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The Journal of Thoracic and... Jun 2019
Topics: Cardiac Surgical Procedures; Child; Heart; Heart Arrest; Humans; Postoperative Period; Quality Improvement
PubMed: 30857812
DOI: 10.1016/j.jtcvs.2019.02.009 -
The Journal of Thoracic and... Aug 2018
Topics: Humans; Mitral Valve; Postoperative Period; Ventricular Outflow Obstruction
PubMed: 29724598
DOI: 10.1016/j.jtcvs.2018.03.116 -
The Journal of Thoracic and... Aug 2017
Topics: Atrial Fibrillation; Chest Tubes; Drainage; Humans; Postoperative Period; Thorax
PubMed: 28549696
DOI: 10.1016/j.jtcvs.2017.04.051 -
Journal of Perianesthesia Nursing :... Aug 2022Day surgery is a common phenomenon and is associated with several benefits including cost-effectiveness. However, patients are required to manage their postoperative...
PURPOSE
Day surgery is a common phenomenon and is associated with several benefits including cost-effectiveness. However, patients are required to manage their postoperative recovery at home. Patients undergoing orthopedic surgery are a particularly vulnerable group, and their postoperative recovery requires further investigation. This study aimed to describe the experiences of postoperative recovery of patients who had undergone orthopedic day surgery.
DESIGN
A qualitative and descriptive study design was used METHODS: Participants were selected purposefully and included 18 orthopedic day-surgery patients who underwent surgery in October and November 2020. Semi-structured interviews were conducted from December 2020 to February 2021. All interviews were recorded and transcribed verbatim. The transcribed data were analyzed using qualitative content analysis with an inductive approach. The process of analysis was done in several steps and resulted in four categories FINDINGS: Four categories that described the postoperative recovery experiences of patients who underwent orthopedic day surgery were developed: (1) Questions arose when I got home; (2) I wanted confirmation that I was on the right path; (3) I felt lonely and dependent on others; and (4) I strove to find a balance between activity and rest CONCLUSIONS: For most patients, there was no follow-up after day surgery. However, patients expressed a desire for confirmation that their recovery process was within the normal trajectory. Most of the recovery takes place at home, leading to feelings of loneliness and highlighting the need for support from healthcare providers and close relatives. A phone call from a nurse after surgery might offer support, reduce feelings of loneliness, and promote a sense of safety. This study highlights the importance of systematic follow-up following orthopedic day surgery.
Topics: Ambulatory Surgical Procedures; Humans; Orthopedic Procedures; Postoperative Period; Qualitative Research
PubMed: 35279387
DOI: 10.1016/j.jopan.2021.10.012 -
Minerva Anestesiologica Nov 2014Regional anesthesia is associated with recognized physiological advantages; however trials evaluating its impact on postoperative outcomes have shown contrasting... (Review)
Review
Regional anesthesia is associated with recognized physiological advantages; however trials evaluating its impact on postoperative outcomes have shown contrasting results, probably because these effects have not been utilized in a multimodal perioperative care program. Enhanced recovery has attracted clinical interest because of its standardized, coordinated, multidisciplinary perioperative care plan that incorporates several evidenced-based interventions with positive influence on postoperative patient recovery. A critical analysis of the published evidence is here presented in order to understand the role of regional anesthesia and analgesia as part of the multidisciplinary components of the enhanced recovery program. Clearly, there are synergistic benefits derived from integrating specific regional anesthetic and analgesic techniques with other perioperative elements characteristic of a particular surgical procedure. This challenge requires a team approach in delivering such integrated care, ultimately providing the best cure for patient.
Topics: Anesthesia Recovery Period; Anesthesia, Conduction; Humans; Outcome Assessment, Health Care; Postoperative Period; Quality Improvement
PubMed: 24492666
DOI: No ID Found -
Nutricion Hospitalaria Feb 2014Multimodal protocols to optimize perioperative care and to accelerate postoperative recovery include abbreviated pre-and postoperative fasting. The aim of this study was...
