117,121 results match your criteria perioperative period

Coronavirus Disease-2019 (COVID-19) and Pituitary Apoplexy: A Single-Center Case Series and Review of the Literature.

World Neurosurg 2021 Jun 12. Epub 2021 Jun 12.

Departments of Neurosurgery(,) University of Mississippi Medical Center, Jackson, MS, United States.

Background: Pituitary apoplexy (PA) is a rare but life-threatening condition characterized by pituitary infarction and hemorrhage, most often in the setting of a preexisting adenoma. The risk factors and mechanisms associated with PA are poorly understood. Although neurovascular manifestations of coronavirus disease-19 (COVID-19) infection have been documented, its association with PA is to be determined. Read More

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Low blood transfusion rate after implementation of tranexamic acid for fast- track hip- and knee arthroplasty. An observational study of 5205 patients.

Acta Orthop Belg 2021 Mar;87(1):9-16

The purpose of this study was to retrospectively evaluate the efficacy of a tranexamic acid (TXA) perioperative protocol for primary hip- and knee arthroplasty, in terms of allogenic blood transfusion rates. A retrospective cohort study was conducted and included all primary hip and knee arthroplasty procedures in the period of 2014-2019. Patients who underwent surgery due to trauma or revision were excluded. Read More

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Ureteroscopic Cryoablation for Patients with Upper Tract Urothelial Carcinoma of a Solitary Kidney: A Porcine Model and Our Pilot Clinical Experience.

Ann Surg Oncol 2021 Jun 15. Epub 2021 Jun 15.

Department of Urology, Huashan Hospital, Fudan University, Shanghai, People's Republic of China.

Purpose: To investigate the safety and efficacy of ureteroscopic cryoablation by a liquid-nitrogen system in a porcine model and for patients with upper tract urothelial carcinoma (UTUC) of a solitary kidney.

Methods: In the animal experiment, the right-sided ureter was frozen in nine pigs. Eight were randomly assigned to two different groups according to the freezing duration of 60 or 90 s. Read More

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The impact of a standardized perioperative management on hospital mortality after the Norwood procedure in a low volume center: results and perspectives.

Minerva Pediatr (Torino) 2021 Jun 15. Epub 2021 Jun 15.

Pediatric Intensive Care Unit, Department of Anesthesia and Intensive Care, ASST Papa Giovanni XXIII, Bergamo, Italy.

Background: Mortality of newborns with Hypoplastic Left Heart Syndrome (HLHS) is mainly concentrated after Norwood procedure (NP) stage 1 palliation (S1P) and between S1P and stage 2 palliation (S2P). Standardized management of these patients may help to control hospital mortality. Aim of the study was to evaluate the impact on hospital mortality of a standardized perioperative management (SPM) for newborns requiring S1P in a low volume center for NP. Read More

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Management of factor XI deficiency in oncological liver and colorectal surgery by therapeutic plasma exchange: A case report.

Transfus Apher Sci 2021 May 31:103176. Epub 2021 May 31.

Transfusion Medicine Deparment, Hospital Italiano de Buenos Aires, Argentina.

Introduction: Factor XI (FXI) deficiency is a rare congenital hemostatic disorder associated with increased bleeding tendency in trauma, surgery or when other hemostatic defects are present. Perioperative hemostatic management of a patient with a severe FXI deficiency undergoing major oncological liver and colorectal surgery with therapeutic plasma exchange (TPE) with fresh frozen plasma (FFP) is reported.

Case Description: A 54-year-old male with severe FXI deficiency was scheduled for resection of synchronous rectal cancer and multiple liver metastases. Read More

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Reflection on young adult transitional care in the boston children's hospital perioperative care coordination clinic.

J Pediatr Nurs 2021 Jun 11. Epub 2021 Jun 11.

Department of Anesthesiology, Critical Care and Pain Medicine, Perioperative Care Coordination Clinic, USA. Electronic address:

Theoretical Principles: The complexity of pediatric healthcare has increased due to advancement in research and identification of new treatment modalities. With these advancements, life expectancy has increased creating a greater need for young adult transition into adult medical settings and specialty care (Marani et al., 2020). Read More

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S-ICD implantation under the serratus plane block and transversus thoracis muscle plane block. A clinical case.

Rev Esp Anestesiol Reanim 2021 Jun 11. Epub 2021 Jun 11.

