Bibliographies thématiques / Fast track protocol

Littérature scientifique sur le sujet « Fast track protocol »

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Publié le 10 mars 2023

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Articles de revues sur le sujet "Fast track protocol"

Kakihana, Yasuyuki. « Fast-track extubation protocol after cardiac surgery ». Journal of the Japanese Society of Intensive Care Medicine 14, n^o 4 (2007) : 625–26. http://dx.doi.org/10.3918/jsicm.14.625.

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Navalon Verdejo, Pedro, Victor Navalon-Monllor, Alba Monzo-Cataluna, Celia Ramada-Calaforra, Felipe Ordono-Dominguez et Yoni Pallas-Costa. « 'Fast-Track' Protocol for Penile Curvature Treatment ». Journal of Anesthesia and Surgery 4, n^o 2 (22 juillet 2017) : 71–76. http://dx.doi.org/10.15436/2377-1364.17.076.

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Kovalenko, Zahar, Vladimir Lyadov, Konstantin Lyadov, Ivan Kozyrin, Alla Kamalova et Natalia Saltynskaya. « Implication of fast track protocol in pancreatoduodenectomy ». Pancreatology 16, n^o 3 (juin 2016) : S90—S91. http://dx.doi.org/10.1016/j.pan.2016.05.305.

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Feo, Carlo V., Serena Lanzara, Davide Sortini, Riccardo Ragazzi, Mario De Pinto, Gian Carlo Pansini et Alberto Liboni. « Fast Track Postoperative Management after Elective Colorectal Surgery : A Controlled Trail ». American Surgeon 75, n^o 12 (décembre 2009) : 1247–51. http://dx.doi.org/10.1177/000313480907501219.

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In the attempt to reduce postoperative complications and costs and improve outcomes, the concept of fast track surgery has been proposed. Improvements in anesthesia techniques and a better understanding of the pathophysiologic events occurring during and after surgery have made it possible. A group of patients undergoing colorectal resections with a fast track approach were investigated; specifically, the effects on postoperative morbidity, resumption of intestinal function, and duration of hospitalization. Fifty patients were managed according to a protocol, which included epidural analgesia, early ambulation, and oral feeding (fast track group); they were compared with 50 patients managed with a different protocol: no epidural analgesia, early ambulation, and early oral diet (control group). Primary outcome end-points reported include morbidity, time to passage of flatus and stool, and length of hospital stay. Fourteen complications occurred in the fast track group and 13 in the control group ( P = not significant (NS)). Resumption of intestinal function occurred after 3 days, and length of hospital stay was 5 days in the fast track group compared with 4 and 7 days respectively in control patients ( P = NS, P < 0.01). Patients undergoing elective colorectal resections can be managed safely with fast track protocols reducing hospital stay.

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Barbieri, Francesca, Giorgio Poletto, Enrico Giustiniano et Efrem Civilini. « A Fast-Track Protocol for Carotid Artery Surgery ». EJVES Vascular Forum 54 (2022) : e22-e23. http://dx.doi.org/10.1016/j.ejvsvf.2021.12.030.

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Zouros, Efstratios, Theodoros Liakakos, Anastasios Machairas, Paulos Patapis, Helen Tzerbinis, Dimitrios K. Manatakis, Matthaios Papadimitriou-Olivgeris et Christos Dervenis. « Fast-Track Pancreaticoduodenectomy in the Elderly ». American Surgeon 83, n^o 3 (mars 2017) : 239–49. http://dx.doi.org/10.1177/000313481708300318.

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It remains uncertain whether enhanced recovery after surgery (ERAS) protocols can be safely implemented for elderly patients, especially after highly complex surgery such as pancreaticoduodenectomy (PD). The present study was designed to assess the feasibility and safety of an ERAS protocol in elderly patients undergoing PD. Starting January 2010 to February 2015, we prospectively collected data from 85 consecutive patients who underwent PD with a fast-track program. Data of patients older and younger than 70 years were compared. Endpoints were morbidity, mortality, readmissions, length of stay, and compliance with ERAS elements. Forty-five patients were less than 70 years old and 40 patients were 70 years of age or older. Both mortality (4.4% vs 5%; P = 1.000) and overall morbidity (33.3% vs 37.5%; P = 0.821) did not differ significantly between the groups. Rates of intervention and relaparotomy were similar in both groups. Length of stay (10 vs 11.8 days; P = 0.099) did not differ significantly between the groups, nor did the readmission rates (6.7% vs 5.0%; P = 0.272). There were no differences in compliance with ERAS elements between groups. An ERAS program seems feasible and can be safely implemented for elderly patients undergoing PD.

