidity and mortality. (merckmanuals.com)
- Emergency colorectal surgery for acute obstruction is associated with an increased risk of morbidity and mortality in comparison with elective surgery. (hindawi.com)
- Morbidity and mortality associated with surgical approach of aortic graft infections are considerable. (biomedcentral.com)
- Conducting audits of surgical prophylaxis probably should be part of the routine activity of infection control teams. (biomedsearch.com)
- Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. (springer.com)
- Tan LT, Shiang F, Wong J, Azmah Tuan Mat TN, Gandhi A. A Prospective Study of Surgical Site Infection in Elective and Emergency General Surgery in a Tertiary Public Hospital in Malaysia - A Preliminary Report. (madridge.org)
- Surgical site infection (SSI), as with many medicinal subjects, has more than a simple one-line definition. (madridge.org)
- More than 20 percent of all hospital acquired infection can be attributed to the infection of a surgical site. (infectioncontroltoday.com)
- Although SSI occurs in approximately 2 percent of surgical procedures, infection rates vary widely, according to the type of procedure. (infectioncontroltoday.com)
- The most recent correction update of the CDC recommendations in Surgical Site Infection prevention noted that in 2010, an estimated 16 million operative procedures were performed in the United States. (infectioncontroltoday.com)
- 2) A recent prevalence study found that SSIs, which occur within 30 days of surgery, were the most common healthcare-associated infection, accounting for 31 percent of all hospital-acquired infections among hospitalized patients. (infectioncontroltoday.com)
- The authors state that while advances have been made in infection control practices, including improved operating room ventilation, sterilization methods, barriers, surgical technique, and availability of antimicrobial prophylaxis, SSIs remain a substantial cause of morbidity and an associated mortality rate of 3 percent has been attributed to them. (infectioncontroltoday.com)
- In the pediatric population, surgical site infection lengthened hospital stays by 10.6 days and added $27,288 to the cost of care. (infectioncontroltoday.com)
- It may be that extending the service of the infection preventionist into relationship with discharge planning and home care, although possibly incurring more initial cost to the acute care facility, could influence procedures that would reduce SSI incidence arising after discharge. (infectioncontroltoday.com)
- Occasionally lengthening the procedure has to be carried out and not knowing that the risk of infection duplicates every hour the incision is opened, or ignoring the classification of surgical wounds related to the degree of contamination, can seriously impair an otherwise successful surgery. (vin.com)
- Moreover, there are strict capacity, PPE reserve, triage and infection control requirements for hospitals and ASCs seeking to perform elective procedures to ensure that the Illinois health system remains prepared to meet the anticipated mid-May COVID-19 surge. (ropesgray.com)
- Prior studies showing significant lapses in infection control practices at ambulatory surgery centers suggest that quality improvement efforts may facilitate reducing CS-SSIs following ambulatory surgery. (medicalxpress.com)
- Keloid scarring may occur spontaneously but is associated with skin trauma, infection, and surgery. (brainscape.com)
- Since it is a minimally invasive procedure, there is no incision given thus avoiding scarring, there is less blood loss, less risk of infection etc. (sooperarticles.com)
- Main outcome measures Surgical site infection within 30 days of surgery, assessed by blinded clinicians at seven and 30 days and by patient's self report for the intervening period. (bmj.com)
- Conclusions Wound edge protection devices do not reduce the rate of surgical site infection in patients undergoing laparotomy, and therefore their routine use for this role cannot be recommended. (bmj.com)
- 1 2 Development of a surgical site infection has a large impact on mortality and morbidity as well as healthcare costs. (bmj.com)
- 3 4 In the United Kingdom, length of stay in hospital is typically doubled and additional costs per patient of between £814 and £10 523 (€950 ($1237) and €12 300 ($16 000)) have been estimated, the variability depending on the type of surgery and the severity of the infection. (bmj.com)
- Over the last several decades, the development of potent antisecretory agents (H2 blockers and proton pump inhibitors) and the recognition that treatment for Helicobacter pylori infection can eliminate most ulcer recurrences have essentially eliminated the need for elective surgery [ 1,2 ]. (uptodate.com)
- The occurrence of bacteremia or surgical site infection during the index hospitalization was significantly associated with the development of aortic graft infection. (biomedcentral.com)
- The optimal management of aortic graft infection remains unclear and many questions on diagnosis, surgical management, and antibiotic therapy are unresolved [ 3 ]. (biomedcentral.com)
- Individualised decisions should be made for procedures considered to have a high risk of infection 1 and should be balanced against the risk of disease flare (see Further Information ). (ukcpa-periophandbook.co.uk)
- The patient should be closely monitored for signs of infection following emergency surgery. (ukcpa-periophandbook.co.uk)
- A washout procedure may be necessary in the event of a severe, uncontrolled infection. (ukcpa-periophandbook.co.uk)
Percentage of elective cases decreased2
- As expected, the percentage of elective cases decreased after daylight hours while emergency cases predominated. (psychcentral.com)
- As would be expected, as it got later in the day, the percentage of elective cases decreased while emergency cases predominated. (eurekalert.org)
- If the surgical procedure is emergent, then a non-MH triggering anesthetic should be instituted. (mhaus.org)
- The risk of thrombosis increases with the severity of the inflammatory response and is higher in both emergent and elective surgical procedures. (bmj.com)
- TACS training provides comprehensive emergent surgical and critical care to trauma and non-trauma conditions in virtually any body region or organ system. (denverhealth.org)
- Acute Care Surgery rotations incorporate elective general, thoracic and vascular surgery cases, surgical critical care and emergent trauma and non-trauma cases. (denverhealth.org)
- The elective and non-emergent procedure guidance relies upon states or areas passing the gating criteria of Phase 1 of the administration's guidelines for reopening America. (mcguirewoods.com)
- Only after governors or states public health officials have determined that a state or region has passed the three gating criteria of Phase 1 does the administration recommend that the state or region proceed to allow elective and non-emergent procedures to resume, as clinically appropriate, on an outpatient basis. (mcguirewoods.com)
- CMS provides areas of consideration that states and healthcare providers should weigh when determining whether to proceed with elective or non-emergent care in states or regions that have met the Phase 1 gating criteria. (mcguirewoods.com)
- Up to 30% of patients with colorectal cancer can present with acute obstruction of large bowel at the time of diagnosis and require emergent colorectal surgery [ 2 , 3 ]. (hindawi.com)
- Currently accepted indications, elective and emergent, for surgery in the management of peptic ulcer disease include bleeding, perforation, obstruction, intractable disease, and suspected malignancy [ 2 ]. (uptodate.com)
