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Current Oncology (Toronto, Ont.) Aug 2022Smoking is a common health risk behavior that has substantial effects on perioperative risk and postoperative surgical outcomes. Current smoking is clearly linked to an...
Smoking is a common health risk behavior that has substantial effects on perioperative risk and postoperative surgical outcomes. Current smoking is clearly linked to an increased risk of perioperative cardiovascular, pulmonary and wound healing complications. Accumulating evidence indicates that smoking cessation can reduce the higher perioperative complication risk that is observed in current smokers. In addition, continued smoking has a negative impact on the overall prognosis of cancer patients. Smoking cessation, on the other hand, can improve long-term outcomes after surgery. Smoking cessation services should be implemented in a comprehensive programmatic manner to ensure that all patients gain access to evidence-based care. Although the benefits of abstinence increase in proportion to the length of cessation, cessation should be recommended regardless of timing prior to surgery.
Topics: Cigarette Smoking; Humans; Neoplasms; Postoperative Period; Prognosis; Smoking Cessation
PubMed: 36005201
DOI: 10.3390/curroncol29080463 -
Anaesthesia Nov 2018
Topics: Anemia; Blood Transfusion; Consensus; Humans; Platelet Transfusion; Postoperative Period
PubMed: 30084167
DOI: 10.1111/anae.14328 -
Anesthesiology 1964
Topics: Alopecia; Anesthesia; Anesthesia, Endotracheal; Anesthesiology; Child; Humans; Masks; Postoperative Period; Pressure
PubMed: 14225993
DOI: 10.1097/00000542-196411000-00021 -
Edinburgh Medical Journal Dec 1945
Topics: General Surgery; Humans; Lung; Postoperative Complications; Postoperative Period
PubMed: 21011201
DOI: No ID Found -
Anaesthesia Nov 2018
Topics: Hemodynamics; Humans; Hypertension; Hypotension; Postoperative Period
PubMed: 30298580
DOI: 10.1111/anae.14429 -
Minerva Anestesiologica Apr 2003Patients undergoing major gastrointestinal surgery, often require an adequate artificial nutritional (AN) support for a pre-existing state of malnutrition and/or to... (Review)
Review
Patients undergoing major gastrointestinal surgery, often require an adequate artificial nutritional (AN) support for a pre-existing state of malnutrition and/or to overcome forced periods of postoperative starvation and/or for complications that alter the host metabolic response. When an indication to AN is given, enteral feeding should be preferred to parenteral nutrition because more physiological and less expensive. Moreover, recent data showed that patients fed enterally, rather than parenterally, in the postoperative period, have a significant better outcome with a reduction of morbidity and hospitalisation. The supplementation of standard feeds with key nutrients having immunomodulatory properties, such as arginine, omega-3 fatty acids and glutamine (pharmaconutrients), allows to control effectively the surgery-induced immunosuppression and hyperinflammation. An analysis on the principles of evidence-based medicine, supports the hypothesis that the pre-perioperative use of formulas enriched with pharmaconutrients, significantly reduces the rate of infectious complications and saves health care resources.
Topics: Enteral Nutrition; Food, Formulated; Humans; Nutritional Support; Postoperative Care; Postoperative Period
PubMed: 12766719
DOI: No ID Found -
Journal of Wound, Ostomy, and...Convex pouching systems have been available for ostomy patients for decades; however, controversy remains over the use of convexity in the postoperative period. A group...
Convex pouching systems have been available for ostomy patients for decades; however, controversy remains over the use of convexity in the postoperative period. A group of 10 nurses and physicians with expertise caring for patients with an ostomy completed a scoping review identifying research-based evidence and gaps in our knowledge of the safety and effectiveness related to the use of a convex pouching system following ostomy surgery. Results of this scoping review demonstrated the need for a structured consensus to define best practices when selecting a pouching system that provides a secure and reliable seal around the stoma, avoids undermining and leakage of effluent from the pouching system, and contributes to optimal health-related quality of life for patients following ostomy surgery. The expert panel reached consensus on 8 statements for the use of convex products immediately after surgery and throughout the first 6 months after stoma creation, as well as describing goals in choosing the best pouching system for the patient with an ostomy.
Topics: Consensus; Humans; Ostomy; Postoperative Period; Quality of Life; Surgical Stomas
PubMed: 35523239
DOI: 10.1097/WON.0000000000000874 -
Revista Da Escola de Enfermagem Da U S P Jun 2018To propose nursing diagnoses, outcomes and interventions for patients in the postoperative period of orthognathic surgery.
OBJECTIVE
To propose nursing diagnoses, outcomes and interventions for patients in the postoperative period of orthognathic surgery.
METHOD
Secondary analysis of an information bank of a focal group with five patients submitted to orthognathic surgery. The classifications of the North American Nursing Diagnosis Association International, Nursing Outcomes Classification and Nursing Interventions Classification were used for elaborating nursing diagnoses, outcomes and interventions. Nursing diagnoses were identified based on the transcription of the focus group and the expected outcomes and interventions were proposed. In the second stage, the material was submitted to an analysis by judges for validating the previous stage.
RESULTS
After careful analysis of the retrieved information, nine nursing diagnoses that relate to both the difficulties already installed and to potential patient difficulties were identified. After this phase, the expected outcomes for nursing care and the appropriate interventions for the postoperative period at home were identified.
CONCLUSION
Given the short hospital stay and the long postoperative period, the established actions have a strong educational focus.
Topics: Focus Groups; Humans; Nursing Diagnosis; Orthognathic Surgery; Postoperative Complications; Postoperative Period; Treatment Outcome
PubMed: 29947703
DOI: 10.1590/S1980-220X2017025303321 -
British Journal of Anaesthesia Apr 2022
Topics: Humans; Mental Status and Dementia Tests; Postoperative Complications; Postoperative Period
PubMed: 35105461
DOI: 10.1016/j.bja.2021.12.044 -
Canadian Medical Association Journal Sep 1955
Topics: Humans; Postoperative Period; Tetanus; Tetanus Toxoid
PubMed: 13250484
DOI: No ID Found