Relevant bibliographies by topics / Postoperative Period

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Postoperative Period'

Author: Grafiati
Published: 4 June 2021
Last updated: 27 February 2023

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Journal articles on the topic "Postoperative Period"

1

Duncan, Alan. "The Postoperative Period." Clinics in Anaesthesiology 3, no. 3 (July 1985): 619–32. http://dx.doi.org/10.1016/s0261-9881(21)00056-2.

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Dart, Richard A. "The Postoperative Period Summary." Chest 115, no. 5 (May 1999): 48S—49S. http://dx.doi.org/10.1378/chest.115.suppl_2.48s.

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Feitz, R., and A. Vos. "Malrotation: The postoperative period." Journal of Pediatric Surgery 32, no. 9 (September 1997): 1322–24. http://dx.doi.org/10.1016/s0022-3468(97)90312-2.

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Belevsky, E. V., D. V. Federyakin, S. V. Veselov, and E. O. Grigoryants. "ELECTROANALGESIA IN THE POSTOPERATIVE PERIOD." Bulletin of Pirogov National Medical & Surgical Center 14, no. 3 (2019): 116–21. http://dx.doi.org/10.25881/bpnmsc.2019.77.24.023.

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Khadjibaev, Аbdukhakim, Hojakbar Asomov, and Umidulla Riskiev. "Relaparoscopy in early postoperative period." Medical and Health Science Journal 11, no. 2 (May 18, 2012): 50–55. http://dx.doi.org/10.15208/mhsj.2012.24.

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Lichtor, J. L., J. Zacny, D. W. Coalson, D. C. Flemming, A. Uitvlugt, J. L. Apfelbaum, R. Thisted, and B. S. Lane. "THE POSTOPERATIVE PERIOD AND ALCOHOL." Anesthesiology 77, Supplement (September 1992): A24. http://dx.doi.org/10.1097/00000542-199209001-00024.

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Miller, Barry. "Recovery and the postoperative period." Anaesthesia & Intensive Care Medicine 7, no. 12 (December 2006): 445–48. http://dx.doi.org/10.1053/j.mpaic.2006.09.006.

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Kelley, Roger E. "STROKE IN THE POSTOPERATIVE PERIOD." Medical Clinics of North America 85, no. 5 (September 2001): 1263–76. http://dx.doi.org/10.1016/s0025-7125(05)70377-1.

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Richardson, J., and S. Sabanathan. "NSAIDs in the postoperative period." BMJ 307, no. 6903 (August 28, 1993): 567. http://dx.doi.org/10.1136/bmj.307.6903.567-a.

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Okoro, Tosan, Yousef Ibrahim, Nadia Mansour, Phillip Alderman, and Aled Evans. "The Use of Cryotherapy in the Early Postoperative Period after Total Hip Arthroplasty." Ortopedia Traumatologia Rehabilitacja 21, no. 5 (October 31, 2019): 339–48. http://dx.doi.org/10.5604/01.3001.0013.5782.

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Background. Recent evidence suggests that cryotherapy may be beneficial in reducing postoperative pain and blood loss in joint arthroplasty. The objective of this study was to review the use of cryotherapy in the early postoperative phase after total hip arthroplasty to assess the benefits in terms of pain relief and reduction in postoperative blood loss. Material and methods. A prospective cohort study of the use of a cryotherapy device (Hilotherm) was performed in patients following total hip arthroplasty. The primary outcome measures were visual analogue score (VAS) for pain (at 24 and 48 hours postoperatively), and amount of postoperative blood loss, measured by change in haemoglobin (g/L). The secondary outcome measures were length of stay (days), duration of patient controlled analgesia (PCA) administered postoperatively (hours) and amount of analgesia used (mg) in the first 48 hours. Results. 28 patients were recruited (n=13 Hilotherm; n= 15 non-Hilotherm). Hilotherm application reduced pain in the first 24 hours, non-significantly, (3.50±2.41 vs 4.90±2.95; p=0.185). This effect was not carried through at 48 hours postoperatively (5.68±1.94 vs 3.72±2.46; p=0.029). Hilotherm application significantly reduced postoperative blood loss (22.38±5.71 g/L vs 29.13±10.22 g/L; p=0.045). Hilotherm reduced length of stay by almost 1 day; however, this was not statistically significant (4.46±2.33 vs 5.20±3.55; p=0.528). There was no difference in the length of time PCA was administered (22.30±0.75 vs 22.02±3.26; p=0.763). Patients in the non-Hilotherm group required more paracetamol on average (p=0.001). Conclusions. 1. Hilotherm application does not appear to significantly reduce pain postoperatively but re­sults in less postoperative blood loss. 2. There may be a role for the continued use of cryotherapy in the early period of rehabilitation following total hip arthroplasty, as it appears to result in more rapid ambulatory rehabilitation in patients, resulting in reduced length of stay.
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Dissertations / Theses on the topic "Postoperative Period"

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Robinson, Susan. "Patient-controlled analgesia in the postoperative period." Thesis, University of Leicester, 1995. http://hdl.handle.net/2381/34214.