Department of Anesthesiology and Pain Therapy, Centro Hospitalar de tras-os-Montes e Alto Douro, EPE, Vila Real, Portugal.

Introduction: The development of a subcutaneous implantable cardioverter-defibrillator (S-ICD) combined with the typical patient comorbidities creates new challenges for anesthesia.

Clinical Case: A young male, ASA II, was proposed for S-ICD placement, after recovery from a sudden CRP episode. We performed regional anesthesia with a serratus plane block and transversus thoracic muscle plane block with administration of mepivacaine and ropivacaine. Read More

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A Smartphone Application for Teamwork and Communication in Trauma: Pilot Evaluation "in the Wild".

Hum Factors 2021 Jun 14:187208211021717. Epub 2021 Jun 14.

2345 Medical University of South Carolina, Charleston, USA.

Objective: To evaluate the potential for a smartphone application to improve trauma care through shared and timely access to patient and contextual information.

Background: Disruptions along the trauma pathway that arise from communication, coordination, and handoffs problems can delay progress through initial care, imaging diagnosis, and surgery to intensive care unit (ICU) disposition. Implementing carefully designed and evaluated information distribution and communication technologies may afford opportunities to improve clinical performance. Read More

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[Clinical application value of transthoracic echocardiography during perioperative period in patients undergoing left ventricular assist device implantation].

Zhonghua Xin Xue Guan Bing Za Zhi 2021 Jun;49(6):610-614

Adult Cardiac Surgery Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100037, China.

To observe the changes of parameters derived from transthoracic echocardiography (TTE) before and after left ventricular assist device (LVAD) implantation, and to evaluate the clinical value of TTE in the perioperative period of LVAD implantation. This is a retrospective study. The data of patients who underwent LVAD implantation in Fuwai Hospital from January 2018 to December 2020 were analyzed retrospectively. Read More

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Survival after radical cystectomy during holiday periods.

Scand J Urol 2021 Jun 14:1-5. Epub 2021 Jun 14.

Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Objective: For patients undergoing radical cystectomy for bladder cancer, a procedure requiring complex urinary tract reconstruction prone to major postoperative complications, the timing and quality of the surgery have been associated with outcomes.

Patients And Methods: This study investigated if radical cystectomy for bladder cancer performed during holiday periods had worse disease-specific (DSS) and overall survival (OS), higher 90-day mortality and risk of readmissions. All patients operated on with radical cystectomy for primary bladder cancer during 1997-2014 with holiday periods as exposure (with one narrow (7 weeks) and one wider (14 weeks) definition) in the Swedish population-based bladder cancer research-database (BladderBaSe) were studied. Read More

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A Patient-Controlled Intravenous Analgesia With Tramadol Ameliorates Postpartum Depression in High-Risk Woman After Cesarean Section: A Randomized Controlled Trial.

Front Med (Lausanne) 2021 27;8:679159. Epub 2021 May 27.

Department of Anesthesiology, Second Affiliated Hospital of Army Medical University, People's Liberation Army of China (PLA), Chongqing, China.

Postpartum depression (PPD) is a severe psychiatric disorder. Its risk is associated with the cesarean section (CS). Currently, there are few early intervention strategies for these women with PPD who underwent CS. Read More

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The Role of Microglia in Perioperative Neuroinflammation and Neurocognitive Disorders.

Front Aging Neurosci 2021 28;13:671499. Epub 2021 May 28.

Department of Anesthesia and Perioperative Care, Center for Cerebrovascular Research, University of California, San Francisco, San Francisco, CA, United States.

The aseptic trauma of peripheral surgery activates a systemic inflammatory response that results in neuro-inflammation; the microglia, the resident immunocompetent cells in the brain, are a key element of the neuroinflammatory response. In most settings microglia perform a surveillance role in the brain detecting and responding to "invaders" to maintain homeostasis. However, microglia have also been implicated in producing harm possibly by changing its phenotype from its beneficial, anti-inflammatory state (termed M2) into an injurious pro-inflammatory state (termed M1); it is likely that there are intermediates states between these polar phenotypes and some consider that a gradient exists with a number of intermediates, rather than a strict dichotomy between M1 and M2. Read More

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Enhanced recovery after surgery for sleeve gastrectomies: improved patient outcomes.

