Abstract
We expected that a substantial proportion of patients staying in Norwegian hospitals would report postoperative pain of high intensity....
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PMID: 21946593
PDF is available here.
Abstract
A previous multicenter randomized trial demonstrated that mechanical bowel preparation (MBP) does not guard against anastomotic leakage in elective colorectal surgery. The aim of this complementary study was to evaluate the effects of MBP on morbidity and mortality after anastomotic...
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PMID: 21871987
PDF is available here.
Abstract
Operating room efficiency is an important concern in hospitals today both in the public and private sectors. Currently, a paucity of literature exists to evaluate the impact of anaesthetic training on operating room efficiency in the Australian health system. At Monash Medical Centre, Clayton, privat...
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PMID: 21970142
PDF is available here.
Abstract
Compare the efficacy of sedation of propofol infusion during spinal anesthesia between effective-site target controlled infusion and manually controlled infusion during spinal anesthesia.
Sixty inpatients scheduled for elective surgery undergoing spinal anesthesia wer...
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PMID: 21863679
PDF is available here.
Abstract
The aim of this study was to evaluate whether a single preoperative limited oral intake of a carbohydrate drink could improve perioperative patient comfort and satisfaction with anesthesia care in elective day-stay ophthalmologic surgery.
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PMID: 19190563
PDF is available here.
Abstract
Abstract The current size threshold for elective abdominal aortic aneurysm (AAA) repair is 5.5 cm. Over this diameter limit, the AAA rupture rate exceeds the perioperative mortality of open surgical repair. Endovascular aneurysm repair (EVAR) is associated with lower perioperative m...
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PMID: 21679066
PDF is available here.
Abstract
We aimed to assess the risk to surgeons of blood splatter during total hip arthroplasty. Hoods from personal protection systems used in 34 consecutive total hip replacements were collected and the area of blood splatter was measured and compared to goggles and visors. Thirty one primary THA's (13 cem...
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PMID: 21846007
PDF is available here.
Abstract
preoperatively, plasma esterase activity was significantly lower in patients who developed delirium compared with the remaining subjects. Following surgery BuChE activity was lower in the delirium group but this difference disappeared after controlling for preoperative values. Plasma cholinesterase...
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PMID: 21576115
PDF is available here.
Abstract
Renal artery aneurysms (RAA) are rare (general population incidence is 0.09%). At this time, the appropriateness of the type of intervention ‑ surgical or endovascular ‑ is based on single center experiences rather than large randomized trials. Endovascular therapy offers less morbidity but surge...
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PMID: 21577189
PDF is available here.
Abstract
We describe the surgical options for treating VAA. A literature search identified articles focussing on the key issues of visceral artery aneurysms and surgical options using the Pubmed and Cochrane databases. Case reports dominate the literature about VAA. Twenty-seven small case series and ten rev...
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PMID: 21577188
PDF is available here.
Abstract
Preoperatively, most patients were 25(OH)D deficient (<50 nmol/L) and had secondary hyperparathyroidism (PTH > 5 pmol/L). Age, sex, body mass index, season, medical history, and medication use were not associated with significant differences in preoperative plasma 25(OH)D concentrations. By day 2 th...
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PMID: 21411617
PDF is available here.
Abstract
The aim of the present study is to investigate whether severe postoperative complications following elective colorectal surgery increase local recurrence or distant metastasis rate.
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PMID: 21504856
PDF is available here.
Abstract
Delayed pressure urticaria is a rare form of physical urticaria. After a pressure stimulus, erythematous painful wheals may develop after a delay of 1 to 12 hours. After manifestation these lesions may last for up to 72 hours. The case report presented here describes the successful intraoperative man...
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PMID: 21560972
PDF is available here.
Abstract
There is still no consensus on the optimal treatment of the neck in oral cavity cancer patients with clinical N0 neck. The aim of this study was to assess a possible benefit of elective neck dissection in oral cancers with clinical N0 neck. A comprehensive search and systematic review of electronic d...
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PMID: 21459661
PDF is available here.
Abstract
We sought to evaluate whether laparoscopic colorectal surgery resulted in a decreased incidence of SBO within the first year of surgical resection compared with open surgery....
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PMID: 21367389
PDF is available here.
Abstract
The aim of this study was to determine whether neoadjuvant therapy delays the closure of loop ileostomy after anterior resection.
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PMID: 21389924
PDF is available here.
Abstract
Effective communication is the cornerstone of good healthcare. Poor communication can have serious consequences for patients and damage the nurse-patient relationship. This article explores how nurses can use communication tools with surgical patients to help relieve anxiety....
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PMID: 21329083
PDF is available here.
Abstract
We prospectively assessed an algorithm for difficult airway management that included two new airway devices.
After 6 months of instruction, training, and clinical testing, 15 senior anesthesiologists were asked to use an established algorithm for difficult airway management in anesthetized and paral...