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Wehberg, Kurt E., Debra Jackson, Joseph Walters, Brandon Redmond, James C. Todd, Nicholas L. Ogburn et Steven Leonard. « Fast Track Minimally Invasive Transmyocardial Revascularization ». Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery 4, n^o 4 (juillet 2009) : 217–20. http://dx.doi.org/10.1097/imi.0b013e3181a69c51.

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Objective We evaluated the initial results of a fast-track discharge protocol for patients undergoing minimally invasive transmyocardial revascularization (MiTMR). Methods Fifteen male patients, aged 64.5 ± 9.2 years, with an ejection fraction of 46.8% ± 9.9%, underwent MiTMR through a mini-left anterior thoracotomy aided by robotic-controlled thoracoscopic assistance. A postoperative management protocol included immediate extubation, early chest tube and pulmonary artery catheter removal, and mobilization within 12 hours. Results There were no operative arrhythmias or in-hospital mortalities. Three of 15 patients developed left lower lobe atelectasis, delaying discharge between 2 and 5 days. Overall hospital length of stay was 1.4 ± 1.2 days, although 12 of 15 patients (80%) were discharged to home in 23 hours. Mild-moderate cardiomyopathy (ejection fraction 30%–50%) was not associated with prolonged length of stay. Mean hospital profit margin was $1882.50. One 30-day readmission occurred on day 23 for rapid atrial fibrillation, and one death occurred on day 11. Conclusions Despite these high-risk patients having end-staged, ischemic coronary artery disease, most MiTMR patients can be discharged to home in less than 24 hours. Perioperative morbidity and mortality rates are relatively low, and hospital profit margins are modest.

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Ollivere, B., K. Rollins, R. Brankin, M. Wood, TJ Brammar et J. Wimhurst. « Optimising fast track care for proximal femoral fracture patients using modified early warning score ». Annals of The Royal College of Surgeons of England 94, n^o 4 (mai 2012) : 267–71. http://dx.doi.org/10.1308/003588412x13171221501744.

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INTRODUCTION The care for patients with a proximal femoral fracture has been dramatically overhauled with the introduction of ‘fast track’ protocols and the British Orthopaedic Association guidance in 2007. Fast track pathways focus on streamlining patient flow through the emergency department where the guidance addresses standards of care. We prospectively examined the impact these protocols have on patient care and propose an alternative ‘streamed care’ pathway to provide improved medical care within existing resource constraints. METHODS Data surrounding the treatment of 156 consecutive patients managed at 4 centres were collated prospectively. Management of patients with a traditional fast track protocol allowed 17% of patients to leave the emergency department with undiagnosed serious medical pathology and 32% with suboptimal fluid resuscitation. A streamed care pathway based on the modified early warning score was developed and employed for 48 further patients as an alternative to the traditional fast track system. RESULTS The streamed care pathway improved initial care significantly by treating patients according to their physiological parameters on admission. Targeted medical reviews on admission instead of the following day reduced the rates of undiagnosed medical pathology to 2% (p=0.0068) and inadequate fluid resuscitation to 11% (p<0.0001). CONCLUSIONS Implementation of a streamed care pathway can allow protocol driven improvement to initial care for patients with a proximal femoral fracture and results in improved access to initial specialist medical care.

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Verdejo, Pedro Navalon. « DEVELOPMENT OF A “FAST-TRACK” PROTOCOL FOR HYDROCELE SURGERY ». Journal of Anesthesia and Surgery 3, n^o 6 (2016) : 1–5. http://dx.doi.org/10.15436/2377-1364.16.055.

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Gromov, Kirill, Pelle B. Petersen, Christoffer C. Jørgensen, Anders Troelsen et Henrik Kehlet. « Unicompartmental knee arthroplasty undertaken using a fast-track protocol ». Bone & ; Joint Journal 102-B, n^o 9 (1 septembre 2020) : 1167–75. http://dx.doi.org/10.1302/0301-620x.102b9.bjj-2020-0247.r1.

