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Gastrointestinal Endoscopy Aug 2019
Topics: Constriction, Pathologic; Crohn Disease; Endoscopy; Humans; Postoperative Period
PubMed: 31327339
DOI: 10.1016/j.gie.2019.04.208 -
Revista Brasileira de Enfermagem 2021To analyze the scientific literature on the application of management tools in the postoperative period of pediatric cardiac surgery. (Review)
Review
OBJECTIVE
To analyze the scientific literature on the application of management tools in the postoperative period of pediatric cardiac surgery.
METHODS
integrative review including studies published between 2004 and 2018 in the following databases: LILACS, BDENF, coleciona SUS, MEDLINE/PUBMED, CINAHL and SCOPUS, via Portal de Periódicos da Capes, Scientific Electronic Library Online (SciELO) and Academic Google research.
RESULTS
Twelve articles that met the inclusion criteria were analyzed. The studies demonstrated that strategies such as extracorporeal membrane oxygenation, renal replacement therapy and the risk scores for Risk Adjustment for Congenital Heart Surgery 1 and Aristotle Basic Score favored the stratification the demand for care and predicted the risk for mortality.
FINAL CONSIDERATIONS
The applicability of risk scores and emerging strategies for the management of childcare in the postoperative period of cardiac surgery was described by the evaluation of possibilities of performance and/or efficiency of the treatments developed.
Topics: Cardiac Surgical Procedures; Child; Child Care; Critical Care; Humans; Pediatric Nursing; Postoperative Period; Risk Factors
PubMed: 33909809
DOI: 10.1590/0034-7167-2020-0073 -
The American Journal of Managed Care Oct 2020Surgical patients often leave the hospital with many questions and concerns after their surgery and will contact their providers to get answers. The growth of... (Review)
Review
OBJECTIVES
Surgical patients often leave the hospital with many questions and concerns after their surgery and will contact their providers to get answers. The growth of patient-provider communication (PPC) technologies allows for many new opportunities to study postoperative patient-initiated communication. We aimed to characterize a growing body of literature on postoperative patient-initiated communication.
STUDY DESIGN
Review.
METHODS
A scoping review methodology was used to identify 17 studies analyzing patient-initiated communication in the postoperative period and to characterize key results and areas of investigation in the literature. Patient-initiated communication in the postoperative period was defined as any communication initiated by the patient after discharge.
RESULTS
The majority of studies were published between 2014 and 2018 (82.4%). Telephone calls were the most common type of medium investigated (11 studies; 64.7%), followed by secure messaging (2 studies; 11.8%). Patients most commonly initiated contact regarding study results, medications, and wounds. Common areas of investigation included communication timing and sociodemographic associations.
CONCLUSIONS
As health systems adopt new technologies for PPC, understanding how and why patients initiate contact with providers postoperatively can inform efforts to strengthen PPC broadly. Moreover, research on sociodemographic variation in communication patterns after surgery can help address communication gaps that patient groups may experience. Future research can build upon this work to improve patient outcomes and increase clinic efficiency.
Topics: Communication; Humans; Patients; Postoperative Period; Surgical Procedures, Operative
PubMed: 33094946
DOI: 10.37765/ajmc.2020.88507 -
International Journal of Impotence... Jan 2021If the surgeon makes a flawed and unrecognized movement with an instrument during implantation surgery, the cylinder subsequently may migrate into an unexpected position... (Review)
Review
If the surgeon makes a flawed and unrecognized movement with an instrument during implantation surgery, the cylinder subsequently may migrate into an unexpected position with inflation and thrusting post operatively. The out of position cylinder is now evident to the patient or symptomatic with discomfort. This 5th Wilson's Workshop will describe our recommended surgeries for correction of out of place cylinders and illustrate the simplest, safest and least invasive.
Topics: Equipment Failure; Humans; Postoperative Period
PubMed: 32457496
DOI: 10.1038/s41443-020-0310-0 -
BMC Cancer Sep 2023The relationship between postoperative CA125 level changes and early recurrence after curative resection of resectable PDAC is still unclear.
BACKGROUND
The relationship between postoperative CA125 level changes and early recurrence after curative resection of resectable PDAC is still unclear.
METHODS
The electronic medical records and follow-up data of patients with resectable pancreatic cancer were evaluated. Dynamic CA125 detection was used to identify the rules for postoperative CA125 level change and its prognostic value in patients with resectable pancreatic cancer.