Multimodal protocols to optimize perioperative care and to accelerate postoperative recovery include abbreviated pre-and postoperative fasting. The aim of this study was to investigate the pre and postoperative fasting period and the factors that influence it in patients who underwent elective operations. We included patients who underwent surgery of the digestive tract and abdominal wall. Data were collected from the patients and from their personal health records. We included 135 patients between 19 and 89 years old. Most were adults (75.55%), female (60.74%) and the most common procedures were hernioplasty (42.96%) and cholecystectomy (34.81%). The preoperative fasting periods for solids and liquids were similar, median 16.50 (5.50-56.92) and 15.75 (2.50- 56.92) hours, respectively. The preoperative fasting period was influenced by the instruction received and surgery time. Postoperative fasting period was 15.67 (1.67-90.42) hours and was influenced by type of surgery and lack of synchrony between the clinical meeting and the nutrition and dietetics service schedules.
Topics: Adult; Aged; Aged, 80 and over; Anesthesia Recovery Period; Fasting; Female; Humans; Male; Middle Aged; Perioperative Care; Postoperative Period; Preoperative Care; Respiratory Aspiration of Gastric Contents; Young Adult
PubMed: 24528365
DOI: 10.3305/nh.2014.29.2.7025 -
Die Anaesthesiologie Jan 2024
Topics: Humans; Paresis; Psychophysiologic Disorders; Postoperative Period
PubMed: 37993726
DOI: 10.1007/s00101-023-01357-2 -
International Journal of Environmental... Apr 2022The purpose of this work was to study the factors determining the functional state of cardiac surgery patients with a complicated postoperative period upon discharge... (Observational Study)
Observational Study
The purpose of this work was to study the factors determining the functional state of cardiac surgery patients with a complicated postoperative period upon discharge from the hospital. This observational study included 60 patients who underwent cardiac surgery with a complicated postoperative course and with a prolonged intensive care unit stay of more than 72 h. We assessed handgrip and lower-extremity muscle strength and the six-minute walk test (6MWT) distance 3 days after the surgery and at discharge from the hospital. Some patients (53%) additionally underwent a course of neuromuscular electrostimulation (NMES). Two groups of patients were formed: first (6MWT distance at discharge of more than 300 m) and second groups (6MWT distance of 300 m or less). The patients of the second group had less lower-extremity muscle strength and handgrip strength on the third postoperative day, a longer aortic clamping time and a longer stay in the intensive care unit. Independent predictors of decreased exercise tolerance at discharge were body mass index, foot extensor strength and baseline 6MWT distance in the general group, duration of cardiopulmonary bypass in the NMES group and in the general group, and age in the NMES group. Thus, the muscle status on the third postoperative day was one of the independent factors associated with the 6MWT distance at discharge in the general group, but not in patients who received NMES. It is advisable to use these results in patients with complications after cardiac surgery with the use of NMES rehabilitation.
Topics: Cardiac Surgical Procedures; Hand Strength; Humans; Lower Extremity; Postoperative Period; Walk Test
PubMed: 35410009
DOI: 10.3390/ijerph19074329 -
The Journal of Thoracic and... Mar 2017
Topics: Acute Lung Injury; Animals; Cardiopulmonary Bypass; Humans; Mesenchymal Stem Cells; Postoperative Complications; Postoperative Period; Rats
PubMed: 27876494
DOI: 10.1016/j.jtcvs.2016.10.049 -
California Medicine Nov 1954Treatment of congenital diaphragmatic hernia in infants is a matter of semi-emergency and should be done as soon as adequate preparations can be made because sometimes...
Treatment of congenital diaphragmatic hernia in infants is a matter of semi-emergency and should be done as soon as adequate preparations can be made because sometimes fatal complications develop swiftly. In preoperative preparation there is great advantage in thorough decompression of the abdominal viscera, stomach, bowel and bladder. As to operation, the author believes the abdominal approach has most to recommend it. In the postoperative period, continued gastric suction for a brief time, parenteral administration of fluids and use of a Mistogen tent with a high moist oxygen content will facilitate rapid recovery.
Topics: Hernia, Diaphragmatic; Hernias, Diaphragmatic, Congenital; Humans; Infant; Postoperative Period; Stomach; Suction
PubMed: 13209363
DOI: No ID Found