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Aims The aim of this prospective multicentre study was to describe trends in length of stay and early complications and readmissions following unicompartmental knee arthroplasty (UKA) performed at eight different centres in Denmark using a fast-track protocol and to compare the length of stay between centres with high and low utilization of UKA. Methods We included data from eight dedicated fast-track centres, all reporting UKAs to the same database, between 2010 and 2018. Complete ( > 99%) data on length of stay, 90-day readmission, and mortality were obtained during the study period. Specific reasons for a length of stay of > two days, length of stay > four days, and 30- and 90-day readmission were recorded. The use of UKA in the different centres was dichotomized into ≥ 20% versus < 20% of arthroplasties which were undertaken being UKAs, and ≥ 52 UKAs versus < 52 UKAs being undertaken annually. Results A total of 3,927 procedures were included. Length of stay (mean 1.1 days (SD 1.1), median 1 (IQR 0 to 1)) was unchanged during the study period. The proportion of procedures with a length of stay > two days was also largely unchanged during this time. The percentage of patients discharged on the day of surgery varied greatly between centres (0% to 50% (0 to 481)), with centres with high UKA utilization (both usage and volume) having a larger proportion of same-day discharges. The 30- and 90-day readmissions were 166 (4.2%) and 272 (6.9%), respectively; the 90-day mortality was 0.08% (n = 3). Conclusion Our findings suggest general underutilization of the potential for quicker recovery following UKA in a fast-track setup. Cite this article: Bone Joint J 2020;102-B(9):1167–1175.

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Thèses sur le sujet "Fast track protocol"

Sariñena, Fernández Maria Teresa. « Viabilitat, eficàcia i seguretat del protocol Ultra Fast-track en octogenaris sotmesos a cirurgia de substitució valvular aòrtica ». Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/367453.

