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Добірка наукової літератури з теми "Postoperative care"

Автор: Grafiati

Опубліковано: 4 червня 2021

Оновлено: 29 липня 2024

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Статті в журналах з теми "Postoperative care"

Kramer, Aaron. "Postoperative Care." Journal of Humanistic Psychology 29, no. 1 (January 1989): 54–58. http://dx.doi.org/10.1177/0022167889291004.

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&NA;. "POSTOPERATIVE CARE." American Journal of Nursing 98, no. 2 (February 1998): 10. http://dx.doi.org/10.1097/00000446-199802000-00005.

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Tyson, Emma, and Ben Creagh-Brown. "Postoperative care." Medicine 46, no. 12 (December 2018): 750–53. http://dx.doi.org/10.1016/j.mpmed.2018.09.003.

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Falk, Scott A. "Postoperative Care." Anesthesiology Clinics 30, no. 3 (September 2012): xi—xii. http://dx.doi.org/10.1016/j.anclin.2012.07.013.

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Sullivan, Craig. "Postoperative Abortion Care." AJN, American Journal of Nursing 112, no. 6 (June 2012): 13. http://dx.doi.org/10.1097/01.naj.0000415106.18672.ec.

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SARVIS, CONNIE. "Postoperative wound care." Nursing 36, no. 12 (December 2006): 56–57. http://dx.doi.org/10.1097/00152193-200612000-00044.

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MBBS, Cynthia Weinstein,. "Postoperative Laser Care." Clinics in Plastic Surgery 27, no. 2 (April 2000): 251–62. http://dx.doi.org/10.1016/s0094-1298(20)32712-7.

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Kelly, Daniel F. "Neurosurgical Postoperative Care." Neurosurgery Clinics of North America 5, no. 4 (October 1994): 789–810. http://dx.doi.org/10.1016/s1042-3680(18)30501-1.

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Adatia, Ian, and Maurice Beghetti. "Immediate postoperative care." Cardiology in the Young 19, S1 (May 2009): 23–27. http://dx.doi.org/10.1017/s1047951109003916.

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Smith, Martin. "Postoperative neurosurgical care." Current Anaesthesia & Critical Care 5, no. 1 (January 1994): 29–35. http://dx.doi.org/10.1016/0953-7112(94)90043-4.

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Більше джерел

Дисертації з теми "Postoperative care"

Rees, Nancy Wylie. "Nursing management of postoperative pain: perceived care and actual practice." Thesis, Curtin University, 2000. http://hdl.handle.net/20.500.11937/1235.

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Анотація:

Postoperative pain management is a major responsibility of nurses who provide care for patients recovering from surgery. In the postsurgical environment, the nurse has a pivotal role in assessing the patient with pain, implementing both doctor and nurseinitiated pain interventions and evaluating the patient's response to pain control treatments. Apart from its humanitarian utility, effective relief of postoperative pain is a critical element of a patient's postoperative recovery. Failure to manage pain effectively in the immediate postoperative period can produce undesirable immediate and longterm physical and psychological consequences that can severely disrupt an individual's quality of life. Despite the availability of multidimensional assessment measures, sophisticated pharmacological therapies and a greater range of complementary pain therapies, postoperative pain remains treated ineffectively by those professionally responsible for its management. In particular, evidence indicates that nurses are poor managers of their patients' postoperative pain. This thesis reports research that was conducted in two stages to explore, describe and analyse how nurses managed their patients' postoperative pain and their perceptions of factors that influenced this practice. A predominantly descriptive design was utilised in Stage 1 of the study to collect data from patients' hospital records and with a demographic questionnaire administered to nurses. This was complemented with interview data from nurses in Stage 2.Previous studies offer limited views of the clinical realities of nursing practice in postoperative pain management. From this perspective, there is a need for research that incorporates these realities to permit analysis of clinical practice and greater understanding therefore of the problem of poor postoperative pain management. The purpose of this study was to provide an illuminative and authentic account of nursing practice in postoperative pain management. For the first part of Stage 1, data were collected retrospectively from nurses' documented accounts of pain assessment and intervention over the first three postoperative days for 100 patients in a major adult acute care teaching hospital. Analysis of nurses' documented responses to patients' reports of postoperative pain revealed that less than one-third of all responses could be considered appropriate for pain management. In particular, nurses failed to provide any pharmacological relief for 53% of patients' reports or severe and excruciating pain. Exploration of the influence of nurses' professional characteristics of education and experience on pain management practice was then undertaken in part 2 of Stage 1 with the use of a demographic questionnaire distributed to 106 nurses who were identified as signatories to the documented responses identified in part 1. Results indicated that length of professional experience accounted for most variations in practice, with older, more experienced nurses managing pain more appropriately than their younger and less experienced colleagues. Irrespective of education or experience, however, nurses failed to respond appropriately to patients reporting excruciating pain.In Stage 2, in-depth interviews were conducted with 8 nurses caring for postoperative patients at the research site. Thematic content analysis revealed four major themes from nurses' perceptions of their practice of postoperative pain management that served to elucidate and enrich the findings of Stage 1 of the research. These were finding out about the patient's pain, making decisions about pain and pain management, individual factors affecting pain management, and interpersonal and organisational factors affecting pain management. This thesis provides an authentic account of nursing practice in postoperative pain management, and contributes understanding and insight into factors that provoke ineffective management of pain after surgery. It has implications for the development of intervention strategies aimed at improving nursing practice, at both individual and organisational levels, and suggests new directions for nursing education and research toward achieving optimum care and eliminating unnecessary pain for patients recovering from surgery.

