Intraoperative Care
Monitoring, Intraoperative
Peripheral hepatojejunostomy as palliative treatment for irresectable malignant tumors of the liver hilum. (1/1040)
OBJECTIVE: To evaluate the concept of surgical decompression of the biliary tree by peripheral hepatojejunostomy for palliative treatment of jaundice in patients with irresectable malignant tumors of the liver hilum. SUMMARY BACKGROUND DATA: Jaundice, pruritus, and recurrent cholangitis are major clinical complications in patients with obstructive cholestasis resulting from malignant tumors of the liver hilum. Methods for palliative treatment include endoscopic stenting, percutaneous transhepatic drainage, and surgical decompression. The palliative treatment of choice should be safe, effective, and comfortable for the patient. METHODS: In a retrospective study, surgical technique, perioperative complications, and efficacy of treatment were analyzed for 56 patients who had received a peripheral hepatojejunostomy between 1982 and 1997. Laparotomy in all of these patients had been performed as an attempt for curative resection. RESULTS: Hepatojejunostomy was exclusively palliative in 50 patients and was used for bridging to resection or transplantation in 7. Anastomosis was bilateral in 36 patients and unilateral in 20. The 1-month mortality in the study group was 9%; median survival was 6 months. In patients surviving >1 month, a marked and persistent decrease in cholestasis was achieved in 87%, although complete return to normal was rare. Among the patients with a marked decrease in cholestasis, 72% had no or only mild clinical symptoms such as fever or jaundice. CONCLUSIONS: Peripheral hepatojejunostomy is a feasible and reasonably effective palliative treatment for patients with irresectable tumors of the liver hilum. In patients undergoing exploratory laparotomy for attempted curative resection, this procedure frequently leads to persistent-although rarely complete-decompression of the biliary tree. In a few cases it may also be used for bridging to transplantation or liver resection after relief of cholestasis. (+info)Effect of coronary occlusion on left ventricular function with and without collateral supply during beating heart coronary artery surgery. (2/1040)
OBJECTIVE: To study the effects of coronary occlusion and collateral supply on left ventricular (LV) function during beating heart coronary artery surgery. DESIGN: Prospective intraoperative study, performed at baseline, during wall stabilisation, coronary artery occlusion, and 2 and 10 minutes after reperfusion. Transoesophageal M mode echocardiograms, simultaneous high fidelity LV pressure, and thermodilution cardiac output were measured. LV anterior wall thickening, thinning velocities, thickening fraction, regional work, and power production were derived. Asynchrony during the isovolumic periods was quantified as cycle efficiency. SETTING: Tertiary referral cardiac centre. PATIENTS: 14 patients with stable angina, mean (SD) age 62 (7) years, undergoing left anterior descending artery grafting using the "Octopus" device. RESULTS: Collaterals were absent in nine patients and present in five. Epicardial stabilisation did not affect LV function. Results are expressed as mean (SD). Coronary occlusion (15.6 (2) minutes) depressed anterior wall thickening (1.4 (0.6) v 2.6 (0.6) cm/s) and thinning velocities (1.4 (0.5) v 3.0 (0.6) cm/s), regional work (2.2 (0.8) v 4.6 (0.6) mJ/cm2), and power (21 (4) v 33 (5) mW/cm2) in patients without collaterals (p < 0.05 for all), but only wall thinning (3.5 (0.5) v 4.8 (0.5) cm/s, p < 0.05) in patients with collaterals. All returned to baseline within 10 minutes of reperfusion. Cycle efficiency and regional work were impaired at baseline and fell during occlusion, regardless of collaterals. Within 10 minutes of reperfusion both had increased above baseline. CONCLUSIONS: Coronary occlusion for up to 15 minutes during beating heart coronary artery surgery depressed standard measurements of systolic and diastolic anterior wall function in patients without collaterals, but only those of diastolic function in patients with collaterals. Regional synchrony decreased in both groups. All disturbances regressed within 10 minutes of reperfusion. (+info)Non-operative management of acetabular fractures. The use of dynamic stress views. (3/1040)
To assess the stability of the hip after acetabular fracture, dynamic fluoroscopic stress views were taken of 41 acetabular fractures that met the criteria for non-operative management. These included roof arcs of 45 degrees, a subchondral CT arc of 10 mm, displacement of less than 50% of the posterior wall, and congruence on the AP and Judet views of the hip. There were three unstable hips which were treated by open reduction and internal fixation. The remaining 38 fractures were treated non-operatively with early mobilisation and delayed weight-bearing. At a mean follow-up of 2.7 years, the results were good or excellent in 91% of the cases. Three fair results were ascribed to the patients' other injuries. Dynamic stress views can identify subtle instability in patients who would normally be considered for non-operative treatment. (+info)The use of electrophysiological monitoring in the intraoperative management of intracranial aneurysms. (4/1040)
OBJECTIVES: Somatosensory evoked potentials (SSEPs) and brainstem auditory evoked potentials (BAEPs) have been increasingly utilised during surgery for intracranial aneurysms to identify cerebral ischaemia. Between July 1994 and April 1996, we surgically treated 70 aneurysms in 49 consecutive patients (58 operations) with the aid of intraoperative evoked potential monitoring. This study sought to evaluate the usefulness of SSEP and BAEP monitoring during intracranial aneurysm surgery. METHODS: Mean patient age was 51.9 (range 18-79) years. The sizes of the aneurysms were 3-4 mm (15), 5-9 mm (26), 10-14 mm (11), 15-19 mm (seven), 20-24 mm (six), and >25 mm (five). SSEPs were monitored in 58 procedures (100%) and BAEPs in 15 (26%). The neurological status of the patients was evaluated before and after surgery. RESULTS: Thirteen of the 58 procedures (22%) monitored with SSEPs had SSEP changes (12 transient, one persistent); 45 (78%) had no SSEP changes. Three of 15 patients (20%) monitored with BAEPs had changes (two transient, one persistent); 12 (80%) had no BAEP changes. Of the 14 patients with transient SSEP or BAEP changes, these changes resolved with adjustment or removal of aneurysm clips (nine), elevating MAP (four), or retractor adjustment (one). Mean time from precipitating event to electrophysiological change was 8.9 minutes (range 3-32), and the mean time for recovery of potentials in patients with transient changes was 20.2 minutes (range 3-60). Clinical outcome was excellent in 39 patients, good in five, and poor in three (two patients died), and was largely related to pretreatment grade. CONCLUSIONS: SSEPs and BAEPs are useful in preventing clinical neurological injury during surgery for intracranial aneurysms and in predicting which patients will have unfavourable outcomes. (+info)Minimally invasive aortic valve replacement through a transverse sternotomy: a word of caution. (5/1040)
OBJECTIVES: To compare aortic valve replacement (AVR) using a minimally invasive approach through a transverse sternotomy with the established approach of median sternotomy. DESIGN: Retrospective, case-control study. PATIENTS: Fourteen high risk patients (median age 78, Parsonnet score of 18%) who underwent AVR performed through a minimally invasive transverse sternotomy were compared with a historical group of patients matched for age, sex, and Parsonnet score who underwent AVR performed through a median sternotomy by the same surgeon. OUTCOME MEASURES: Cross clamp time, total bypass time, intensive care stay, postoperative in-hospital stay, morbidity, and mortality. RESULTS: There were two deaths in the minimally invasive group and none in the control group (NS). The cross clamp and total bypass times were longer in the minimally invasive group (67 and 92 minutes v 46 and 66 minutes, p < 0.001). There was a higher incidence of re-exploration for bleeding (14% v 0%) and paravalvar leaks (21% v 0%) in the minimally invasive group but these differences were not significant. The minimally invasive group had a longer postoperative in-hospital stay (p = 0.025). The incidence of mortality or major morbidity was 43% (six of 14) in the minimally invasive group and 7% (one of 14) in the matched pairs (p = 0.013). CONCLUSIONS: AVR can be performed through a transverse sternotomy but the operation takes longer and there is an unacceptably high incidence of morbidity and mortality. (+info)Validation of an automated technique for determining the mechanical characteristics of coronary arteries during balloon angioplasty: laboratory assessment with necropsy segments. (6/1040)