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El concepte de “cirurgia cardíaca Ultra Fast-Track” inclou l’extubació precoç al mateix quiròfan i nous models de recuperació postoperatòria. La nostra hipòtesi és que el protocol UFT és tan viable, eficaç i segur en pacients joves com en octogenaris. Metodologia Es tracta d’un estudi descriptiu i prospectiu realitzat en cirurgies de substitució valvular aòrtica a l’Hospital Universitari Germans Trias i Pujol de Badalona. Els fàrmacs utilitzats a la inducció eren Midazolam 0,01mg/Kg iv, Fentanil 4-6 μg/Kg iv, Sevoflurane 2-4% i Rocuroni 0,6-1 mg/kg iv. El manteniment es realitzava amb Sevoflurane 1-2% i Remifentanil 0,05-0,5 μg/Kg/min. Com analgèsia postoperatòria s’utilitzava: morfina 0,1 mg/Kg, metamizol 2g, dexketoprofè 50 mg iv i una bomba elastomèrica d’anestèsic local a través d’un catèter multiperforat supraesternal. Els criteris d’extubació eren: estabilitat hemodinàmica i respiratòria, sagnat i anèmia descartats, temperatura nasofaríngia mantinguda i estat de consciència comprovat. Resultats i Discussió Un total de 131 pacients menors de 80 anys i 29 majors o iguals de 80 anys van participar a l’estudi (la mitjana d’edat d’aquest treball és superior a la majoria d’estudis publicats sobre FT i UFT). No trobem diferències estadísticament significatives entre els dos grups en el percentatge de pacients extubats (75%), en els minuts entre l’últim punt de la cirurgia i l’extubació (14 minuts), en les causes del fracàs d’aquesta extubació inicial ni en la necessitat d’una reintubació. Un cop a la Unitat de Vigilància Intensiva tampoc vam trobar diferències significatives en el temps a ser extubats aquells que havien sortit intubats del quiròfan ni en la necessitat d’una reintubació o d’un reingrés a UCI. Entre els conceptes principals dels protocols FT tampoc vam obtenir diferències significatives (insuficiència respiratòria, control del dolor, sagnat i començament d’ingesta/fisioteràpia respiratòria/deambulació). La mitjana d’hores d’ingrés a UCI (77,53 respecte 78,14 dels octogenaris) i l’estada total hospitalària (7,42 respecte 8,14 dels més ancians) no van resultar estadísticament diferents entre les dues poblacions però la majoria d’articles FT i UFT publicats prèviament mostren ingressos menors. La mortalitat hospitalària va ser 3,1 i 3,4% respectivament. Dues complicacions postoperatòries, la transfusió de concentrats d’hematies i el vessament pleural diagnosticat per radiografia, van resultar ser els dos únics conceptes estadísticament diferents entre els dos grups. Les limitacions del nostre estudi són: haver tingut lloc en un únic centre hospitalari, el nombre relativament petit d’octogenaris i l’absència d’una “n” mostral calculada prèviament al començament de la investigació. Conclusió: El protocol Ultra Fast-Track aplicat a cirurgia cardíaca és tan viable, eficaç i segur en pacients joves com en octogenaris.
The concept “Ultra Fast-track cardiac surgery” (UFT) means extubation in the operating room (OR) and new approaches in postoperative recovery. Our hypothesis assumes that the UFT protocol is as viable, effective and safe in not octogenarian patients as in octogenarians. Method It is a descriptive, prospective study of consecutive patients scheduled for aortic valve replacement surgeries at University Hospital Germans Trias i Pujol in Badalona. Patients were allocated into different groups depending on their age (octogenarian or not). Induction drugs administered were: midazolam 0.01mg/Kg iv, fentanil 4-6 µg/Kg iv, sevoflurane 2-4% and rocuronium 0.6-1 mg/kg iv; anaesthetic maintenance was done with sevoflurane 1-2% and remifentanil 0.05-0.5 µg/Kg/min. As postoperative analgesia was given: morphine 0.1 mg/Kg, metamizol 2g, dexketoprofen 50 mg IV and one suprasternal multiperforated catheter was inserted by the surgeon for local anaesthetic administration through an elastomeric bomb. Extubation criteria were: respiratory and haemodynamic stability, normothermia, consciousness and neither bleeding nor anaemia. Results and Discussion A total of 131 patients younger than 80 years and 29 patients equal to or older than 80 years were included in this study (main age higher than other UFT published trials). No statistically significant differences were observed among groups in terms of demographics, percentages of extubated patients (75%), time between end of surgery and extubation (14 minutes), causes for failed primary extubation and reintubation requirements. Once at the ICU, no significant differences were found regarding time for extubation, reintubation rates and ICU readmission. Crucial FT concepts like respiratory insufficiency, pain control, bleeding, begin of feeding, respiratory physiotherapy and walking were very similar among groups. Mean ICU stay in hours (77.53 vs 78.14 in octogenarians) and global hospital stay in days (7.42 vs 8.14 in oldies) were not statistically different but most of the UFT published studies showed lower values. Hospital mortality was 3.1 and 3.4% respectively. Postoperatively, only red blood cells transfusion rates and pleural effusions on chest X-ray were statistically different among groups. Limitations of our study include the fact that it is a single-centre study; there is a relative small study population over 80 years and finally, the lack of a sample size calculation at the beginning of study. Conclusion Our UFT protocol in cardiac surgery is as viable, effective and safe in young patients as in octogenarians.

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Orozco, Sarah. « A Quality Improvement Evaluation of Patient Experience Through the Enhanced Recovery Program ». ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6938.

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The purpose of this project was to evaluate the effectiveness of adopting clinical care bundles for the enhanced recovery program (ERP) at the project site. The practice-focused questions explored whether care bundles from the enhanced recovery program (ERP) would achieve positive postoperative patient care experiences when compared to the traditional surgical care pathways. The concepts, models, method, and theories used for this project include the Iowa model, the plan-do-study-act model, lean methodology, Donabedian's framework, and Watson's theory of caring. The sources of evidence included the facility site analysis report to evaluate surgical inpatient complications, morbidity, and mortality rates. Over 100 items related to surgical postoperative inpatient details were retrieved from the facility site database. Using descriptive analysis of 31 postoperative surgical inpatients' demographics, body mass index data, 30-day readmission, and comorbidities, the findings indicated that the ERP is an efficient, cost-effective program with positive postoperative inpatient outcomes in comparison to traditional surgical care pathways. The impact of the evaluation of the ERP predominately improves patient outcomes, which is a positive social change to postoperative inpatients, families, clinical staff, and the project site operational and clinical performance. The implications of this study for nursing practice and positive social change include standardization of quality and patient safety in a dynamic healthcare environment.