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Hines, Sonia Jane. "Aromatherapy for postoperative nausea and vomiting." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/60245/1/Sonia_Hines_Thesis.pdf.

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Background: Postoperative nausea and vomiting is one of the most common adverse reactions to surgery and all types of anaesthesia and despite the wide variety of available antiemetic and anti-nausea treatments, 20-30% of all patients still suffer moderate to severe nausea and vomiting following general anaesthesia. While aromatherapy is well-known and is used personally by nurses, it is less well utilised in the healthcare setting. If aromatherapy is to become an accepted adjunct treatment for postoperative nausea and vomiting, it is imperative that there is both an evidence base to support the use of aromatherapy, and a nursing workforce prepared to utilise it. Methods: This involved a Cochrane Systematic Review, a Delphi process to modify an existing tool to assess beliefs about aromatherapy to make it more relevant to nursing and midwifery practice, and a survey to test the modified tool in a population of nurses and midwives. Findings: The systematic review found that aromatherapy with isopropyl alcohol was more effective than placebo for reducing the number of doses of rescue antiemetics required but not more effective than standard antiemetic drugs. The Delphi panel process showed that the original Beliefs About Aromatherapy Scale was not completely relevant to nursing and midwifery practice. The modified Nurses' Beliefs About Aromatherapy Scale was found to be valid and reliable to measure nurses' and midwives' beliefs about aromatherapy. Factor analysis supported the construct validity of the scale by finding two sub-scales measuring beliefs about the 'usefulness of aromatherapy' and the 'scientific basis of aromatherapy'. Survey respondents were found to have generally positive beliefs about aromatherapy, with more strongly positive beliefs on the 'usefulness of aromatherapy' sub-scale. Conclusions: From the evidence of the systematic review, the use of isopropyl alcohol vapour inhalation as an adjunct therapy for postoperative nausea and vomiting is unlikely to be harmful and may reduce nausea for some adult patients. It may provide a useful therapeutic option, particularly when the alternative is no treatment at all. Given the moderately positive beliefs expressed by nurses and midwives particularly about the usefulness of aromatherapy there is potential for this therapy to be implemented and used to improve patient care.

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Gustafsson, Tomas, and Benjamin Erkstam. "Patienters upplevelse av postoperativ smärtbehandling : En litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-398046.

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Анотація:

Bakgrund: Smärta är en subjektiv känsla där varje individ lär sig betydelsen av ordet genom egna erfarenheter. Smärta är något nästan alla upplever efter ett kirurgiskt ingrepp och där otillräcklig smärtlindring i den akuta fasen kan leda till svåra komplikationer vilket skapar lidande för patienten samt stora samhällsekonomiska kostnader. Syfte: Att beskriva patienters upplevelse av postoperativ smärtbehandling. Metod: Litteraturstudie med deskriptiv design av 11 kvalitativa originalartiklar från databaserna PubMed, CINAHL och PsycINFO vars innehåll analyserades i fem steg. Resultat: Patienter var överlag tillfredsställda trots smärta. Det fanns delade åsikter om nyttan av NRS (numerisk skala). Patienter hade en rad föreställningar om läkemedel som ledde dem till att undvika analgetika. Information ansågs vara huvudsakligen hjälpsamt, framför allt skriftlig, dock upplevde patienter att informationen var bristfällig. Attityd, tillit och kommunikation spelade en viktig roll för relationen mellan personal och patient. Patienter som genomgått dagkirurgi och behandlade sin smärta ensamma i hemmet med mycket begränsad kontakt med vårdpersonal, upplevde svårigheter att ta beslut och följa sin smärtbehandlingsplan. Patienter uppskattade att bli inkluderade och delaktiga i sin vård, även om det kunde upplevas som en börda, och tog många egna initiativ och egna strategier under sin behandling, ofta för att slippa använda analgetika. Tidigare erfarenheter var också något som ofta hjälpte patienter i deras smärtbehandling. Slutsats: Patienter var ofta nöjda med sin smärtbehandling trots att de fortfarande upplevde smärta, viktigast för att uppnå detta var en känsla av trygghet. Viktiga faktorer för detta var utförlig skriftlig och upprepad information om smärta, smärtbehandling och analgetika samt ett gott, professionellt, inkluderande och individanpassat bemötande från vårdpersonalen. Brister inom dessa områden ledde till oro och rädsla för det okända, vilket försvårade smärtupplevelsen. Patienter upplevde sällan fullgod smärtlindring.
Background: Pain is a subjective feeling where each individual learns the meaning of the word through their own experiences. Pain is something almost everyone experiences after a surgical procedure and where insufficient pain relief in the acute phase can lead to severe complications, which creates suffering for the patient and large socio-economic costs. Aim: To describe patients' experience of postoperative pain management. Method: Literature review with descriptive design of 11 qualitative original articles from the databases PubMed, CINAHL and PsycINFO whose contents were analyzed in five steps. Result: Patients were generally satisfied despite pain. There were different opinions about the benefits of the NRS (numeric rating scale). Patients had a number of conceptions about drugs that led them to avoid analgesics. Information was considered to be mainly helpful, especially written, however patients felt that the information was deficient. Attitude, trust and communication played an important role in the relationship between staff and patient. Patients who underwent day surgery and treated their pain alone in the home with very limited contact with health care professionals experienced difficulties in making decisions and following their pain management plan. Patients appreciated being included and involved in their care, although it could be perceived as a burden, and took many own initiatives and strategies during their treatment, often to avoid using analgesics. Previous experience was also something that often helped patients in their pain management. Conclusion: Patients were often satisfied with their pain management even though they were still experiencing pain, most important to achieve this was a peace of mind. Important factors for this were detailed written and repeated information about pain, pain treatment and analgesics as well as a good, professional, inclusive and individualized response from the care staff. Deficiencies in these areas led to worrying and fear of the unknown, which made the pain experience more difficult. Patients rarely experienced adequate pain relief.