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Patient-controlled delivery systems deliver drugs at a rate which is controlled by the patient in order to achieve plasma concentrations consistent with acceptable efficacy and minimal side-effects. They can be used therapeutically to provide pain relief after surgery and as a research tool to measure the efficacy of other analgesic techniques. Patient-controlled analgesia (PCA) was investigated in the postoperative period. Comparative studies of PCA devices revealed little difference in terms of clinician and patient satisfaction. As a research tool, PCA proved useful in evaluating alternative methods of providing postoperative analgesia. Ambulatory PCA devices were more portable (p=0.01) on the first postoperative day with less nausea (p=0.02) on the second. Mean (SEM) postoperative morphine requirements were 82.9 (9.8) mg and 120.6 (17.5) mg for the ambulatory and bedside PCAS respectively (p=0.06). Mean (SEM) postoperative morphine consumption between the electronic 35.1 (8.5) mg and nonelectronic devices 35.7 (6.6) mg were similar (p=0.77). In evaluating other methods of analgesia, there was no significant difference between active and placebo TCENS. Mean (SEM) postoperative opioid requirements were 35.6 (5.3) mg and 31.6 (3.5) mg for the active and placebo groups respectively (p=0.5). Subcutaneous wound infiltration with bupivacaine 0.5% also failed to decrease mean (SEM) opioid requirements for the first postoperative day, which were 56.7 (6.1) mg and 67.3 (6.4) mg for the bupivacaine and saline groups respectively (p=0.89). When diamorphine and morphine were compared for dose and effect, the postoperative mean (SEM) requirements were 20.2 (2.4) mg and 44 (6.8) mg respectively (p=0.004). No significant differences were found in side-effects. After PCA and i.m. morphine no differences were detected in mean (SEM) postoperative consumption - 34.8 (5.0) mg and 30.2 (6.7) mg in the PCA and i.m. groups respectively (p=0.17). Overall requirements for antiemetics were not significant (p=0.69). In the PCA group, 53% patients did not vomit, were not nauseated and did not require antiemetics compared with 27% patients in the i.m. group (p=0.14).
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Barthelsson, Cajsa. "Laparoscopic cholecystectomy : patients' experiences and self-reported symptoms the first week after sugery /." Stockholm, 2007. http://diss.kib.ki.se/2007/20071220bart/.

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Nilsson, Ulrica. "The effect of music and music in combination with therapeutic suggestions on postoperative recovery /." Linköping : Univ, 2003. http://www.bibl.liu.se/liupubl/disp/disp2003/med809s.pdf.

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Soop, Mattias. "Effects of perioperative nutrition on insulin action in postoperative metabolism /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-529-8/.

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Shibata, Yoshihisa, Yasuhiro Shimada, Masahiko Miyachi, Akihiro Yasui, and Yuji Nimura. "The effect of epidural morphine on human intestinal motility in the early postoperative period." Thesis, Georg Thieme, 1994. http://hdl.handle.net/2237/16797.

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Gebhardt, Pamela Gipe. "Reliability and validity of the Interchange of Gases Assessment Tool for monitoring the respiratory status of patients in the postanesthetic care unit." Thesis, The University of Arizona, 1989. http://hdl.handle.net/10150/144669.

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The purpose of this descriptive study was to evaluate, through clinical testing, the interrater reliability and concurrent validity of the Interchange of Gases Assessment Tool (IGAST) for monitoring the respiratory status of patients in the Postanesthesia Care Unit. The IGAST was used to assess the respiratory status of 20 patients over three time periods (60 data samples). Findings indicated that interrater reliability of the IGAST was acceptable for clinical use in the PACU. The IGAST received a mean interrater reliability rating of 98% in the PACU setting. Results of the mean dimension scores supported the patients' readiness for discharge. Chart audit revealed that the IGAST had concurrent validity since charted information and rated IGAST items were congruent. Further findings suggested that nurses using the IGAST document the respiratory status of patients more completely and more consistently than nurses using narrative documentation.
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Vega, Nelson de Araujo. "Utilização da valvula unidirecional de torax no pós-operatorio de ressecções pulmonares." [s.n.], 2008. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309751.

