5,698 results match your criteria postsurgical complications


The lung microbiome in lung transplantation.

J Heart Lung Transplant 2021 May 7. Epub 2021 May 7.

Division of Pulmonary, Allergy and Critical Care Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Department of Microbiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

Culture-independent study of the lower respiratory tract after lung transplantation has enabled an understanding of the microbiome - that is, the collection of bacteria, fungi, and viruses, and their respective gene complement - in this niche. The lung has unique features as a microbial environment, with balanced entry from the upper respiratory tract, clearance, and local replication. There are many pressures impacting the microbiome after transplantation, including donor allograft factors, recipient host factors such as underlying disease and ongoing exposure to the microbe-rich upper respiratory tract, and transplantation-related immunosuppression, antimicrobials, and postsurgical changes. Read More

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Radiological evaluation of the postsurgical middle ear.

Radiologia 2021 Jun 8. Epub 2021 Jun 8.

Área clínica de Imagen Médica, Hospital Universitario y Politécnico La Fe, Valencia, España.

Objective: The radiological evaluation of the postsurgical middle ear is complex due to the intricate anatomy of this region and the wide variety of procedures and materials used iin middle ear surgery. Knowledge of these factors will enable normal postsurgical changes to be differentiated from complications. This article describes the most common surgical procedures in the middle ear, their indications, and the normal radiological appearance after these procedures. Read More

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Intranodal Lymphangiography With High-Dose Ethiodized Oil Shows Efficient Results in Patients With Refractory, High-Output Postsurgical Chylothorax: A Retrospective Study.

AJR Am J Roentgenol 2021 Jun 9:1-6. Epub 2021 Jun 9.

Department of Radiology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium.

The purpose of this study is to evaluate the safety and efficacy of intranodal lymphangiography (INL) with high-dose ethiodized oil in patients with postoperative refractory chylothorax. A retrospective review of a cohort of 18 patients with refractory postoperative chylothorax seen between May 2015 and March 2019 was conducted. All patients underwent intranodal lymphangiography with high doses of ethiodized oil (mean, 75 mL; range, 40-140 mL). Read More

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[Perioperative analgesia with nonopioid analgesics : Joint interdisciplinary consensus-based recommendations of the German Pain Society, the German Society of Anaesthesiology and Intensive Care Medicine and the German Society of Surgery].

Schmerz 2021 Jun 2. Epub 2021 Jun 2.

Abteilung für Anästhesie, Interdisziplinäre Intensivmedizin, Schmerzmedizin/Palliativmedizin, Zentrum für Schmerzmedizin, Weaningzentrum, CURA - GFO-Kliniken Bonn, Bad Honnef, Deutschland.

Background: Nonopioid analgesics are frequently used for perioperative analgesia; however, insufficient research is available on several practical issues. Often hospitals have no strategy for how to proceed, e.g. Read More

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Prehabilitation Exercise Before Urologic Cancer Surgery: A Systematic and Interdisciplinary Review.

Eur Urol 2021 May 29. Epub 2021 May 29.

Department of Urology, University of Washington, Seattle, WA, USA. Electronic address:

Context: The Consensus on Therapeutic Exercise Training (CONTENT) scale assesses the therapeutic validity of exercise programs. To date, prehabilitation exercise programs for heath optimization before urologic cancer surgeries have not been assessed for therapeutic validity or efficacy.

Objective: To systematically assess prehabilitation exercise programs before urologic cancer surgery for therapeutic validity and efficacy, informing discussion of best practices for future intervention. Read More

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Antibiotics or No Antibiotics, That Is the Question: An Update on Efficient and Effective Use of Antibiotics in Dental Practice.

Antibiotics (Basel) 2021 May 9;10(5). Epub 2021 May 9.

Unit of Internal Medicine "Guido Baccelli", Department of Biomedical Sciences and Human Oncology, University of Bari Medical School, 70124 Bari, Italy.

The antimicrobial resistance (AMR) phenomenon is an emerging global problem and is induced by overuse and misuse of antibiotics in medical practice. In total, 10% of antibiotic prescriptions are from dentists, usually to manage oro-dental pains and avoid postsurgical complications. Recent research and clinical evaluations highlight new therapeutical approaches with a reduction in dosages and number of antibiotic prescriptions and recommend focusing on an accurate diagnosis and improvement of oral health before dental treatments and in patients' daily lives. Read More

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Effect of high-quality care on limb function recovery and quality of life after osteoporotic hip fracture surgery in the elderly.