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Rees, Nancy Wylie. "Nursing Management of Postoperative Pain: Perceived Care and Actual Practice." Curtin University of Technology, Faculty of Education, 2000. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=12334.

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Анотація:

Postoperative pain management is a major responsibility of nurses who provide care for patients recovering from surgery. In the postsurgical environment, the nurse has a pivotal role in assessing the patient with pain, implementing both doctor and nurseinitiated pain interventions and evaluating the patient's response to pain control treatments. Apart from its humanitarian utility, effective relief of postoperative pain is a critical element of a patient's postoperative recovery. Failure to manage pain effectively in the immediate postoperative period can produce undesirable immediate and longterm physical and psychological consequences that can severely disrupt an individual's quality of life. Despite the availability of multidimensional assessment measures, sophisticated pharmacological therapies and a greater range of complementary pain therapies, postoperative pain remains treated ineffectively by those professionally responsible for its management. In particular, evidence indicates that nurses are poor managers of their patients' postoperative pain. This thesis reports research that was conducted in two stages to explore, describe and analyse how nurses managed their patients' postoperative pain and their perceptions of factors that influenced this practice. A predominantly descriptive design was utilised in Stage 1 of the study to collect data from patients' hospital records and with a demographic questionnaire administered to nurses. This was complemented with interview data from nurses in Stage 2.
Previous studies offer limited views of the clinical realities of nursing practice in postoperative pain management. From this perspective, there is a need for research that incorporates these realities to permit analysis of clinical practice and greater understanding therefore of the problem of poor postoperative pain management. The purpose of this study was to provide an illuminative and authentic account of nursing practice in postoperative pain management. For the first part of Stage 1, data were collected retrospectively from nurses' documented accounts of pain assessment and intervention over the first three postoperative days for 100 patients in a major adult acute care teaching hospital. Analysis of nurses' documented responses to patients' reports of postoperative pain revealed that less than one-third of all responses could be considered appropriate for pain management. In particular, nurses failed to provide any pharmacological relief for 53% of patients' reports or severe and excruciating pain. Exploration of the influence of nurses' professional characteristics of education and experience on pain management practice was then undertaken in part 2 of Stage 1 with the use of a demographic questionnaire distributed to 106 nurses who were identified as signatories to the documented responses identified in part 1. Results indicated that length of professional experience accounted for most variations in practice, with older, more experienced nurses managing pain more appropriately than their younger and less experienced colleagues. Irrespective of education or experience, however, nurses failed to respond appropriately to patients reporting excruciating pain.
In Stage 2, in-depth interviews were conducted with 8 nurses caring for postoperative patients at the research site. Thematic content analysis revealed four major themes from nurses' perceptions of their practice of postoperative pain management that served to elucidate and enrich the findings of Stage 1 of the research. These were finding out about the patient's pain, making decisions about pain and pain management, individual factors affecting pain management, and interpersonal and organisational factors affecting pain management. This thesis provides an authentic account of nursing practice in postoperative pain management, and contributes understanding and insight into factors that provoke ineffective management of pain after surgery. It has implications for the development of intervention strategies aimed at improving nursing practice, at both individual and organisational levels, and suggests new directions for nursing education and research toward achieving optimum care and eliminating unnecessary pain for patients recovering from surgery.

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Pucher, Philip. "Structural and care process improvement of ward-based postoperative care to optimise surgical outcomes." Thesis, Imperial College London, 2014. http://hdl.handle.net/10044/1/24994.

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Анотація:

Much of the variation seen in surgical outcomes can be explained by differences in the quality of management of post-operative complications and ward-based care. The surgical ward round (WR) is critical to determining post-operative care and serves as the primary point of interaction between clinician and patient. Despite this, it is an area not subject to training or assessment at present. This thesis demonstrates the high degree of variability which exists in the conduct of WRs. It establishes the link between suboptimal patient assessment and increased risk of preventable post-operative complications. These place patients not only at risk of short-term deterioration, but result in reduced long-term survival as well. In order to quantify WR quality, a novel assessment tool has been developed and validated within a simulated environment. Ward simulation is a nascent branch of simulation which has been only preliminarily explored to date. A simulation environment was developed to take advantage of the known benefits of simulation such as controllability, reproducibility, and recordability, whilst maintaining a high level of fidelity and realism. An evidence-based curriculum for surgical WR training was designed and implemented in a simulation-based course. By focusing on structured generic processes of patient assessment and management, this resulted in significant improvement of trainee performance in routine WRs. To ensure standardised and optimum management of specific conditions, checklists have proven themselves to be of great value in a number of surgical and medical disciplines. Surgical complications are common, yet their management often suboptimal. As part of this thesis, evidence-based protocols for the management of the six most common complications were designed and validated. The implementation of these in a simulation-based randomised, controlled trial has resulted in greatly increased adherence to evidence-based standards of care, as well as improved communication and clinician performance. This thesis explores the variance currently present in surgical ward rounds, and the potentially grave consequences of this for patient outcomes. To date, WRs have been one of the last areas of surgical care still dependent on the Halstedian principle of experiential learning alone. The tools have now been developed with which to assess, improve, and standardise critical structures and care processes in the assessment and management of the post-operative surgical patient. Future implementation of these and integration into surgical curricula will benefit clinician training, patient care, and surgical outcomes alike.

