Abdomen: That portion of the body that lies between the THORAX and the PELVIS.Abdominal Wound Closure Techniques: Methods to repair breaks in abdominal tissues caused by trauma or to close surgical incisions during abdominal surgery.Suture Techniques: Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).Sutures: Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)Surgical Wound Dehiscence: Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.Durable Medical Equipment: Devices which are very resistant to wear and may be used over a long period of time. They include items such as wheelchairs, hospital beds, artificial limbs, etc.Abdomen, Acute: A clinical syndrome with acute abdominal pain that is severe, localized, and rapid in onset. Acute abdomen may be caused by a variety of disorders, injuries, or diseases.Osteosarcoma, Juxtacortical: A form of osteogenic sarcoma of relatively low malignancy, probably arising from the periosteum and initially involving cortical bone and adjacent connective tissue. It occurs in middle-aged as well as young adults and most commonly affects the lower part of the femoral shaft. (Stedman, 25th ed)Osteosarcoma: A sarcoma originating in bone-forming cells, affecting the ends of long bones. It is the most common and most malignant of sarcomas of the bones, and occurs chiefly among 10- to 25-year-old youths. (From Stedman, 25th ed)Osteochondroma: A cartilage-capped benign tumor that often appears as a stalk on the surface of bone. It is probably a developmental malformation rather than a true neoplasm and is usually found in the metaphysis of the distal femur, proximal tibia, or proximal humerus. Osteochondroma is the most common of benign bone tumors.Bone Neoplasms: Tumors or cancer located in bone tissue or specific BONES.Femoral NeoplasmsLipoma: A benign tumor composed of fat cells (ADIPOCYTES). It can be surrounded by a thin layer of connective tissue (encapsulated), or diffuse without the capsule.Periosteum: Thin outer membrane that surrounds a bone. It contains CONNECTIVE TISSUE, CAPILLARIES, nerves, and a number of cell types.CaliforniaHospitals, AnimalConsumer Organizations: Organized groups of users of goods and services.Dog Diseases: Diseases of the domestic dog (Canis familiaris). This term does not include diseases of wild dogs, WOLVES; FOXES; and other Canidae for which the heading CARNIVORA is used.Minors: A person who has not attained the age at which full civil rights are accorded.Cat Diseases: Diseases of the domestic cat (Felis catus or F. domesticus). This term does not include diseases of the so-called big cats such as CHEETAHS; LIONS; tigers, cougars, panthers, leopards, and other Felidae for which the heading CARNIVORA is used.Drainage: The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.Gastrostomy: Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression.Intubation, Gastrointestinal: The insertion of a tube into the stomach, intestines, or other portion of the gastrointestinal tract to allow for the passage of food products, etc.Enteral Nutrition: Nutritional support given via the alimentary canal or any route connected to the gastrointestinal system (i.e., the enteral route). This includes oral feeding, sip feeding, and tube feeding using nasogastric, gastrostomy, and jejunostomy tubes.Gastroscopy: Endoscopic examination, therapy or surgery of the interior of the stomach.Encephalitis, St. Louis: A viral encephalitis caused by the St. Louis encephalitis virus (ENCEPHALITIS VIRUS, ST. LOUIS), a FLAVIVIRUS. It is transmitted to humans and other vertebrates primarily by mosquitoes of the genus CULEX. The primary animal vectors are wild birds and the disorder is endemic to the midwestern and southeastern United States. Infections may be limited to an influenza-like illness or present as an ASEPTIC MENINGITIS or ENCEPHALITIS. Clinical manifestations of the encephalitic presentation may include SEIZURES, lethargy, MYOCLONUS, focal neurologic signs, COMA, and DEATH. (From Adams et al., Principles of Neurology, 6th ed, p750)Encephalitis Virus, St. Louis: A species of FLAVIVIRUS, one of the Japanese encephalitis virus group (ENCEPHALITIS VIRUSES, JAPANESE), which is the etiologic agent of ST. LOUIS ENCEPHALITIS in the United States, the Caribbean, and Central and South America.Deglutition Disorders: Difficulty in SWALLOWING which may result from neuromuscular disorder or mechanical obstruction. Dysphagia is classified into two distinct types: oropharyngeal dysphagia due to malfunction of the PHARYNX and UPPER ESOPHAGEAL SPHINCTER; and esophageal dysphagia due to malfunction of the ESOPHAGUS.