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Orientadores: Ivan Felizardo Contrera Toro, Alfio Jose Tincani
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-11T10:37:06Z (GMT). No. of bitstreams: 1 Vega_NelsondeAraujo_M.pdf: 4035476 bytes, checksum: 8e53d952a2d1dafb0e3094da655eed5a (MD5) Previous issue date: 2008
Resumo: O manuseio tradicional dos drenos de tórax, após toracotomia, resume-se em um período inicial de aspiração contínua do frasco de drenagem, subseqüente a um intervalo de tempo com o selo de água. Essa estratégia foi desenvolvida, há muitos anos, para ser utilizada após grandes toracotomias. O aprendizado de novas técnicas cirúrgicas e o moderno desenvolvimento de instrumentais médicos propiciaram um menor trauma cirúrgico ao doente. Atualmente, o manejo dos drenos vem sendo modificado em algumas situações. O objetivo desse estudo é avaliar a drenagem pleural, por meio de válvula unidirecional de tórax (VUT), no pós-operatório de ressecção pulmonar eletiva. Foram realizadas 39 ressecções pulmonares, de forma prospectiva e não randomizada, em pacientes que utilizaram a VUT, como o método de drenagem pleural durante o período pós-operatório. Foram excluídos os pacientes com idade inferior a 12 anos, os submetidos à pneumectomia ou à operação de urgência e os que não completaram o seguimento do estudo. Observou-se a expansão pulmonar, o tempo de permanência com o sistema de drenagem, o período de internação e as complicações pós-operatórias. Foram incluídos e analisados 36 pacientes. A média de permanência com o sistema de drenagem pleural foi de 2,94 ± 1,6 dias. A radiografia de tórax, realizada após 30 dias do procedimento cirúrgico, foi considerada normal em 34 (94,18%) pacientes. Ocorreram oito (22,16%) casos de complicações pós-operatórias, sendo três (8,31%) relacionados à VUT. A utilização da VUT, no pós-operatório de ressecção pulmonar eletiva, foi eficiente e apresentou baixo índice de complicação, principalmente nas ressecções menores
Abstract: The traditional management of chest tubes after a lung resection involves a period of applied suction followed by water seal drainage. This strategy was developed over many years to be used after large thoracotomies. However, the learning of new surgical techniques associated with the current development of medical devices made possible minor surgical traumas in patients. Nowadays, this strategy has been modified in some situations. This study aim is to evaluate pleural drainage using a unidirectional thorax valve (UTV) after elective lung resection.Thirty-nine non randomized prospective lung resections were performed in patients that have been used UTV during a postoperative period. Exclusion criteria were patients below 12 years of age, those who underwent pneumonectomy or emergency surgery and those who were considered lost of follow-up. Pulmonary expansion, chest tube duration, hospital stay and postoperative complications were observed. This study comprised 36 patients. Mean duration of pleural drainage was 2,94 ± 1,6 days. Thirty-four (94,18%) patients showed normal findings on chest roentgenogram 30 days after surgical procedure. Postoperative complications occurred in 8 (22,16%) patients, being 3 (8,31%) related to drainage system. The use of UTV after elective lung resection was effective and showed a low rate of complications, especially in minor resection
Mestrado
Cirurgia
Mestre em Cirurgia
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Feldman, Melanie Blair. "Delayed hearing loss following vestibular schwannoma surgery: Behavioural and electrophysiological responses in the early postoperative period." Thesis, University of Canterbury. Communication Disorders, 2008. http://hdl.handle.net/10092/1849.

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Some patients suffer hearing loss in the early postoperative period following vestibular schwannoma (VS) excision despite having intact hearing immediately after surgery. As this phenomenon has rarely been documented or described, the putative mechanism remains vague. The objective of the current study was to document the patterns of change in behavioural and electrophysiological responses in patients following VS surgery to better describe the phenomenon of delayed hearing loss. In particular, we aimed to determine whether the impairment that eventually leads to delayed hearing loss is neural or cochlear in origin. Auditory function was monitored in six adult patients who underwent surgery at Christchurch Public Hospital for excision of unilateral vestibular schwannoma through the retrosigmoid approach. Patients were assessed pre- and postoperatively by puretone audiometry, speech audiometry, tympanometry, distortion product otoacoustic emissions (DPOAEs), and auditory brainstem response (ABR). When measurable hearing was demonstrated postoperatively, pure-tone audiometry, speech audiometry and ABR were assessed at 24 hour intervals following surgery. Transtympanic electrocochleography (ECochG) was carried out if wave I of the ABR was lost during the postoperative period. Postoperative monitoring revealed that 4 patients suffered permanent anacusis and the remaining 2 patients had permanent hearing preservation. There were no patients who experienced delayed hearing loss in the early postoperative period. A phenomenon similar to delayed hearing loss was observed in case 2 who demonstrated loss of ABR wave I on the 7th postoperative day. Postoperative ECochG recorded in this case showed an enhanced negative SP on the operated side. The findings of this study are discussed in detail with particular reference to the underlying pathophysiology.
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Loadsman, John Anthony. "Perioperative Sleep and Breathing." Thesis, The University of Sydney, 2005. http://hdl.handle.net/2123/689.