Surg Obes Relat Dis 2021 May 3. Epub 2021 May 3.

Department of Surgery, Saint Barnabas Medical Center, RWJ Barnabas Health, Livingston, New Jersey. Electronic address:

Background: Enhanced Recovery After Surgery (ERAS) is a paradigm shift in perioperative care and incorporates patient-centered, evidence-based, and multidisciplinary team-developed pathways for a surgical specialty. ERAS pathways aim to reduce the patient's surgical stress response, optimize their physiologic function, facilitate recovery, and reduce the length of stay. The bariatric program at our institution was previously managed by many surgeons with anecdotal preferences, resulting in increased costs, lengths of stay, and opioid prescribing. Read More

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Pituitary Tumor Surgery: Comparison of Endoscopic and Microscopic Techniques at a Single Center.

Mayo Clin Proc 2021 Jun 10. Epub 2021 Jun 10.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.

Objective: To understand the transition from microscopic surgery (MS) to endoscopic surgery (ES) on the pituitary across the United States, we assessed a single institution practicing both procedures to discern advantages and disadvantages for each.

Patients And Methods: Retrospective institutional chart review of 534 patients in a large practice over a 6-year period (January 1, 2014, to December 31, 2019) comparing a single MS neurosurgeon with a single ES neurosurgeon operating on the same days.

Results: In this series, 14% (n=75) of patients had a prior operation, there were no carotid artery injuries, the overall risk for a postoperative infection was 0. Read More

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Morton's Letheon: When was the name Letheon chosen?

J Anesth Hist 2021 Mar 31;7(1):1-10. Epub 2020 Dec 31.

Anesthesiology and Perioperative Medicine, Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH, 44106, USA; Case Western Reserve University School of Dental Medicine, 2124 Cornell Rd, Cleveland, OH, 44106, USA; Curator Emeritus and Laureate of the History of Anesthesia, American Society of Anesthesiologists' Wood Library-Museum of Anesthesiology, 1061 American Lane, Schaumburg, IL, 60173-4973, USA.

Letheon was the commercial name that Boston dentist William T. G. Morton chose for his ether-based "preparation" that was inhaled to produce insensibility during surgical and dental procedures. Read More

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The Physiologic and Emotional Effects of 360-Degree Video Simulation on Head-Mounted Display Versus In-Person Simulation: A Noninferiority, Randomized Controlled Trial.

Simul Healthc 2021 Jun 11. Epub 2021 Jun 11.

From the Department of Anesthesiology, Perioperative, and Pain Medicine (T.J.C., A.R., N.N., K.T., N.G.), Stanford University School of Medicine; Stanford University Graduate School of Education (E.A.-C., B.D.), Stanford, CA; University of Pittsburgh School of Medicine (M.M.), Pittsburgh, PA; Department of Internal Medicine, Legacy Emanuel Medical Center (K.L.), Portland, OR; and Stanford University School of Medicine (S.F.H.), Stanford, CA.

Introduction: A key simulation component is its capability to elicit physiological changes, improving recall. The primary aim was to determine whether parasympathetic responses to head-mounted display simulations (HMDs) were noninferior to in-person simulations. The secondary aims explored sympathetic and affective responses and learning effectiveness. Read More

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Deep surgical site infections following double-dose perioperative antibiotic prophylaxis in adult obese orthopedic patients.

Int J Infect Dis 2021 Jun 10. Epub 2021 Jun 10.

Unit of Clinical and Applied Research, Balgrist University Hospital, University of Zurich, Switzerland; Infection Control, Balgrist University Hospital, University of Zurich, Switzerland. Electronic address:

Background: Obesity is a risk for surgical site infections (SSI). Based on retrospective comparisons and pharmacology, many orthopedic centers adopted a weight- (or body mass index (BMI))-related antibiotic prophylaxis.

Methods: We introduced a double-dose prophylaxis on March 2017 for patients >80 kg and compared the period April 2014-March 2017 ("before") to March 2017-Juni 2019 ("after") regarding its impact on deep SSIs. Read More

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"Hybrid Lung Transplantation" Combining Living Donor and Cadaveric Lung Transplants: Report of 2 Cases.

Transplant Proc 2021 Jun 9. Epub 2021 Jun 9.

Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.

