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The Journal of Thoracic and... May 2020
Topics: Cardiac Surgical Procedures; Humans; Postoperative Period
PubMed: 31630837
DOI: 10.1016/j.jtcvs.2019.08.123 -
The Journal of Thoracic and... Apr 2020
Topics: Atrial Fibrillation; Humans; Postoperative Period
PubMed: 31699424
DOI: 10.1016/j.jtcvs.2019.08.014 -
Revista Da Escola de Enfermagem Da U S P 2022To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty.
OBJECTIVE
To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty.
METHOD
Documentary and retrospective study, developed in a Brazilian public and tertiary hospital, between August and September 2020. Children who underwent only palatoplasty, between January and December 2019, aged between 10 and 24 months, were included. Those with medical syndromes and/or comorbidities were excluded. The Theoretical Framework of Basic Human Needs and the NANDA International and Nursing Interventions Classification Taxonomies were used. Data underwent descriptive statistical analysis.
RESULTS
The sample consisted of 126 children. Psychobiological needs such as oxygenation, hydration, nutrition, elimination, cutaneous-mucosal and physical integrity, pain and environmental perception predominated. Based on them, nine nursing diagnoses, with four focusing on the problem and five on risk, as well as 17 interventions, were identified.
CONCLUSION
The use of standardized languages to identify affected human needs and, based on them, diagnoses and interventions, favored clinical reasoning for the construction and organization of clinical nursing practice.
Topics: Child; Child, Preschool; Humans; Infant; Nursing Diagnosis; Postoperative Period; Retrospective Studies; Standardized Nursing Terminology; Vocabulary, Controlled
PubMed: 35007314
DOI: 10.1590/1980-220X-REEUSP-2020-0252 -
British Journal of Anaesthesia Aug 2022
Topics: Aged; Anemia; Cardiac Surgical Procedures; Disabled Persons; Humans; Postoperative Period
PubMed: 35637022
DOI: 10.1016/j.bja.2022.04.017 -
British Journal of Anaesthesia Mar 2021
Topics: Cohort Studies; Heart Injuries; Hemoglobins; Humans; Postoperative Period; Retrospective Studies
PubMed: 33341228
DOI: 10.1016/j.bja.2020.11.017 -
Arquivos Brasileiros de Cardiologia Sep 2021Approximately 300 million non-cardiac surgeries are performed annually worldwide and adverse cardiovascular events are the main cause of morbidity and mortality in the...
Approximately 300 million non-cardiac surgeries are performed annually worldwide and adverse cardiovascular events are the main cause of morbidity and mortality in the peri- and postoperative period. Myocardial injury after non-cardiac surgery (MINS) is a new clinical entity associated with adverse cardiovascular outcomes. MINS is defined as myocardial injury that can result in necrosis due to ischemia, marked by increase in biomarker levels. It has prognostic relevance and occurs within up to 30 days after non-cardiac surgery. The diagnostic criteria for MINS are an elevated postoperative measure of troponin judged as secondary to myocardial ischemia, i.e., with no evidence of a non-ischemic etiology, during or within 30 days after non-cardiac surgery, and without the requirement of an ischemic symptom or electrocardiographic finding of ischemia. Recently, patients at higher risk for MINS have been recognized using clinical variables and biomarkers and established protocols for greater surveillance in relation to electrocardiographic monitoring and cardiac troponin dosage. Elderly patients with previous atherosclerotic disease need to measure troponin daily in the postoperative period. The aim of the present work is to describe this new public health problem, its clinical impact and contemporary therapeutic approach.