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PMID: 21150572
PDF is available here.
Abstract
The impact of immune status and surgical outcome in patients with HIV and acquired immunodeficiency syndrome (AIDS) remains unknown.
Clinical variables of HIV/AIDS patients undergoing abdominal surgery were examined for their impact on outcome.
Major abdominal procedures were performed in 77 patient...
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PMID: 21146004
PDF is available here.
Abstract
We sought to appraise and synthesize the available evidence regarding preoperative bowel preparation in patients undergoing elective colorectal surgery.
We searched MEDLINE, EMBASE and Cochrane Databases to identify randomized controlled trials (RCTs) comparing patients who received a bowel preparat...
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PMID: 21092431
PDF is available here.
Abstract
We evaluated the development of sepsis after elective procedures in a nationally representative patient cohort and assessed the effect of sociodemographic and hospital characteristics on the development of postoperative sepsis.
The Nationwide inpatient sample was queried between 2002 and 2006 and pa...
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PMID: 20571363
PDF is available here.
Abstract
Photorefractive keratectomy (PRK) has been extensively studied in the literature and its potential application in aircrew has not gone unnoticed. Complication rates following corneal refractive surgery (CRS), including PRK and laser in-situ keratomileusis (LASIK), remain low, with most patients achi...
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PMID: 21043303
PDF is available here.
Abstract
In emergencies involving the descending colon one-stage surgery may be performed without colonic preparation as safely as elective surgery in selected patients considered suitable for segmental resection of the descending colon and primary anastomosis....
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PMID: 20940601
PDF is available here.
Abstract
In particular health economists promise to improve healthcare processes, cost-effectiveness and outcomes by standardised procedures. In the area of EOS indication, operative procedures and postal-surgical pain therapy can partly be standardised. In addition, clinical pathways have impact on the orga...
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PMID: 21042663
PDF is available here.
Abstract
Etiology of hip arthroplasty is associated with amounts of rehabilitation care used and outcomes. After the initial postacute rehabilitation setting, patients continued to receive considerable amounts of therapy in various settings. It is important to look beyond a single setting of care to an entir...
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PMID: 20962601
PDF is available here.
Abstract
We found that the ACD may be a valid alternative to the conventional vaporizer. The ACD is very simple to use, delivery rate needs to be adjusted only once per hour, and the anesthetic savings are independent of the circuit characteristics and fresh gas flow rate....
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PMID: 20841411
PDF is available here.
Ludhmila A Hajjar,
Jean-Louis Vincent,
Filomena R B G Galas,
Rosana E Nakamura,
Carolina M P Silva,
Marilia H Santos,
Julia Fukushima,
Roberto Kalil Filho,
Denise B Sierra,
Neuza H Lopes,
Thais Mauad,
Aretusa C Roquim,
Marcia R Sundin,
Wanderson C Leão,
Juliano P Almeida,
Pablo M Pomerantzeff,
Luis O Dallan,
Fabio B Jatene,
Noedir A G Stolf and
Jose O C Auler
Abstract
Perioperative red blood cell transfusion is commonly used to address anemia, an independent risk factor for morbidity and mortality after cardiac operations; however, evidence regarding optimal blood transfusion practice in patients undergoing cardiac surgery is lacking.
To define whether a restrict...
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PMID: 20940381
PDF is available here.
Abstract
We compared the costs and effects of acute pain service care on clinical outcomes with conventional pain management on the ward. Patients included in the trial were considered by their anesthesiologist to have either arm be suitable for the procedure.
Four hundred twenty-three patients undergoing ma...
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PMID: 20705784
PDF is available here.
Abstract
Edoxaban is a new oral direct factor Xa inhibitor. The purpose of this study was to evaluate the efficacy and safety of different doses of edoxaban for the prevention of venous thromboembolism (VTE) in patients undergoing elective total hip replacement. A total of 903 patients were randomised to ora...
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PMID: 20589317
PDF is available here.
Abstract
Many parents and patients have difficulty in assimilating and interpreting risk/benefit information for both research and treatment. This is due, in part, to the manner in which risks and benefits are communicated and to the literacy and numeracy abilities of the individual. The results of this stud...
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PMID: 20686011
PDF is available here.
Abstract
The aim of the study was to estimate the direct cost of an abdominal aortic aneurysm (AAA) repair and to validate it against the national Diagnostic Related Group (DRG) costs.
Records from involved hospitals were used along with information on wages, cost of ICU and ward time were used to estimate t...
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PMID: 20727285
PDF is available here.
Abstract
I counted 29 (49%) of the patients who had been submitted to EVAR by the use of Excluder stent. The group II consisted of 30 (51%) of the patients operated on using OR. All of the patients were males, 50-87 years old (mean 67.6 year in the group I, and 54-86 years (mean 68.3 years) in the group II....
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PMID: 20845671
PDF is available here.