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.Randomized Controlled Trials as Topic: Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.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.Polymorphism, Genetic: The regular and simultaneous occurrence in a single interbreeding population of two or more discontinuous genotypes. The concept includes differences in genotypes ranging in size from a single nucleotide site (POLYMORPHISM, SINGLE NUCLEOTIDE) to large nucleotide sequences visible at a chromosomal level.Genetic Predisposition to Disease: A latent susceptibility to disease at the genetic level, which may be activated under certain conditions.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.Waiting Lists: Prospective patient listings for appointments or treatments.Anemia: A reduction in the number of circulating ERYTHROCYTES or in the quantity of HEMOGLOBIN.Hematinics: Agents which improve the quality of the blood, increasing the hemoglobin level and the number of erythrocytes. They are used in the treatment of anemias.Erythropoietin: Glycoprotein hormone, secreted chiefly by the KIDNEY in the adult and the LIVER in the FETUS, that acts on erythroid stem cells of the BONE MARROW to stimulate proliferation and differentiation.Hemoglobins: The oxygen-carrying proteins of ERYTHROCYTES. They are found in all vertebrates and some invertebrates. The number of globin subunits in the hemoglobin quaternary structure differs between species. Structures range from monomeric to a variety of multimeric arrangements.Perioperative Care: Interventions to provide care prior to, during, and immediately after surgery.Iron Compounds: Organic and inorganic compounds that contain iron as an integral part of the molecule.Renal Dialysis: Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION.Breast Implantation: Surgical insertion of an inert sac filled with silicone or other material to augment the female form cosmetically.Breast Implants: Implants used to reconstruct and/or cosmetically enhance the female breast. They have an outer shell or envelope of silicone elastomer and are filled with either saline or silicone gel. The outer shell may be either smooth or textured.Silicone Gels: Synthetic organosiloxane gels that are formed from synthetic polymers of silicone oxide with organic sidechains (polydimethylsiloxane) by lengthening the polymer chains. Unlike silicone elastomers, they are not treated with amorphous silica. They are used as fillers in breast implants.Mammaplasty: Surgical reconstruction of the breast including both augmentation and reduction.Surgery, Plastic: The branch of surgery concerned with restoration, reconstruction, or improvement of defective, damaged, or missing structures.Silicones: A broad family of synthetic organosiloxane polymers containing a repeating silicon-oxygen backbone with organic side groups attached via carbon-silicon bonds. Depending on their structure, they are classified as liquids, gels, and elastomers. (From Merck Index, 12th ed)Cosmetic Techniques: Procedures for the improvement or enhancement of the appearance of the visible parts of the body.Craniotomy: Any operation on the cranium or incision into the cranium. (Dorland, 28th ed)Delayed Emergence from Anesthesia: Abnormally slow pace of regaining CONSCIOUSNESS after general anesthesia (ANESTHESIA, GENERAL) usually given during surgical procedures. This condition is characterized by persistent somnolence.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.Neurosurgical Procedures: Surgery performed on the nervous system or its parts.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.Intensive Care: Advanced and highly specialized care provided to medical or surgical patients whose conditions are life-threatening and require comprehensive care and constant monitoring. It is usually administered in specially equipped units of a health care facility.Intracranial Pressure: Pressure within the cranial cavity. It is influenced by brain mass, the circulatory system, CSF dynamics, and skull rigidity.