- To compare the effects of endovascular stenting with open surgery for thoracic aortic disease (TAD). (york.ac.uk)
- Studies that compared endovascular treatment of thoracic aortic pathology with open surgery were eligible for inclusion in the review. (york.ac.uk)
- 538 endovascular and 571 open surgery). (york.ac.uk)
- A few years back the only treatment available for brain aneurysm was Surgery but Endovascular Coiling has nowrevolutionisedd its treatment. (sooperarticles.com)
- What are the advantages of Endovascular coiling over Surgery? (sooperarticles.com)
- Most elective patients will go home the next day after Coiling and are back to normal activities the following day .According to a recent international study comparing the safety and efficacy of endovascular coil treatment versus surgical clipping for treatment of ruptured brain aneurysms, patients with a ruptured aneurysm tend to do better in the long term after a coiling procedure. (sooperarticles.com)
- Typically, the presence of signs of inflammation or pus discharge arising (within 30 days) from a surgical incision that was primarily closed constitutes a SSI [3 - . (madridge.org)
- Repair has traditionally been an open surgical technique that required a large incision across the abdomen. (altmetric.com)
- A drain is inserted in the surgical cavity and the incision is closed. (wikipedia.org)
- This involves giving an incision in the mother's abdomen and is a major surgery. (oneworldnews.com)
- The safety of applying A-Part® Gel intra-peritoneally under the incision in order to prevent post-surgical adhesions after median laparotomy. (clinicaltrials.gov)
- In the typical anatomy course, a wide section is opened in a cadaver so students can view as much as possible, but in a surgical procedure, the smallest incision possible must be made. (harvard.edu)
- Orthopedists are also required to carry out procedures dealing with neurosurgery, general, and/or vascular surgery on missions. (deepdyve.com)
- Specific rotations on thoracic surgery, vascular surgery, transplant/hepatobiliary surgery, orthopedics, neurosurgery and interventional radiology expand the general knowledge base and specific technical skills of the fellow. (denverhealth.org)
- We are encouraging strongly all ambulatory surgery centers and veterinarians to donate PPE that is not immediately needed to assist healthcare workers healthcare facilities and first responders who are on the frontline actively responding to COVID 19. (capitolfax.com)
- Point out that the present study reports on a meta-analysis of largely observational studies and found that PCI performed at centers without onsite surgical backup were not associated with a higher incidence of inhospital mortality or emergency bypass surgery, compared with centers with onsite surgical backup. (medpagetoday.com)
- For elective and urgent PCI procedures, rates of inhospital mortality and emergency coronary artery bypass graft (CABG) surgery were 1.4% versus 2.1%, and 0.17% versus 0.29%, for centers with and without surgical backup, respectively. (medpagetoday.com)
- The analysis] demonstrated that mortality and the need for emergency CABG surgery after primary PCI for non-ST segment elevation MI were similar at centers with and without onsite surgical backup," Mandeep Singh, MD, of the Mayo Clinic in Rochester, Minn., and co-authors wrote in the discussion of their findings. (medpagetoday.com)
- Current clinical guidelines recommend against elective PCI at centers that do not have onsite surgical backup. (medpagetoday.com)
- and a study involving a large administrative database showed an increased risk for elective PCI at centers without surgical backup, especially centers with a low annual PCI volume. (medpagetoday.com)
- However, since publication of the guidelines, additional positive results have come from studies at centers without surgical backup. (medpagetoday.com)
- Of 1,029 articles identified, 40 included outcome data for PCI performed at centers with and without onsite surgical backup. (medpagetoday.com)
- The collective patient population comprised 124,074 patients who had primary PCI at centers with or without onsite surgical support and 914,288 patients who had elective or urgent PCI. (medpagetoday.com)
- The 17 studies had a cumulative total of 16,489 ST segment elevation MI (STEMI) patients treated by primary PCI at centers without surgical backup and 107,585 patients treated at centers with onsite surgical backup. (medpagetoday.com)
- The elective/non-STEMI population consisted of 30,423 patients who had procedures without surgical backup, and 883,865 who underwent PCI at centers with onsite surgical support. (medpagetoday.com)
- For primary PCI procedures, the comparison of centers with and without onsite surgical backup yielded an odds ratio of 0.96 (95% CI 0.88 to 1.05) for inhospital mortality and 0.53 for emergency bypass surgery (95% CI 0.35 to 0.79). (medpagetoday.com)
- Importantly, as of May 11, 2020, hospitals and ambulatory surgical centers ("ASCs") can restart elective surgeries and procedures according to guidance issued by Illinois Department of Public Health ("IDPH") on April 24, 2020. (ropesgray.com)
Mortality and morbidity3
- continuing to be a formidable cause for mortality and morbidity among surgical patients, resulting in a two-fold increase in mortality and a 7-10 days increase in hospital stay [3 , . (madridge.org)
- Mortality and morbidity rates after emergency surgery were higher than elective surgery. (bvsalud.org)
- Since the majority of documented Sugiura procedures performed outside Japan failed to achieve the exceptionally low mortality and morbidity rates, various authors have proposed modifications to make the procedure less complex. (wikipedia.org)
- OBJECTIVE: To assess the practice of antimicrobial prophylaxis for surgical procedures in eight surgical departments in a 550-bed teaching hospital. (biomedsearch.com)
- METHODS: A list of all major procedures performed in our hospital, with recommendations for prophylaxis based upon the literature, has been distributed since 1993 and is updated periodically. (biomedsearch.com)
- A retrospective analysis of eligible patients was conducted using the databases of the Gastrointestinal Surgery Centre, Third Affiliated Hospital of Sun Yat-sen University from 2011 to 2017. (springer.com)
- Eligible patients were identified by searching the database of the Gastrointestinal Surgery Centre, Third Affiliated Hospital of Sun Yat-sen University from 2011 to 2017. (springer.com)
- Unanticipated hospital admission in pediatric patients with congenital heart disease undergoing ambulatory noncardiac surgical procedures. (bioportfolio.com)
- She is an attending physician at MedStar Washington Hospital Center in both the Department of Surgery and the Department of Critical Care Medicine. (medstarhealth.org)
- She was awarded the MedStar Washington Hospital Center Surgery Keystone Educator Award in 2018. (medstarhealth.org)
- A prospective cohort study was carried out on 248 patients who underwent general surgical operations in a tertiary public hospital in Malaysia. (madridge.org)
- A hospital de tercer nivel in Mexico is one that provides all the services that we would associate with a top hospital: doctors and specialists on staff, surgery facilities, recovery rooms and any number of additional specialized treatment facilities. (yucatanliving.com)
- A secondary level hospital is characterized by the ability to provide surgical and recovery facilities, as well as providing the services of specialists, but without emergency facilities. (yucatanliving.com)