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Monti, Elisa. « Valutazione dell'efficacia del protocollo riabilitativo nel Fast-Track dell'artroprotesi totale d'anca vs "Standard care" ». Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2019. http://amslaurea.unibo.it/19333/.

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BACKGROUND: Il protocollo Fast-track nell’artroprotesi d’anca è costituito da un intervento educativo collettivo pre-ricovero, da controllo adeguato delle perdite ematiche e del dolore pre- peri- e post-operatorio e dall’intervento riabilitativo accelerato ed intensivo. La presente tesi si inserisce all’interno di uno studio randomizzato controllato in aperto, prospettico. L’obiettivo dello studio effettuato presso l’Istituto Ortopedico Rizzoli è quello di valutare se, rispetto alla normale pratica clinica, l’applicazione del protocollo Fast-track riduce i tempi di ospedalizzazione e consente la ripresa precoce e ottimale delle funzionalità e delle principali attività di vita quotidiana. METODI: La popolazione è costituita da 33 pazienti affetti da artrosi primaria dell’anca con indicazione ad intervento di artroprotesi totale con tecnica mini-invasiva. 17 persone vengono reclutate per il protocollo Fast-track e 16 persone per il protocollo standard. Le persone vengono valutate in termini di riduzione dei tempi di recupero secondo la scala ILOA e di raggiungimento degli esiti funzionali secondo le scale WOMAC, HHS e NRS, nel pre-operatorio, alla dimissione ed ai controlli ambulatoriali fino a 6 settimane post-operatorie. RISULTATI: Dallo studio si evince una significatività statistica per diverse misure di outcome: la durata della degenza, il dolore in seconda e in terza giornata post-operatorie, gli esiti funzionali rappresentati da scala ILOA, HHS e WOMAC a 6 settimane post-intervento. CONCLUSIONI: I risultati dello studio confermano che l’applicazione del protocollo Fast-track nella chirurgia di artroprotesi totale d’anca è in grado di far ottenere una ripresa precoce e ottimale delle funzionalità e delle principali attività di vita quotidiana. Risulta però necessario uno sviluppo, in collaborazione con il paziente, nel piano di cura e di riabilitazione post-dimissione con lo scopo di andare incontro ai bisogni individuali della persona e alle sue preferenze.

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Pesi, Benedetta. « OPTIMIZATION OF PRE-, INTRA- AND POST-OPERATIVE SURGICAL MANAGEMENT IN PATIENTS AFFECTED BY INFLAMMATORY BOWEL DISEASE ». Doctoral thesis, 2022. http://hdl.handle.net/2158/1265895.

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Inflammatory bowel diseases (IBDs) are immune system disorders characterized by a chronic course with remissions and relapses. IBD includes two related but distinct disorders: Crohn’s disease (CD) and ulcerative colitis (UC) . Despite advances in the medical management of CD, approximately 25% to 80% of the patients with Crohn’s disease need surgery within 10 years of diagnosis. In addition, 40-50% of patients that receive surgical treatment for Crohn's will require further surgery within the next 10-15 years. In UC about 40% of patients with severe disease require proctocolectomy. The fast track protocol is an evidence-based care program including preoperative, intraoperative and postoperative items and it was introduced about 20 years ago by Kehlet et al. to reduce perioperative stress, improve patient outcomes, achieve faster recovery, shorten length of hospital stay (LOS), without compromising the safety of the patients. However, the application of fast track protocol in IBD is not still diffuse. The aim of this study was to implement the pre-, intra- and post-operative phases adopting nutritional prehabilitation, minimally invasive surgery with fast track protocol and to evaluate the effect of these approaches on surgical outcome and length of hospital stay.

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Pellei, Karina. « Mise en place d'un protocole de remplacement articulaire de la hanche et du genou avec une durée de séjour postopératoire réduite et évaluation des risques et bénéfices pour les patients ». Thèse, 2019. http://hdl.handle.net/1866/22808.