We present 2 cases of "hybrid lung transplant," which included sequentially implanting a living lobar graft to 1 side and a cadaveric graft to the other side. This procedure was approved by the institutional review board at Okayama University Hospital. The 2 recipients were diagnosed with severe idiopathic pulmonary fibrosis, and living donor lobar lung transplant was considered; however, 2 appropriate donors were not available. Read More

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A retrospective evaluation of the indications, complications, and outcomes associated with epicardial pacemakers in 20 cats from a single institution.

J Vet Cardiol 2021 May 13;36:89-98. Epub 2021 May 13.

Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, 2015 Linden Dr. Madison, WI 53706, USA.

Introduction: The objective of this retrospective study was to describe the indications, complications, and long-term outcomes in a group of cats that received an epicardial pacing (EP) system.

Animals: Twenty client-owned cats.

Materials And Methods: Medical records were reviewed for signalment, presenting complaint, primary electrocardiogram (ECG) diagnosis, presence of structural heart disease, presence of congestive heart failure (CHF), presence of major or minor complications, and survival time. Read More

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Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case report.

Braz J Anesthesiol 2021 Jun 9. Epub 2021 Jun 9.

Centro Hospitalar e Universitário de Coimbra, Serviço de Anestesiologia, Coimbra, Portugal.

Platypnea-orthodeoxia syndrome (POS) is a rare condition of positional hypoxemia and dyspnea. The following is a case of hypoxemia for no obvious reason in the perioperative scenario. A 70-year-old male patient was submitted to a radical prostatectomy. Read More

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Radiosurgery as a microsurgical adjunct: outcomes after microsurgical resection of intracranial arteriovenous malformations previously treated with stereotactic radiosurgery.

J Neurosurg 2021 Jun 11:1-12. Epub 2021 Jun 11.

1Department of Neurosurgery and Stanford Stroke Center, Stanford University Medical Center, Stanford.

Objective: Microsurgical resection of arteriovenous malformations (AVMs) can be aided by staged treatment consisting of stereotactic radiosurgery followed by resection in a delayed fashion. This approach is particularly useful for high Spetzler-Martin (SM) grade lesions because radiosurgery can reduce flow through the AVM, downgrade the SM rating, and induce histopathological changes that additively render the AVM more manageable for resection. The authors present their 28-year experience in managing AVMs with adjunctive radiosurgery followed by resection. Read More

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Association of the 2016 US Centers for Disease Control and Prevention Opioid Prescribing Guideline With Changes in Opioid Dispensing After Surgery.

JAMA Netw Open 2021 Jun 1;4(6):e2111826. Epub 2021 Jun 1.

Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia.

Importance: While the 2016 US Centers for Disease Control and Prevention (CDC) guideline for prescribing opioids for chronic pain was not intended to address postoperative pain management, observers have noted the potential for the guideline to have affected postoperative opioid prescribing.

Objective: To assess changes in postoperative opioid dispensing after vs before the CDC guideline release in March 2016.

Design, Setting, And Participants: This cross-sectional study included 361 556 opioid-naive patients who received 1 of 8 common surgical procedures between March 16, 2014, and March 15, 2018. Read More

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Comparative analysis of vascular bulldog clamps used in laparoscopic liver resection.

Medicine (Baltimore) 2021 Jun;100(23):e26074

Department of Hepatobiliary Surgery, The Second Hospital of Anhui Medical University, Hefei, Anhui, PR China.

Abstract: To compare the clinical effect of Bulldog clamps with traditional Pringle for vascular occlusion during laparoscopic hepatectomy.One hundred ten patients were retrospectively investigated in this research from December 2014 to January 2019 in the second hospital of Anhui Medical University, who underwent laparoscopic liver resection using Bulldog (modified group, n = 54) and cotton tourniquet (traditional group, n = 56) for blocking the liver inflow-blood. Intraoperative blood loss, duration of the operation time, clamping time, postoperative outcomes were analyzed. Read More

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Cervical Endocrine Surgery With a Novel Opioid-Limited Perioperative Protocol.

Am Surg 2021 Jun 11:31348211025736. Epub 2021 Jun 11.

Department of General Surgery, 7005Beaumont Health System, Royal Oak, MI, USA.