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Krstevska, Simic Katerina, and Semmy Josefsson. "Postoperativ återhämtning efter dagkirurgisk operation : Uppföljning via patientens egen mobiltelefon." Thesis, Linköpings universitet, Institutionen för hälsa, medicin och vård, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-178710.

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Bakgrund: Utvecklingen inom kirurgi och anestesi har bidragit till att allt fler operationer utförs dagkirurgiskt då det minskar sjukhusvistelse för patienten och är kostnadseffektivt för vården. Det finns många fördelar med dagkirurgiska ingrepp men nackdelen är att ansvaret för den postoperativa återhämtningen läggs på patient och eventuella anhöriga att bevaka. Det är viktigt att vården förbereder patient och anhöriga inför hemgång med specifik information och instruktioner utifrån patientgrupp för att patienterna ska känna sig trygga. Syfte: Att studera postoperativ återhämtning efter dagkirurgisk operation. Metod: Studien har en randomiserad kontrollerad design. Studien omfattade 565 patienter som randomiserats till en interventions- och kontrollgrupp. Alla inkluderade svarade på Svensk Post-discharge Surgical Recovery Scale preoperativt och dag 28 postoperativt. Interventionsgruppen svarade även på mobilfrågor dag 1 – 14, 21 och 28 postoperativt. Resultat: I resultatet framkom att kvinnor hade sämre återhämtning jämfört med män och att den postoperativa återhämtningen skiljde sig mellan olika operationsgrupper. Ortopedpatienterna behövde längre tid för återhämtning, hade mer smärta, mer behov av vila, sämre rörlighet och behövde mer hjälp med ADL än övriga grupper. Det positiva med resultatet var att alla patienter uppgav lite besvär med illamående och yrsel vilket kan tyda på att patienterna fått bra PONV profylax inför hemgång. Konklusion: Författarna anser att det behövs fler studier som undersöker kvinnors postoperativa återhämtning. Resultatet styrker att ortopediska patienter kan behöva mer uppföljning efter hemgång och att mer specifik information utifrån ingrepp kan höja kvaliteten inom dagkirurgisk vård.

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Göransson, Simon, and Henrik Karlsson. "Den muntliga överrapporteringen mellan operation och postoperativ miljö : En observationsstudie av innehållet." Thesis, Linköpings universitet, Avdelningen för omvårdnad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-157734.

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Bakgrund: För att sjukvården ska kunna upprätthålla patientsäkerheten krävs ett säkert sätt att överföra information mellan skifte av personal. För att kunna inkludera alla viktiga komponenter i en rapport krävs skicklighet i rapportering. Information som missas gör att patienter löper större risk att drabbas för vårdskador. Patienter som genomgår utsätts för sedering eller operativa ingrepp är redan sköra och löper större risk att drabbas av negativa konsekvenser. Syfte: Att undersöka innehållet i den muntliga överrapporteringen mellan anestesisjuksköterskor och postoperativ personal samt granskavad som kan påverka innehållet. Metod: En observationsstudie med kvalitativ och kvantitativ ansats utfördes på en intensivvårdsavdelning och en post-operativ avdelning. Resultat: Sammanställningen av 50 observationer visade att allergier, kirurgiska komplikationer, blodförlust och luftvägshantering var de mest frekventa punkterna som försummades. Innehållet jämfördes sedan med hur nöjda sjuksköterskorna som tog emot rapporten var gällandeinnehåll och struktur. Inga säkra slutsatser kunde dras av förhållandet mellan tid och innehåll, störningsmoment och innehåll, samt uppskattad nöjdhet med rapporten och innehåll. Vart rapporten sker har inverkan i hur stor utsträckning in-och utfarter samt operationsförband rapporteras. Störningsmoment har ingen inverkan på antal parametrar som tas upp. Konklusion: Resultatet visar att viktig information missas i olika utsträckning. Utifrån resultatet på studien dras slutsatsen att det behövs fortsatt forskning för att ge möjligheten att optimera och strukturera rapporterna så innehåll inte missas.
Background: If the health care is to maintain the patient security, a safe way to transfer information between staff changes is required. To be able to include all the important components in the report requires great skill. Information that is missed will expose the patient to a greater risk of care damage. Patients that undergo surgery or anaesthesia are already fragile and are at a greater risk of voluminous consequences. Objective: To examine the content of the oral report between the anaesthesia nurse and post-operative nurse, and what causes that could possibly affect the contents of the report. Method: An observation study with qualitative and quantitative method approach was adopted. The setting for the study was an intensive critical care unit and a post anaesthesia unit. Result: The findings in the 50 observations shows that allergies, surgical complications, blood loss and airway management were the most neglected points in the report. The amount of time the observations took were examined along with the content, structure and how satisfied the nurses that received the report were afterwards. No certain conclusions could be shown in the relationship between time and amount of content in the report. Neither was there a relationship between amounts of distraction and decreasing of content. These findings were compared with estimated satisfaction from the nurses that received the report. Where the report is held has impact on how much information about venous access, tubes and bandages is transferred. Disturbance had no effect on the amount of information being reported. Conclusion: The result shows that important information is missed to a certain degree. The study results show that there is still a need for more research to be able to find a way to optimize the oral report and the information transfer.

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Rummel, Robert Mark. "Quality control practices for postoperative eye care in rural Arizona." ScholarWorks, 1994. http://scholarworks.waldenu.edu/hodgkinson/2.