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Sleep disruption has been implicated in morbidity after major surgery since 1974. Sleep-related upper airway obstruction has been associated with death after upper airway surgery and profound episodic hypoxaemia in the early postoperative period. There is also evidence for a rebound in rapid eye movement (REM) sleep that might be contributing to an increase in episodic sleep-related hypoxaemic events later in the first postoperative week. Speculation regarding the role of REM sleep rebound in the generation of late postoperative morbidity and mortality has evolved into dogma without any direct evidence to support it. The research presented in this thesis involved two main areas: a search for evidence of a clinically important contribution of REM sleep rebound to postoperative morbidity, and a re-examination of the role of sleep in the causation of postoperative episodic hypoxaemic events. To assess the latter, a relationship between airway obstruction under anaesthesia and the severity of sleep-disordered breathing was sought. In 148 consecutive sleep clinic patients, 49% of those with sleep-disordered breathing (SDB) had a number of events in non-rapid eye movement sleep (NREM) that was greater than or equal to that in REM and 51% had saturation nadirs in NREM that were equal to or worse than their nadirs in REM. This suggests SDB is not a REM-predominant phenomenon for most patients. Of 1338 postoperative deaths occurring over 6.5 years in one hospital only 37 were unexpected, most of which were one or two days after surgery with no circadian variation in the time of death, casting further doubt on the potential role of REM rebound. Five of nine subjects studied preoperatively had moderately severe SDB. Unrecognised and significant SDB is common in middle-aged and elderly patients presenting for surgery suggesting overall perioperative risk of important adverse events from SDB is probably small. In 17 postoperative patients, sleep macro-architecture was variably altered with decreases in REM and slow wave sleep while stage 1 sleep and a state of pre-sleep onset drowsiness, both associated with marked ventilatory instability, were increased. Sleep micro-architecture was also changed with an increase in power in the alpha-beta electroencephalogram range. These micro-architectural changes result in ambiguity in the staging of postoperative sleep that may have affected the findings of this and other studies. Twenty-four subjects with airway management difficulty under anaesthesia were all found to have some degree of SDB. Those with the most obstruction-prone airways while anaesthetised had a very high incidence of severe SDB. Such patients warrant referral to a sleep clinic.
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Loadsman, John Anthony. "Perioperative Sleep and Breathing." University of Sydney. College of Health Sciences, 2005. http://hdl.handle.net/2123/689.

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Sleep disruption has been implicated in morbidity after major surgery since 1974. Sleep-related upper airway obstruction has been associated with death after upper airway surgery and profound episodic hypoxaemia in the early postoperative period. There is also evidence for a rebound in rapid eye movement (REM) sleep that might be contributing to an increase in episodic sleep-related hypoxaemic events later in the first postoperative week. Speculation regarding the role of REM sleep rebound in the generation of late postoperative morbidity and mortality has evolved into dogma without any direct evidence to support it. The research presented in this thesis involved two main areas: a search for evidence of a clinically important contribution of REM sleep rebound to postoperative morbidity, and a re-examination of the role of sleep in the causation of postoperative episodic hypoxaemic events. To assess the latter, a relationship between airway obstruction under anaesthesia and the severity of sleep-disordered breathing was sought. In 148 consecutive sleep clinic patients, 49% of those with sleep-disordered breathing (SDB) had a number of events in non-rapid eye movement sleep (NREM) that was greater than or equal to that in REM and 51% had saturation nadirs in NREM that were equal to or worse than their nadirs in REM. This suggests SDB is not a REM-predominant phenomenon for most patients. Of 1338 postoperative deaths occurring over 6.5 years in one hospital only 37 were unexpected, most of which were one or two days after surgery with no circadian variation in the time of death, casting further doubt on the potential role of REM rebound. Five of nine subjects studied preoperatively had moderately severe SDB. Unrecognised and significant SDB is common in middle-aged and elderly patients presenting for surgery suggesting overall perioperative risk of important adverse events from SDB is probably small. In 17 postoperative patients, sleep macro-architecture was variably altered with decreases in REM and slow wave sleep while stage 1 sleep and a state of pre-sleep onset drowsiness, both associated with marked ventilatory instability, were increased. Sleep micro-architecture was also changed with an increase in power in the alpha-beta electroencephalogram range. These micro-architectural changes result in ambiguity in the staging of postoperative sleep that may have affected the findings of this and other studies. Twenty-four subjects with airway management difficulty under anaesthesia were all found to have some degree of SDB. Those with the most obstruction-prone airways while anaesthetised had a very high incidence of severe SDB. Such patients warrant referral to a sleep clinic.
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Books on the topic "Postoperative Period"

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Post anesthesia care nursing. 2nd ed. St. Louis: Mosby Year Book, 1995.

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Litwack, Kim. Post anesthesia care nursing. St. Louis: Mosby Year Book, 1991.

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Litwack, Kim. Postanesthesiacare nursing. St. Louis: Mosby Year Book, 1991.

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BEREZhNOY, Aleksandr, Svetlana DUNAEVSKAYa, and Yuriy VINNIK. Prognosis of postoperative course of urolithiasis. ru: INFRA-M Academic Publishing LLC., 2022. http://dx.doi.org/10.12737/1863093.