J Musculoskelet Neuronal Interact 2021 Jun;21(2):272-278

Department of Joint and Trauma Surgery, The Third Affiliated Hospital of Sun Yat‑sen University, P.R. China.

Objectives: To evaluate the effect of high-quality care on limb function recovery and quality of life (QOL) after osteoporotic hip fracture (OHF) surgery in the elderly.

Methods: 116 elderly patients with OHF enrolled in our hospital from January 2017 to December 2019 were assigned into observation group (high-quality care, n=58) and control group (routine care, n=58). After one month of intervention, Harris Hip Score (HHS) and Barthel Index (BI) were used to evaluating limb function and self-care ability, pain intensity numerical rating scale (PINRS) for pain assessment, self-rating anxiety scale (SAS), and self-rating depression scale (SDS) for emotion assessment. Read More

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MRI and muscle enzymes do not support the diagnosis of local anesthetic myotoxicity: a descriptive case series.

Reg Anesth Pain Med 2021 May 31. Epub 2021 May 31.

Department of Orthopedic Surgery, Virginia Mason Medical Center, Seattle, Washington, USA.

Background: The presence of thigh muscle edema as characterized by increased signal intensity on MRI has been used to support the diagnosis of presumed local anesthetic-induced myotoxicity reported after total knee arthroplasty (TKA) with continuous adductor canal block (CACB). However, neither postoperative baseline imaging appearance nor muscle enzyme values have been described in conjunction with this clinical scenario. Thus, the usefulness of MRI or enzymatic biomarkers of muscle injury for supporting the diagnosis of local anesthetic myotoxicity is unknown. Read More

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Use of Vivostat® Autologous Fibrin Sealant in Thyroid Surgery.

Surg Technol Int 2021 05 27;38. Epub 2021 May 27.

Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University Hospital G. Martino, University of Messina, Messina, Italy.

Introduction: Post-thyroidectomy hemorrhage is a rare but potentially life-threatening and unpredictable complication of thyroid surgery. Therefore, intraoperative bleeding control and hemostasis are crucial. However, the most efficient, cost-effective, and standardized way to achieve this is not clear. Read More

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Postoperative Outcome of Patients Who Underwent Total Joint Replacement During the Tanezumab Phase 3 Osteoarthritis Development Program: A 24-Week Observational Study.

Surg Technol Int 2021 05 27;38. Epub 2021 May 27.

Medicine Team Leader, Pfizer Inc, Groton, Connecticut.

Introduction: This prospective cohort study (ClinicalTrials.gov identifier: NCT02674386) evaluated the postoperative outcomes of patients who had undergone total joint replacement (TJR) while participating in one of three tanezumab (a nerve growth factor inhibitor) randomized phase 3 osteoarthritis (OA) studies.

Materials And Methods: Eligible patients were those who underwent TJR (knee, hip, or shoulder) at any time during any of three tanezumab randomized phase 3 OA studies. Read More

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[Perioperative analgesia with nonopioid analgesics : Joint interdisciplinary consensus-based recommendations of the German Pain Society, the German Society of Anaesthesiology and Intensive Care Medicine and the German Society of Surgery].

Chirurg 2021 May 26. Epub 2021 May 26.

Abteilung für Anästhesie, Interdisziplinäre Intensivmedizin, Schmerzmedizin/Palliativmedizin, Zentrum für Schmerzmedizin, Weaningzentrum, CURA - GFO-Kliniken Bonn, Bad Honnef, Deutschland.

Background: Nonopioid analgesics are frequently used for perioperative analgesia; however, insufficient research is available on several practical issues. Often hospitals have no strategy for how to proceed, e.g. Read More

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Non-functioning pituitary adenomas and pregnancy: one-center experience and review of the literature.

Arch Endocrinol Metab 2021 May;64(5):614-622

División Endocrinología, Hospital General de Agudos Dr. Carlos G. Durand, Buenos Aires, Argentina.

The usual clinical presentation of non-functioning pituitary adenoma (NFPA) consists of symptoms of mass effect and hypopituitarism. NFPA is a rare condition in young women and an uncommon complication during pregnancy. We present the outcome of three patients with NFPA during pregnancy. Read More

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Routine Postsurgical Anesthesia Visit to Improve 30-Day Morbidity and Mortality: A Multicenter, Stepped-Wedge Cluster Randomized Interventional Study (the TRACE Study).