OBJECTIVES: To develop a technique for automatic inflation of a percutaneous transluminal coronary angioplasty (PTCA) balloon, with continuous measurement of the balloon pressure and volume; to validate the technique for determining the mechanical characteristics of coronary arteries. METHODS: During necropsy examination of the hearts of nine patients, 17 coronary artery samples were obtained for histological examination. A PTCA balloon was inserted into each artery, and the balloon pressure and volume were measured continuously during four repeat automatic inflations of the balloon. RESULTS: Of the 17 arteries, eight showed elastic, six plastic, and three fracture pressure-volume deformation characteristics. For the plastic deformations, the first inflation required a higher pressure than subsequent repeat inflations of 82 (61) kPa (mean (SD), range 25 to 175 kPa). For the three in the fracture group, the pressure drop because of the fracture occurred between 210 and 540 kPa. Two of these three showed a tear on visual inspection, and the other showed disruption of the intimal plaque on blinded histological examination. Of the six with plastic deformation characteristics alone, one showed a tear, and on histological examination two others showed splitting of the internal and external elastic lamina and one showed separation of intima and media. None in the elastic group showed any of these characteristics. CONCLUSIONS: Plastic and fracture deformation characteristics could be differentiated from elastic characteristics. Visual or histological evidence of fracturing was present in all three arteries identified during angioplasty as having pressure-volume fracture characteristics. (+info)Radiation dose to patients and personnel during intraoperative digital subtraction angiography. (7/1040)
BACKGROUND AND PURPOSE: The use of intraoperative angiography to assess the results of neurovascular surgery is increasing. The purpose of this study was to measure the radiation dose to patients and personnel during intraoperative angiography and to determine the effect of experience. METHODS: Fifty consecutive intraoperative angiographic studies were performed during aneurysmal clipping or arteriovenous malformation resection from June 1993 to December 1993 and another 50 from December 1994 to June 1995. Data collected prospectively included fluoroscopy time, digital angiography time, number of views, and amount of time the radiologist spent in the room. Student's t-test was used to assess statistical significance. Effective doses were calculated from radiation exposure measurements using adult thoracic and head phantoms. RESULTS: The overall median examination required 5.2 minutes of fluoroscopy, 55 minutes of operating room use, 40 seconds of digital angiographic series time, and four views and runs. The mean room time and the number of views and runs increased in the second group of patients. A trend toward reduced fluoroscopy time was noted. Calculated effective doses for median values were as follows: patient, 76.7 millirems (mrems); radiologist, 0.028 mrems; radiology technologist, 0.044 mrems; and anesthesiologist, 0.016 mrems. CONCLUSION: Intraoperative angiography is performed with a reasonable radiation dose to the patient and personnel. The number of angiographic views and the radiologist's time in the room increase with experience. (+info)Are changes in the evoked electromyogram during anaesthesia without neuromuscular blocking agents caused by failure of supramaximal nerve stimulation? (8/1040)
The evoked electromyogram often decreases during anaesthesia in the absence of neuromuscular block. We have measured the electromyogram of the first dorsal interosseous muscle evoked by train-of-four stimulation of the ulnar nerve in 63 patients undergoing anaesthesia for minor surgery. We used Medicotest P-00-S electrodes, a Datex Relaxograph and a current sink in the stimulating leads in parallel with the current path through the patient. The current sink was used to shunt some of the maximum available output current from the Relaxograph while maintaining the supramaximal stimulus current passing through the patient. After 30 min of anaesthesia, when the muscle response to train-of-four was stable, the ulnar nerve stimulus current was increased by reducing the proportion shunted through the current sink. The electromyographic response did not change during the study in 13 patients. In the remaining 50 patients, the response decreased to 78.4% (SD 27.1%, range 7.5-95.0%) of baseline values over the first 20 min of anaesthesia. In 22 of these patients, the electromyographic response increased from 71.4 (SD 22.6)% to 92.3 (9.5)% of baseline responses when the stimulus current was increased by 12.3 (2.4) mA, while in the remaining 28 patients the response decreased to 83.7 (10.6)% and did not increase with increasing stimulus current. These results suggest that loss of supramaximal stimulation is partly responsible for the observed changes in the evoked electromyogram during anaesthesia. (+info)The intraoperative period is the phase of surgical procedure starting from skin incision, exposure and manipulation of tissues, performance of specific operative procedures, to wound closure, which takes place under sterile conditions in an operating room while the patient is under anesthesia.
The intraoperative period is the phase of surgical treatment that refers to the time during which the surgery is being performed. It begins when the anesthesia is administered and the patient is prepared for the operation, and it ends when the surgery is completed, the anesthesia is discontinued, and the patient is transferred to the recovery room or intensive care unit (ICU).
During the intraoperative period, the surgical team, including surgeons, anesthesiologists, nurses, and other healthcare professionals, work together to carry out the surgical procedure safely and effectively. The anesthesiologist monitors the patient's vital signs, such as heart rate, blood pressure, oxygen saturation, and body temperature, throughout the surgery to ensure that the patient remains stable and does not experience any complications.
The surgeon performs the operation, using various surgical techniques and instruments to achieve the desired outcome. The surgical team also takes measures to prevent infection, control bleeding, and manage pain during and after the surgery.
Overall, the intraoperative period is a critical phase of surgical treatment that requires close collaboration and communication among members of the healthcare team to ensure the best possible outcomes for the patient.
'Intraoperative care' refers to the direct medical care, monitoring, and management of a patient's physiological status and anesthetic needs during a surgical procedure, typically provided by a specialized team including the surgeon, anesthesiologist, and nurses in an operating room setting.
Intraoperative care refers to the medical care and interventions provided to a patient during a surgical procedure. This care is typically administered by a team of healthcare professionals, including anesthesiologists, surgeons, nurses, and other specialists as needed. The goal of intraoperative care is to maintain the patient's physiological stability throughout the surgery, minimize complications, and ensure the best possible outcome.
Intraoperative care may include:
1. Anesthesia management: Administering and monitoring anesthetic drugs to keep the patient unconscious and free from pain during the surgery.
2. Monitoring vital signs: Continuously tracking the patient's heart rate, blood pressure, oxygen saturation, body temperature, and other key physiological parameters to ensure they remain within normal ranges.
3. Fluid and blood product administration: Maintaining adequate intravascular volume and oxygen-carrying capacity through the infusion of fluids and blood products as needed.
4. Intraoperative imaging: Utilizing real-time imaging techniques, such as X-ray, ultrasound, or CT scans, to guide the surgical procedure and ensure accurate placement of implants or other devices.
5. Neuromonitoring: Using electrophysiological methods to monitor the functional integrity of nerves and neural structures during surgery, particularly in procedures involving the brain, spine, or peripheral nerves.
6. Intraoperative medication management: Administering various medications as needed for pain control, infection prophylaxis, or the treatment of medical conditions that may arise during the surgery.