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The monograph devoted to the study of urolithiasis consistently highlights the issues of etiology, classification, diagnosis and modern principles of treatment of urolithiasis. The problems of postoperative complications in surgery and urology are considered as a separate issue, data on original methods for predicting the development of hemorrhagic or inflammatory complications in the postoperative period with urolithiasis are presented. Special attention is paid to the issues of nonspecific immune protection, immune status indicators and hemostasis system in the development of complications in the postoperative period. The section of assessment of the structural and functional state of lymphocytes in the development of complications in the postoperative period by assessing the blebbing of the plasma membrane of the cell is presented. It is intended for urologists, general surgeons, residents studying in the specialty "Urology". It can be useful for doctors of other specialties and senior students of higher medical educational institutions.
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1932-, Allen Anne, and American Society of Post Anesthesia Nurses., eds. Core curriculum for post anesthesia nursing practice. 2nd ed. Philadelphia: Saunders, 1991.

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S, Vender Jeffery, and Spiess Bruce D, eds. Post anesthesia care. Philadelphia: W.B. Saunders, 1992.

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Drain, Cecil B. The recovery room: A critical care approach to post anesthesia nursing. 2nd ed. Philadelphia: Saunders, 1987.

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After anesthesia: A guide for PACU, ICU, and medical-surgical nurses. Norwalk, Conn: Appleton & Lange, 1987.

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Morris, Brown, and Brown Eli M, eds. Comprehensive postanesthesia care. Baltimore: Williams & Wilkins, 1997.

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K, Jacobsen Wayne, ed. Manual of post anesthesia care. Philadelphia: Saunders, 1992.

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Book chapters on the topic "Postoperative Period"

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Cherian, Verghese T. "The Postoperative Period." In Basic Sciences in Anesthesia, 505–13. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-62067-1_29.

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Mills, Gary H. "Chronic Obstructive Pulmonary Disease and the Postoperative Period." In Postoperative Care in Thoracic Surgery, 285–93. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-19908-5_20.

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Maroske, J., J. Heimbucher, K. H. Fuchs, S. M. Freys, and A. Thiede. "Electrogastrography During the Early Postoperative Period." In Problems of the Gastrointestinal Tract in Anesthesia, the Perioperative Period, and Intensive Care, 223–26. Berlin, Heidelberg: Springer Berlin Heidelberg, 1999. http://dx.doi.org/10.1007/978-3-642-60200-9_25.

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Pichlmayr, Ina, Peter Lehmkuhl, and Ulrich Lips. "EEG Monitoring in the Immediate Postoperative Period." In EEG Atlas for Anesthesiologists, 369–79. Berlin, Heidelberg: Springer Berlin Heidelberg, 1987. http://dx.doi.org/10.1007/978-3-642-83161-4_16.

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Paver-Eržen, V. "Early Adverse Effects in the Postoperative Period." In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 733–43. Milano: Springer Milan, 1997. http://dx.doi.org/10.1007/978-88-470-2296-6_67.

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Watson, Todd A., and Lee A. Fleisher. "Acute Heart Failure in the Postoperative Period." In Acute Heart Failure, 323–32. London: Springer London, 2008. http://dx.doi.org/10.1007/978-1-84628-782-4_29.

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Andrews, P. L. R. "Postoperative Nausea and Vomiting." In Problems of the Gastrointestinal Tract in Anesthesia, the Perioperative Period, and Intensive Care, 267–88. Berlin, Heidelberg: Springer Berlin Heidelberg, 1999. http://dx.doi.org/10.1007/978-3-642-60200-9_31.

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Daramola, Opeyemi O., and Rakesh K. Chandra. "Medical Therapy in the Preoperative and Postoperative Period." In Practical Medical and Surgical Management of Chronic Rhinosinusitis, 369–83. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-16724-4_23.

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Chan, Joshua L., and Fardad Esmailian. "Vasoplegia in the Postoperative Period After Cardiac Transplantation." In Difficult Decisions in Surgery: An Evidence-Based Approach, 315–29. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-04146-5_23.

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Simeon, F. "Perioperative anesthetic management: Assessment of risk, intraoperative period, postoperative period and systemic complications." In Vertebral metastases, 224–42. Paris: Springer Paris, 2002. http://dx.doi.org/10.1007/978-2-8178-0757-7_27.

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Conference papers on the topic "Postoperative Period"

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Kim, Ki Up, So My Koo, Yang Ki Kim, and Sootaek Uh. "Pulmonary Edema In Operative And Postoperative Period." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a3103.

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Gencheva, Nezabravka. "PHYSIOTHERAPY FOR COLON CANCER IN THE EARLY POSTOPERATIVE PERIOD - A CASE REPORT." In INTERNATIONAL SCIENTIFIC CONGRESS “APPLIED SPORTS SCIENCES”. Scientific Publishing House NSA Press, 2022. http://dx.doi.org/10.37393/icass2022/146.