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Livres sur le sujet "Fast track protocol"

Dulaney, Emmett A. MCSE fast track. Indianapolis, Ind : New Riders, 1998.

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Dulaney, Emmett A. MCSE fast track. Indianapolis, IN : New Riders Publishing, 1998.

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Dulaney, Emmett A. MCSE fast track. Indianapolis, Ind : New Riders, 1998.

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Dulaney, Emmett A. MCSE fast track. Indianapolis, Ind : New Riders, 1998.

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Dulaney, Emmett A. MCSE fast track. Indianapolis, Ind : New Riders Publishing, 1998.

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MCSE Fast Track : Windows 98. New Riders Pub, 1998.

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Conservative Versus Fast Track Rule Out Myocardial Infarction Protocols : A Cost and Length of Stay Comparison with Low Risk Pain Patients in a Military Hospital. Storming Media, 1997.

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Chapitres de livres sur le sujet "Fast track protocol"

Husted, Henrik. « Dealing with Pain in a “Fast-Track” Protocol : The Experience of a European Professional ». Dans Perioperative Medical Management for Total Joint Arthroplasty, 173–78. Cham : Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-07203-6_15.

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Cavanaugh, Priscilla K., Snir Heller et Javad Parvizi. « Dealing with Pain Using a “Fast-Track” (Multimodal) Protocol : The Experience from the United States ». Dans Perioperative Medical Management for Total Joint Arthroplasty, 179–93. Cham : Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-07203-6_16.

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Mattei, Peter. « Fast-Track Protocols ». Dans Fundamentals of Pediatric Surgery, 37–40. New York, NY : Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-6643-8_6.

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Cordingley, Timothy, Daniel Chepurin, Ghada Younis, Islam Nassar et David Mitchell. « Fast Track Arthroplasty Using Local Infiltration Analgesia ». Dans Topics in Regional Anesthesia [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.99433.

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Fast track arthroplasty is a holistic approach to patients who undergo total hip and knee arthroplasty, a journey or care that begins with setting patient’s expectation, optimising medical status, using intraoperative local anaesthetic infiltra-tion, decreasing narcotics usage either in spinal or post-operative medication, discouraging usage of patient controlled analgesia or urinary catheters, encouraging day of operation mobilisation and optimising post-operative physiotherapy protocols. The use of local infiltration analgesia (LIA) is a good alternative compared to other traditional pain management techniques. The purpose of adoption of LIA technique is to provide comfort from the trauma associated with hip and knee arthroplasty particularly for the first 36 h post-operatively, during the time of high post-operative pain, to facilitate increased post-operative mobilisation and function. LIA is safe and effective to achieve good outcomes, early mobilisation and decreasing length of stay without jeopardising clinical outcomes. This chapter discusses LIA and its multimodal approach to analgesia, regional anaesthesia and early mobilisation that improves overall patient experience and satisfaction. The chapter discusses LIA techniques, wound catheter placement, and postoperative protocol to achieve fast track hip and knee arthroplasty.

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Martin, Janet, et Davy Cheng. « Fast-track cardiac anaesthesia and early extubation ». Dans State of the Art Surgical Coronary Revascularization, sous la direction de John M. Murkin et Gregory Fischer, 174–80. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198758785.003.0032.

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‘Fast-track’ cardiac anaesthesia and recovery is the term given to a multicomponent intervention during cardiac surgery and postoperatively, with the ultimate goal of early extubation (within 1–6 hours) in order to reduce duration of mechanical ventilation, length of stay in the intensive care unit, and overall resource utilization. Key components of fast-track cardiac care include balanced anaesthesia (low-dose opioids together with inhaled or intravenous anaesthetics) and a time-directed extubation protocol. Fast-track cardiac care requires an interdisciplinary approach to anaesthesia during surgery, as well as a coordinated approach after surgery, in order to achieve early extubation and an overall streamlined approach to recovery and hospital discharge.

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Scholz, Judith, et Sabine Suppmann. « A fast-track protocol for protein expression using the BEV system ». Dans Methods in Enzymology, 171–90. Elsevier, 2021. http://dx.doi.org/10.1016/bs.mie.2021.06.015.

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Chui, Jason, et John M. Murkin. « Postoperative management after coronary artery bypass graft surgery ». Dans State of the Art Surgical Coronary Revascularization, sous la direction de John M. Murkin et Gregory Fischer, 166–73. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198758785.003.0031.