7. Temperature management: Regulating the patient's body temperature to prevent hypothermia or hyperthermia, which can have adverse effects on surgical outcomes and overall patient health.
8. Communication and coordination: Ensuring effective communication among the members of the surgical team to optimize patient care and safety.
Intraoperative monitoring is the continuous observation and evaluation of physiological parameters, organ functions, and anesthesia depth during surgical procedures, utilizing specialized techniques and technologies to ensure patient safety, optimize surgical conditions, and provide immediate detection and response to potential complications.
Intraoperative monitoring (IOM) is the practice of using specialized techniques to monitor physiological functions or neural structures in real-time during surgical procedures. The primary goal of IOM is to provide continuous information about the patient's status and the effects of surgery on neurological function, allowing surgeons to make informed decisions and minimize potential risks.
IOM can involve various methods such as:
1. Electrophysiological monitoring: This includes techniques like somatosensory evoked potentials (SSEP), motor evoked potentials (MEP), and electroencephalography (EEG) to assess the integrity of neural pathways and brain function during surgery.
2. Neuromonitoring: Direct electrical stimulation of nerves or spinal cord structures can help identify critical neuroanatomical structures, evaluate their functional status, and guide surgical interventions.
3. Hemodynamic monitoring: Measuring blood pressure, heart rate, cardiac output, and oxygen saturation helps assess the patient's overall physiological status during surgery.
4. Imaging modalities: Intraoperative imaging techniques like ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI) can provide real-time visualization of anatomical structures and surgical progress.
The specific IOM methods employed depend on the type of surgery, patient characteristics, and potential risks involved. Intraoperative monitoring is particularly crucial in procedures where there is a risk of neurological injury, such as spinal cord or brain surgeries, vascular interventions, or tumor resections near critical neural structures.
'Intraoperative complications' refer to unexpected and undesirable events or conditions that occur during the surgical procedure itself, which may increase the risk of morbidity, mortality, or prolonged recovery for the patient.
Intraoperative complications refer to any unforeseen problems or events that occur during the course of a surgical procedure, once it has begun and before it is completed. These complications can range from minor issues, such as bleeding or an adverse reaction to anesthesia, to major complications that can significantly impact the patient's health and prognosis.
Examples of intraoperative complications include:
1. Bleeding (hemorrhage) - This can occur due to various reasons such as injury to blood vessels or organs during surgery.
2. Infection - Surgical site infections can develop if the surgical area becomes contaminated during the procedure.
3. Anesthesia-related complications - These include adverse reactions to anesthesia, difficulty maintaining the patient's airway, or cardiovascular instability.
4. Organ injury - Accidental damage to surrounding organs can occur during surgery, leading to potential long-term consequences.
5. Equipment failure - Malfunctioning surgical equipment can lead to complications and compromise the safety of the procedure.
6. Allergic reactions - Patients may have allergies to certain medications or materials used during surgery, causing an adverse reaction.
7. Prolonged operative time - Complications may arise if a surgical procedure takes longer than expected, leading to increased risk of infection and other issues.
Intraoperative complications require prompt identification and management by the surgical team to minimize their impact on the patient's health and recovery.
Intraoperative floppy iris syndrome
Patients may experience more pain, a longer recovery period, and less improvement in visual acuity than a patient with an ... Intraoperative floppy iris syndrome (IFIS) is a complication that may occur during cataract extraction in certain patients. ... Wong, A. C. M.; Mak, S. T. (2011). "Finasteride-associated cataract and intraoperative floppy-iris syndrome". Journal of ... Issa, S. A.; Dagres, E. (2007). "Intraoperative floppy-iris syndrome and finasteride intake". Journal of Cataract & Refractive ...
Pulsus bigeminus
If highly symptomatic over a longer period ablation therapy may be the only viable option. Pulsus bisferiens Dicrotic pulse ... Anand, Nidhi; Manish Anand; Alok Vardhan Mathur; Madhukar Maletha; SK Ghildyal (2010-02-03). "Intra-operative ventricular ...
Surgical nursing
Registered nursing received their training over a longer period of time, as they receive a university degree. To become a ... In surgery there are three main phases: preoperative, intraoperative and postoperative. These phases collectively are known as ... the perioperative period. Each phase is related to specific activities carried out and skills needed for different stages of ...
Anesthesia awareness
... intraoperative awareness with explicit recall). Intraoperative awareness with explicit recall is an infrequent condition with ... All of these patients had experienced anxiety during the period of awareness, but only one had stated feeling pain. Another ... Intraoperative awareness can present with a variety of signs and symptoms. A large proportion of patients report vague, ... Intraoperative awareness is usually caused by the delivery of inadequate anesthetics relative to the patient's requirements. ...
Catatonia
Malignant hyperthermia most commonly occurs in the intraoperative or postoperative periods. Other signs and symptoms of ... In France, zolpidem has also been used in diagnosis, and response may occur within the same time period. Ultimately the ...
Surgical stress
Moreover, they can be performed both in the intraoperative or postoperative period. If there is a choice between different ... Intraoperative neurophysiological monitoring can also be used. Examples of commonly used biomarkers are adrenaline, cortisol, ... Höglund, OV; Hagman, R; Olsson, K; Olsson, U; Lagerstedt, AS (Aug 8, 2014). "Intraoperative Changes in Blood Pressure, Heart ... Tallant, A; Ambros, B; Freire, C; Sakals, S (July 2016). "Comparison of intraoperative and postoperative pain during canine ...
Hermansky-Pudlak syndrome
If platelet aggregation improves with desmopressin, it may be administered in the preoperative period. However, sometimes ... Since patients with the syndrome have bleeding tendencies, intraoperative, perioperative, and postoperative hemorrhages should ... Phacoemulsification may help prevent intraoperative and postoperative bleeding in patients with the syndrome. Prolonged ... plasmapheresis is needed in the perioperative period.[citation needed] Ophthalmologists should try to avoid retrobulbar blocks ...
Quantium Medical Cardiac Output
Fluid administration in the intraoperative period is part of the daily practice in anesthesiology. Several studies have ... Benes, J.; Chytra, I.; Altmann, P.; Hluchy, M.; Kasal, E.; Svitak, R.; Pradl, R.; Stepan, M. (2010). "Intraoperative fluid ... Gan, T.J.; Soppitt, A.; Sc, B.; Maroof, M. (2002). "Goal-directed Intraoperative Fluid Administration Reduces Length of ... by a respiratory cycle or other period of time. During mechanical ventilation the goal is to maintain SVV between 10 and 15%, ...
Perioperative
The intraoperative period begins when the patient is transferred to the operating room table and ends with the transfer of a ... The perioperative period is the period of a patient's surgical procedure. It commonly includes ward admission, anesthesia, ... Intraoperative radiation therapy and intraoperative blood salvage may also be performed during this time. The postoperative ... It is quite common for the last of this period to end outside of the care of the surgical team. It is uncommon to provide ...
Nicolai L. Volodos
The latest period of Volodos' stent graft project has been described only briefly, and only in Russian. In 1989, he and his ... In 1986, Volodos started using bifurcated stent grafts for intraoperative grafting of the abdominal aorta. This shortened the ... Unfortunately, that period in the history of Ukraine can be described as long-term political instability and serious stagnation ... Over a follow-up period of 18 years, the patient had no complications. The patient died in 2005 because of pathology not ...