RESULTS
The study included a total of 118 patients with resectable pancreatic cancer who underwent curative resection. Early postoperative CA125 levels were significantly higher than those before surgery (P < 0.05). It decreased gradually in the group without early recurrence (P < 0.05) but not in the early recurrence group (P>0.05). There was no correlation between early postoperative CA125 levels and early recurrence (P > 0.05). CA125 levels three months after surgery were associated with an increased risk of early recurrence (P = 0.038, 95% CI (1.001-1.025)). The cutoff CA125 level at 3 months after surgery for predicting early recurrence was 22.035. Patients with CA125 levels < 22.035 three months postoperatively had similar DFS and OS, regardless of whether the value was exceeded in the early postoperative period, but these values were significantly better than those of patients with CA125 levels > 22.035 at 3 months postoperatively (p < 0.05).
CONCLUSIONS
Patients with different prognoses have different patterns of CA125 level changes. Elevations in CA125 levels > 3 months postoperatively, rather than early postoperative elevation, were associated with a poor prognosis.
Topics: Humans; Prognosis; CA-125 Antigen; Pancreatic Neoplasms; Postoperative Period
PubMed: 37670245
DOI: 10.1186/s12885-023-11346-8 -
Clinical Hemorheology and... 2022The incidence of postoperative microcirculatory flow alterations and their effect on outcome have not been studied extensively. (Meta-Analysis)
Meta-Analysis
BACKGROUND
The incidence of postoperative microcirculatory flow alterations and their effect on outcome have not been studied extensively.
OBJECTIVE
This systematic review and meta-analysis were designed to investigate the presence of sublingual microcirculatory flow alterations during the immediate and early postoperative period and their correlation with complications and survival.
METHODS
A systematic search of PubMed, Scopus, Embase, PubMed Central, and Google Scholar was conducted for relevant articles from January 2000 to March 2021. Eligibility criteria were randomized controlled and non-randomized trials. Case reports, case series, review papers, animal studies and non-English literature were excluded. The primary outcome was the assessment of sublingual microcirculatory alterations during the immediate and early postoperative period in adult patients undergoing surgery. Risk of bias was assessed with the Ottawa-Newcastle scale. Standard meta-analysis methods (random-effects models) were used to assess the difference in microcirculation variables.
RESULTS
Thirteen studies were included. No statistically significant difference was found between preoperative and postoperative total vessel density (p = 0.084; Standardized Mean Difference (SMD): -0.029; 95%CI: -0.31 to 0.26; I2 = 22.55%). Perfused vessel density significantly decreased postoperatively (p = 0.035; SMD: 0.344; 95%CI: 0.02 to 0.66; I2 = 65.66%), while perfused boundary region significantly increased postoperatively (p = 0.031; SMD: -0.415; 95%CI: -0.79 to -0.03; I2 = 37.21%). Microvascular flow index significantly decreased postoperatively (p = 0.028; SMD: 0.587; 95%CI: 0.06 to 1.11; I2 = 86.09%), while no statistically significant difference was found between preoperative and postoperative proportion of perfused vessels (p = 0.089; SMD: 0.53; 95%CI: -0.08 to 1.14; I2 = 70.71%). The results of the non-cardiac surgery post-hoc analysis were comparable except that no statistically significant difference in perfused vessel density was found (p = 0.69; SMD: 0.07; 95%CI: -0.26 to 0.39; I2 = 0%).
LIMITATIONS
The included studies investigate heterogeneous groups of surgical patients. There were no randomized controlled trials.
CONCLUSIONS
Significant sublingual microcirculatory flow alterations are present during the immediate and early postoperative period. Further research is required to estimate the correlation of sublingual microcirculatory flow impairment with complications and survival.
Topics: Humans; Microcirculation; Postoperative Period
PubMed: 34719484
DOI: 10.3233/CH-211214 -
JAMA Surgery Jan 2021
Topics: Frailty; Humans; Morbidity; Postoperative Period
PubMed: 33206154
DOI: 10.1001/jamasurg.2020.5153 -
JAMA Otolaryngology-- Head & Neck... Apr 2023
Topics: Humans; Anesthesia, Intravenous; Anesthesia, General; Lung; Postoperative Complications; Postoperative Period; Anesthetics, Intravenous
PubMed: 36757753
DOI: 10.1001/jamaoto.2022.4964 -
JAMA Otolaryngology-- Head & Neck... Apr 2023
Topics: Humans; Anesthesia, Intravenous; Anesthesia, General; Lung; Postoperative Complications; Postoperative Period; Anesthetics, Intravenous; Anesthesia, Inhalation
PubMed: 36757716
DOI: 10.1001/jamaoto.2022.4967 -
The Journal of Thoracic and... Apr 2020
Topics: Atrial Fibrillation; Humans; Postoperative Period
PubMed: 31699424
DOI: 10.1016/j.jtcvs.2019.08.014