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Анотація:

Health care services in the United States are regulated and monitored by federal and state agencies in order to protect the American public. The primary function of these regulating agencies is to assure that any medical procedure or service meets or exceeds the established minimum standards of care. The purpose of this study is to evaluate one aspect of medical care along with its corresponding quality control system. In the area of eye surgery and postoperative eye care, this investigator encountered several clinical situations in which the quality of medical care has been compromised, increasing the patient's risk of postoperative complications. This study was designed to evaluate how effective the current quality control mechanisms were in recognizing and dealing with a possible breech in the medical quality of care in the postoperative co-management of eye surgery patients in the State of Arizona. General Systems Theory was used as the theoretical base for the study. The case-study methodology was deemed most appropriate for evaluating the topic of eye surgery co-management. Statistical verification was accomplished by analyzing the standardized data from the case-study checklist. The results of the study demonstrate that the medical quality control system in Arizona is not enforcing the established minimum standards of quality for eye surgery co-management. The primary cause of the regulatory agencies suboptimal performance is that the regulatory mechanism is not functioning as a true system. The current disjointed approach to medical quality in Arizona has resulted in (1) inefficient and ineffective mechanisms which enforce minimum standards of care, (2) more than one standard of care for the same medical service, (3) Medicare reimbursement for medical services by unlicensed health care providers, and (4) substandard medical care causing actual harm and increased risk to the patient. The recommendations offered to rectify the problems identified by this study are based upon applied systems theory. The American health care system seems destined to undergo changes. The recommendations of this study are attempting to mold one aspect of the current methods of providing health care into a true "system of health care."

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Krug, Jeffrey Bart Litofsky N. Scott Chandrasekhar Anand. "Functional outcome and self-perceived overall health status following surgery to remove primary brain tumor." Diss., Columbia, Mo. : University of Missouri--Columbia, 2008. http://hdl.handle.net/10355/5754.

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Анотація:

The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Title from PDF of title page (University of Missouri--Columbia, viewed on September 25, 2009). Thesis advisors: Dr. N. Scott Litofsky & Dr. Anand Chandrasekhar. Includes bibliographical references.

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Edberg, Mathias, and Mattias Pedersen. "Patienters upplevelse av postoperativ smärtlindring : En litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-373614.

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Introduktion: Smärta är en subjektiv känsla som endast den som upplever smärtan kan beskriva, men är något som nästan alla som genomgår ett kirurgiskt ingrepp upplever. Det finns olika typer av smärta och olika sätt att analysera och behandla den på. Bristfällig postoperativ smärtbehandling kan leda till svåra komplikationer och kan medföra stora kostnader för samhället och lidande för patienter. Syfte: I den här studien var syftet att med hjälp av vetenskaplig litteratur beskriva patienters upplevelser av postoperativ smärtlindring. Metod: Studien är gjord som en litteraturstudie med tio vetenskapliga artiklar vilka granskades med hjälp av innehållsanalys. Artiklar söktes via sökmotorerna PubMed och CINAHL. Resultat: Resultatet visade att patienter som var välinformerade om den postoperativa smärtbehandlingen både muntligt och skriftligt före och efter operationen, upplevde att de var mer nöjda med sin postoperativa smärtbehandling. Dessa patienter kände sig tryggare i att tillkalla sjukvårdspersonalen vid smärta och de upplevde att de var förberedda på postoperativ smärta redan innan operationen. Patienterna uppgav att ett bra bemötande från sjukvårdspersonalen hade en positiv inverkan på deras smärtupplevelse. Patienterna lyfte också fram aspekter som kunde förvärra patienternas upplevelse och beskrev då svårigheter att förmedla sin smärta, bristfällig information, ett dåligt bemötande med mera. Slutsats: Majoriteten patienter var nöjda med den postoperativa smärthandlingen men det fanns faktorer som påverkar upplevelsen till det sämre. För att förbättra möjligheten till en god postoperativ smärtbehandling är det viktigt att utveckla en arbetsmiljö för sjukvårdspersonal som tillåter ett gott bemötande och en tydlig kommunikation med patienter både före och efter operation.
Introduction: Pain is a complex and subjective experience, it is hard for any other else than the patient to understand it. All patients that undergo surgery will experience some sort of postoperative pain and therefore it is important to understand what pain is and what the patient goes through. Insufficient pain management could lead to postoperative complications that could be life threatening and increases the cost to society. Aim: The aim of this study was to examine the patient’s experiences of postoperative pain management. Methods: This study used a descriptive literature review. The searches were performed in the databases PubMed and CINAHL. Results: Results show that patients who were well-informed both pre- and postoperatively about the pain management were the most satisfied with their experience. Good communication and good treatment heightened the well-being of patients. Negative aspects could be communication difficulties and troubles describing the pain, lack of information and overstrained staff. Conclusion: The majority of patients were satisfied with their postoperative pain management but there were different things that had a negative influence on their experience. Improvements can be made, especially in the staffs’ individual behavior and in the organization as such.

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Книги з теми "Postoperative care"

Delaney, C. P. Postoperative ileus. Oxford: Oxford University Press, 2010.

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Şentürk, Mert, and Mukadder Orhan Sungur, eds. Postoperative Care in Thoracic Surgery. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-19908-5.

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Sait, Tarhan, ed. Cardiovascular anesthesia and postoperative care. 2nd ed. Chicago: Year Book Medical Publishers, 1989.

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Mary, Evans, and Pollock Alan V, eds. Postoperative complications in surgery. Oxford: Blackwell Scientific, 1991.

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R, Smith John A., and Watkins John 1936-, eds. Care of the postoperative surgical patient. London: Butterworths, 1985.

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T, Greenway Hubert, and Barrett Terry Lee, eds. Preoperative and postoperative dermatologic surgical care. New York: IGAKU-SHOIN, 1995.

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A, McGehee Robin, ed. Manual of small animal postoperative care. Baltimore: Williams & Wilkins, 1995.