Posterior ischemic optic neuropathy
Other intraoperative ischemic pressures are local, i.e. they decrease blood flow to the affected area, the optic nerve. Facial ... In spine surgery, patients are susceptible to significant blood loss, and they are positioned face down for long periods of ... Studies have shown that nearly all perioperative PION patients had prolonged periods of low blood pressure during the operation ... For example, for patients undergoing spine surgery, measures could be taken to minimize intraoperative hypotension, to ...
Air embolism
In terms of the epidemiology of air embolisms one finds that the intraoperative period to have the highest incidence. For ...
Laxometer
... scalp laxity in pre-op evaluation or following the improvement of scalp laxity after a period of scalp exercise. An intra- ...
Gastroenterology
Intra-operative techniques can then be used for treatment of certain disorders like banding esophageal varices or dilating ... The procedure usually takes thirty minutes to an hour followed by a one to two hour observation period. Complications include ... This procedure usually lasts around thirty minutes followed by a one to two hour observation period. Side effects include ... Nunn identified significant knowledge of gastrointestinal diseases among practicing physicians during the periods of the ...
Secondary hypertension
... or hypervolemia from excessive intraoperative fluid therapy; and in the 24 to 48 hours after the postoperative period as fluid ... in the early postanesthesia period, e.g. by pain-induced sympathetic stimulation, hypothermia, hypoxia, ...
Calcaneal fracture
... and decreased intraoperative time. However, this procedure has increased risk of inadequate calcaneal bone fixation, compared ... include no weight-bearing for a few weeks followed by range-of-motion exercises and progressive weight bearing for a period of ...
Aortic cross-clamp
When a long cross-clamping period (longer than 25 min) or a drop in distal aortic pressure below 50-60 mmHg is anticipated, the ... use of an intraoperative shunt may prevent complications such as paraplegia. Simon Gelman; The Pathophysiology of Aortic Cross- ...
Auditory brainstem response
The ABR represents initiated activity beginning at the base of the cochlea and moving toward the apex over a 4 ms period of ... intraoperative monitoring, determining hearing loss type and degree, and auditory nerve and brainstem lesion detection, and in ...
Wertheim-Meigs operation
Other complications are described: intraoperative hemorrhage due to pelvic large vessel lesion, ureter or bladder accidental ... appearing during the immediate postoperative convalescence period or later mainly in patients who received subsequent ...
Surgical Care Improvement Project
Intraoperative or postoperative acute myocardial infarction (AMI) diagnosed during index hospitalization or within 30 days of ... Surgery patients on beta-blocker therapy prior to arrival who received a beta-blocker during the perioperative period SCIP-Card ... vascular surgery patients with evidence of coronary artery disease who received beta-blockers during the perioperative period ...
Landiolol
... while infusion limited to the intraoperative period may not be sufficient In patients with impaired left ventricular function ( ... Optimized infusion scheme with continuing landiolol infusion in the post-operative period seems to be associated with better ... slowing the conduction and increase the refractory period of the AV node. Landiolol does not exhibit any membrane-stabilizing ...
LASIK
The two techniques after a period of one year have similar results. A 2017 systematic review found uncertainty in visual acuity ... intraoperative, early postoperative, or late postoperative sources: According to the UK National Health Service, complications ... Independent research indicates 95% of patients experience dry eye in the initial post-operative period. This number has been ... intraoperative corneal pachymetry; and "wavefront-optimized" and "wavefront-guided" techniques which were introduced by the ...
Heather Von St James
Mesothelioma, commonly caused by exposure to asbestos, typically only manifests after a 10-50 year period following exposure. ... James underwent extensive thoracic surgery, known as extrapleural pneumonectomy, with adjuvant intra-operative heated ...
Coarctation of the aorta
In suitable fetuses, marked increases in aortic arch dimensions have been observed over treatment periods of about two to three ... "Intraoperative Identification of Chyle Leak During Coarctation Repair Using Fluorescein Dye". The Annals of Thoracic Surgery. ... Intraoperative image of aortic coarctation with aneurysmically changed intercostal arteries Diagram - end-to-end anastomosis ...
Cholecystectomy
"Intraoperative cholangiography in cholecystectomy". www.sbu.se. Swedish Agency for Health Technology Assessment and Assessment ... If the gallbladder is completely blocked and remains so for a prolonged period, the person develops acute cholecystitis. Pain ... Intraoperative endoscopic sphincterotomy for common bile duct stones during laparoscopic cholecystectomy. Gastrointest Endosc. ... intraoperative cholangiography (IOC)). This method was assessed by the Swedish SBU and routine use deemed to decrease risk of ...
Eye injuries during general anaesthesia
Intraoperative eye injuries account for 2% of medico-legal claims against anaesthetists in Australia and United Kingdom, and 3 ... Corneal abrasions can be excruciatingly painful in the postoperative period, may hamper postoperative rehabilitation and may ... Methods to prevent intraoperative corneal injuries include[citation needed] simple manual closure of the eyelids holding the ... Some of the adverse outcomes associated with intra-operative injuries include: Increased length of stay. This is due to ...
Tonsillectomy
After the treatment is performed, scarring occurs within the tonsil causing it to decrease in size over a period of several ... More recent studies of coblation tonsillectomy indicate reduced pain and ostalgia; less intraoperative or postoperative ... This may result in more discomfort during the postoperative period. Radiofrequency ablation: Monopolar radiofrequency thermal ...
Electrocorticography
Intraoperative ECoG The objective of the resectioning surgery is to remove the epileptogenic tissue without causing ... 2007). "Correlation between scalp-recorded electroencephalographic and electrocorticographic activities during ictal period". ... During the resectioning surgery, intraoperative ECoG may also be performed to monitor the epileptic activity of the tissue and ... ECoG may be performed either in the operating room during surgery (intraoperative ECoG) or outside of surgery (extraoperative ...
Perforator flaps
Any condition that probably increases the risk of intraoperative or postoperative complications: cardiovascular disease ... the complexity and length of this procedure microsurgical expertise is required and patients need to undergo a longer period of ...
Alder Hey Children's Hospital
Nicholas and his team continued to work on these murals for a period of 30 years, adding to as well as restoring and ... Morrissey Andrew Flintoff Leighton Baines In 2009 charitable support allowed Alder Hey to buy Europe's first 3T intraoperative ... Royal Manchester Children's Hospital A designated Children's Major Trauma Centre Alder Hey has Europe's first 3T Intraoperative ...
General Anesthesia: General Considerations, Preoperative Period, Intraoperative Period
Intraoperative Period. Induction. Induction of anesthesia can be accomplished by inhalation of anesthetic gases or by use of ... Preoperative Period. A general anesthetic can be broken down into three distinct phases, the pre-, intra-, and post-operative ... During the period of skin preparation, urinary catheter insertion, and marking incision lines with a pen, the patient is not ... Postoperative Period. After awakening, patients typically recover in the post anesthesia care unit (PACU). In more critically ...
Intramedullary Spinal Cord Tumors Treatment & Management: Medical Therapy, Intraoperative Details, Postoperative Details
Steroids are used in the perioperative period or if a rapid decline in neurologic function occurs, but steroids are not ... Intraoperative Details. Surgical positioning. The patient is positioned prone on bolsters or a Wilson frame, freeing the ... Intraoperative neurophysiologic monitoring is used by many surgeons to obtain feedback on the effects of positioning and ... Intraoperative electrophysiologic monitoring is thought to be useful, but its efficacy is unproven. Although MRI greatly ...
Antibiotics | Free Full-Text | Intraoperative Bacterial Contamination and Activity of Different Antimicrobial Prophylaxis...