Background: Recent studies have demonstrated that patients undergoing cervical endocrine surgery could be comfortably discharged with minimal opioid analgesia. However, no study to date has examined the efficacy of limiting administration of opioids intraoperatively. We have developed a novel protocol for patients undergoing cervical endocrine surgery that eliminates perioperative opioids. Read More

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Efficacy of percutaneous pedicle screws for thoracic and lumbar spine fractures compared with open technique.

J Neurosurg Sci 2021 Jun 10. Epub 2021 Jun 10.

Neurosurgery, XII de Octubre University Hospital, Madrid, Spain.

Background: The objective of this study is to compare percutaneous techniques (MIS) with the open technique in terms of angle correction, long-term maintenance and clinical results.

Methods: The authors collected a prospective database of thoraco-lumbar fractures treated with posterior stabilization without fusion from 2013 to 2019. The statistical analysis has been carried out retrospectively. Read More

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Transplant Hepatectomy With Portacaval Shunt and MARS Therapy for Perioperative Catastrophe: A Series of Four Liver Transplant Cases.

Transplant Direct 2021 Mar 18;7(3):e674. Epub 2021 Feb 18.

University of Maryland School of Medicine, Baltimore, MD.

Increased worldwide focus on maximal donor utilization and transplantation of patients once considered too ill to survive liver transplantation may increase the otherwise rare frequency of catastrophic graft failure. Although the deleterious effects of an acutely failing allograft have been established for decades, the optimal strategy in this patient population in the perioperative period remains ill-defined.

Methods: A retrospective review of all liver transplant recipients with perioperative failure leading to transplant hepatectomy between January 1, 2014 and June 30, 2017 was performed. Read More

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Surgical Management of Thoracolumbar Spondylodiscitis in End-Stage Renal Disease.

Indian J Orthop 2021 May 6;55(Suppl 1):176-181. Epub 2020 May 6.

Department of Orthopaedics, M S Ramaiah Medical College, Bangalore, India.

Background: In recent times due to the advancement of haemodialysis techniques, there is increase in the life span of the patients with end-stage renal disease, which tends to increase the risk of complications of bacteraemia due to skin penetration for blood access and leading to propensity for more skeletal and spinal complications. Hence, early diagnosis of spine infection and early initiation of appropriate therapy are important in ensuring successful treatment and preventing further morbidity.

Materials And Methods: The study included 22 males and 12 females who were known case of end-stage renal disease undergoing haemodialysis therapy and diagnosed with spondylodiscitis based on the clinical and radiological signs. Read More

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Surgical Outcomes of Minimally Invasive Transforaminal Lumbar Interbody Fusion for Highly Migrated Lumbar Disc Herniation.

J Pain Res 2021 4;14:1587-1592. Epub 2021 Jun 4.

Department of Orthopedics, Peking University First Hospital, Beijing, People's Republic of China.

Objective: To describe minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for highly migrated lumbar disc herniation (LDH) and assess its clinical outcomes.

Patients And Methods: This research retrospectively assessed 25 patients who were diagnosed with one-segmental highly migrated LDH and underwent MIS-TLIF in Peking University First Hospital from June 2015 to September 2019. Demographic data, perioperative parameters, complications, recurrence, and surgical outcomes were assessed. Read More

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Surgical site infection prevention and management in immunocompromised patients: a systematic review of the literature.

World J Emerg Surg 2021 Jun 10;16(1):33. Epub 2021 Jun 10.

General, Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa 1, 56100, Pisa, Italy.

Background: Immunocompromised patients are at higher risk of surgical site infection and wound complications. However, optimal management in the perioperative period is not well established. Present systematic review aims to analyse existing strategies and interventions to prevent and manage surgical site infections and other wound complications in immunocompromised patients. Read More

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Midterm outcome of biosynthetic collagen prosthesis for treating aortic and peripheral prosthetic graft infections.

Vascular 2021 Jun 10:17085381211025380. Epub 2021 Jun 10.

Department of Vascular Surgery, 155897Barmherzige Brüder Hospital, Regensburg, Germany.

Objectives: To report the midterm outcomes of treating prosthetic peripheral and aortic graft infections using a biosynthetic collagen prosthesis in a tertiary vascular center.

Methods: A retrospective analysis of all patients with prosthetic peripheral and aortic graft infections who underwent in situ reconstruction using a biosynthetic collagen prosthesis between March 2015 and November 2020 was conducted. Perioperative and midterm outcomes were analyzed. Read More

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