- Unlike in the USA, you do not necessarily have to go to a hospital for surgery. (yucatanliving.com)
- Patients undergoing emergency procedures on average stayed in hospital significantly longer than patients undergoing elective procedures (6.3 vs. 44.1 days, p=0.02). (sages.org)
- PWE-099 Audit of elective and emergency surgery for crohn's disease at a district general hospital: is there a role for exclusive enteral nutrition and the specialist ibd dietician? (bmj.com)
- Under the direction of Program Director David R. King, MD , the Massachusetts General Hospital postgraduate Surgical Critical Care and Acute Care Surgery (SCC/ACS) Fellowship is designed to allow fellows to develop advanced proficiency in the management of all aspects of the care of critically ill surgical patients and to develop the qualifications necessary to supervise surgical critical care units. (massgeneral.org)
- Most of these infections occurred within 2 weeks after surgery and resulted in hospital admission. (medicalxpress.com)
- To date, the use of PROMs in assessing the outcome of hospital admissions has inevitably been restricted to elective surgery in which before and after measurements of patients' symptoms, functional status and health-related quality of life can be compared. (springer.com)
- The methodological challenge is how to quantify outcome when a patient's health status before their sudden and unexpected ill-health that led to an emergency hospital admission is, inevitably, not available. (springer.com)
- It argued that the ban on elective abortions does not free up hospital space or supplies of personal protective equipment to respond to the new coronavirus pandemic. (catholicworldreport.com)
- We evaluated the appropriateness of antibiotic prophylaxis administered before surgery at a major referral hospital in Shiraz, against the American Society of Hospital Pharmacists (ASHP) guidelines. (who.int)
- I ncreasing demand for acute hospital care in the past 20 years has led to problems accessing care and longer waiting times for patients needing emergency or elective surgery. (mja.com.au)
- The redesign incorporated construction of the Alfred Centre, a separate, dedicated elective surgery and procedural facility with 26 overnight surgical beds and 55 recovery beds, collocated on the hospital site. (mja.com.au)
- Abstinence from opioids can shorten the duration of hospital stay after surgery. (medindia.net)
- Over 75 percent of our elective colorectal patients underwent surgery without requiring narcotic analgesics postoperatively, including after discharge," said lead author Sophia A. Horattas, MD, of Cleveland Clinic Akron (Ohio) General Hospital. (medindia.net)
- 4 (1) No hospital or other board shall undertake or authorize any construction, alteration or renovation, other than emergency or normal repair work, without the prior approval of the Minister. (alberta.ca)
- Methodology Electronic medical records of 90 785 patients, who underwent non-cardiac and non-neuro surgery between 1 January 2012 and 31 October 2016 in Singapore General Hospital, were retrospectively analysed. (bmj.com)
- Very severe liver injuries (grade V) can be associated with concomitant injury to the hepatic veins or to the retrohepatic IVC and are more fatal despite advances in pre-hospital and in-hospital critical care. (ispub.com)
- Should the patient survive and reach the hospital, the inaccessibility of the hepatic veins and the retrohepatic vena cava renders their surgical isolation and control extremely difficult. (ispub.com)
- He was brought to the emergency department of our hospital within one hour of the accident. (ispub.com)
- Data on MyHospitals including elective surgery waiting times, emergency department waiting times and time spent in emergency departments for 2013-14, average length of hospital stay for 2012-13 and hand hygiene data (Audit Period 3) were also updated. (myhospitals.gov.au)
- In the end, the pediatrician who'd performed the circumcision was urged by the hospital to be "mindful" next time, and the emergency room physician who'd treated Ryan was merely cautioned. (listverse.com)
- After medical school, Leitman moved to New York City to receive his training in General Surgery at New York Presbyterian-Weill Cornell and completed his fellowship in Surgical Critical Care at North Shore University Hospital-Weill Cornell. (wikipedia.org)
- METHODS: All patients diagnosed with popliteal artery aneurysm between 2015 and 2019 were searched in the database of the Department of Surgery II of University Hospital Olomouc. (bvsalud.org)
- The Kingston Hospital guidelines follow a similar format with articles written by specialists, edited to ensure clarity, approved by colleagues, and designed to advise junior staff what to do when confronted with some of the more common medical emergencies. (spotidoc.com)
- When writing the discharge summary, include the principal diagnosis (the main reason for the patient being in hospital), all subsidiary diagnoses, and/or any surgical operations or procedures. (spotidoc.com)
- TUESDAY, Aug. 25, 2020 (HealthDay News) -- Increased levels of comorbidity and socioeconomic deprivation are associated with mortality, discharge destination, and length of hospital stay (LOS) following admission for emergency general surgery (EGS), according to a study published online Aug. 24 in Trauma Surgery & Acute Care Open . (physiciansbriefing.com)
- Patients presenting with ACS (Acute Coronary Syndrome) in the emergency department will be screened for clinical eligibility and asked to sign informed consent to the study. (bioportfolio.com)
- Other surgical specialties have studied the negative relationship between late surgical start times and clinical outcome. (eurekalert.org)
- Arden M. Morris, MD, MPH is professor and vice chair of clinical research in the Department of Surgery, director of the Stanford-Surgery Policy, Improvement Research and Education (S-SPIRE) Center, and core faculty in the Stanford Department of Health Research and Policy. (stanford.edu)
- Instead, students discuss and perform clinical and surgical procedures as a means to study anatomy. (harvard.edu)
- Implementing a process redesign to streamline clinical pathways for elective surgery, with a focus on the patient journey from referral to discharge, and establishing a separate, dedicated elective surgery facility. (mja.com.au)
- The clinical process redesign resulted in a sustained downward trend in the number of elective surgery patients waiting longer than national recommended maximum waiting times. (mja.com.au)
- Introduction Accurate surgical risk prediction is paramount in clinical shared decision making. (bmj.com)
- Cefotaxime sodium has been shown to be active against most isolates of the following bacteria both in vitro and in clinical infections as described in the INDICATIONS AND USAGE section. (drugs.com)
- In addition to his current role as Professor of Medical Education at the Icahn School of Medicine at Mount Sinai, Dr. Leitman has also served as a Professor of Clinical Surgery at the Albert Einstein College of Medicine of Yeshiva University in New York City. (wikipedia.org)
- Dr. Leitman is also a fellow of the American College of Surgeons, and a member of the American Board of Colon and Rectal Surgery, American Board of Surgery and American Society of Clinical Oncology. (wikipedia.org)
- Preoperative mechanical bowel preparation (MBP) was first utilized by surgeons, as it can theoretically remove stool content and associated bacterial load within the bowel and surgical field, thus reducing the risk of SSIs [ 6 ]. (springer.com)
- In patients with preoperative sepsis, both emergency and elective surgical procedures had a twofold increased odds of thrombosis. (bmj.com)