In this preclinical exploratory analysis, we analyzed the results of intraoperative sample cultures, the ratio of plasma ... The SAP regimens evaluated achieved plasma levels above the MICs in almost all of intraoperative isolates (93/94, 98.9%) and ... this minimum period of follow-up is still ongoing in some patients. ... Intraoperative Cultures. At least one of the five tissue samples taken yielded positive culture results in 57 (43.2%) surgical ...
Intraoperative floppy iris syndrome - Wikipedia
Patients may experience more pain, a longer recovery period, and less improvement in visual acuity than a patient with an ... Intraoperative floppy iris syndrome (IFIS) is a complication that may occur during cataract extraction in certain patients. ... Wong, A. C. M.; Mak, S. T. (2011). "Finasteride-associated cataract and intraoperative floppy-iris syndrome". Journal of ... Issa, S. A.; Dagres, E. (2007). "Intraoperative floppy-iris syndrome and finasteride intake". Journal of Cataract & Refractive ...
Enhanced Recovery After Surgery (ERAS) in Emergency Abdominal Surgery: Background, Preoperative Components of ERAS,...
Intraoperative Components of ERAS. A surgical stress to the body causes a series of metabolic changes that leads to a cascade ... the limited preadmission and preoperative periods pose challenges to the management of ERAS pathways; however, a ... Maintaining a zero balance intraoperatively is a key component of intraoperative GDFT. [27, 28] Maintenance of a zero balance ... What are the intraoperative components of enhanced recovery after surgery (ERAS) programs for emergency GI surgical procedures? ...
Global Intraoperative Radiation Therapy Market to Grow at a CAGR of 6.5% During Forecast Period
... revealed that the Intraoperative Radiation Therapy market is anticipated to grow at a CAGR of 6.5% during the forecast period ... Based on technology, intraoperative radiation therapy is divided into intraoperative brachytherapy, electron intraoperative ... Global Intraoperative Radiation Therapy Market to Grow at a CAGR of 6.5% During Forecast Period Published , 16 August 2022 ... Home Press Release Global Intraoperative Radiation Therapy Market to Grow at a CAGR of 6.5% During Forecast Period ...
Lateral Thigh and Anterolateral Thigh Free Tissue Transfer Treatment & Management: Preoperative Details, Intraoperative Details...
As with any free tissue transfer, take measures in the immediate postoperative period to monitor flap viability and maximize ... Intraoperative identification of perforators using an endoscope has been reported. [25] This has the potential of avoiding a ... Intraoperative Details. Lateral thigh free flap. Palpate the vastus lateralis and biceps femoris muscles. The intermuscular ... If lower leg circulation is noted to be decreased after clamping the flaps pedicle, immediate intraoperative arterial ...
Comparison of laparoscopic versus conventional open cryptorchidectomies on intraoperative and postoperative complications and...
Overall, horses undergoing laparoscopy had a nonsignificant increase in intraoperative complications, compared with control ... Metabolic effects from prolonged periods of food withholding have been demonstrated,18,19 and it is suggested that this period ... Details of surgical approach and intraoperative complications were obtained from the surgical report. An intraoperative ... Comparison of intraoperative behavioral and hormonal responses to noxious stimuli between mares sedated with caudal epidural ...
NASS Insider
Patient Blood Management in Pregnancy | Transfusion Medicine and Hemotherapy | Karger Publishers
Recommendations for the transfusion management of patients in the peri-operative period. II. The intra-operative period. Blood ... Obore N, Liuxiao Z, Haomin Y, Yuchen T, Wang L, Hong Y. Intraoperative cell salvage for women at high risk of postpartum ... This is due to theoretical concerns regarding adverse effects on the fetus during the period of embryogenesis. Reassuringly, ... Changes in thromboelastography parameters in pregnancy, labor, and the immediate postpartum period. Int J Gynaecol Obstet. 2016 ...
Fellowship Training Eliminates the Learning Curve for Laparoscopic Inguinal Hernia Repair - SAGES Abstract Archives
No significant intraoperative complications occurred. Median follow up was 30 months (95% confidence interval, 28-34). Only 22 ... RESULTS: A total of 375 inguinal hernia repairs were performed during the study period. Of these, 354 laparoscopic inguinal ... Two recurrences (0.57%) developed over the follow up period. When these complication rates were compared between the two ...
Internet Scientific Publications
openPR.com - press releases of the category Politics, Law & Society - Page 20
The report assesses that the global market for intraoperative MRI equipment will expand at a CAGR of 7.5% during the period, ... Emerging Opportunities in Intraoperative MRI Equipment Market with Current Trend … Fact.MR foresees that the demand for ... New intraoperative MRI equipment entering the market offer real-time visualization throughout the stages of brain surgery, ... over the forecast period 2017-2025. Favorable government policies are one of the key factors driving the growth of LPO. Further ...
Thieme E-Journals - International Journal of Recent Surgical and Medical Sciences / Full Text
6 y study period, different clinical scenarios in which LVR was performed, compared with each other vis-à-vis recurrence of RP. ... No intra-operative blood transfusion was required. Mean length of hospital stay was 4 days. There were no recurrences over a ... No intra-operative blood transfusion was required. Median length of hospital stay was 5 days (range, 3-7 days). There was no ... and 12 months in the postoperative period. The pre- and post-operative constipation was objectively measured using the Wexner ...
Medical Science Monitor | Cost-Benefit Analysis of Using A Single Dose of Tranexamic Acid in Degenerative Lumbar Scoliosis...
Table 1. Data for patients with or without intraoperative TXA.. Table 2. Pricing of TXA and transfused PRBC units in patients ... Patients who did not use TXA during the same period were placed in the NTXA group (not receiving TXA). ... Table 1. Data for patients with or without intraoperative TXA.. Table 2. Pricing of TXA and transfused PRBC units in patients ... intraoperative autogenous transfusion volume by intraoperative cell salvage (ICS) system, and surgical duration. No ...
Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. | PSNet
This qualitative study examined how situational awareness and team culture impact intraoperative handoff practice. Researchers ... including the COVID-19 pandemic period. ... situational awareness and team culture impact intraoperative ... Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR.. Citation ... Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systematic review and meta-analysis ...
Tracheostomy Technique: Approach Considerations, Cricothyrotomy, Open Tracheostomy
... and well tolerated for short periods (generally 1-3 weeks). The intraoperative control provided by an endotracheal tube ... A retracted isthmus may be irritated if it rubs against the tracheostomy tube in the postoperative period, causing bleeding. ... This facilitates tube replacement should it dislodge in the immediate postoperative period. Marking the tape that holds these ...
Long-term outcomes of deep anterior lamellar versus penetrating keratoplasty for keratoconus | British Journal of Ophthalmology
No intraoperative complications were recorded. Donor corneas were stored at 31C in an organ culture medium before surgery.7 All ... Evolution of corneal graft survival over a 30-year period and comparison of surgical techniques: a cohort study. Am J ... No trends toward graft steepening with postoperative time were observed during the study period except during the first 3 years ... Dissection depth was controlled using a slit-lamp or intraoperative optical coherence tomography. Donor tissue used for DALK ...
Global Intraoperative Imaging Market Size, Share & Industry Trends Analysis Report By End-use, By Component, By Product (C-arm...
Intraoperative CT, Intraoperative Ultrasound and Intraoperative MRI), By Application, By Regional Outlook and Forecast, 2022 - ... Global Intraoperative Imaging Market Size, Share & Industry Trends Analysis Report By End-use, By Component, By Product (C-arm ... CAGR during the forecast period.. During surgery, the surgeon uses the intraoperative imaging system, an optical imaging device ... Intraoperative ultrasound, intraoperative X-ray, intraoperative MRI, intraoperative CT, and mobile C-arm are a few examples of ...