Perioperative growth hormone treatment and functional outcome after major abdominal surgery: a randomized, double-blind, controlled study. (1/2448)

OBJECTIVE: To evaluate short- and long-term effects of perioperative human growth hormone (hGH) treatment on physical performance and fatigue in younger patients undergoing a major abdominal operation in a normal postoperative regimen with oral nutrition. SUMMARY BACKGROUND DATA: Muscle wasting and functional impairment follow major abdominal surgery. METHODS: Twenty-four patients with ulcerative colitis undergoing ileoanal J-pouch surgery were randomized to hGH (12 IU/day) or placebo treatment from 2 days before to 7 days after surgery. Measurements were performed 2 days before and 10, 30, and 90 days after surgery. RESULTS: The total muscle strength of four limb muscle groups was reduced by 7.6% in the hGH group and by 17.1% in the placebo group at postoperative day 10 compared with baseline values. There was also a significant difference between treatment groups in total muscle strength at day 30, and at the 90-day follow-up total muscle strength was equal to baseline values in the hGH group, but still significantly 5.9% below in the placebo group. The work capacity decreased by approximately 20% at day 10 after surgery, with no significant difference between treatment groups. Both groups were equally fatigued at day 10 after surgery, but at day 30 and 90 the hGH patients were less fatigued than the placebo patients. During the treatment period, patients receiving hGH had reduced loss of limb lean tissue mass, and 3 months after surgery the hGH patients had regained more lean tissue mass than placebo patients. CONCLUSIONS: Perioperative hGH treatment of younger patients undergoing major abdominal surgery preserved limb lean tissue mass, increased postoperative muscular strength, and reduced long-term postoperative fatigue.  (+info)

Hepatectomy for hepatocellular carcinoma: toward zero hospital deaths. (2/2448)

OBJECTIVE: The authors report on the surgical techniques and protocol for perioperative care that have yielded a zero hospital mortality rate in 110 consecutive patients undergoing hepatectomy for hepatocellular carcinoma (HCC). The hepatectomy results are analyzed with the aim of further reducing the postoperative morbidity rate. SUMMARY BACKGROUND DATA: In recent years, hepatectomy has been performed with a mortality rate of <10% in patients with HCC, but a zero hospital mortality rate in a large patient series has never been reported. At Queen Mary Hospital, Hong Kong, the surgical techniques and perioperative management in hepatectomy for HCC have evolved yearly into a final standardized protocol that reduced the hospital mortality rate from 28% in 1989 to 0% in 1996 and 1997. METHODS: Surgical techniques were designed to reduce intraoperative blood loss, blood transfusion, and ischemic injury to the liver remnant in hepatectomy. Postoperative care was focused on preservation and promotion of liver function by providing adequate tissue oxygenation and immediate postoperative nutritional support that consisted of branched-chain amino acid-enriched solution, low-dose dextrose, medium-chain triglycerides, and phosphate. The pre-, intra-, and postoperative data were collected prospectively and analyzed each year to assess the influence of the evolving surgical techniques and perioperative care on outcome. RESULTS: Of 330 patients undergoing hepatectomy for HCC, underlying cirrhosis and chronic hepatitis were present in 161 (49%) and 108 (33%) patients, respectively. There were no significant changes in the patient characteristics throughout the 9-year period, but there were significant reductions in intraoperative blood loss and blood transfusion requirements. From 1994 to 1997, the median blood transfusion requirement was 0 ml, and 64% of the patients did not require a blood transfusion. The postoperative morbidity rate remained the same throughout the study period. Complications in the patients operated on during 1996 and 1997 were primarily wound infections; the potentially fatal complications seen in the early years, such as subphrenic sepsis, biliary leakage, and hepatic coma, were absent. By univariate analysis, the volume of blood loss, volume of blood transfusions, and operation time were correlated positively with postoperative morbidity rates in 1996 and 1997. Stepwise logistic regression analysis revealed that the operation time was the only parameter that correlated significantly with the postoperative morbidity rate. CONCLUSION: With appropriate surgical techniques and perioperative management to preserve function of the liver remnant, hepatectomy for HCC can be performed without hospital deaths. To improve surgical outcome further, strategies to reduce the operation time are being investigated.  (+info)

A policy of quality control assessment helps to reduce the risk of intraoperative stroke during carotid endarterectomy. (3/2448)