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Postoperative management of patients following coronary artery bypass graft surgery is focused on fast-track recovery but can be challenging, and is often characterized by haemodynamic fluctuations that may require inotropic support, fluid compartment shifts, an increased bleeding tendency, and occasional surgical complications that require urgent re-exploration. This chapter focuses primarily on haemodynamic management and the attendant indications for and choices of pharmacological therapy, as well as considering the indications for continuance or initiation of longer-term medications. Other aspects of acute care such as bleeding and coagulopathy, respiratory support and ventilation and weaning protocols, sedation, and pain control are also important to ensure a smooth transition from acute care to hospital discharge.

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Wurster, Simone. « Development of a Specification for Data Interchange between Information Systems in Public Hazard Prevention ». Dans Advances in IT Standards and Standardization Research, 170–93. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-6332-9.ch010.

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Standards and specifications for public security are missing in many technical aspects as well as the areas of communication protocols and security management. Several technology management research gaps related to this field exist, particularly regarding R&D stage standardisation. This chapter gives insight into the development of a specification (DIN SPEC) for the protection of transportation infrastructure based on civil security research results. Besides providing practical examples for activities related to the popular standardization strategy framework of Sherif, Jakobs, and Egyedi (2007), the chapter suggests its extension. Standardisation challenges and solutions are also unveiled. The chapter finishes by outlining key aspects that may influence the adoption of the specification. Fields of application of the findings include, in particular, fast track standardisation procedures with voluntary implementation of the results, the standardisation of R&D results, and standardisation projects among small groups.

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Barnard, Catherine. « Protection of the UK Internal Market ». Dans The Law & ; Politics of Brexit, 163—C9.N80. Oxford University PressOxford, 2022. http://dx.doi.org/10.1093/oso/9780192863935.003.0009.

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Abstract Chapter 9 by Catherine Barnard focuses on Article 6 of the Protocol, entitled ‘Protection of the UK Internal Market’ and offers a critical perspective on this concept. In fact, as Barnard points out, the idea of a UK internal market is relatively new: while one may trace antecedents of it as long ago as in 1706, in the Act of Union between England and Scotland, the concept of a UK internal market is very much a Brexit-related creation, as the UK government first started speaking about this in the context of the withdrawal negotiations. Nevertheless, as Barnard explains, the UK internal market is not quite as strong and effective as the EU internal market—on the one hand because it is law-given, rather than based on a higher law, and on the other because Northern Ireland is not part of it. Indeed, owing to the operation of Article 5 of the Protocol, regulatory checks are required for goods moving between Great Britain and Northern Ireland, and these are posing hurdles to unfettered market access.

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Actes de conférences sur le sujet "Fast track protocol"

Ribeiro, Claudia, Micaela Monteiro, Jannicke Baalsrud Hauge, Joao Pereira et Tiago Antunes. « Sepsis Fast Track : A simulation game for Clinical education based on the Sepsis Fast Track protocol ». Dans 2016 IEEE International Conference on Serious Games and Applications for Health (SeGAH). IEEE, 2016. http://dx.doi.org/10.1109/segah.2016.7586226.

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Veloria, E., O. Diaz, I. Selick, K. Bailey, A. Robinson, B. Njoku et V. K. Moitra. « Factors Affecting Mechanical Ventilation Times in Patients Post Coronary Artery Bypass Grafting After Implementation of Fast Track Extubation Protocol ». Dans American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a3394.

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Abdel-Basset, Mohamed, Yousef Al-Otaibi, Taha Blushi, Anood Al-Dhafiri, Majdi Al-Mutawa, Mamoun Abdelbagi et Ahmed Hadi. « North Kuwait Jurassic Gas Experience of Expanding Multistage Completion Strategy for Managing Deep Tight Gas Development Challenges ». Dans ADIPEC. SPE, 2022. http://dx.doi.org/10.2118/211390-ms.