Bilateral Intraoperative Floppy Iris Syndrome Associated with Silodosin Intake
Relationship between Diagnosis Period and Internal and External Air Quality in Patients with Tuberculosis By: Gulhan et al. ... Intraoperative floppy iris syndrome (IFIS) was described by three characteristics: floppy iris that billows in reaction to ... Keywords : benign prostatic hyperplasia, cataract, intraoperative floppy iris syndrome, phacoemulsification, silodosin Read: ... Bilateral Intraoperative Floppy Iris Syndrome Associated with Silodosin Intake By: Ozcura and Irgat. ...
Novel molecular targets for atrial fibrillation therapy | Nature Reviews Drug Discovery
PRIME PubMed | Acute extracranial-intracranial bypass using a radial artery graft along with trapping of a ruptured blood...
Intraoperative bleeding from the BBAs never occurred in any of these 5 patients. CONCLUSIONS: Ruptured BBAs were successfully ... This surgical strategy for treating BBAs during the acute period might be a promising option for these rare but high-risk ... This surgical strategy for treating BBAs during the acute period might be a promising option for these rare but high-risk ... The remaining 4 patients underwent trapping/EC-IC bypass during the acute period following SAH. The outcome was excellent ( ...
Single-dose intraoperative radiotherapy (SD-IORT) for early stage breast cancer at Spire Bristol Hospital | Spire Healthcare
Single-dose intraoperative radiotherapy for early stage breast cancer - Radiation delivered to the tumour site after the tumour ... that the tumour site is often at risk of recurrence and traditional breast cancer radiation therapy requires a recovery period ... Single-dose intraoperative radiotherapy (SD-IORT) for early stage breast cancer at Spire Bristol Hospital. Radiation delivered ... Single dose intraoperative radiotherapy (SD-IORT) is an effective and convenient treatment for women who have been diagnosed ...
NCA - Ultrasound Diagnostic Procedures (CAG-00309R) - Decision Memo
Second Comment Period: February 26, 2007 - March 28, 2007. CMS received four comments during the initial public comment period ... As a result of this, both groups (CVP and DOP) had fewer episodes of intraoperative hypotension (P,0.048). Time to be deemed ... Initial Comment Period: August 31, 2006 - September 30, 2006. CMS received a total of four comments during the first public ... Cardiac output (CO) refers to the volume of blood ejected from the heart over a period of time. It can be calculated by ...
Effect of the percutaneous pedicle screw fixation at the fractured vertebra on the treatment of thoracolumbar fractures |...
Clinical results (VAS and ODI scores) showed no significant difference during all the follow-up periods. In the fractured group ... No significant difference was observed in the operation time and intra-operative blood loss between the two groups. ... intraoperative radiation exposure levels and outcomes. Orthopaedics Traumatology, Surgery Research: OTSR 99:162-168. doi: ... The operation time and intra-operative blood loss were recorded. Oswestry disability index (ODI) questionnaire and visual ...
Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series
Median follow-up was 18 months (5–36). In that period, no patient required ring removal or conversion to Roux-en-Y ... Median follow-up was 18 months (5-36). In that period, no patient required ring removal or conversion to Roux-en-Y gastric ... Intraoperative and postoperative collected data included operative time, adverse events or complications, hospital stay, and ... A total of 1624 bariatric procedures were performed during the study period. Patients were selected to banded OAGB-MGB ...
PBLD 4
Intraoperative Evaluation of the Secured Aneurysm:. *After a clip is placed, an assessment needs to be made if 1) the aneurysm ... What are the risks to the patient in the immediate post-operative period? Where should a patient be monitored and how? ... The Intraoperative Hypothermia during Aneurysm Surgery Trial (IHAST) was a large (n=1001) trial of good grade (WFNS I, II or ... Traditional intraoperative angiography can be utilized to evaluate clip placement. This involves setting up a C-arm in the OR ...
SciELO - Brazil - Effect of short-term ischemia on microcirculation and wound healing of adipocutaneous flaps in the rat
...
Skin temperature was slightly decreased on the flaps during the intra-operative period. There was no significant difference ... During the ischemic period several changes take an effect on the skin flap, such as endothelial damage, capillary thrombosis, ... At the end of the 2-week follow-up period, the rats were anesthetized and the flaps were excised for histology. The excision ... concluded that the operation and the wound healing affected micro-rheological parameters in the early postoperative period. In ...
Clinical Core DescriptionsComplicationsSurgicalPreoperativeUnderlying tumorEndotracheal tubeReducesFloppy-iris syndromeAnalgesicRadiotherapyIONMIORTRadiation therapyAwarenessLocalizationPulmonarySurgerySubsequentlyClinicalUnderwentOutcomesGuidanceIncidenceCardiacPatientPost-operativePatientsHistologyConsumptionPerioperativeAcuteManagementDiagnosticDetailsTreatmentEvaluationStudyRangeProtocolGlobalPotentialTechnologiesDataMonthsFoundStudiesRiskSiteCases
Complications4
- No significant intraoperative complications occurred. (sages.org)
- As for other digestive procedures, laparoscopic surgery has determined in bariatric operations a minimally invasive postoperative period and a decrease of postoperative complications [ 10 ]. (hindawi.com)
- However, definitions of complications after lumbar surgery have not been established and previous reports have varied in the definition of, and focus on, intraoperative or major postoperative complications. (researchgate.net)
- In contrast to post-op modifier 58 (which involves a planned return to the OR), you should append modifier 78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period when treatment for complications requires a return to the operating or procedure room. (aapc.com)
Surgical13
- Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. (ahrq.gov)
- Intraoperative floppy iris syndrome (IFIS) was described by three characteristics: floppy iris that billows in reaction to intraocular fluid currents during phacoemulsification surgery, flaccid iris stroma that tends to prolapse through well-constructed surgical incisions, and progressive pupillary miosis despite preoperative pharmacologic dilatation. (eajm.org)
- This surgical strategy for treating BBAs during the acute period might be a promising option for these rare but high-risk lesions. (unboundmedicine.com)
- After discussing with the patient the risks and the benefits of the surgical procedure, the patient was submitted to pancreatoduodenectomy en bloc with portal vein resection while the continuity of the portal vein was reestablished by using a cadaveric graft originating from the abdominal aorta. (spandidos-publications.com)
- Eight patients with dural arteriovenous fistulas involving the deep cerebral venous system were treated by a combination of preoperative embolization, intraoperative embolization, and/or surgical excision. (ajnr.org)
- Modifier 58 may be used during the global surgical period for the original procedure only. (aapc.com)
- The second surgical approach was via an incision above the nail to allow an en bloc resection of the distal third of the second phalanx. (vin.com)
- Immediate intraoperative histopathological examination of tumor tissue is indispensable for a neurosurgeon to track surgical resection. (surgicalneurologyint.com)
- For a neurosurgeon, an instant intraoperative histopathological examination of tumor tissue is a critical tool to monitor surgical resection by differentiating normal brain histology from a tumor. (surgicalneurologyint.com)
- The process of obtaining a frozen section, the gold standard for intraoperative histopathological examination, is time-consuming and can delay surgical treatment. (surgicalneurologyint.com)
- Considerable inter-hospital variations were observed in preoperative work-up, tumor diagnostics, surgical strategies, techniques for intraoperative guidance, as well as choice and timing of adjuvant therapy. (lu.se)