Topics: Aged; Heart Injuries; Humans; Myocardial Ischemia; Postoperative Complications; Postoperative Period; Troponin
PubMed: 34550241
DOI: 10.36660/abc.20200317 -
Anesthesiology Oct 2021
Topics: Anesthetics; Cognition; Humans; Postoperative Period
PubMed: 34464436
DOI: 10.1097/ALN.0000000000003917 -
World Journal of Gastroenterology Sep 2021Magnetic resonance imaging (MRI) is considered the gold standard for the evaluation of anal fistulas. There is sufficient literature available outlining the... (Review)
Review
Magnetic resonance imaging (MRI) is considered the gold standard for the evaluation of anal fistulas. There is sufficient literature available outlining the interpretation of fistula MRI before performing surgery. However, the interpretation of MRI becomes quite challenging in the postoperative period after the surgery of fistula has been undertaken. Incidentally, there are scarce data and no set guidelines regarding analysis of fistula MRI in the postoperative period. In this article, we discuss the challenges faced while interpreting the postoperative MRI, the timing of the postoperative MRI, the utility of MRI in the postoperative period for the management of anal fistulas, the importance of the active involvement and experience of the treating clinician in interpreting MRI scans, and the latest advancements in the field.
Topics: Anal Canal; Humans; Magnetic Resonance Imaging; Postoperative Period; Radionuclide Imaging; Rectal Fistula
PubMed: 34588745
DOI: 10.3748/wjg.v27.i33.5460 -
The Spine Journal : Official Journal of... Jan 2022Early postoperative MR images are frequently necessary after spine surgery. The appearance of commonly used adjunct hemostatic agents and dural sealants in MR images has...
BACKGROUND CONTEXT
Early postoperative MR images are frequently necessary after spine surgery. The appearance of commonly used adjunct hemostatic agents and dural sealants in MR images has not been systematically evaluated.
PURPOSE
The purpose of this experimental study was to systematically analyze and describe the characteristics of the most commonly applied hemostatic agents and dural sealants in spine surgery on early postoperative MR images.
STUDY DESIGN
Cadaver Study METHODS: Four commonly applied dural sealants (Duraseal, Bioglue, Tachosil, Tisseel) and five commonly used hemostatic agents (Surgiflo, Bonewax, , Spongostan, Gelfoam, Avitene) were investigated. The experimental setting involved a human cadaver where a standard left-sided laminotomy was performed on nine levels of the thoracolumbar spine, and the materials were separately applied and mixed with fresh blood or water for hemostatic and dural sealants, respectively. The cadaver model was scanned at a 3 Tesla MRI and the imaging findings for all materials were compared to the surrounding tissue and systematically reported.
RESULTS
All investigated dural sealants and hemostatic agents were distinguishable from the surrounding tissue on MR images with different appearances on the MR sequences. A detailed atlas for the identification of the materials in postoperative spine MRI was established.
CONCLUSION
Commonly used hemostatic agents and dural sealants can be successfully identified on early postoperative spine MRI.
CLINICAL SIGNIFICANCE
Knowledge about MRI appearances of commonly used adjunct surgical materials helps in interpretation of postoperative imaging and supports clinical decision making.
Topics: Fibrin Tissue Adhesive; Hemostatics; Humans; Laminectomy; Magnetic Resonance Imaging; Postoperative Period
PubMed: 34284130
DOI: 10.1016/j.spinee.2021.07.009 -
Brazilian Journal of Cardiovascular... Apr 2020Postoperative atrial fibrillation (POAF) after cardiac surgery remarkably remains the most prevalent event in perioperative cardiac surgery, having great clinical and... (Review)
Review
Postoperative atrial fibrillation (POAF) after cardiac surgery remarkably remains the most prevalent event in perioperative cardiac surgery, having great clinical and economic implications. The purpose of this study is to present recommendations based on international evidence and adapted to our clinical practice for the perioperative management of POAF. This update is based on the latest current literature derived from articles and guidelines regarding atrial fibrillation.
Topics: Atrial Fibrillation; Cardiac Surgical Procedures; Humans; Postoperative Complications; Postoperative Period; Risk Factors
PubMed: 32369302
DOI: 10.21470/1678-9741-2019-0164