- For the study on predictors of discussion at a preoperative MDT conference, data on all patients without known metastatic disease at diagnosis, who underwent elective surgery for rectal cancer 2007-2010 in Sweden, were extracted from the SCRCR. (diva-portal.org)
- The preoperative fasting period was influenced by the instruction received and surgery time. (isciii.es)
- A new study found preoperative antibiotic therapy administered within two hours of cardiac surgery decreased the risk of developing surgical site infections (SSIs) significantly. (medicalxpress.com)
- Investigation of the role of adding oral antibiotics to preoperative mechanical bowel preparation before colorectal surgery for cancer. (clinicaltrials.gov)
- The risk of delaying surgery must be weighed against the benefits of obtaining additional preoperative information or possible preoperative optimization. (oncologynurseadvisor.com)
- The CARES surgical risk calculator comprises of simple and easily accessible variables available from routine preoperative evaluation for most surgeries. (bmj.com)
- SELECTION CRITERIA: All randomised controlled trials and quasi-randomised controlled trials comparing preoperative blood transfusion regimens to different regimens or no transfusion in people with sickle cell disease undergoing elective or emergency surgery. (ox.ac.uk)
- Preoperative transfusion versus no preoperative transfusion Two trials (434 participants) compared a preoperative transfusion plus standard care to a group receiving standard care. (ox.ac.uk)
- On June 8, 2020, CMS issued Phase II Recommendations for the provision of elective procedures and treatment to non-COVID-19 patients. (mcguirewoods.com)
- TUESDAY, Aug. 18, 2020 (HealthDay News) -- One out of six maternity health care workers are seropositive for antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), according to a study published online Aug. 10 in Anaesthesia . (physiciansbriefing.com)
- There is an urgent need to increase access to surgical treatment across the world. (springer.com)
- Onsite surgical backup was considered mandatory in a prior era, when as many as 5% of patients required urgent or emergency CABG after failed PCI, the authors noted in their background review. (medpagetoday.com)
- The authors reported that 11 studies included patients who underwent primary PCI for STEMI, and nine included patients who had elective or urgent PCI procedures. (medpagetoday.com)
- Uncomplicated diverticulitis can be managed medically and in an ambulatory setting, whereas complicated disease requires a more aggressive approach that can often require urgent or elective surgery, and treatments that are specific to the complication itself (eg, abscess drainage). (medscape.com)
- The sample comprised of 100 patients who underwent 113 diagnostic procedures, including urgent surgery (n = 21), elective surgery (n = 36), and non-surgical diagnosis (n = 56). (bvsalud.org)
- 95.2% of the urgent surgeries, 83.8% of the elective surgeries, and 10.7% of the non-surgical procedures). (bvsalud.org)
- Could it mean that health systems need to invest more with respect to increasing the number of surgical teams and operating rooms to allow for greater proportion of surgeries to be performed during day hours and that urgent cases should be stabilized and performed during day hours? (eurekalert.org)
- Surgeries in the pediatric population may be arbitrarily divided into major, minor, elective and urgent surgeries. (news-medical.net)
- When a child does not necessarily need an urgent surgery, for example circumcision in boys, it is referred to as elective surgery. (news-medical.net)
- Travelling around the city for a non-urgent appointment seems to go against this guideline. (forestgrovevet.com)
- The aim is to teach the basics of war trauma surgery and the principles of medical aid to populations (MAP). (deepdyve.com)
- She completed a surgical critical care, trauma, and acute care surgery fellowship at the R Adams Cowley Shock Trauma Center at the University of Maryland. (medstarhealth.org)
- She also holds membership in the Eastern Association for the Surgery of Trauma and the Association for Academic Surgery. (medstarhealth.org)
- Fellows spend several months in the Surgical Intensive Care Unit (SICU) in a high-volume trauma center working alongside surgical and anesthesia intensivists. (massgeneral.org)
- We also offer a two-year America Association for the Surgery of Trauma (AAST)-approved comprehensive Acute Care Surgery (ACS) Fellowship. (massgeneral.org)
- Electives in trauma/critical care (3 months) - Management of complex critical illness such as pediatric surgical care, neurocritical care, burns, etc. (massgeneral.org)
- Denver Health's Trauma and Acute Care Surgery (TACS) Fellowship was approved as an official training site by the American Association for the Surgery of Trauma (AAST) in May 2008. (denverhealth.org)
- This fellowship encompasses trauma and non-trauma surgical emergencies, as well as surgical critical care. (denverhealth.org)
- During the second year of the fellowship, the TACS Fellow acquires a comprehensive knowledge of critical care, trauma, emergency general surgery, advanced operative skills and procedural techniques in thoracic and vascular surgery. (denverhealth.org)
- Blood loss that occurs suddenly due to trauma may require an emergency transfusion to save a patient's life. (northblountvet.com)
- 4 It is Australasia's largest designated trauma service, 5 and provides elective surgery for the state of Victoria. (mja.com.au)
- METHODS Ninety nine consecutive patients who presented with or developed one or two FDPs, were split into three groups according to the respective aetiology: 46 patients had a trauma, 41 patients a stroke (subarachnoid or intracerebral haemorrhage), and 12 patients had undergone previous elective intracranial surgery. (bmj.com)
- No differences in outcome were found between trauma, stroke, and postelective surgery groups. (bmj.com)
- The prognosis of patients with FDPs after trauma, stroke, and previous elective intracranial surgery is similar. (bmj.com)
- Due to modern emergency guidelines nearly all patients with a history of head trauma or stroke with severe impairment of consciousness are sedated, intubated, and ventilated at the emergency site. (bmj.com)
- Whilst South Africa is affected and influenced by global trends Results in surgical education, there are a number of factors that make the South African situation different to that in high income A total of 562 patients underwent a trauma laparotomy at countries (HICs). (who.int)
- BACKGROUND: Off-pump coronary artery bypass grafting (OPCAB) was implemented to reduce trauma during surgical coronary revascularization. (biomedsearch.com)
- Much of the emergency surgery performed on elderly patients is for injuries due to trauma (e.g., femoral neck fracture). (oncologynurseadvisor.com)
- The largest proportion of surgical patient safety events reported to the National Reporting and Learning System came from trauma and orthopedic surgery patients. (ahrq.gov)
- A lot of non-orthopedic procedures such as vascular repairs and decompressive craniotomies were also performed. (deepdyve.com)
- In external operations, orthopedic surgeons are deployed within Role 2 or 3 and have to deal with specific war traumas whose severity represents real surgical challenges and to confront a massive influx of injured people with the necessity of triage. (deepdyve.com)
- This has been particularly evident in patients undergoing coronary angioplasty, orthopedic surgery, transplant surgery, colorectal surgery, and for those in cardiac arrest. (psychcentral.com)