OBJECTIVES: A pilot study in our unit suggested that a combination of transcranial Doppler (TCD) plus completion angioscopy reduced incidence of intra-operative stroke (i.e. patients recovering from anaesthesia with a new deficit) during carotid endarterectomy (CEA). The aim of the current study was to see whether routine implementation of this policy was both feasible and associated with a continued reduction in the rate of intraoperative stroke (IOS). MATERIALS AND METHODS: Prospective study in 252 consecutive patients undergoing carotid endarterectomy between March 1995 and December 1996. RESULTS: Continuous TCD monitoring was possible in 229 patients (91%), while 238 patients (94%) underwent angioscopic examination. Overall, angioscopy identified an intimal flap requiring correction in six patients (2.5%), whilst intraluminal thrombus was removed in a further six patients (2.5%). No patient in this series recovered from anaesthesia with an IOS, but the rate of postoperative stroke was 2.8%. CONCLUSIONS: Our policy of TCD plus angioscopy has continued to contribute towards a sustained reduction in the risk of IOS following CEA, but requires access to reliable equipment and technical support. However, a policy of intraoperative quality control assessment may not necessarily alter the rate of postoperative stroke.  (+info)

Gastric emptying after elective abdominal aortic aneurysm surgery: the case for early postoperative enteral feeding. (4/2448)

OBJECTIVE: To assess gastric emptying with a view to early postoperative enteral nutrition after elective abdominal aortic aneurysm (AAA) surgery. METHODS: The paracetamol absorption test was used to assess gastric emptying in 13 consecutive patients at 6, 18 and 32 h following elective AAA surgery. All patients received postoperative analgesia with marcaine given via an epidural catheter during the first 48 postoperative hours. Normal emptying was defined as an area under the plasma paracetamol concentration curve at 60 min (AUC-60) of > 600 mg/min/l. RESULTS: The median time to normal gastric emptying was 18 +/- 7.7 h. One patient (7.6%) had normal emptying at 6 h, nine (69%) at 18 h and 12 (92%) at 32 h. The nasogastric tubes were removed at a median of 3.2 days after surgery, and enteral feeding was commenced on day 4. CONCLUSIONS: Gastric emptying was normal 18 h post-AAA surgery as assessed by the paracetamol absorption test. In view of the importance of maintaining an intact gastrointestinal mucosa, enteral nutrition may be commenced on the second postoperative day.  (+info)

Effects of aggressive early rehabilitation on the outcome of anterior cruciate ligament reconstruction with multi-strand semitendinosus tendon. (5/2448)

To evaluate the effects of aggressive early rehabilitation on the clinical outcome of anterior cruciate ligament reconstruction using semitendinosus (and gracilis) tendon, 103 of 110 consecutive patients who underwent ACL reconstruction using multistrand semitendinosus tendon (ST) or the central one-third of patellar tendon with bony attachments (BTB) were analyzed prospectively. Subjectively, the Lysholm score was not different among the groups. The Lachman test indicated a trend of less negative grade in the ST men's group than that in the BTB men's group. On the patellofemoral grinding test, only women patients of both groups showed pain, with less positive crepitation in the ST group than in the BTB group. KT measurements at manual maximum showed more patients with more than 5 mm differences in the ST group than in the BTB group. The results of this study suggest that aggressive early rehabilitation after the ACL reconstruction using the semitendinosus (and gracilis) tendon has more risk of residual laxity than with the BTB.  (+info)

Predictive value of perioperative gastric acid tests. (6/2448)

Preoperative acid studies and early postoperative insulin tests in 275 patients undergoing various forms of vagotomy have been related to recurrent ulceration. Follow-up time has been from two to nine years, mean 4-3 years. Recurrence is directly related to basal acidity in both tests but is not related to stimulated acid levels preoperatively. In the insulin tests higher levels of acidity after insulin are associated with a higher incidence of recurrence. When positive, Hollander's and multiple criteria are both associated with a higher recurrence rate.  (+info)

Evaluation of routine tracheal extubation in children: inflating or suctioning technique? (7/2448)