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АBSTRACT Introduction: The Physiotherapy (PT) is an important part of cancer treatment and could be recovery PT, maintenance PT and palliative PT. The aim of the study is to investigate the impact of early postoperative PT on the functional and mental recovery of a 57-year-old patient with colon cancer. Research methods: On the second and seventh postoperative day, we applied a Quality of Recovery-40 (QoR-15) questionnaire, Cumulated Ambulation Score (CAS) and Hospital Anxiety and Depression Scale (HADS) and а 6 min walk-test – on the third and seventh postoperative day. The special PT is used to improve the respiratory function, to alleviate the unpleasant sensations of the gastrointestinal tract, to reduce pain, to restore mobility through training in painless sitting, standing up, and walking, as well as to reduce anxiety and to overcome depressive symptoms. Results: Applied PT in the early postoperative period in severe abdominal surgery for colon cancer prevented postoperative complications. The results show a significant improvement in the studied indicators and good quality of recovery; patient’s independence in standing up, sitting, and walking; pain relief; reduced anxiety and depressive moods. Conclusion: The application of early PT is an important part of patient’s post-surgical care. It helps for optimal recovery and prepares him for the next additional therapies such as chemotherapy, radiation therapy, etc.
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Mori, Tamires, Rodrigo Zerbeto, Silvia Baruki, José Eustáquio Souza-Júnior, Daniela Berteli-Merino, Maura Rocha, and Eli Maria Pazzianotto-Forti. "Effects of breathing exercises in the postoperative period of bariatric surgery." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa1422.

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Samorukov, A. E., S. P. Budylin, M. A. Eryomushkin, S. A. Gusarova, N. A. Dzhuraev, and S. V. Vakulenko. "Rehabilitation activities in the postoperative period of treatment of patients with discectomy." In ARBAT READING. Знание-М, 2020. http://dx.doi.org/10.38006/907345-21-8.2020.79.85.

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Prado, Henrique, Lindemberg Silveira Filho, Guilherme Murari, Carlos Lavagnoli, Elaine de Oliveira, Karlos Vilarinho, Pedro de Oliveira, and Orlando Petrucci. "Evaluation of transient thrombocytopenia in the postoperative period of aortic valve replacement." In Congresso de Iniciação Científica UNICAMP. Universidade Estadual de Campinas, 2019. http://dx.doi.org/10.20396/revpibic2720191899.

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Chatzivasiloglou, Foteini, Stavros Dimopoulos, Vasiliki Raidou, Konstantina Sakki, Dimitrios Elaiopoulos, Despoina Markantonaki, Kirillos Papadopoulos, et al. "The use of lung ultrasound in the postoperative period following cardiac surgery." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.2779.

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Vigano D'Angelo, S., F. Gilardoni, M. P. Seveso, A. Marassi, G. Mari, and A. D'Angelo. "REDUCTION OF THE ANTICOAGULANT ACTIVITY OF PROTEIN C AND PROTEIN S DURING THE POSTOPERATIVE PERIOD." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644287.

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Protein S circulates in plasma as free protein S and in complex with C4b-binding protein, an inhibitor of complement activation. Only free protein S functions as the cofactor for the anticoagulant and profibrinolytic effects of activated protein C. Since isolated reductions of protein C and protein S result in increased thrombotic risk, only measurement of both proteins permits comprehensive evaluation of the antithrombotic potential of the protein C system. No information is available on protein C and protein S functional levels during the postoperative period, an established prothrombotic condition. The plasma changes of protein C, protein S and C4b-binding protein were followed in 40 patients with no malignancy undergoing abdominal surgery. No significant change of protein C and protein S activi ty was observed following minor operations. After major surgery, protein C anticoagulant activity dropped to 80% of preoperative levels during the first postoperative week (p<0.00l). Significant increase of both total protein S antigen (110%, p< 0.01) and C4b-binding protein (130%, p<0.001) were observed after major surgery resulting in reduction of free protein S antigen to 86% of pre operative values (p<0.001). Protein S anticoagulant activity matched the changes of free protein S antigen.Albeit transient and moderate, the observed reductions of both protein C and protein S may act synergistically to cause significant impairment of the antithrombotic potential during the postoperative period. The effect of heparin prophylaxis on protein C and protein S postoperative levels is currently under investigation.
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OV, Ginter, and Mospan TY. "OC-13 The modern approach of children’s treatment with velopharyngeal insufficiency in the postoperative period." In 8th Europaediatrics Congress jointly held with, The 13th National Congress of Romanian Pediatrics Society, 7–10 June 2017, Palace of Parliament, Romania, Paediatrics building bridges across Europe. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-313273.13.

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Andrade, Thainá Sobral de, Yasmin Alves da Cruz Figueiredo, Victor Araújo Felzemburgh, and Pedro Paulo Oliveira Carneiro. "TRAM BREAST RETAIL RECONSTRUCTION: AN ANALYSIS IN THE LATE POSTOPERATIVE." In Abstracts from the Brazilian Breast Cancer Symposium - BBCS 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s2048.

