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Cleveland Clinic Journal of Medicine Jan 2022Cardiovascular events have a major impact on overall outcomes after liver transplantation. Today's transplant patients are older than those in the past and therefore are... (Review)
Review
Cardiovascular events have a major impact on overall outcomes after liver transplantation. Today's transplant patients are older than those in the past and therefore are more likely to have coexisting cardiac comorbidities. In addition, pathophysiologic effects of advanced liver disease on the circulatory system pose challenges in perioperative management. This review discusses important preoperative, intraoperative, and postoperative cardiac considerations in patients undergoing liver transplant.
Topics: Heart; Humans; Liver Diseases; Liver Transplantation; Postoperative Complications; Postoperative Period
PubMed: 34983801
DOI: 10.3949/ccjm.89a.21006 -
Anesthesiology Jun 2022
Topics: Atrial Fibrillation; Humans; Postoperative Complications; Postoperative Period; Risk Factors
PubMed: 35482968
DOI: 10.1097/ALN.0000000000004233 -
Annals of Palliative Medicine Aug 2022
Topics: Humans; Postoperative Period
PubMed: 35871274
DOI: 10.21037/apm-22-784 -
Minerva Anestesiologica Mar 2022
Topics: Aged; Delirium; Humans; Postoperative Period
PubMed: 35164497
DOI: 10.23736/S0375-9393.22.16442-4 -
British Journal of Anaesthesia Jul 2022There is no consensus about the type of instrument with which to assess postoperative recovery or the time points when assessments are most appropriate. It is also... (Review)
Review
BACKGROUND
There is no consensus about the type of instrument with which to assess postoperative recovery or the time points when assessments are most appropriate. It is also unclear whether instruments measure the four dimensions of postoperative recovery, that is physical, psychological, social, and habitual recovery. This scoping review had three objectives: (1) to identify and describe instruments used in clinical trials to assess postoperative recovery; (2) to determine how, when, and the number of times postoperative recovery was measured; and (3) to explore whether the four dimensions of postoperative recovery are represented in the identified instruments.
METHODS
A literature search was conducted in CINAHL, MEDLINE, and Web of Science. The search terms were related to three search strands: postoperative recovery, instrument, and clinical trials. The limits were English language and publication January 2010 to November 2021. In total, 5015 studies were identified.
RESULTS
A total of 198 studies were included in the results. We identified 20 instruments measuring postoperative recovery. Different versions of Quality of Recovery represented 81.8% of the included instruments. Postoperative recovery was often assessed at one time point (47.2%) and most often on postoperative day 1 (81.5%). Thirteen instruments had items covering all four dimensions of postoperative recovery.
CONCLUSIONS
Assessing recovery is important to evaluate and improve perioperative care. We emphasise the importance of choosing the right instrument for the concept studied and, if postoperative recovery is of interest, of assessing more than once. Ideally, instruments should include all four dimensions to cover the whole recovery process.
Topics: Humans; Postoperative Period
PubMed: 35623904
DOI: 10.1016/j.bja.2022.04.015 -
Anesthesiology Oct 2021
Topics: Anesthetics; Anesthetics, Inhalation; Cognition; Humans; Postoperative Period
PubMed: 34464441
DOI: 10.1097/ALN.0000000000003918 -
Acta Orthopaedica Jul 2022
Topics: Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Humans; Knee Joint; Postoperative Period
PubMed: 35848732
DOI: 10.2340/17453674.2022.3977 -
Anaesthesia Jan 2020An ageing population and rising healthcare costs are challenging cost-efficient hospital systems wanting to adapt, employing novel organisational structures designed to... (Review)
Review
An ageing population and rising healthcare costs are challenging cost-efficient hospital systems wanting to adapt, employing novel organisational structures designed to merge diverse skill sets. This needs not only physician and nursing leadership but also new models of care. Anaesthetists have expanded their role into the broader multidisciplinary field of peri-operative medicine, emphasising collaboration and safety in health teams. A greater focus on patient-centred care and shared decision making, along with validated metrics to quantify quality improvement activities, have emphasised the importance of comfort, patient satisfaction and quality of life after surgery. Shared decision-making is more likely to be manifest in a flat hierarchy in which each member of the team brings their own experience and skills to optimise patient care. Successful surgery is best achieved by a coordinated, multidisciplinary team, embedded in a culture of collaboration and safety.
Topics: Humans; Patient Care Team; Patient-Centered Care; Postoperative Complications; Postoperative Period; Recovery of Function
PubMed: 31903575
DOI: 10.1111/anae.14869 -
British Journal of Anaesthesia Jan 2018
Topics: Arterial Pressure; Electrocardiography; Humans; Hypotension; Postoperative Period; Troponin
PubMed: 29397136
DOI: 10.1016/j.bja.2017.11.008 -
The Canadian Journal of Urology Dec 2020
Topics: Anti-Bacterial Agents; Humans; Male; Postoperative Period; Urethra; Urinary Incontinence; Urinary Sphincter, Artificial
PubMed: 33325345
DOI: No ID Found