We studied prospectively the effects of the technique of tracheal extubation on arterial haemoglobin oxygen saturation (SpO2) in 120 ASA I-III children, mean age 5.3 (range 0.25-16.9) yr. At completion of surgery, tracheal extubation was performed when spontaneous ventilation had resumed, children were fully awake and SpO2 was 99-100%. Children were allocated randomly to receive a single lung inflation manoeuvre with 100% oxygen before tracheal extubation (group I; n = 59) or to have the tracheal tube removed while applying suction through the tube (group S; n = 61). SpO2 was monitored during the first 5 min after tracheal extubation in the operating room. Supplementary oxygen was given if SpO2 decreased to less than 92%. The time between tracheal extubation and decrease in SpO2 to 92% (T92) was recorded. Children in group S required oxygen administration more frequently after tracheal extubation than those in group I (65.6% vs 45.8%; P = 0.04), and had a three-fold shortening of T92 (mean 25 (SD 19) s vs 85 (63) s; P = 0.0001). These effects were more pronounced in children less than 4 yr of age compared with older children. We conclude that tracheal extubation greatly impaired oxygenation and therefore administration of oxygen was appropriate. This impairment was more marked when suction was used, and in young children. Lung inflation with 100% oxygen before removal of the tracheal tube is advised before routine tracheal extubation in children.  (+info)

Intra-articular morphine and/or bupivacaine after total knee replacement. (8/2448)

The postoperative analgesic effects of intra-articular injections of bupivacaine and/or morphine were examined prospectively in 437 patients who had total knee replacement for osteoarthritis. They were divided randomly into four groups. Group I received 10 mg of morphine (1 ml) and 9 ml of saline, group II received 10 ml of bupivacaine (2.5 mg/ml), group III received 10 ml of saline, and group IV received 10 mg of morphine (1 ml) and 9 ml of bupivacaine (2.5 mg/ml). All analgesics administered in the first 24 hours after operation were recorded. The patients rated their pain on the McGill-Melzack scale at 1, 6, 12 and 24 hours. No significant differences were found between any of the groups in the use of Demoral and/or Toradol in 24 hours, the length of stay in hospital or the pain rating at 1, 6, 12 or 24 hours. Patients in groups I and IV, whose injections included morphine, used significantly more morphine in the first 24 postoperative hours than did groups II or III.  (+info)