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M, Frost Elizabeth A., and Goldiner Paul L, eds. Postanesthetic care. Norwalk, Conn: Appleton & Lange, 1990.

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

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Alexander, J. I. Postoperative pain control. Oxford: Blackwell Scientific Publications, 1987.

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Gupta, Janesh, Robbert Soeters, and Aaron Ndhluni. "Postoperative Care." In Gynecologic and Obstetric Surgery, 129–32. Oxford, UK: John Wiley & Sons, Ltd, 2016. http://dx.doi.org/10.1002/9781118298565.ch43.

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Aksungur, Esin. "Postoperative Care." In Inverse Abdominoplasty, 187–97. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-39310-0_11.

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Kueny, Laura S., and Heather C. de Beaufort. "Postoperative Care." In Pediatric Cataract Surgery and IOL Implantation, 111–16. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-38938-3_10.

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García Ruiz de Gordejuela, Amador, and Jordi Pujol Gebelli. "Postoperative Care." In Gastric Bypass, 459–63. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28803-7_48.

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Schein, Moshe. "Postoperative Care." In Schein’s Common Sense Emergency Abdominal Surgery, 291–96. Berlin, Heidelberg: Springer Berlin Heidelberg, 2000. http://dx.doi.org/10.1007/978-3-642-88133-6_33.

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Stevens, Robert D. "Postoperative Care." In Handbook of Neurocritical Care, 91–122. Totowa, NJ: Humana Press, 2004. http://dx.doi.org/10.1007/978-1-59259-772-7_7.

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Erovic, Boban M., and Piero Lercher. "Postoperative Care." In Manual of Head and Neck Reconstruction Using Regional and Free Flaps, 43–46. Vienna: Springer Vienna, 2014. http://dx.doi.org/10.1007/978-3-7091-1172-7_9.

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Thorin, Dominique. "Postoperative Care." In Surgery of the Thymus, 271–74. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-71076-6_24.

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Harlan, Bradley J., Albert Starr, and Fredric M. Harwin. "Postoperative Care." In Illustrated Handbook of Cardiac Surgery, 49–60. New York, NY: Springer New York, 1996. http://dx.doi.org/10.1007/978-1-4612-2324-5_6.

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Harlan, Bradley J., Albert Starr, Fredic M. Harwin, and Alain Carpentier. "Postoperative Care." In Manual of Cardiac Surgery, 66–76. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4612-2474-7_7.

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Тези доповідей конференцій з теми "Postoperative care"

Mustafa, Y., K. Ndu, N. Akhtar, A. Shalaby, A. Dunn, D. Pascu, and B. Smith. "B135 Peripheral nerve catheter postoperative care." In ESRA Abstracts, 39th Annual ESRA Congress, 22–25 June 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/rapm-2022-esra.210.

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Meyer, Alexander. "Real-time predictive analytics in postoperative critical care." In 2020 8th International Winter Conference on Brain-Computer Interface (BCI). IEEE, 2020. http://dx.doi.org/10.1109/bci48061.2020.9061610.

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Ross, Adam T., and Daniel G. Becker. "Preoperative and postoperative care in cosmetic laser resurfacing." In BiOS 2001 The International Symposium on Biomedical Optics, edited by R. Rox Anderson, Kenneth E. Bartels, Lawrence S. Bass, C. Gaelyn Garrett, Kenton W. Gregory, Abraham Katzir, Nikiforos Kollias, et al. SPIE, 2001. http://dx.doi.org/10.1117/12.427825.

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Liesnyi, V. V., A. S. Liesna, and V. O. Filonenko. "Prediction of postoperative complications in patients with peritonitis." In MEDICINE AND HEALTH CARE IN MODERN SOCIETY: TOPICAL ISSUES AND CURRENT ASPECTS. Baltija Publishing, 2021. http://dx.doi.org/10.30525/978-9934-26-038-4-24.

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Mains, Allie, Mario Zuccarello, Ravi Samy, and Scott Shapiro. "Postoperative Care Coordination for Acoustic Neuroma Patients: Improving Patient Satisfaction." In 30th Annual Meeting North American Skull Base Society. Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1702707.

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Hoshikawa, Yasushi, Naoko Tanda, Hitomi Endo, Takuichi Sato, Ayako Hasegawa, Shunsuke Eba, and Takashi Kondo. "Intensive Perioperative Oral Care Prevents Postoperative Pneumonia After Lung Resection." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a4859.

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Ghiam, Michael, Ibrahim Ali, Cortney Dable, Atil Kargi, Ricardo Komotar, Corinna Levine, and Zoukaa Sargi. "Postoperative Care Pathway to Reduce Readmissions following Endoscopic Pituitary Surgery." In 31st Annual Meeting North American Skull Base Society. Georg Thieme Verlag KG, 2022. http://dx.doi.org/10.1055/s-0042-1743758.

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Ponce, Brent A., Eugene W. Brabston, Shin Zu, Shawna L. Watson, Dustin Baker, Dennis Winn, Barton L. Guthrie, and Mahesh B. Shenai. "Telemedicine with mobile devices and augmented reality for early postoperative care." In 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2016. http://dx.doi.org/10.1109/embc.2016.7591705.

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Kovac, Luka, Sašo Kostoski, Branko Cvjeticanin, Špela Smrkolj, Matija Barbic, Vid Janša, Mateja Lasic, et al. "1270 Postoperative care in advanced vulvar cancer – retrospective single centre experience." In ESGO 2024 Congress Abstracts. BMJ Publishing Group Ltd, 2024. http://dx.doi.org/10.1136/ijgc-2024-esgo.1070.