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Abstract North Kuwait Jurassic Gas asset has strategic importance for Kuwait production strategy as the only non-associated gas producing fields in Kuwait. This paper demonstrates the added value, experience, challenges and lessons learned of recent paradigm shift in Jurassic tight gas wells’ completion strategy from cemented liner to multistage completion. A successful expansion of Multi-Stage Completion (MSC) technology has been achieved on field level led by integrated team efforts since early 2020 to date. This helps to enhance overall well production potential, selective stimulation, overcome reservoir and intervention operations challenges, and early production delivery. The Jurassic gas asset produces mainly from deep high pressure and temperature, conventional and unconventional tight carbonate reservoirs. The recovery from such complex heterogeneous reservoirs is extremely challenging if conventional development strategies are applied. Due to the high reservoir tightness, permeability contrast among different flow units and dual permeability effect (matrix and natural fractures), well productivity potential significantly depends on the effectiveness of subsequent stimulation treatments of such complex heterogeneous reservoir to improve well productivity and connect the natural fractures. Selecting proper well completion is critical to overcome such reservoir challenges and ensure efficient acid stimulation treatments of such unconventional formations that need convenient diversion mechanism during the stimulation to enhance the productivity of each individual reservoir layer, and enable future flexibility of selective re-stimulation and reservoir management. The asset team has applied a step change in completion strategy to open-hole HPHT multistage drop-ball completions using state-of-the-art MSC technologies including closable frac ports, full 3.5in monobore post milling and debris sub to protect the MSC string during upper completion operations. This is to overcome such reservoir complexity, eliminate wellbore cleaning and multiple perforation intervention operations challenges and risks, eliminate cement quality uncertainties, improve overall cost, and fast track well delivery to production to meet asset production target by significantly reducing operation time from approximately one month of plug and perf technique to less than one week of continuous and less subsurface intervention operations. Total of 23 new Multi-stage completions were successfully installed in last 2 years including 4 systems in horizontal unconventional Najmah reservoir with overall good production results and significant improvement in selective acid stimulation (matrix and Fracturing), intervention operations efficiency and fast well delivery to production. Therefore, the asset plans to continue expansion in Multi-stage completion strategy. Based on gained experience, an integrated protocol for multi-stage candidate well selection, staging design and installation procedures workflow has been built by the integrated multidisciplinary team to ensure standard process across fields which can be used for application in other fields.

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Abdel-Basset, Mohamed, Yousef Al-Otaibi, Taha Bloushi, Anood Al-Dhafiri, Majdi Al-Mutawa, Mamoun Abdelbagi et Ahmed Hadi. « North Kuwait Jurassic Gas Experience of Expanding Multistage Completion Strategy for Managing Deep Tight Gas Development Challenges ». Dans International Petroleum Technology Conference. IPTC, 2023. http://dx.doi.org/10.2523/iptc-23045-ms.

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Enayati, Moein, et Marjorie Skubic. « Respiratory Arrest Monitoring : A Non-Invasive Approach for Early Detection of Breathing Complexities in Psychiatric Patients ». Dans 2020 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/dmd2020-9087.

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Abstract Background: Current protocol for monitoring high-risk patients in psychiatric hospital calls for a staff member to enter each room every 15 minutes to visually ensure that each patient is still breathing. This protocol has been set up for fast intervention in the case of a patient’s self-inflicting harm. However, this procedure is disruptive to the patients and a burden for the care providers. Objective: Continuous and automated overnight monitoring of psychiatric patients for a complete cessation of breath, that eliminates the need for frequent in-person checks. Method: An IRB approved study conducted in a simulated lab environment, with a radar device placed in the ceiling above the bed. 14 volunteers simulated episodes of respiratory arrest. Results: The extracted radar signal not only tracks the episodes of complete breath cessation but also estimates the respiration rate with more than 92% accuracy, during normal breathing. Conclusion: Our proposed approach provides the means for care providers in psychiatric hospitals to ensure the patients can breathe without disturbing the patients’ sleep.

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Savard, Dany, Sarah Dare, L. Paul Bédard, Sarah-Jane Barnes et Joseph Petrus. « Development of an extended matrix-matched calibration protocol for fast, high-resolution, quantitative chemical mapping of major and trace elements of polymineralic samples by laser-ablation coupled to time-of-flight-mass-spectrometry (LA-ICP-TOF-MS). » Dans Goldschmidt2021. France : European Association of Geochemistry, 2021. http://dx.doi.org/10.7185/gold2021.8047.

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