- Previous studies have documented the relationship between surgical and medical management of diseases at night leading to worse outcome and it has particularly been exemplified in those undergoing: coronary angioplasty, orthopedic surgery, transplant surgery, colorectal surgery, and cardiac arrest patients. (eurekalert.org)
- Effect of Medicare's Nonpayment Policy on Surgical Site Infections Following Orthopedic Procedures. (stanford.edu)
- Major elective cardiac, vascular, oncological, and orthopedic surgery can be successfully performed on elderly patients with adverse event rates similar to younger patients. (oncologynurseadvisor.com)
- Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. (ahrq.gov)
Undergo an elective1
- Successful percutaneous drainage of a diverticular abscess has not been associated with greater recurrence or more severe disease and does not necessitate elective colectomy. (medscape.com)
- European Guidelines on Myocardial Revascularization recommend clopidogrel loading dose added to acetylsalicylic acid in elective percutaneous coronary interventions (PCI). (bioportfolio.com)
- A minimally invasive technique may be performed (e.g., percutaneous drainage of a gallbladder empyema before planned cholecystectomy) to stabilize elderly people, thereby affording the opportunity for resuscitation and optimization before definitive surgery. (oncologynurseadvisor.com)
- Surgery Versus Percutaneous Reintervention. (onlinejacc.org)
- These results suggest that the combination of OA + MBP should be recommended for patients undergoing elective colorectal surgery, particularly for operations on the left side of the colon or rectum. (springer.com)
- Of the two conditions, patients with ulcerative colitis are more likely to undergo surgery because removal of the colon and rectum will cure the disease. (medtronic.com)
- A challenge still remaining, regarding colon cancer surgery, is to improve outcome for the large number of patients presenting as an emergency. (diva-portal.org)
- factors associated with an increased risk for loco-regional recurrence in patients operated as an emergency for colon cancer, in a population-based cohort. (diva-portal.org)
- Conclusion: The degree of specialisation of the surgeon influences the number of lymph nodes isolated from specimens obtained during routine right-sided colon cancer surgery. (diva-portal.org)
- [ 34 , 35 , 36 ] Patients who present to the emergency department with uncomplicated diverticulitis appear to be able to be safely discharged on oral antibiotics, provided computed tomography (CT) scan findings have been evaluated. (medscape.com)
- Exclusion criteria are the following: emergency surgery, obstructive or perforated cancer, patients intolerance to bowel preparation regimen and allergies to orally administered antibiotics. (clinicaltrials.gov)
- Treatment is with antibiotics and surgical drainage and debridement. (merckmanuals.com)
- One should always follow the least invasive procedure whenever possible. (readynutrition.com)
- Surgery and other invasive therapies are complex interventions, the assessment of which is challenged by factors that depend on operator, team, and setting, such as learning curves, quality variations, and perception of equipoise. (scienceopen.com)
- The current drive to practice less invasive surgery is changing surgical practice towards safer and simpler procedures. (biomedsearch.com)
- Increased life expectancy, safer anesthesia, and less invasive surgical procedures have made it possible for a greater number of geriatric patients to be considered for surgery. (oncologynurseadvisor.com)
- Surgery and invasive procedures in patients on long-term treatment with direct oral anticoagulants: Thrombin or factor-Xa inhibitors. (em-consulte.com)
- Patients receiving long-term treatment with DOAs are likely to be exposed to elective or emergency surgery or invasive procedures. (em-consulte.com)
- An invasive procedure to treat coronary heart disease may be necessary in people who have severe symptoms that indicate marked impairment of blood flow to the heart. (howstuffworks.com)
- In such cases, an invasive procedure that immediately restores blood flow to the heart may be necessary. (howstuffworks.com)
- In other cases, after diet and drug therapy have been tried without sufficient success, an invasive procedure may be recommended. (howstuffworks.com)
- It is also the preferred alternative when symptoms are not severe enough to warrant the more invasive coronary artery bypass surgery. (howstuffworks.com)
- See also endoscopy, laparoscopy, or minimally invasive surgery. (nyhq.org)
- In addition, demographic comparisons across start time groups revealed that the average age of the patient population varied across the surgical day with older people earlier in the day, and younger people later in the day. (psychcentral.com)
- The findings also found that a patient's odds of having a surgical complication increased significantly between 9:00 p.m. and 7:00 a.m. even after accounting for whether the case was an emergency versus elective procedure or if the patient had co-morbid conditions. (psychcentral.com)
- i.e., a very thin patient shows up that there is no fecal analysis done ever) and from time to time directed towards a non surgical treatment. (vin.com)
- Patient stabilization must always pave the way to a surgical procedure whenever possible. (vin.com)
- Doing a surgical procedure and leave a patient in an equal or worst condition has no justification. (vin.com)
- Surgery which could be postponed or not done at all without danger to the patient. (bioportfolio.com)
- The would seem to be true with their wound care, as incidence has apparently levelled in the USA and wound care has always been the main domain in Western Europe and the mortality from these surgical nursing, facilitated by the closer nurse infections has decreased as highly active antiretroviral patient relationship. (who.int)
- The analysis demonstrated that a patient's odds of having a surgical complication increased significantly between 9 pm and 7 am even after accounting for whether the case was an emergency versus elective procedure or if the patient had co-morbid conditions. (eurekalert.org)
- Computerised patient records provided the consultant's identity (A-D), the patient's triage status and the exact endourological procedure performed. (omicsonline.org)
- Our aim was to investigate the relationship between retrospective and contemporary PROMs in England (inevitably, in elective conditions) and to explore the influence on the relationship of two patient characteristics (age, socio-economic status) and the length of time between the two data collection points. (springer.com)
- interbody device market, which is estimated to be more than $1.2B, and extends its entire AMS portfolio to a global patient audience with significant market share in anteriorly placed TLIF implants.1 Furthermore, the system is designed to work seamlessly with the Company's MAS(R) TLIF and MAS Midline access systems allowing customization options to specific surgical techniques. (thefreedictionary.com)
- 1 Unplanned emergency surgery competes with scheduled elective surgery, and, when resources are limited, elective procedures are cancelled, 2 which disrupts patient flow and may compromise patient safety. (mja.com.au)
- With a focus on the patient journey from initial referral to discharge, the redesigned surgical care model was streamlined, standardised, and protocol-led ( Box 1 ). (mja.com.au)
- One of the positive effects of the patient in applicants for general surgical training programs. (who.int)