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Ribed, A., A. Gimenez-Manzorro, I. Taladriz-Sender, S. Alvarez-Atienza, S. Martin-Lozano, MP Montero-Anton, A. Herranz-Alonso, and M. Sanjurjo-Saez. "4CPS-002 Pharmaceutical care in postoperative pain management at admission and discharge." In 28th EAHP Congress, Bordeaux, France, 20-21-22 March 2024. British Medical Journal Publishing Group, 2024. http://dx.doi.org/10.1136/ejhpharm-2024-eahp.106.

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Звіти організацій з теми "Postoperative care"

XIN, HUANG, and Bhushan Sandeep. A comprehensive comparison of ultrasound-guided erector spinae plane block for postoperative analgesia effect in different types of surgery：A network meta analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2022. http://dx.doi.org/10.37766/inplasy2022.1.0107.

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Review question / Objective: We conduct to perform a network meta-analysis to determine the better analgesic efficacy and safety of ESPB in patients undergoing what kind of surgery. Following the PICOS framework, we identified randomized controlled trials (RCT) the patients applied ESPB with different types of surgery compared with either non-block care or blocks. We hypothesized that the ESPB would be superior to non-block care but not inferior to other blocks in thoracic and breast surgeries compared with other types of surgery. In terms of postoperative 24 h opioid consumption (intravenous morphine equivalent) and other analgesic makers, including pain scores at rest and movement, first night sleep quality, postoperative vomiting/nausea, and block-related complications.

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Huntington, Dale. Meeting women's health care needs after abortion. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1036.

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Women who seek emergency treatment for abortion complications—bleeding, infection, and injuries to the reproductive tract system—should be a priority group for reproductive health care programs. These women often receive poor-quality services that do not address their multiple health needs. They may be discharged without counseling on postoperative recuperation, family planning (FP), or other reproductive health (RH) issues. Women who have had an induced abortion due to an unwanted pregnancy are likely to have a repeat abortion unless they receive appropriate FP counseling and services. Preventing repeat unsafe abortions is important for RH programs because it saves women's lives, protects women’s health, and reduces the need for costly emergency services for abortion complications. At the 1994 International Conference on Population and Development, the world's governments called for improvements in postabortion medical services. As part of the resulting international postabortion care initiative, the Population Council’s Operations Research and Technical Assistance projects worked collaboratively to conduct research on interventions to improve postabortion care. This brief summarizes the major findings of this research and relevant studies by other international organizations.

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Xu, Linjuan, Baoyuan Zhou, Yi Li, Yingbin Wang, and Jianqin Xie. Impact of enhanced recovery after general surgery protocols versus standard of care on postoperative acute kidney injury(AKI): a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2021. http://dx.doi.org/10.37766/inplasy2021.11.0016.

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Rosen, Michael, C. Matthew Stewart, Hadi Kharrazi, Ritu Sharma, Montrell Vass, Allen Zhang, and Eric B. Bass. Potential Harms Resulting From Patient-Clinician Real-Time Clinical Encounters Using Video-based Telehealth: A Rapid Evidence Review. Agency for Healthcare Research and Quality (AHRQ), September 2023. http://dx.doi.org/10.23970/ahrqepc_mhs4telehealth.

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Objectives. To review the evidence on harms associated with patient-clinician real time encounters using video-based telehealth and determine the effectiveness of any related patient safety practices (PSPs). PSPs are interventions, strategies, or approaches intended to prevent or mitigate unintended consequences of healthcare delivery and improve patient safety. This review provides information that clinicians and health system leaders need to determine how to minimize harms from increasing real-time use of telehealth. Methods. We followed rapid review processes of the Agency for Healthcare Research and Quality Evidence-based Practice Center Program. We searched PubMed, EMBASE, and Cochrane to identify eligible studies published from 2012 to 2022, supplemented by a search for unpublished evaluations and white papers. Outcomes of interest included: adverse events (any harm to patients due to medical care), other specified harms (i.e., preventable hospitalizations, inappropriate treatment, missed or delayed diagnoses, duplication of services, privacy breaches), and implementation factors for any PSPs. Findings. Our search retrieved 7,155 citations, of which 23 studies (including 6 randomized controlled trials [RCTs]) were eligible for review. Fourteen studies reported on adverse events or unintended effects of telehealth; these studies were conducted in diverse settings, with four studies in behavioral health, two each in rehabilitation, transplant, and Parkinson’s care, and one each in postoperative, termination of pregnancy, community health, and hospital-at-home settings. Adverse events such as death, reoperation, infection, or major complications were infrequent in both telehealth and usual care groups, making it difficult to find statistically significant differences. One RCT found telehealth resulted in fewer medication errors than standard care. Thirteen studies examined preventable hospitalizations or emergency department (ED) visits and reported mixed findings; six of these studies were in postoperative care and two were in urological care. Of the 6 RCTs, 3 showed no difference in risk of hospitalization or ED visits for telehealth compared to usual care, and 3 showed reduced risk for patients receiving telehealth. We found no studies on the effectiveness of PSPs in reducing harms associated with real-time telehealth. Conclusions. Studies have evaluated the frequency and severity of harms associated with real-time video-based telehealth encounters between clinicians and patients, examining a variety of patient safety measures. Telehealth was not inferior to usual care in terms of hospitalizations or ED visits. No studies evaluated a specific PSP. More research is needed to improve understanding of harms associated with real-time use of telehealth and how to prevent or mitigate those harms.

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Du, Yuqing, Huimin Lu, Yaoqing Sun, Weian Yuan, Renyan Huang, Xuhong Wang, Guobin Liu, and Weijing Fan. Systematic review and meta-analysis of the efficacy and safety of Panax notoginseng saponins in the prevention of lower-extremity deep venous thrombosis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2023. http://dx.doi.org/10.37766/inplasy2023.3.0032.