- If you can believe it, there is indeed less consensus in the surgical world about the optimal intraoperative BP than there might be in the outpatient nephrology community about the optimal resting BP. (medscape.com)
- Orthopedic OR staff UV-C exposures, measured at shoulder height beneath a scrub shirt and warm-up jacket or surgical gown (i.e., two layers of PPE), were well below the NIOSH REL during 94- to 195-minute periods when UVGI was in use. (cdc.gov)
Preoperative7
- The components of ERAS may be broadly divided into preadmission, preoperative, intraoperative, and postoperative phases, each of which includes various distinct components (see the image below). (medscape.com)
- Preoperative, intraoperative, and postoperative components of Enhanced Recovery After Surgery (ERAS). (medscape.com)
- In contrast to other studies that used limited intra- and postoperative care elements, the authors maximized the use of ERAS care elements in the study population, including the preoperative components whenever feasible and most of the intraoperative and postoperative components. (medscape.com)
- Four patients were treated and cured by preoperative embolization of external carotid feeding vessels followed by direct intraoperative placement of liquid adhesives into the fistula site. (ajnr.org)
- Unsuccessful surgery with persistent hyperparathyroidism, due to inadequate preoperative or intraoperative localization, may be observed in about 10% of patients. (snmjournals.org)
- In the standard BP arm, patients were given a vasoconstrictive agent (intravenous ephedrine ) if their intraoperative systolic BP dropped below 80 mm Hg or was at least 40% lower than their preoperative value. (medscape.com)
- Contrast this arm to the personalized (ie, intervention) arm in which patients were given a vasoconstrictive agent (in this arm, it was norepinephrine ) if their intraoperative BP was 10% of their preoperative value. (medscape.com)
Underlying tumor1
- Electron intraoperative radiation therapy delivers electron radiation directly to the underlying tumor or tumor bed during cancer surgery. (blueweaveconsulting.com)
Endotracheal tube1
- The intraoperative control provided by an endotracheal tube facilitates tracheostomy. (medscape.com)
Reduces1
- Therefore, the degree to which it reduces intraoperative pain intensity remains unclear. (researchgate.net)
Floppy-iris syndrome2
- Intraoperative floppy iris syndrome (IFIS) is a complication that may occur during cataract extraction in certain patients. (wikipedia.org)
- 2008), "ASCRS White Paper: clinical review of intraoperative floppy-iris syndrome", J Cataract Refract Surg, 34 (12): 2153-2162, doi:10.1016/j.jcrs.2008.08.031, PMID 19027575. (wikipedia.org)
Analgesic1
- Background Dexmedetomidine has analgesic properties, but the intraoperative analgesic effect of dexmedetomidine is often masked by the effects of other general anaesthetics. (researchgate.net)
Radiotherapy3
- The global intraoperative radiation therapy market is growing due to the increased incidence of cancer, advancement of technologies, and benefits provided by intraoperative radiation therapy (IORT) over traditional radiotherapy. (blueweaveconsulting.com)
- Moreover, advancements in technologies, increased incidence of cancer, and benefits provided by intraoperative radiation therapy (IORT) over traditional radiotherapy propel the market growth. (blueweaveconsulting.com)
- Single dose intraoperative radiotherapy (SD-IORT) is an effective and convenient treatment for women who have been diagnosed with early stage breast cancer. (spirehealthcare.com)
IONM1
- In a meta-analysis by Rijs and Klimek regarding intraoperative neuromonitoring (IONM) for intramedullary spinal cord tumors, IONM had a high sensitivity and specificity, was found to prevent neurologic damage, but limited the extent of tumor resection. (medscape.com)
IORT3
- Due to its simplicity of use and lack of awareness, intraoperative radiation therapy (IORT) systems do not have widespread acceptance among doctors and other healthcare professionals, which restrains the market's expansion. (blueweaveconsulting.com)
- In the intraoperative radiation treatment market, the segment for electron IORT is anticipated to develop at the fastest rate. (blueweaveconsulting.com)
- When radiation is delivered during surgery, also known as intraoperative radiation therapy (IORT), it "sterilizes" the tissue around the tumor by killing cancerous cells. (hopkinsmedicine.org)
Radiation therapy4
- A recent study conducted by the strategic consulting and market research firm, BlueWeave Consulting , revealed that the Global Intraoperative Radiation Therapy market is anticipated to grow at a CAGR of 6.5% during the forecast period 2022-2028. (blueweaveconsulting.com)
- The Global Intraoperative Radiation Therapy market is booming due to the rising cancer incidence, changing lifestyles, and an aging population. (blueweaveconsulting.com)
- Based on technology, intraoperative radiation therapy is divided into intraoperative brachytherapy, e lectron intraoperative radiation therapy, and others. (blueweaveconsulting.com)
- As the dose quickly decreases after the target site based on the electron energy, forgiving underlying healthy tissue, electron beams are excellent for intraoperative radiation therapy. (blueweaveconsulting.com)
Awareness1
- This qualitative study examined how situational awareness and team culture impact intraoperative handoff practice. (ahrq.gov)
Localization1
- However, the advent of hybrid ORs has allowed intraoperative computed tomography (IOCT)-guided lesion localization. (biomedcentral.com)
Pulmonary2
- Methods : A cross sectional validity study conducted in a tertiary care cardiac centre in south India over a period of 6 months from February 2016 - August 2016 among 100 patients undergoing cardiac surgery where intraoperative TEE and pulmonary artery catheter used. (amrita.edu)
- The recent advent of hybrid ORs is triggering a paradigm shift in the treatment of pulmonary nodules, paving the way to intraoperative CT (IOCT)-guided VATS. (biomedcentral.com)
Surgery11
- This syndrome is characterized by a flaccid iris which billows in response to ordinary intraocular fluid currents, a propensity for this floppy iris to prolapse towards the area of cataract extraction during surgery, and progressive intraoperative pupil constriction despite standard procedures to prevent this. (wikipedia.org)
- Such aneurysms have a remarkable tendency to rupture during surgery, especially during the acute period. (unboundmedicine.com)
- Surgery was postponed in the 3 patients, including 1 in whom the trapping/EC-IC bypass procedure was performed during the chronic period. (unboundmedicine.com)
- In that period, no patient required ring removal or conversion to Roux-en-Y gastric bypass surgery. (hindawi.com)
- We retrospectively reviewed all lumbar surgery, including decompression surgery with or without fusion, at Meijo Hospital over a 10-year period. (researchgate.net)
- After years of observing this technology at work, we are confident that any surgeon trialing the new HipGrid Drone™ will discover new information that enhances the quality of intraoperative assessment of key elements of total hip surgery. (prnewswire.com)
- A new global period begins, and most payers will reimburse the second surgery based on 100 percent of the fee schedule. (aapc.com)
- On May 9, within the global period of the initial surgery, the patient is returned to the OR for a modified radical breast mastectomy by the same surgeon. (aapc.com)
- Once the surgery is finished, you will go through a period of recovery. (hopkinsmedicine.org)
- Methods: Patients screened for inclusion underwent primary surgery of a histopathologically verified diffuse WHO grade II glioma in the time period 2012 through 2017. (lu.se)
- Women who underwent surgery for gynecological malignancies in our institution over a three-year period were included in this study. (bvsalud.org)
Subsequently1
- Both patients had persistent fistulas and were subsequently treated by intraoperative embolization with liquid adhesives. (ajnr.org)
Clinical2