- Many trusts are currently struggling to reduce four hour trolley waits (the time from the decision to admit (DTA) to leaving A&E). A recent survey conducted by the BMA and the British Association for Accident and Emergency Medicine 2 suggests that official figures give an over-optimistic picture of the current pressures in A&E departments, and long patient waits are still common. (bmj.com)
- In some cases, a patient might benefit more from a coronary bypass surgery than from angioplasty. (howstuffworks.com)
- Despite not having a pediatric surgery service in the attending institution, emergency surgery was imposed due to the patient's conditions. (bvsalud.org)
- This paper investigates how a patient's radiation exposure from imaging during endourological procedures changes with three peri-operative variables. (omicsonline.org)
- The NHS Plan 1 makes the commitments that a patient's total time in accident and emergency (A&E) will be no more than four hours. (bmj.com)
- Lab testing should be guided by the patient's history, physical examination, and anticipated surgical procedure. (oncologynurseadvisor.com)
- Pediatric surgeons are the healthcare providers responsible for carrying out these procedures after crafting a pre-operative plan based on the patient's findings. (news-medical.net)
- The Surgical Team and the patient's Rheumatologist should be involved in the planning. (ukcpa-periophandbook.co.uk)
- To compare the incidence of surgical site infections (SSIs) in emergency versus elective surgeries and to determine if the difference can be accounted for by the seniority of surgeon operating. (madridge.org)
- Surgical site infections (SSIs) remain, albeit unfortunately, a major contributor to increased morbidity, mortality and healthcare costs among surgical patients worldwide. (madridge.org)
- Second in impact were neurosurgical site infections, with colorectal surgical site infections ranking third in length of stay and cost, as well. (infectioncontroltoday.com)
- Surgical site infections are among the most common health care-associated infections, accounting for 20 percent to 31 percent of health care-associated infections in hospitalized patients, according to background information in the article. (medicalxpress.com)
- The Sugiura procedure is a safe and effective surgical treatment of esophageal varices in the pediatric population. (wikipedia.org)
- Pediatric surgery is an essential and separate specialty, because there are significant differences, in terms of physiological and psychological parameters, in the pediatric population versus the adult. (news-medical.net)
- Surgery in the pediatric population is always done with several factors taken into serious consideration. (news-medical.net)
- Aggressive surgical interventions must be pneumonia, cryptosporidium, cytomegalovirus undertaken with caution (7, 8). (who.int)
- Les données sur l'acte chirurgical, le choix des antibiotiques et leur administration ont été collectées pour toutes les interventions chirurgicales réalisées chez des patients hospitalisés pendant 15 jours en mars 2010. (who.int)
- Interventions Standard care or the use of a wound edge protection device during surgery. (bmj.com)
- Surgical interventions are more common in people with sickle cell disease, and occur at much younger ages than in the general population. (ox.ac.uk)
- PICO Question 1: In adult patients with colonic obstruction (malignant or benign) (P), should surgery (I) or endoscopic stenting (C) be performed to decrease mortality (O)? (east.org)
- Inclusion criteria consisted of articles published in the English language reporting adult patients 18 years or older, who required hospitalization for the management of colonic obstruction with surgery or endoscopic stenting. (east.org)
- Endoscopic stent treatment is an alternative treatment method used in surgically risky patients or to turn a high-risk emergency operation into a lower-risk elective operation [ 5 , 6 ]. (termedia.pl)
- Since the introduction of colonic stenting, the endoscopic approach has been advocated as an alternative to conventional surgery for relieving acute colorectal obstruction, whether palliative or as a bridge to definitive surgery. (termedia.pl)
- What are the surgical treatment options for inguinal hernias? (medscape.com)
- Chronic deep brain stimulation (DBS) of the subthalamic nucleus (STN) is a procedure that is rapidly gaining acceptance for the treatment of symptoms in patients with Parkinson disease (PD), but there are few detailed descriptions of the surgical procedure itself. (thejns.org)
- Whether you are going for a minor issue, elective surgery or major surgical procedures, cancer treatment or any other medical treatment, it is good to know what your options are regarding medical care in Merida and how things are done in Yucatan and Mexico. (yucatanliving.com)
- Treatment for this type usually requires immediate surgery in order to relieve the pressure in the affected limb. (hubpages.com)
- The treatment for this type uses both surgical and conservative treatment. (hubpages.com)
- Over the last several decades, the surgical treatment of vulvar cancer has become more conservative, as tumor margins are more important rather than the actual removal of the organ.1 Van der Zee et al, in a study of 403 patients reported that in early stage vulvar cancer patients with a negative sentinel node had a 3-year survival of 97% with minimal morbidity from sentinel localization procedure. (thefreedictionary.com)
- and (ii) to increase the hospital's surgical treatment capacity. (mja.com.au)
- Few years back only treatment available for brain aneurysms was Surgical. (sooperarticles.com)
- Self-expandable metallic stent (SEMS) insertion has been known initially to be effective and safe for relief of malignant colorectal obstruction and has now gained acceptance, either as a palliative treatment or as a bridge to elective surgery [ 4 - 6 ]. (hindawi.com)
- However, SEMS insertion is not recommended as a bridge to elective surgery and prophylactic treatment [ 7 , 8 ]. (hindawi.com)
- The treatment of patients with angina pectoris refractory to medical therapy and unsuitable for revascularization procedures has yet not been well standardized. (biomedsearch.com)
- Opioids work well as an analgesic and have remained the mainstay of treatment in controlling pain during and after surgical procedures. (medindia.net)
- Pediatric surgery is the medical specialty concerned with the surgical treatment of infants, children and adolescents. (news-medical.net)
- Lastly, emergency surgeries are done following traumatic accidents or life-threatening congenital heart diseases at birth, as a means of treatment without which the child will not survive. (news-medical.net)
- We will need as much information as possible to do this, you can provide this by keeping a record of everything that is relevant to your treatment and any correspondence you may have if you have been through the complaints procedure. (google.com)
- A similar number of patients in the two treatment groups developed AKI, defined as an increase in serum creatinine the first 48 h after surgery of 0.3 mg/dl or more. (frontiersin.org)
- Surgical treatment for coronary heart disease is typically reserved for cases where milder therapies have been ineffective. (howstuffworks.com)
- Neither the Editors of Consumer Guide (R), Publications International, Ltd., the author nor publisher take responsibility for any possible consequences from any treatment, procedure, exercise, dietary modification, action or application of medication which results from reading or following the information contained in this information. (howstuffworks.com)