Abstract
We developed a concept for perioperative care in spinal surgery in order to prevent postoperative deep wound infections. We retrospectively compared infection rates of 2006 and 2007 after the implementation of our perioperative care concept in spinal surgery patients. Total annual operations were co...
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PMID: 20198555
PDF is available here.
Abstract
Data were available for 50 patients in each group. There was a significant reduction in total hospital stay, intravenous fluid use, and duration of epidural use in the ERAS group. There were significantly fewer complications in the ERAS group. Implementation of ERAS cost approximately $NZ102,000, bu...
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PMID: 20717178
PDF is available here.
Abstract
The aim of this paper is to assess the learning curve on compliance to the application of a multimodal rehabilitation program (MMRP) protocol and patient recovery after elective colorectal surgery.
A comparative prospective study of 3 consecutive cohorts of 100 patients (P1, P2 and P3) who had colon...
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PMID: 20579980
PDF is available here.
Abstract
Caesarean birth, without prior labour, is associated with an increased risk of neonatal respiratory morbidity among term infants. The concentration of lamellar bodies in amniotic fluid reflects pulmonary surfactant production and release, and is thus used in preterm populations as a marker of fetal...
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PMID: 20716264
PDF is available here.
Abstract
To explore the surgical measurements and principles in the treatment of thoracic and thoracolumbar spinal tuberculosis.
A total of 232 cases of previously treated thoracic or thoracolumbar spinal tuberculosis in recent 7 years were retrospective analyzed. Preoperative assessments were as follows: Co...
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PMID: 20979902
PDF is available here.
Abstract
Maternal complications are frequent in CS, and although performing CS electively reduces the occurrence of complications, the frequency is still high. The complication rate depends on the degree of emergency, and increases with maternal obesity, older age and pre-eclampsia....
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PMID: 20583935
PDF is available here.
Abstract
We aimed to determine whether remote ischemic preconditioning (IP) reduces renal damage following elective open infrarenal abdominal aortic aneurysm (AAA) repair. Sequential common iliac clamping was used to induce remote IP in randomized patients. Urinary retinol binding protein (RBP) and albumin-c...
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PMID: 20484066
PDF is available here.
Abstract
Elective coiling of unruptured intracranial aneurysms is associated with fewer deaths and perioperative complications compared with elective clipping. The trend of hospital use of the coiling procedures has increased during recent years....
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PMID: 20522817
PDF is available here.
Abstract
A total of 99 patients were analysed for the primary outcome. The baseline demographic data for both groups were comparable. The mean oropharyngeal leak pressure with the LMA Supreme was 21 +/- 5 cmH2O (95% confidence interval 20-22). This was significantly lower than that of the LMA ProSeal, 25 +/-...
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PMID: 20540172
PDF is available here.
Abstract
One hundred and twenty patients were included. In the ultrasound out-of-plane group, 55% (22/40) and 25% (10/40) of the procedures were very comfortable and comfortable as compared with 32% (13/40, P < 0.05) and 20% (8/40, P < 0.01) in the ultrasound in-plane group and 25% (10/40, P < 0.01) and 8% (...
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PMID: 20299995
PDF is available here.
Abstract
Platelet aggregation in response to arachidonic acid and epinephrine was significantly decreased in both volunteers and patients during aspirin administration. The aggregation normalized within 3 days of aspirin cessation in the volunteers and within 4-6 days in the patients. Urine concentration of...
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PMID: 20035230
PDF is available here.
Abstract
We aimed to assess the sedative effects of midazolam and dexmedetomidine and their effects on hemodynamics and the cardiovascular system under epidural anesthesia.
This study included 50 patients. Approval of the ethics committee and written consent from patients were obtained. The patients were sep...
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PMID: 20865584
PDF is available here.
Abstract
A total of 424 patients underwent elective laparoscopic (224) and open (200) resections. Overall mortality rate for laparoscopic resection was 1 of 224 (0.4%) versus 4 of 200 (2%) for open resection. Median length of stay was 4 (2-33) versus 10 (1-69) days (P < 0.0001), and rate of complications req...
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PMID: 20562603
PDF is available here.
Abstract
The study was completed in 60 patients. The incidence of laryngospasm was not reduced when up to two successive doses of 1.5 microg/kg fentanyl were administered. The incidence of laryngospasm lasting for more than 10 s was 26% before receiving fentanyl, 31% after recieving1.5 microg/kg fentanyl, an...
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PMID: 20508496
PDF is available here.
Abstract
Mitral valve repair is associated with lower morbidity, mortality, and total costs compared with MVR. For urgent or emergent operations, the improved outcomes with mitral repair versus replacement are even more profound.
Copyright 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All...
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PMID: 20609766
PDF is available here.
Abstract
Complications and costs of care can be indexed to quality performing hospitals. Warranties for surgical care can reward effective and efficient care and preclude the need for additional payments for complications....
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PMID: 20644127
PDF is available here.