Noninvasive respiratory support with high-flow nasal cannula in endoscopic surgery in a patient with Legionella Pneumophila pneumonia: a case report
(Source: Perioperative Medicine)
Source: Perioperative Medicine - April 17, 2024 Category: Surgery Source Type: research
The effect of goal-directed crystalloid versus colloid administration on postoperative spirometry parameters: a substudy of a randomized controlled clinical trial
ConclusionPostoperative pulmonary function parameters were similarly impaired in patients receiving goal-directed crystalloid administration as compared to goal-directed colloid administration during open abdominal surgery.Trial registrationClinicalTrials.gov (NCT00517127, registered on August 16, 2007) and EudraCT (2005-004602-86). (Source: Perioperative Medicine)
Source: Perioperative Medicine - April 15, 2024 Category: Surgery Source Type: research
Essential right heart physiology for the perioperative practitioner POQI IX: current perspectives on the right heart in the perioperative period
AbstractAs patients continue to live longer from diseases that predispose them to right ventricular (RV) dysfunction or failure, many more patients will require surgery for acute or chronic health issues. Because RV dysfunction results in significant perioperative morbidity if not adequately assessed or managed, understanding appropriate assessment and treatments is important in preventing subsequent morbidity and mortality in the perioperative period. In light of the epidemiology of right heart disease, a working knowledge of right heart anatomy and physiology and an understanding of the implications of right-sided heart ...
Source: Perioperative Medicine - April 9, 2024 Category: Surgery Source Type: research
Post-surgical inflammatory neuropathy after anterior cruciate ligament repair: a case report
ConclusionsThere are limited publications describing postoperative inflammatory neuropathy, and this case serves to illustrate a potentially under-recognized and multifactorial cause of postoperative neuropathy. Perioperative neuropathies are a complication that surgeons and anesthesiologists strive to avoid; however, prevention and treatment of this condition have been elusive. Increased reporting and investigation of postoperative inflammatory neuropathy as one cause for this complication will help to further our understanding of this potentially devastating complication. (Source: Perioperative Medicine)
Source: Perioperative Medicine - April 2, 2024 Category: Surgery Source Type: research
A methodological protocol for the development of a national guideline on perioperative management of gastrointestinal tumors in Germany
DiscussionGuidelines serve as foundation for therapy decisions in everyday clinical practice and should therefore be based on up-to-date research results. However, while primary studies and systematic reviews are critically reviewed for their methodological quality, the process of guideline development is often not comprehensible. A protocol with predefined methodology should therefore create transparency and strengthen confidence in the recommendations.Trial registrationThe guideline is registered in the AWMF (Association of the Scientific Medical Societies) Guideline Register (088 —010OL). (Source: Perioperative Medicine)
Source: Perioperative Medicine - April 1, 2024 Category: Surgery Source Type: research
Enhanced recovery after liver surgery in cirrhotic patients: a systematic review and meta-analysis
ConclusionIn cirrhotic patients, ERAS protocol for liver surgery is safe and decreases post-operative complications and LoS. More randomized controlled trials are needed to confirm the results of the present analysis. (Source: Perioperative Medicine)
Source: Perioperative Medicine - April 1, 2024 Category: Surgery Source Type: research
Trends in the use of neuromuscular blocking agents, reversal agents and neuromuscular transmission monitoring: a single-centre retrospective cohort study
ConclusionOur data demonstrate that the implementation of NMT monitoring with automatic recording coincides with a gradual increase in the (documented) use of NMT monitoring and an increased use of sugammadex with a more precise dose. Factors associated with sugammadex use include higher age, ASA score, BMI, abdominal and thoracic surgery, higher rocuronium doses, emergency surgery and the use of NMT monitoring.Trial registrationN/A.Key points• Introduction of NMT monitoring with automatic recording coincides with an increase in (documented) use of NMT monitoring.• Sugammadex is more frequently used in patients with a ...