- Surgery is the primary treatment of this type of cancer. (termedia.pl)
- During this time planning is ensured for imaging, surgery, and chemotherapy and radiotherapy treatment for staging. (termedia.pl)
- Between 2010 and 2015, 23 patients with an average age of 69.5 ±13.5 years who presented with AMIO and anastomosis stenosis secondarily to cancer to the emergency department were subjected to stent treatment under emergency conditions. (termedia.pl)
- The gold standard for surgical treatment remains explantation of the graft. (biomedcentral.com)
- For example, if the gold standard for surgical treatment is always graft explantation, the best techniques for reperfusion are unknown. (biomedcentral.com)
- Whilst single surgical prophylactic doses should not pose a problem, continued post-operative treatment may require close monitoring of LFTs and / or haematological abnormalities. (ukcpa-periophandbook.co.uk)
- A potential complication of surgery requiring general anesthesia, worldwide, is the development of life-threatening venous thromboembolism. (readbyqxmd.com)
- Subcutaneous emphysema is a rare possible complication of dental procedures. (readbyqxmd.com)
- The odds of a complication were increased by more than 50 percent for procedures with start times between 9:00 p.m. and 7:00 a.m. (psychcentral.com)
- When taking into account the length of the surgery, the odds of a complication were even higher for later time periods. (psychcentral.com)
- The only statistically significant factor that predicted severity of the complication was if the surgery was an emergency compared to being elective. (psychcentral.com)
- When accounting for the length of a surgery, the risk of a complication more than doubled. (psychcentral.com)
- When accounting for the length of the surgery, the odds of a complication were even greater for later time periods. (eurekalert.org)
- HealthDay)-A new study offers reassurance for adults who need to have their tonsils removed-the procedure has low complication and low death rates. (medicalxpress.com)
- Method: One hundred patients, who had undergone an endourological procedure in 2012 were randomly selected. (omicsonline.org)
- ELIQUIS is indicated for the prophylaxis of deep vein thrombosis (DVT), which may lead to pulmonary embolism (PE), in patients who have undergone hip or knee replacement surgery. (businesswire.com)
- The procedure consists primarily of paraesophagogastric devascularization achieved by dividing the perforating veins of the esophagus and the stomach while maintaining the plexus of collaterals that connect the coronary gastric vein to the azygous system. (wikipedia.org)
- Comparison of the planned one- and elective two-stent techniques in patients with coronary bifurcation lesions with or without acute coronary syndrome from the COBIS II Registry. (bioportfolio.com)
- Appropriate use of elective coronary angiography in patients with suspected stable coronary artery disease. (bioportfolio.com)
- Now, more than 800,000 PCI procedures are performed each year, exceeding the number of coronary artery bypass surgeries. (howstuffworks.com)
- A coronary artery bypass surgery is performed on one or more of the coronary arteries, which lie on the outer surface of the heart and supply the heart muscle with the oxygen and nutrients it needs. (howstuffworks.com)
- Outcome measures were death within 30 days after surgery and ICU admission. (bmj.com)
- The Combined Assessment of Risk Encountered in Surgery (CARES) model predicts risk for both 30-day mortality and need for intensive care unit (ICU) admission postoperatively with good accuracy. (bmj.com)
- The report also provides the average cost per admission for 16 conditions and procedures, which together represent major areas of medical and surgical care, for major metropolitan and major regional public hospitals. (myhospitals.gov.au)
- Although surgical procedures can be safe and cellular immunity allows the development of effective therapeutic modalities, the benefits of malignancies (Kaposi's sarcoma and lymphoma) and resolution of symptoms must be balanced against this opportunistic infections including Pneumocystis carinii risk. (who.int)
- Although ambulatory surgeries represent a substantial portion of surgical health care, there is a lack of information on adverse events, including health care -associated infections. (medicalxpress.com)
- Our findings suggest that earlier access to a clinician or member of the surgical team (e.g., telephone check-in prior to 2 weeks) may help identify and treat these infections early and reduce overall morbidity. (medicalxpress.com)
- Operative factors includedlocation of surgery (brain, spine, or peripheral nervous system), type of surgery (emergency vs. elective), type of In this retrospective study, we collected pertinent demo- anesthesia (general vs. local, neuroleptic or regional) and graphic and laboratory data of patients who had been duration of surgical procedures. (hmamedicalclinic.com)
- In a retrospective study of over 3000 patients, about 20% of patients admitted for acute diverticulitis required emergency colectomy. (medscape.com)
- Research is needed to determine the feasibility of retrospective PROMs in emergency admissions. (springer.com)
- This retrospective observational analysis utilizing pre-specified endpoints included three 1:1 propensity score individually matched DOAC cohorts: apixaban vs. rivaroxaban (n=125,238), apixaban vs. dabigatran (n=54,192), and dabigatran vs. rivaroxaban (n=55,076). (biospace.com)
- Likely owing to this heterogeneity, a number of retrospective studies have yielded discordant results in terms of impact and timing of surgery [ 1 - 3 ]. (hindawi.com)
Department of Surgery1
- Surgery should be offered to surgeon (1, 2, 3). (who.int)
- The surgical approach was left to the surgeon discretion. (sages.org)
- SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. (sages.org)
- A surgeon with colorectal accreditation and a university pathology department were both associated with a significantly higher proportion of patients having 12 or more lymph nodes isolated from surgical specimens after right-sided hemicolectomy in both unadjusted and multivariate analyses. (diva-portal.org)
- National Healthcare Safety Network data for 2006-2008 (16,147 SSIs following 849,659 operative procedures) showed an overall SSI rate of 1.9 percent. (infectioncontroltoday.com)
- Types of brain surgery were admitted to the neurosurgical department for operative further subdivided by traumatic, cerebrovascular, neoplastic, procedures during 2 consecutive years between November and others. (hmamedicalclinic.com)
- Collaboration with a specialist IBD dietician and introduction of a formal pre-operative EEN protocol will be offered to optimise patients before surgery. (bmj.com)
- Patients undergoing hip or knee replacement in four hospitals who had completed a pre-operative questionnaire were invited to recall their pre-operative health status shortly after surgery. (springer.com)
- CONCLUSIONS: Post-operative deterioration occurs frequently, and early, in a cohort of high-risk surgical patients initially assessed as being safe for ward care. (medworm.com)
- The only intra-operative factor associated with prognosis was an associated intestinal procedure due to aorto-enteric fistula. (biomedcentral.com)
- RA flares develop in 10-20% of patients undergoing surgery and have a potential to impact adversely on post-operative recovery. (ukcpa-periophandbook.co.uk)
- 6500. AND the procedure was done within 14 hours of the diagnosis. (yucatanliving.com)
- Surgical mistakes can start as soon as the primary steps into the making of a diagnosis are taken. (vin.com)