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In Brazil, breast cancer represents the second most incident cancer among women and is the major cause of death from malignant neoplasms in females. Therefore, the treatment of this pathology needs to be studied in its various aspects, one of which is aesthetic care in breast reconstruction. Objectives: To evaluate the late result of breast reconstruction by TRAM (transverse rectus abdominis muscle flap), in addition to comparing the assessment instruments in the postoperative period. Postoperative photographs of 13 patients who underwent breast reconstruction by TRAM at Hospital Santo Antônio in Salvador, BA, in the period 2012 and 2018 were analyzed. This is a cross-sectional observational study, with aesthetic evaluation performed using two instruments. Results: In general, patients have satisfactory results in the two assessment tools. Of the patients studied, 61.5% had results within the parameters established by Mallucci, whereas evaluating the domains of Garbay’s criteria, the best mean result was related to the volume domain and the worst to the scar. Conclusion: The instruments proved to be appropriate for evaluating the patients in the study. The subjective analysis among the evaluators proved to be similar. The instrument used in morphometric analysis showed that the studied group of patients approached the parameter established as ideal.
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Catani, L., G. Vitacchiano, M. Scatigna, N. Monetti, N. Pedrini, and L. Gugliotta. "TICLOPIDINE AND PREVENTION OF PLATELET ACCUMULATION IN CAROTID ENDARTERECTOMY. EVALUATION WITH INDIUM-111 LABELED PLATELETS." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643419.

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In endoarterectomy (EA) the vascular endothelium is removed, thus promoting platelet adhesion and aggregation. This situation may cause microembolic phenomena that manifest at the carotid level with the appearance of TIA in the postoperative period. An interesting method of evaluating platelet behavior “in vivo” consists of the use of indium-111 labeled autologous platelets and the subsequent evaluation of scintigraphic images.We used this method to perform a pilot study on the efficacy of ticlopidine, an antithrombotic drug with platelet antiaggregant activity, in the prevention of platelet accumulation after carotid EA.A total of 20 patients undergoing carotid EA were randomly allocated to receive ticlopidine 500 mg/day (10 patients, T group) or placebo (10 patients, P group) in double-blind conditions. Drug administration was started 5 days before the operation and continued during the postoperative period; infusion of the labeled platelets was performed on the first and scintigraphic evaluation on the second postoperative day.Analysis of the two groups, which were comparable for age, sex, risk factors and associated patologies, showed 3 scintigraphic-positive cases in the T group and 6 in the P group. The fixation index was 1.12 ± 0.18 in the T group and 1.20 ± 0.16 in the P group. One patient in the P group presented an episode of amauros is fugax in the first postoperative day.The results of this pilot study suggest that ticlopidine is effective in preventing platelet accumulation after carotid EA.
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Reports on the topic "Postoperative Period"

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Lumpkin, Shamsie, Isaac Parrish, Austin Terrell, and Dwayne Accardo. Pain Control: Opioid vs. Nonopioid Analgesia During the Immediate Postoperative Period. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0008.

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Background Opioid analgesia has become the mainstay for acute pain management in the postoperative setting. However, the use of opioid medications comes with significant risks and side effects. Due to increasing numbers of prescriptions to those with chronic pain, opioid medications have become more expensive while becoming less effective due to the buildup of patient tolerance. The idea of opioid-free analgesic techniques has rarely been breached in many hospitals. Emerging research has shown that opioid-sparing approaches have resulted in lower reported pain scores across the board, as well as significant cost reductions to hospitals and insurance agencies. In addition to providing adequate pain relief, the predicted cost burden of an opioid-free or opioid-sparing approach is significantly less than traditional methods. Methods The following groups were considered in our inclusion criteria: those who speak the English language, all races and ethnicities, male or female, home medications, those who are at least 18 years of age and able to provide written informed consent, those undergoing inpatient or same-day surgical procedures. In addition, our scoping review includes the following exclusion criteria: those who are non-English speaking, those who are less than 18 years of age, those who are not undergoing surgical procedures while admitted, those who are unable to provide numeric pain score due to clinical status, those who are unable to provide written informed consent, and those who decline participation in the study. Data was extracted by one reviewer and verified by the remaining two group members. Extraction was divided as equally as possible among the 11 listed references. Discrepancies in data extraction were discussed between the article reviewer, project editor, and group leader. Results We identified nine primary sources addressing the use of ketamine as an alternative to opioid analgesia and post-operative pain control. Our findings indicate a positive correlation between perioperative ketamine administration and postoperative pain control. While this information provides insight on opioid-free analgesia, it also revealed the limited amount of research conducted in this area of practice. The strategies for several of the clinical trials limited ketamine administration to a small niche of patients. The included studies provided evidence for lower pain scores, reductions in opioid consumption, and better patient outcomes. Implications for Nursing Practice Based on the results of the studies’ randomized controlled trials and meta-analyses, the effects of ketamine are shown as an adequate analgesic alternative to opioids postoperatively. The cited resources showed that ketamine can be used as a sole agent, or combined effectively with reduced doses of opioids for multimodal therapy. There were noted limitations in some of the research articles. Not all of the cited studies were able to include definitive evidence of proper blinding techniques or randomization methods. Small sample sizes and the inclusion of specific patient populations identified within several of the studies can skew data in one direction or another; therefore, significant clinical results cannot be generalized to patient populations across the board.
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Johnson, Corey, Colton James, Sarah Traughber, and Charles Walker. Postoperative Nausea and Vomiting Implications in Neostigmine versus Sugammadex. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0005.