Ann Surg 2021 May 24. Epub 2021 May 24.

Department of Anesthesiology and Pain Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands Department of Anesthesiology, Amsterdam University Medical Centre, VU University, Amsterdam, The Netherlands Department of Anesthesiology, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands Department of Anesthesiology, St. Antonius Nieuwegein, Nieuwegein, The Netherlands Department of Anesthesiology, Rijnstate Hospital, Arnhem, The Netherlands Department of Anesthesiology and Operations, Dijklander Hospital, Hoorn, The Netherlands Department of Anesthesiology and Pain Management, Medical Centre Haaglanden, The Hague Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands Department of Surgery, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands Department of Surgery, Amsterdam University Medical Centre, VU University, Amsterdam, The Netherlands Department of Surgery, Maastricht University Medical Centre +, Maastricht, The Netherlands Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre +, Maastricht, the Netherlands Care and Public Health Research Institute CAPHRI, Maastricht University, Maastricht, the Netherlands.

Objective: To study the impact of a standardized postoperative anesthesia visit on 30-day mortality in medium to high-risk elective surgical patients.

Background: Postoperative complications are the leading cause of perioperative morbidity and mortality. While modified early warning scores (MEWS) were instituted to monitor vital functions and improve postoperative outcome, we hypothesized that complementary anesthesia expertise is needed to adequately identify early deterioration. Read More

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Distal Pancreatic Resection with Splenectomy in the Rat: A Pancreatic Fistula Model to Investigate Postsurgical Damage?

Eur Surg Res 2021 May 21:1-8. Epub 2021 May 21.

Daniel Swarovski Research Laboratory, Department of Visceral, Transplant and Thoracic Surgery, Center of Operative Medicine, Medical University of Innsbruck, Innsbruck, Austria.

Background: Postoperative pancreatic fistula (POPF) is a major complication in pancreatic surgery and can cause considerable postoperative morbidity. Advanced surgical-technical approaches to prevent POPF did not yield a substantial improvement. To investigate innovative treatments, experimental animal models of distal pancreatic resection and pancreaticoduodenectomy are of fundamental importance. Read More

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Preoperative and Postoperative Imaging in Idiopathic Scoliosis: What the Surgeon Wants to Know.

Semin Musculoskelet Radiol 2021 Feb 21;25(1):155-166. Epub 2021 May 21.

Diagnostic Imaging Department, "Reine Fabiola" Children's University Hospital, Université Libre de Bruxelles, Bruxelles, Belgium.

The term covers a broad spectrum of spinal deformities in the pediatric population without an underlying congenital anomaly of the spine. Depending on the age of presentation, it has both characteristic clinical and imaging features and a different prognosis. The radiologist should provide the surgeon with critical information to assess the degree of deformity and eventually plan surgery. Read More

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February 2021

Alterations of bone markers in obese patients with type 2 diabetes after bariatric surgery: A meta-analysis and systemic review of randomized controlled trials and cohorts.

Medicine (Baltimore) 2021 May;100(20):e26061

Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital.

Background: The aim of this study is to evaluate the alterations in bone mineral density and other surrogate markers for osteoporosis in obese patients with type 2 diabetes mellitus (T2DM) who received Roux-en-Y gastric bypass (RYGB) versus medical treatment as control.

Methods: We searched 4 electronic databases and reference lists of relevant studies for eligible research published before December, 2019. After quality assessment, eligible studies were synthesized for relevant outcomes, including lumbar spine bone mineral density (L-spine BMD) change, total hip BMD change, osteocalcin level, C-terminal telopeptide level, and parathyroid hormone level. Read More

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Immediate single-tooth replacement with acellular dermal matrix allogeneic bone on sloped platform-switching implants: A case series.

Int J Oral Implantol (Berl) 2021 May;14(2):213-222

Achieving predictable success with implants in the aesthetic zone is essential for clinicians. Promoting marginal bone and stability of the gingival environment is key to obtaining a predictable aesthetic outcome. The present study aimed to describe a technique that combines a flapless approach to immediate extraction and placement of sloped implants, using an acellular dermal matrix to contain the coronal aspect of a deproteinised bovine bone mineral graft. Read More

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Risk factors for persistent pain after breast and thoracic surgeries: a systematic literature review and meta-analysis.

Pain 2021 Apr 5. Epub 2021 Apr 5.