- The authors describe the clinical course of patients with subarachnoid hemorrhage (SAH) caused by BBA rupture and emphasize the value of internal carotid artery trapping combined with high-flow extracranial-intracranial (trapping/EC-IC) bypass during the acute period following SAH. (unboundmedicine.com)
- In 2021, an intraoperative periaortic swab sample was confirmed positive for a Burkholderia species, and three of the thirty clinical staff-identified exposures were confirmed laboratory-acquired exposures. (cdc.gov)
Underwent1
- The remaining 4 patients underwent trapping/EC-IC bypass during the acute period following SAH. (unboundmedicine.com)
Outcomes1
- We examined the patients' background (tumor location, macroscopic type, tumor size, histological type, and depth of invasion) and treatment outcomes (procedure duration, en bloc resection rate, R0 resection rate, and adverse events). (bvsalud.org)
Guidance1
- MIP is greatly aided by intraoperative guidance with a γ-probe, based on in vivo radioactivity counting after injection of 99m Tc-sestamibi. (snmjournals.org)
Incidence1
- The market is expected to grow during the forecast period due to the increased incidence of cancer cases, including breast and lung cancer. (blueweaveconsulting.com)
Cardiac2
- Cardiac output (CO) refers to the volume of blood ejected from the heart over a period of time. (cms.gov)
- After that period, a hyperdynamic state develops with an increased cardiac output (provided there is no hypovolemia) and decreased SVR. (renalandurologynews.com)
Patient6
- Patients may experience more pain, a longer recovery period, and less improvement in visual acuity than a patient with an uncomplicated cataract removal. (wikipedia.org)
- What are the risks to the patient in the immediate post-operative period? (snacc.org)
- Due to the presence of a good general status and due to the absence of other signs of unresectability, the patient was submitted to per primam resection, a pancreatoduodenectomy en bloc with portal vein resection being performed. (spandidos-publications.com)
- For example, on May 1 the patient undergoes a partial colectomy (90-day global period). (aapc.com)
- Larger burns (size estimated with the use of burn diagrams or the "Rule of Nine") will need fluid resuscitation to stabilize the patient during the period of edema formation. (renalandurologynews.com)
- Any patient with a serum creatinine that was at least 1.5 times his/her baseline within this time period or had a urine output of at least less than 0.5 mL/kg body weight/hour for 6 consecutive hours was labeled as having developed AKI (RIFLE stage of risk or higher). (medscape.com)
Post-operative2
- A general anesthetic can be broken down into three distinct phases, the pre-, intra-, and post-operative periods. (medscape.com)
- Delayed cerebral ischemia can manifest after a successful operation for securing the aneurysm and patients at risk require monitoring for this complication in the post-operative period. (snacc.org)
Patients5
- Intraoperative bleeding from the BBAs never occurred in any of these 5 patients. (unboundmedicine.com)
- Methods Patients with aneurysmal SAH admitted to the neurosurgical centres in Sweden were prospectively registered during a 3.5-year period (2014-2018). (lu.se)
- Conclusion Intraoperative AEs occurred in 25% of patients treated with microsurgery for ruptured intracerebral aneurysm in this nationwide survey. (lu.se)
- What's the Optimal Intraoperative BP Among High-Risk Patients? (medscape.com)
- What Is the Optimal Intraoperative Blood Pressure Among High-Risk Patients? (medscape.com)
Histology2
- Over a 17-year period, we reviewed the histology of appendix specimens removed nonincidentally from adolescents aged 12-16 years. (ajol.info)
- 52 ] The current modalities available for intraoperative brain tumor examination include stimulated Raman histology, frozen sections (hematoxylin and eosin-stain), and cytological methods. (surgicalneurologyint.com)
Consumption1
- Throughout the expected period, it is anticipated that rising packaged food consumption will also have the greatest positive impact on market revenue. (blueweaveconsulting.com)
Perioperative1
- Steroids are used in the perioperative period or if a rapid decline in neurologic function occurs, but steroids are not considered tumoricidal. (medscape.com)
Acute1
- Ruptured BBAs were successfully treated with a trapping/EC-IC bypass during the acute SAH period. (unboundmedicine.com)
Management1
- What are the cardiopulmonary sequelae that can impact intraoperative management? (snacc.org)
Diagnostic1
- Intraoperative brain smear is a simple, rapid, cost-effective, and highly sensitive diagnostic modality for brain tumors. (surgicalneurologyint.com)
Details1
- In addition to demographic data, parity ing the peripartum period in relation to the and gestational age, details of any maternal number of previous caesarean sections and intra-operative, postoperative and puerperal the risks of maternal morbidity and mortal- morbidity and mortality were extracted. (who.int)
Treatment1
- Intraoperative radiation treatment systems are currently viewed as novel technologies for which reimbursements are only partially available, which limits the market's overall expansion. (blueweaveconsulting.com)
Evaluation1
- It seems that flow cytometry analyses for intraoperative tumor evaluation can be safely expanded to gynecological malignancies . (bvsalud.org)
Study2
- RESULTS: A total of 375 inguinal hernia repairs were performed during the study period. (sages.org)
- The study aims to determine the effectiveness of intraoperative brain smear in the diagnosis of brain tumors in low- and middle-income countries (LMICs), while also evaluating its sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and overall accuracy. (surgicalneurologyint.com)
Range3
- Mean postoperative follow-up period was 4.0 (range 2-9) years. (researchgate.net)
- Controlling one's intraoperative BP within a 10% range resulted in a 14% lower absolute risk. (medscape.com)
- Keeping the intraoperative BP within a 10% range resulted in a relative risk of 0.70 (95% CI, 0.53-0.92). (medscape.com)
Protocol2
- The intraoperative anesthetic regimen will be standardized to consist of total intravenous anesthesia using sevoflurane, propofol, lidocaine and magnesium (institutional protocol), and fentanyl with boluses allowed per provider discretion. (centerwatch.com)
- We developed an innovative rapid cell -cycle analysis protocol (the Ioannina protocol) that permitted the intraoperative identification of neoplastic cells in a plethora of malignancies . (bvsalud.org)
Global1
- A new global period begins with each subsequent procedure, and usually there is no reduction in reimbursement. (aapc.com)
Potential1
- Herein, we aimed to investigate the potential role of cell -cycle analysis in the intraoperative characterization of gynecological malignancies . (bvsalud.org)
Technologies1
- Early OrthoGrid ® concepts have grown into a portfolio of patented and patent-pending technologies related to intraoperative alignment using radiopaque grid patterns for the growing fields of orthopedic total joint arthroplasty and trauma. (prnewswire.com)
Data1
- Since its inception, OrthoGrid® has succeeded in revealing data hidden within an intraoperative x-ray that cannot be accurately seen with the naked eye. (prnewswire.com)
Months1
- Follow-up periods ranged from 7 to 21 months (mean, 14). (ajnr.org)
Found1
- The sensitivity and specificity of the intraoperative smear of brain tumors were found to be over 90% in most studies. (surgicalneurologyint.com)
Studies1
- One recurrent theme in the majority of the included studies was that an intraoperative brain smear is a cost-effective, quick, accessible, and accurate method of diagnosing brain tumors, requiring minimal training and infrastructure. (surgicalneurologyint.com)
Risk1
- Aim: To evaluate the prevalence of intraoperative accidents associated with extraction of third molars and identify possible risk factors. (bvsalud.org)
Site1
- Since the last NIOSH site visit in December 2007, BWH has discontinued the use of UVGI for intraoperative infection control. (cdc.gov)
Cases1
- Using portable eye-tracking glasses, 4 experienced endoscopists were shown random videos of intraoperative bleeding during ESD (20 cases each on WLI and DRI) and identified the bleeding point in each video. (bvsalud.org)