  • Our three step, three solution system is designed to fit a variety of post-surgical needs to promote optimal wound care. (3m.com)
  • The classifications are as follows: Grade I = Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic and radiological interventions. (clinicaltrials.gov)
  • The purpose of the study was to explore surgical patients' experiences of discharge planning and home care in the Northern part of Ghana. (springer.com)
  • Hospitalists often are involved in the postoperative care of the surgical patient. (the-hospitalist.org)
  • The zero-day global period encompasses only services provided on the surgical day, whereas 10-day global periods include services on the surgical day through 10 postoperative days. (the-hospitalist.org)
  • Its products are ActiPatch® Therapy, for over-the-counter treatment of back pain and other musculoskeletal complaints, the Allay™ menstrual cycle pain therapy, and RecoveryRx™ for surgical procedures and wound care. (bio-medicine.org)
  • The benefits of using a capnograph in Medical/Surgical units and Critical and Post-Anesthesia Care areas are well documented. (nonin.com)
  • The surgical ward round (WR) is critical to determining post-operative care and serves as the primary point of interaction between clinician and patient. (bl.uk)
  • To date, WRs have been one of the last areas of surgical care still dependent on the Halstedian principle of experiential learning alone. (bl.uk)
  • The tools have now been developed with which to assess, improve, and standardise critical structures and care processes in the assessment and management of the post-operative surgical patient. (bl.uk)
  • Future implementation of these and integration into surgical curricula will benefit clinician training, patient care, and surgical outcomes alike. (bl.uk)
  • Stoodley KDC, Crew AD, Lu R, Naghdy F. A microcomputer implementation of status and alarm algorithms in a cardiac surgical intensive care unit. (springer.com)
  • Patients are instructed to clean the lid margins and adjoining area with surgical cotton (given to them in their postoperative medicine kit) and advised not let any fluid or foreign body enter the eye. (cehjournal.org)
  • Research to date demonstrates that the Vashe Solution provides a safe and effective alternative to cytotoxic products currently used to treat infected wounds and post-operative surgical sites and is an important element in the overall plan of care for effective wound management. (infectioncontroltoday.com)
  • A newly opened post-operative care facility in Al-Salam Hospital Baghdad, 1 December, 2017 - The World Health Organization (WHO), with funds from the Government of Kuwait, has established a post-operative care unit in Al-Salam Hospital, East Mosul to enhance the capacity of Ninewa's Directorate of Health to provide quality post-operative care for surgical patients during the first 24 to 72 hours. (who.int)
  • Mosul's 3-year crisis and insecurity has left devastating effects on the city's health sector and infrastructure in turn affecting life-saving and disability-preventing surgical services including emergency, trauma, obstetrics and post-operative care. (who.int)
  • An agreement was made for a nurse-led survey in eight surgical centres to document postoperative care and recovery. (figshare.com)
  • Postoperative recovery may play a significant role in the future selection of surgical protocols, and future trials need to consider cross-study site training to familiarise nurses, prior to any changes in surgical methods. (figshare.com)
  • An evidence based guideline in oral and nasopharyngeal nursing care is necessary to implement in hospitals for improving patient surgical outcome. (hku.hk)
  • Randomized controlled trials with oropharyngeal and/ or nasopharyngeal care with outcome measures on surgical site infection and/ or nosocomial pneumonia were reviewed. (hku.hk)
  • The results showed positively of interventions on nosocomial pneumonia and surgical site infection when compared with usual care. (hku.hk)
  • In view of quality assessments and statistically significant findings, the proposed change that could improve surgical outcome of patients is to use chlorhexidine gluconate on oronasopharyngeal care in the guideline. (hku.hk)
  • It could be potentially adopted for nurses working in cardiac surgical ward and cardiac intensive care unit. (hku.hk)
  • The plaintiff's medical expert witnesses were prepared to testify that the defendant failed to properly manage the decedent's post-operative care and allowed his condition to deteriorate for several days following his surgical procedure. (parkerscheer.com)
  • METHODS: Of adult surgical patients who underwent general anesthesia without an absolute indication for postoperative intensive care unit admission, 3530 patients admitted postoperatively to an intensive care unit were matched to 3530 patients admitted postoperatively to a surgical ward using a propensity score based on 23 important preoperative and intraoperative predictor variables. (duke.edu)
  • Healthcare data exchanged between surgical, anesthesia, and critical care providers were more robust including intraoperative, historical, and anticipatory guidance (all P (gwu.edu)