Source: Perioperative Medicine - March 27, 2024 Category: Surgery Source Type: research
Effect of ultrasound-guided lung recruitment to reduce pulmonary atelectasis after non-cardiac surgery under general anesthesia: a systematic review and meta-analysis of randomized controlled trials
ConclusionUltrasound-guided lung recruitment maneuvers have been shown to be a promising approach for improving perioperative lung ventilation by increasing aeration while mitigating the development of atelectasis. In comparison to non-ultrasound-guided methods, this technique has exhibited superior effects. (Source: Perioperative Medicine)
Source: Perioperative Medicine - March 27, 2024 Category: Surgery Source Type: research
Managing a difficult airway due to supraglottic masses: successful videolaryngoscopic intubation after induction of general anesthesia
ConclusionsVideolaryngoscopic intubation after induction of general anesthesia can be a feasible alternative for managing difficult airways in patients with supraglottic masses. This approachshould be based on a comprehensive preoperative evaluation, adequate preparation, and preplanned strategies to address potential challenges, such as inadequate oxygenation and unsuccessful tracheal intubation. (Source: Perioperative Medicine)
Source: Perioperative Medicine - March 20, 2024 Category: Surgery Source Type: research
Optimizing the transfusion strategy in surgical patients in a Lebanese university hospital
ConclusionThis study therefore confirms that anemic patients are more likely to receive perioperative blood transfusions. Consequently, in order to reduce blood transfusion and its complications, it would be beneficial primarily to diagnose and treat anemia preoperatively. Other transfusion-saving strategies could also be useful in the setting of surgical bleeding, such as the use of tranexamic acid and different autologous transfusion methods like the cell saver. (Source: Perioperative Medicine)
Source: Perioperative Medicine - March 15, 2024 Category: Surgery Source Type: research
Analysis of inappropriate prophylactic use of proton pump inhibitors during the perioperative period: an observational study
ConclusionsThe inappropriate prophylactic use of PPIs during the perioperative period is common. Regulation authorities and pharmacists should take more targeted measures to promote the rational prophylactic use of PPIs during the perioperative period. (Source: Perioperative Medicine)
Source: Perioperative Medicine - March 14, 2024 Category: Surgery Source Type: research
Acute Pain Services and pain-related patient-reported outcomes in Hungarian hospitals
ConclusionsOur findings confirm earlier international evidence on the benefits of Acute Pain Service in postoperative pain management and support the wider adoption of the technology in Hungarian hospitals. Nevertheless, close attention should be paid to patient information and involvement as better outcomes alone do not necessarily increase patient satisfaction. (Source: Perioperative Medicine)
Source: Perioperative Medicine - March 12, 2024 Category: Surgery Source Type: research
Effects of short-term preoperative intranasal dexmedetomidine plus conventional treatment on delirium following cardiac surgery in patients with sleep disorders
ConclusionThe combined treatment involving DEX demonstrated a decreased incidence of POD in elderly individuals with sleep disorders undergoing cardiac surgery compared to the placebo combination treatment.Trial registrationURL:www.chictr.org.cn with registration number ChiCTR 2100043968, registered on 06/03/2021. (Source: Perioperative Medicine)
Source: Perioperative Medicine - March 9, 2024 Category: Surgery Source Type: research
Comparison of metabolic rates of ropivacaine in cerebrospinal fluid as inferred from plasma concentrations between elderly patients and young patients
ConclusionsThis study shows that the dose of ropivacaine should be reduced when used for anesthesia in elderly patients. The cumulation of ropivacaine and HA appears to imitate the degeneration of central lymphatic circulation metabolism in elderly people. (Source: Perioperative Medicine)
Source: Perioperative Medicine - March 6, 2024 Category: Surgery Source Type: research
Effect of intravenous lidocaine on the ED50 of propofol induction dose in elderly patients undergoing painless gastroscopy: a prospective, randomized, double-blinded, controlled study
ConclusionsThe administration of intravenous lidocaine to elderly patients undergoing painless gastroscopy resulted in a significant 40% reduction in the ED50 of propofol induction dose, which may be related to the decreased incidence of hypotension and injection pain, as well as the improved post-gastroscopy orientation recovery.Trial registrationChiCTR, ChiCTR2200065530. Registered on 08 November 2022. (Source: Perioperative Medicine)
Source: Perioperative Medicine - March 5, 2024 Category: Surgery Source Type: research