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Purpose/Background: Postoperative nausea and vomiting (PONV) is a frequent complaint in the postoperative period, which can delay discharge, result in readmission, and increase cost for patients and facilities. Inducing paralysis is common in anesthesia, as is utilizing the drugs neostigmine and sugammadex as reversal agents for non-depolarizing neuromuscular blockers. Many studies are available that compare these two drugs to determine if neostigmine increases the risk of PONV over sugammadex. Sugammadex has a more favorable pharmacologic profile and may improve patient outcomes by reducing PONV. Methods: This review included screening a total of 39 studies and peer-reviewed articles that looked at patients undergoing general anesthesia who received non-depolarizing neuromuscular blockers requiring either neostigmine or sugammadex for reversal, along with their respective PONV rates. 8 articles were included, while 31 articles were removed based on our exclusion criteria. These were published between 2014 and 2020 exclusively. The key words used were “neostigmine”, “sugammadex”, “PONV”, along with combinations “paralytic reversal agents and PONV”. This search was performed on the scholarly database MEDLINE. The data items were PONV rates in neostigmine group, PONV rates in sugammadex group, incidence of postoperative analgesic consumption in neostigmine group, and incidence of postoperative analgesic consumption in sugammadex group. Results: Despite numerical differences being noted in the incidence of PONV with sugammadex over reversal with neostigmine, there did not appear to be any statistically significant data in the multiple peer-reviewed trials included in our review, for not one of the 8 studies concluded that there was a higher incidence of PONV in one drug or the other of an y clinical relevance. Although the side-effect profile tended to be better in the sugammadex group than neostigmine in areas other than PONV, there was not sufficient evidence to conclude that one drug was superior to the other in causing a direct reduction of PONV. Implications for Nursing Practice: There were variable but slight differences noted between both drug groups in PONV rates, but it remained that none of the studies determined it was statically significant or clinically conclusive. This review did, however, note other advantages to sugammadex over neostigmine, including its pharmacologic profile of more efficiently reversing non-depolarizing neuromuscular blocking drugs and its more favorable pharmacokinetics. This lack of statistically significant evidence found within these studies consequentially does not support pharmacologic decision-making of one drug in favor of the other for reducing PONV; therefore, PONV alone is not a sufficient rationale for a provider to justify using one reversal over another at the current time until further research proves otherwise.
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Li, Huaiyu, Jing Ye, Ziyi Hu, Renliang Li, Jiawang Jiang, Qianjie Qiu, and Yun Chen. Effectiveness of acupuncture for the recovery of gastrointestinal function of patients with gastric cancer in the postoperative period: a protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2020. http://dx.doi.org/10.37766/inplasy2020.11.0066.

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Zhao, Ke, Wei Wang, and Cheng-jian He. What is the optimum time for initiation of early rehabilitative exercise on postoperative functional recovery of peri-ankle fractures? A network meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2021. http://dx.doi.org/10.37766/inplasy2021.12.0030.

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YARIKOV, A. V., and I. I. SMIRNOV. EXPERIENCE OF DENERVATION OF INTERVERTEBRAL JOINTS OF THE LUMBAR SPINE. Science and Innovation Center Publishing House, April 2022. http://dx.doi.org/10.12731/978-0-615-67340-0-1.

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In this work, the immediate and long-term results of denervation of intervertebral joints in 30 patients with pain syndrome in the lumbar spine were studied. The catamnesis was collected from 18 patients in terms from 1.7 months to 18 months after surgery. Pain syndrome on a visually analog scale after surgery decreased by an average of 20-30 mm. Subclinically expressed anxiety/depression persists in all patients with a “good” result of treatment, the assessment was carried out using the hospital Anxiety and Depression Scale (HADS). According to the Nurick scale, treatment results were assessed at level 2 (improvement) in 93.3% of cases (n=28), level 3 (unchanged condition) - 6.7% of cases (n=2). According to the results of the study, denervation of the intervertebral joints is an effective minimally invasive method of treating facet syndrome. It allows in the early and long-term postoperative periods to significantly reduce the pain syndrome and improve the quality of life of patients. The authors also admit that the pain syndrome in the back is polyethological, which requires careful selection of patients for this type of procedure.
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