Saint Louis University School of Medicine, St. Louis, MO, United States University of Sydney School of Medicine, Sydney, Australia MCPHS University, Boston, MA, United States Department of Anesthesiology, Washington University in St. Louis School of Medicine, St. Louis, MO, United States Becker Medical Library, Washington University in St. Louis School of Medicine, St. Louis, MO, United States Departments of Anesthesiology & Perioperative Medicine, Biomedical & Molecular Sciences, Centre for Neuroscience Studies, and School of Policy Studies, Queen's University, Kingston, Ontario, Canada Department of Clinical Medicine, Danish Pain Research Center, Aarhus University, Aarhus, Denmark.

Abstract: Persistent postsurgical pain (PPSP) is common after breast and thoracic surgeries. Understanding which risk factors consistently contribute to PPSP will allow clinicians to apply preventive strategies, as they emerge, to high-risk patients. The objective of this work was to systematically review and meta-analyze the literature on risk factors of PPSP after breast and thoracic surgeries. Read More

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A method for percutaneous radiologic gastrostomy tube placement without sedation as a bridge to lung transplantation.

Radiol Case Rep 2021 Jun 21;16(6):1586-1590. Epub 2021 Apr 21.

Vanderbilt University Medical Center, 1211 Medical Center Dr, Nashville, TN 37232, USA.

Gastrostomy tube placement is an appropriate option for long-term nutritional support for patients who cannot tolerate oral intake. Common indications for a gastrostomy tube include head and neck tumors and neurological disorders. Several methods for gastrostomy tube insertion exist (eg, surgical, endoscopic, and radiologic) that require sedation or general anesthesia, which can pose risks of cardiopulmonary compromise and postsurgical pulmonary complications. Read More

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Autologous Fat Injection for Augmentation Rhinoplasty: A Systematic Review.

Aesthet Surg J Open Forum 2021 Jun 2;3(2):ojab010. Epub 2021 Mar 2.

Emory University, Atlanta, GA, USA.

Background: Autologous fat has become more frequently used for nasal volume augmentation and nasal correction. Nasal lipofilling refers to the use of injectable autologous fat grafts for nonsurgical aesthetic corrections.

Objectives: This systematic review aims to assess the satisfaction, complication, and retention rates of fat injection in nasal shape corrections. Read More

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Comparison of Transthecal Approach With Traditional Conservative Approach for Primary Closure After Incidental Durotomy in Anterior Lumbar Tear.

Int J Spine Surg 2021 Jun 13;15(3):429-435. Epub 2021 May 13.

Functional Neurosurgery Research Center, Shohada Tajrish Comprehensive Neurosurgical Center of Excellence, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Incidental durotomies (IDs) are frequent complications of spinal surgeries which are mostly posterior or lateral. Anterior IDs are rare; however, they may lead to severe complications. We compared the transthecal approach with the conservative approach for primary closure after durotomy in anterior lumbar dural tear to assess the efficacy of these approaches to decrease postsurgical complications and clinical outcomes. Read More

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Unequal rates of postoperative complications in relatively healthy bariatric surgical patients of white and black race.

Surg Obes Relat Dis 2021 Apr 20. Epub 2021 Apr 20.

Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio.

Background: Racial disparities in postsurgical complications are often presumed to be due to a higher preoperative co-morbidity burden among patients of black race, although being relatively healthy is not a prerequisite for a complication-free postoperative course.

Objectives: To examine the association of race with short-term postbariatric surgery complications in seemingly healthy patients.

Settings: Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database (2015-2018). Read More

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Temporalis Muscle Flap for the Immediate Reconstruction of Oral Defects after Oncologic Resection.

Case Rep Oncol 2021 Jan-Apr;14(1):573-579. Epub 2021 Mar 23.

Odonto-Stomatology Center, Hue Central Hospital, Hue, Vietnam.

An oral defect after oncologic resection, especially in the upper jaw, is an extremely complex problem in terms of reconstructive surgery. Herein, we report 2 patients who were diagnosed with oral mucosal squamous cell carcinoma. In one patient, the lesion was present on the right side of the hard palate, invading the maxillary bone. Read More

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Delayed unilateral hematoma after reconstructive and aesthetic breast surgery with implants in Asian patients: two case reports.

Gland Surg 2021 Apr;10(4):1515-1522

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.