  • Because diabetes can lead to infections, metabolic derangements, and acute cardiovascular events, cancer patients with diabetes may also be at greater risk of short-term mortality, especially in the peri- and postoperative interval ( 2 , 5 ). (diabetesjournals.org)
  • Postoperative delirium is an acute brain dysfunction characterized by inattention, disorganized thinking, and a fluctuating course. (clinicaltrials.gov)
  • Efficacy of recombinant human erythropoietin in critically ill patients admitted to a long-term acute care facility: a randomized, double-blind, placebo-controlled trial. (jw.org)
  • The authors collected data from 422,730 patients from 300 general acute hospitals, and administered surveys to 26,516 registered nurses to understand staffing and missed care measures. (upenn.edu)
  • McQuay H, Edwards J. Meta-analysis of single dose oral tramadol plus acetaminophen in acute postoperative pain. (ijbcp.com)
  • The study aimed to determine the prevalence of aspirin use for secondary prevention of cardiovascular disease events when it is dispensed as a prescription, as is performed in the Veterans Affairs (VA) managed care system. (eurekamag.com)
  • Microvascular flap reconstruction by otolaryngologists: prevalence, postoperative care, and monitoring techniques. (semanticscholar.org)
  • The authors hypothesized that a multiparameter intraoperative decision support system with real-time visualizations may improve processes of care and outcomes. (asahq.org)
  • Outcomes and reliability of the flow coupler in postoperative monitoring of head and neck free flaps. (semanticscholar.org)
  • Measuring missed care may provide an 'early warning' indicator of higher risk for poor patient outcomes. (upenn.edu)
  • Postoperative care is recommended by international leaders as an important part of the patient's management. (ovid.com)
  • This article is a critical review and discussion focusing on postoperative care, which is based on expert opinion, clinical studies, randomized controlled trials and meta-analysis studies. (ovid.com)
  • Results Six randomized controlled trials comparing oropharyngeal and/ or nasopharyngeal care intervention with usual care were reviewed. (hku.hk)
  • If dental implants are taken care of as if they were natural teeth, then they tend to last for years, even for an entire period of time. (sooperarticles.com)
  • Postoperative care varies according to the procedure's assigned global period, which designates zero, 10, or 90 postoperative days. (the-hospitalist.org)
  • Alternately, physicians with different specialty designations in the same group practice (e.g. a hospitalist and a cardiologist in a multispecialty group who report services under the same tax identification number) or different group practices can perform and separately report medically necessary services during the surgeon's global period, as long as a formal (mutually agreed-upon) transfer of care did not occur. (the-hospitalist.org)
  • Patients are taken to a recovery room, where they are counselled regarding care to be taken during the postoperative period. (cehjournal.org)
  • To use a sporting analogy, the end of the operation signals half-time, but the game can still be lost if attention is not paid to the postoperative period and refraction (the second half). (cehjournal.org)
  • There was no significant difference in length of period for bladder care between the two groups, P = 0.83. (northumbria.ac.uk)
  • This page illustrates how the five core clinical skills can be applied to the postoperative care core module (module 6) for the Part 3 Clinical Assessment. (rcog.org.uk)
  • Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. (clinicaltrials.gov)
  • Vital capacity, a common clinical indicator of pulmonary status in the postoperative patient, was used as an index of improvement or deterioration. (biomedsearch.com)
  • These clinical results are further evidence that Vashe Wound Therapy is highly effective for wound care, offering an additional boost to the bodys own defense and without any cytotoxic effects that can slow the rate of wound healing," said PuriCore CEO Greg Bosch. (infectioncontroltoday.com)
  • A postoperative recovery clinical report form was developed to capture relevant data for the children participating in the four arms of the trials. (figshare.com)
  • Postoperative care was influenced by local custom and practice, as little firm clinical evidence exists to guide optimal management. (figshare.com)
  • In addition to world-class patient care, our physicians participate in research and teaching and have received top national honors in their fields. (stlouischildrens.org)
  • The transfer of the patient from OR to PACU requires reiteration of any patient care orders. (mhmedical.com)
  • Introduction: To determine the impact of standardization of postoperative transitions of care to the pediatric intensive care unit on handover efficiency and the quality of healthcare data exchange. (gwu.edu)
  • However, it is essential for us as eye care professionals to make the patient aware that the end of a successful cataract operation is not the end of her or his treatment for cataract. (cehjournal.org)