- To obtain the electronic discharge summaries we used the diagnosis and procedure codes for 'Crohn's disease' and 'Digestive Tract' from the ICD-10 and OPCS classification of surgical operations and procedures, respectively. (bmj.com)
- Neurosurgical procedures are necessary at all times of day. (psychcentral.com)
- Until now, however, a similar study has not been conducted for neurosurgical procedures. (psychcentral.com)
- The fellow will have the opportunity to rotate in the neurosurgical ICU, burn ICU, medical ICU or pediatric ICU as electives. (massgeneral.org)
- CONCLUSIONS: Audits of surgical prophylaxis are expected to detect different errors in different institutions. (biomedsearch.com)
- Conclusions A large, multicentre randomised controlled trial of PVB versus TEB is feasible as it is possible to randomise and follow up participants with high fidelity. (bmj.com)
- The removal of excess skin, biopsies and the correction of long bone fractures may all be considered minor surgical operations. (news-medical.net)
- Femoral neck fractures in the elderly make up a large proportion of Orthopaedic surgical admissions each year. (biomedcentral.com)
- Femoral neck fractures in the elderly make up a large proportion of Orthopaedic surgical admissions each year and the numbers worldwide are expected to reach 6.26 million cases a year by 2050 [ 1 ]. (biomedcentral.com)
- In June 2009 the Scottish Intercollegiate Guidance Network (SIGN), published a national guideline for the management of hip fractures in elderly patients and recommended that surgery should not be delayed in patients receiving anti-platelet therapy (aspirin, clopidogrel or dipyridamole) [ 12 ]. (biomedcentral.com)
- An increasing number of surgical and nonsurgical procedures are being performed on an ambulatory basis in children. (bioportfolio.com)
- The researchers used the 2010 Healthcare Cost and Utilization Project State Ambulatory Surgery and State Inpatient Databases for 8 states (California, Florida, Georgia. (medicalxpress.com)
- rates were calculated for 14- and 30-day postsurgical acute care visits for CS-SSIs following ambulatory surgery. (medicalxpress.com)
- The researchers found that the overall rate of postsurgical acute care visits within 14 days for CS-SSIs was relatively low (3.09 per 1,000 ambulatory surgical procedures). (medicalxpress.com)
- Participants 2 305 380 adults who underwent surgical procedures. (bmj.com)
- IDPH will release guidance to limit non essential adults' elective surgery and other medical and surgical procedures, including dental procedures until further notice. (capitolfax.com)
- Exclusive enteral nutrition provides an effective bridge to safer interval elective surgery for adults with Crohn's disease. (bmj.com)
- The Affordable Care Act reduces emergency department use by young adults: evidence from three States. (stanford.edu)
- Three categories of variables have proven to be reliable predictors of SSI risk: (1) those that estimate the intrinsic degree of microbial contamination of the surgical site, (2) those that measure the duration of an operation, and (3) those that serve as markers for host susceptibility. (infectioncontroltoday.com)
- When determining the surgical risk, the benefits of a certain surgical procedure must be weighed against the potential of creating damage. (vin.com)
- Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery. (bioportfolio.com)
- The only major considerations are with risk of bleeding with elective (non-emergency) surgery, and for people using medication for clotting. (readynutrition.com)
- Background: The elderly population often presents an increased surgical risk. (sages.org)
- Emergency procedures for PEH are associated with an increased risk of serious adverse events or fatality. (sages.org)
- Evidence suggests that radiation exposure, from diagnostic and interventional procedures is placing patients at a small but significant increased risk of malignancy. (omicsonline.org)
- However, this subanalysis found consistent results for Eliquis versus warfarin in reducing the risk of stroke, regardless of blood pressure control. (businesswire.com)
- Eliquis was consistent in reducing the risk of stroke or systemic embolism versus warfarin in patients with and without poor blood pressure control during the trial (p for interaction = 0.97). (businesswire.com)
- In this subanalysis, the effect of Eliquis in reducing the risk of stroke and systemic embolism versus warfarin was consistent with the main results of the ARISTOTLE trial. (businesswire.com)
- Further, the effect of Eliquis in reducing the risk of stroke and systemic embolism versus warfarin was also consistent with the results of the ARISTOTLE trial in previously published subanalyses of other comorbidities, including congestive heart failure, advanced age, renal impairment and prior stroke. (businesswire.com)
- Emergency surgery in the elderly carries disproportionately high risk as patients tend to present later, are often harder to diagnose, and have poorer functional reserve. (oncologynurseadvisor.com)
- Routine testing on the basis of age alone may not be indicated, especially for low-risk procedures. (oncologynurseadvisor.com)
- The Combined Assessment of Risk Encountered in Surgery (CARES) surgical risk calculator, consisting of nine variables, was constructed. (bmj.com)
- For procedures with low haemorrhagic risk, a therapeutic window of 48 hours (last administration 24 hours before surgery, restart 24 hours after) is proposed. (em-consulte.com)
- For procedures with medium or high haemorrhagic risk, we suggest stopping DOAs 5 days before surgery to ensure complete elimination in all patients. (em-consulte.com)
- In an emergency, the procedure should be postponed for as long as possible (minimum 1-2 half-lives) and non-specific antihaemorrhagic agents, such as recombinant human activated factor VIIa or prothrombin complex concentrates should not be given for prophylactic reversal due to their uncertain benefit-risk. (em-consulte.com)
- Specifically 14 patients (24%) who received sodium chloride (SC) and 17 patients (27%) who received SB were observed to develop AKI post-surgery, resulting in a relative risk of AKI of 1.1 (95% CI: 0.6-2.1, chi-square p -value = 0.68) for patients receiving SB compared to those who received SC. (frontiersin.org)
- Patients presenting for cardiovascular surgery were found to be at increased risk for AKI. (frontiersin.org)
- Operating on patients with clopidogrel poses a challenge because of the risk of bleeding and the difficulty deciding the optimal timing of surgery. (biomedcentral.com)
- The goal in other high-risk areas is to provide continuous blood pressure monitoring during high-risk procedures such as emergency caesareans. (lidco.com)
- The need for a specific risk score system for infective endocarditis (IE) surgery has been previously claimed. (hindawi.com)
- One aim of the present study was to verify whether disease-specific determinants of mortality risk following native valve IE surgery could be detected from a review of our experience. (hindawi.com)
- At Cleveland Clinic Akron General, representatives from the departments of surgery, anesthesia, pharmacy and nursing met to discuss the goals of ERAS and the resources at their disposal. (medindia.net)
- The prevention of AKI in this setting is clinically and economically an important goal for CV surgery and anesthesia programs. (frontiersin.org)
- Bolus phenylephrine reduced maternal CO and decreased CO when compared with ephedrine during elective spinal anesthesia for Cesarean delivery. (lidco.com)
- Anesthesia - medication administered for the relief of pain and sensation during surgery. (nyhq.org)