Hematomas represent one of the postoperative complications in patients undergoing reconstructive or aesthetic breast surgery with a silicone implant. Although there are few reports of intracapsular hematoma, those presenting late hematoma after reconstructive and aesthetic augmentation surgeries are rarer. This study reported two Asian patients with late hematoma after reconstruction and aesthetic breast surgery. Read More

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Transvaginal primary layered repair of postsurgical urethrovaginal fistula.

Int Urogynecol J 2021 May 5. Epub 2021 May 5.

ASST Monza, Ospedale San Gerardo, via G.B. Pergolesi, 33 20900, Monza, Italy.

Introduction And Hypothesis: Urethrovaginal fistula (UVF) is a rare disorder, which implies the presence of an abnormal communication between the urethra and the vagina.

Methods: Surgical repair options include transurethral, transabdominal and transvaginal procedures, either with or without tissue interposition. The vaginal route is considered a safe and effective option to correct UVF. Read More

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Use of Propeller Flap in the Coverage of Soft-Tissue Injury in the Lower Limb.

Rev Bras Ortop (Sao Paulo) 2021 Apr 25;56(2):192-197. Epub 2020 Sep 25.

Departamento de Ortopedia e Traumatologia, Hospital de Urgências de Goiânia Dr. Valdemiro Cruz, Goiânia, GO, Brasil.

 To evaluate the use of a propeller flap to cover soft-tissue injuries in the lower limb.  A retrospective study, with review of medical records, and a convenience sample of 14 patients operated between July 2018 and June 2019. The following clinical aspects were evaluated: sex; age group; type of injury; cause of the injury; initial diagnosis; affected location; techniques for incision and identification; surgical planning; flap design; postoperative period; result of the propeller flap; and complications. Read More

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Joint-Preserving Surgery for Forefoot Deformities in Patients with Rheumatoid Arthritis: A Literature Review.

Int J Environ Res Public Health 2021 04 13;18(8). Epub 2021 Apr 13.

Department of Orthopedic Surgery, Tokyo Women's Medical University, Tokyo 162-8666, Japan.

The combination of first metatarsophalangeal joint arthrodesis and resection arthroplasty of all lesser metatarsal heads has been historically considered the golden standard treatment for rheumatoid forefoot deformities. However, as recent improved management of rheumatoid arthritis have reduced progression of joint destruction, the surgical treatments for rheumatoid forefoot deformities have gradually changed from joint-sacrificing surgery, such as arthrodesis and resection arthroplasty, to joint-preserving surgery. The aim of this literature review was to provide current evidence for joint-preserving surgery for rheumatoid forefoot deformities. Read More

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Experimental Methods to Simulate and Evaluate Postsurgical Peripheral Nerve Scarring.

J Clin Med 2021 Apr 10;10(8). Epub 2021 Apr 10.

UO Microchirurgia e Chirurgia della Mano, Ospedale Gaetano Pini, Piazza Andrea Ferrari 1, 20122 Milano, Italy.

As a consequence of trauma or surgical interventions on peripheral nerves, scar tissue can form, interfering with the capacity of the nerve to regenerate properly. Scar tissue may also lead to traction neuropathies, with functional dysfunction and pain for the patient. The search for effective antiadhesion products to prevent scar tissue formation has, therefore, become an important clinical challenge. Read More

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Minimally Invasive Laparoscopic Technique for Lymph Node Dissection in Penile Cancer: The Pelvic and Inguinal Single-Site Approach: PISA Technique.

Urology 2021 Apr 27. Epub 2021 Apr 27.

Servicio de Urología. Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Background: Lymph node dissection(LND) remains the gold standard in the staging and treatment of locally advanced penile cancer(PC).

Objective: To describe our initial experience with a new minimally invasive inguinal and pelvic single-access laparoscopic approach,for performing LND in PC, first described in Urology by our group in 20153: the Pelvic and Inguinal Single Access(PISA) technique (Fig. 1). Read More

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Pressure Injuries Due to Personal Protective Equipment in COVID-19 Critical Care Units.

Am J Crit Care 2021 Apr 29:e1-e7. Epub 2021 Apr 29.

Alberto Lucchini is a nurse coordinator in the general intensive care unit, ASST Monza, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy.

Background: Caring for patients with COVID-19 requires wearing a full set of personal protective equipment (PPE) to avoid contamination. Personal discomfort has been associated with use of PPE, and anecdotal reports describe pressure injuries related to wearing PPE.

Objectives: To investigate the occurrence of device-related pressure injuries due to wearing PPE among Italian nurses caring for patients with COVID-19 in critical care settings. Read More

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