  • Topical nasal steroids are started at the first postoperative visit, continued until immunotherapy is well established, and used thereafter as needed. (medscape.com)
  • Postoperative care including nasal rinsing, topical corticosteroids, antibiotics and avoidance of nasal packing are unanimously considered to be the cornerstone of best practice following FESS. (ovid.com)
  • There is a lack of consensus regarding the necessity of performing in-office nasal debridement and the majority of clinicians carry out their postoperative care according to experience and their own preference. (ovid.com)
  • Digital exercises can be used in the patient who has a deviated nose_ These patients can perform digital exercises on the nasal bones to avoid postoperative shifting of the bony nasal vault. (therhinoplastycenter.com)
  • In International Journal of Nursing Studies , Jane Ball and colleagues, including Linda Aiken, examine if missed nursing care explains the observed association between nurse staffing levels and mortality. (upenn.edu)
  • In: Ikeda K., Doi M., Kazama T., Sato K., Oyama T. (eds) Computing and Monitoring in Anesthesia and Intensive Care. (springer.com)
  • Ms. Lindemann is the respiratory manager for Riverside Medical Center and Miller Health Care in Kankakee, IL. (nonin.com)
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Tarsal Tunnel Syndrome Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy
Tarsal Tunnel Syndrome Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy (emedicine.medscape.com)
Thoracic Spine Fractures and Dislocations Treatment & Management: Approach Considerations, Nonoperative Therapy, Surgical...
Thoracic Spine Fractures and Dislocations Treatment & Management: Approach Considerations, Nonoperative Therapy, Surgical... (emedicine.medscape.com)
Surgical Treatment of Velopharyngeal Dysfunction: Overview, Preparation, Technique
Surgical Treatment of Velopharyngeal Dysfunction: Overview, Preparation, Technique (emedicine.medscape.com)
Hand Amputations and Replantation: Overview, Indications, Preoperative Considerations
Hand Amputations and Replantation: Overview, Indications, Preoperative Considerations (emedicine.medscape.com)
Congenital Anomalies of Esophagus Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy
Congenital Anomalies of Esophagus Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy (emedicine.medscape.com)
Cataract Surgery and Uveitis - American Academy of Ophthalmology
Cataract Surgery and Uveitis - American Academy of Ophthalmology (aao.org)
Peritonsillar Abscess Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy
Peritonsillar Abscess Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy (emedicine.medscape.com)
Intestinal Obstruction in the Newborn Treatment & Management: Approach Considerations, Enemas, Preparation for Operation
Intestinal Obstruction in the Newborn Treatment & Management: Approach Considerations, Enemas, Preparation for Operation (emedicine.medscape.com)
Optic Nerve Sheath Fenestration: Overview, Preparation, Technique
Optic Nerve Sheath Fenestration: Overview, Preparation, Technique (emedicine.medscape.com)
Basic Excisional Surgery: Overview, Anesthesia, Equipment
Basic Excisional Surgery: Overview, Anesthesia, Equipment (emedicine.medscape.com)
Bennett Fracture Treatment & Management: Approach Considerations, Nonoperative Therapy, Surgical Therapy
Bennett Fracture Treatment & Management: Approach Considerations, Nonoperative Therapy, Surgical Therapy (emedicine.medscape.com)
Chyle Fistula Treatment & Management: Approach Considerations, Nonoperative Therapy, Surgical Therapy
Chyle Fistula Treatment & Management: Approach Considerations, Nonoperative Therapy, Surgical Therapy (emedicine.medscape.com)
Surgical Treatment of Perforated Peptic Ulcer: Background, Indications for Surgery vs Conservative Management, General Surgical...
Surgical Treatment of Perforated Peptic Ulcer: Background, Indications for Surgery vs Conservative Management, General Surgical... (emedicine.medscape.com)
Short-term outcome after cystectomy: comparison of early oral feeding in an enhanced recovery protocol and feeding using...
Short-term outcome after cystectomy: comparison of early oral feeding in an enhanced recovery protocol and feeding using... (link.springer.com)
Bariatric Surgery Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy
Bariatric Surgery Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy (emedicine.medscape.com)
IJMS  | Free Full-Text | Deleterious Effects of High Dose Connexin 43 Mimetic Peptide Infusion After Cerebral Ischaemia in Near...
IJMS | Free Full-Text | Deleterious Effects of High Dose Connexin 43 Mimetic Peptide Infusion After Cerebral Ischaemia in Near... (mdpi.com)
Radical Nephrectomy With Inferior Vena Cava Thrombectomy
Radical Nephrectomy With Inferior Vena Cava Thrombectomy (medscape.com)
Rural Surgery | SpringerLink
Rural Surgery | SpringerLink (link.springer.com)
GLP-1R Responsiveness Predicts Individual Gastric Bypass Efficacy on Glucose Tolerance in Rats | Diabetes
GLP-1R Responsiveness Predicts Individual Gastric Bypass Efficacy on Glucose Tolerance in Rats | Diabetes (diabetes.diabetesjournals.org)
Vasectomy Techniques - American Family Physician
Vasectomy Techniques - American Family Physician (aafp.org)