Search results for " Postoperative Period"
showing 8 items of 8 documents
Intraoperative Parathyroid Hormone Monitoring During Parathyroidectomy for Hyperparathyroidism in Waiting List and Kidney Transplant Patients
2006
This report describes the use of the intraoperative parathyroid hormone (ioPTH) assay during parathyroidectomy in waiting list and transplanted patients. ioPTH levels were determined in 40 patients on the waiting list for kidney transplantation with secondary hyperparathyroidism who underwent subtotal parathyroidectomy and 9 transplanted patients with tertiary hyperparathyroidism who underwent removal of hyperplasic glands. Rapid PTH levels decreased significantly at each time period; the percentage decrease in rapid PTH levels was 61.3% among patients with IPT II and 70.2% in patients with IPT III at 10 minutes and 86.5% in patients with IPT II and 91% in patients with IPT III at 15 minute…
Effects of hospital facilities on patient outcomes after cancer surgery
2022
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal,…
Intraoperative positive end-expiratory pressure and postoperative pulmonary complications: a patient-level meta-analysis of three randomised clinical…
2022
BACKGROUND: High intraoperative PEEP with recruitment manoeuvres may improve perioperative outcomes. We re-examined this question by conducting a patient-level meta-analysis of three clinical trials in adult patients at increased risk for postoperative pulmonary complications who underwent non-cardiothoracic and non-neurological surgery. METHODS: The three trials enrolled patients at 128 hospitals in 24 countries from February 2011 to February 2018. All patients received volume-controlled ventilation with low tidal volume. Analyses were performed using one-stage, two-level, mixed modelling (site as a random effect; trial as a fixed effect). The primary outcome was a composite of postoperati…
Sociālā funkcionēšana pēc aortas vārstuļa protezēšanas vēlīnajā pēcoperācijas periodā
2017
Pētījuma „Sociālā funkcionēšana pēc aortas vārstuļa protezēšanas vēlīnajā pēcoperācijas periodā” mērķis ir izpētīt sociālo funkcionēšanu pēc aortas vārstuļa protezēšanas vēlīnajā pēcoperācijas periodā un noteikt baiļu iespējamo ietekmi sociālās funkcionēšanas rādītājos. Kvantitatīvā pētījuma rezultātā hipotēzes tiek galvenokārt apstiprinātas. Iegūtie dati raksturo fizisko un emocionālo pašsajūtu, attiecības ar līdzcilvēkiem un dzīvesveidu pēc aortas vārstuļa protezēšanas, kā arī baiļu ietekmi uz šiem rādītājiem. Tiek secināts, ka ir nepieciešama pacientu izglītošana pēc operācijas un pirmspensijas vecums ir kritiskākā vecuma grupa, kurai ir problēmas ar kaitīgo ieradumu praktizēšanu un atgr…
Determinants of enhanced thromboxane biosynthesis in renal transplantation
2001
Determinants of enhanced thromboxane biosynthesis in renal transplantation.BackgroundDespite great improvement in patient and graft survival, the long-term morbidity and mortality in renal transplant recipients (RTRs) are still significant, with a high incidence of cardiovascular disease-related deaths.MethodsWe investigated thromboxane (TXA2) biosynthesis and endothelial and coagulative activation in 65 patients who received a renal transplant.ResultsThe rate of TXA2 biosynthesis (urinary 11-dehydro-TXB2 excretion largely reflects platelet TXA2 production in vivo) was significantly (P < 0.0001) higher in RTRs than in healthy subjects. Plasma von Willebrand factor (vWF) and thrombin-antithr…
Fibrin Sealants in Dura Sealing: A Systematic Literature Review.
2016
BACKGROUND:Fibrin sealants are widely used in neurosurgery to seal the suture line, provide watertight closure, and prevent cerebrospinal fluid leaks. The aim of this systematic review is to summarize the current efficacy and safety literature of fibrin sealants in dura sealing and the prevention/treatment of cerebrospinal fluid leaks. METHODS:A comprehensive electronic literature search was run in the following databases: Cochrane Database of Systematic Reviews, Cochrane Central Resister of Controlled Trials, clinicaltrials.gov, MEDLINE/PubMed, and EMBASE. Titles and abstracts of potential articles of interest were reviewed independently by 3 of the authors. RESULTS:A total of 1006 databas…
Pacientu aprūpe pēc mikrodiskektomijas operācijas agrīnajā periodā
2016
Bakalaura darba tēma – pacienta aprūpe pēc mikrodiskektomijas operācijas agrīnajā periodā. Tēmas aktualitāti nosaka tas, ka muguras sāpes ir viena no izplatītākajām sūdzībām medicīnā. Sāpēm var būt dažādi iemesli, piemēram, saspringti muskuļi, starp skriemeļu diska bojājums, artrīts, bet viens no izplatītākajiem ir diska trūce. Darba mērķis ir noskaidrot X slimnīcas Y nodaļas strādājošo māsu viedokli par aprūpi pēc mikrodisektomijas operācijas agrīnajā periodā. Mērķa sasniegšanai tika izvirzīti vairāki uzdevumi. Izvirzītais pētniecības jautājums: kāda ir aprūpe pēc mikrodisektomijas operācijas agrīnajā periodā X slimnīcas Y nodaļā? Darbā izmantota kvalitatīvā pētniecības metode un pētniecīb…
Intraoperative ultrasound-assisted approach for endoscopic treatment of vesicoureteral reflux in children
2017
Purpose Despite minimal invasiveness and high success rate, guidelines still prescribe voiding Cystourethrogram (VCUG) after endoscopic treatment for vesicoureteral reflux (VUR) in children. The aim of this paper was to analyze whether intraoperative ultrasound (IO-US) could improve surgical accuracy and perioperative counseling, thus potentially decreasing the need for postoperative VCUG. Methods We selected children treated for moderate to high grade VUR, renal scarring or repeated infections under antibiotic prophylaxis from January to December 2015. Endoscopic injection was combined with IO-US to detect optimal needle placement and to guide mound formation. IO-US findings were compared …