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Review question / Objective: P: Participants must be individuals diagnosed with LEDVT. I: Panax Notoginseng Saponions (PNS) alone or PNS combined with routine western medicine treatment; C: Western medicine. O: The Incidence of LEDVT. Condition being studied: The lower-extremity deep vein thrombosis (LEDVT) is a condition that is common in postoperative and intensive care patients. It is caused by impaired venous reflux, endothelial dysfunction and ahypercoagulability. Eligibility criteria: All randomized controlled trials (RCTs) exploring the clinical outcomes of PNS alone or PNS combined with western medicine versus western medicine with LEDVTwere includedAll randomized controlled trials (RCTs) exploring the clinical outcomes of Zishen Yutai Pill plus western medicine versus western medicine with TM in woman were included.

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Alsanea, Hamad, Athary Saleem, Fahad Alhamadi, and Mohammed Asad. Iatrogenic Abdominal Firm Lump: A Case Report of a Retained Surgical Item Detected 8 Years Post-Abdominoplasty. Science Repository, March 2024. http://dx.doi.org/10.31487/j.crss.2024.01.01.

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Introduction and Importance: Retained surgical body (RSB) is unusual life-threatening condition occurred postoperatively. Despite its rarity, multiple protective and management policies were documented by policymakers. Case Presentation: A 62-year-old female patient presented with a few months’ history of abdominal mass. She presented to our hospital 8 years post-abdominoplasty that was performed in a private sector. The underlying cause of the abdominal mass was identified by abdominal and pelvic computed tomography (CT) with IV contrast as a surgically retained foreign tubular object. Then, the decision was made to proceed with an open surgical technique to remove the RSB, which was defined as a missed drain tube. The postoperative period was uneventful. Clinical Discussion: Post-operative RSB, as a retained drain fragment, is a surgical challenge that necessitates standardization of error reporting strategies, awareness enhancement, and improvement of professional communication between surgical teams in the operation room. Conclusion: This case highlights the serious consequences of RSB and the radiologic tools in foreign materials identification. We report the case of a 62-year-old female patient with a long-standing history of abdominal mass, found to be caused by an unintentionally retained drain tube missed 8 years post-abdominoplasty.

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Gao, Jiang-Ping, Wei Guo, and Hong-Peng Zhang. Prevalence and Prognostic Associations of Early Postoperative Stroke and Death among Patients Undergoing Inner Branched Thoracic Endovascular Repair of Aortic Arch Pathologies: A systematic Review and Meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, August 2022. http://dx.doi.org/10.37766/inplasy2022.8.0010.

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Review question / Objective: To assess the prevalence and associations of early postoperative stroke and death among patients undergoing inner branched thoracic endovascular aortic repair (TEVAR) of arch pathologies. Eligibility criteria: Our including criteria are as follows: 1) Patients with aortic arch pathologies, who were judged unfit for open surgery in a multidisciplinary path; 2) using inner branched TEVAR for the endovascular repair. 3) report the prevalence of 30-day postoperative stroke or death as result. Excluding criteria: 1) combined with fenestration or chimney in TEVAR; 2) full-text unavailable; 2) case reports with fewer than three cases; 3) studies with an only reconstruction of the left subclavian artery (LSA) rather than innominate artery or left common carotid artery (LCCA).

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Xiao, Youchao, Wentao Wu, Lu Jin, Yanfei Jia, Kefan Cai, Ning Qiao, Lei Cao, and Songbai Gui. Association between radiotherapy and follow-up obesity in craniopharyngioma: a mini-review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2022. http://dx.doi.org/10.37766/inplasy2022.12.0008.

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Review question / Objective: The effect of radiotherapy on post-treatment weight is incompletely defined. We determined the associations between radiotherapy and follow-up obesity in patients with craniopharyngioma (CP). Eligibility criteria: The inclusion criteria were as follows: (1) Participants: Patients who were clinically diagnosed with craniopharyngioma; (2) Intervention/control: For the control group, patients have not received radiotherapy, and the patients of the intervention group received radiotherapy alone, or surgery combined radiotherapy, or radiotherapy combined adjuvant therapy; (3) Outcome: The outcome was postoperative BMI or postoperative obesity. We excluded studies with (1) in vitro or animal experiments; (2) not written in English; (3) conference abstracts, reviews, correspondence, and comments; (4) case reports that included less than 10 patients.

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Gong, Xuan, Zhou Chen, Kui Yang, Chuntao Li, Songshan Feng, Mingyu Zhang, Zhixiong Liu, Hongshu Zhou, and Zhenyan Li. Endoscopic Transsphenoidal Surgery for Infra-Diaphragmatic Craniopharyngiomas: Impact of Diaphragm Sellae Competence on Hypothalamic Injury. International Journal of Surgery, May 2024. http://dx.doi.org/10.60122/j.ijs.2024.20.03.

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Objective: Investigate the impact of diaphragm sellae competence on surgical outcomes and risk factors for postoperative hypothalamic injury (HI) in patients undergoing endoscopic transsphenoidal surgery (ETS) for infra-diaphragmatic craniopharyngiomas (ICs). Methods: A retrospective analysis of 54 consecutive patients (2016-2023) with ICs treated by ETS was conducted. All tumors originated from the sellar region inferior to the diaphragm sellae and were classified into two subtypes in terms of diaphragm sellae competence: IC with competent diaphragm sellae (IC-CDS) and IC with incompetent diaphragm sellae (IC-IDS). Clinical features, intraoperative findings, and follow-up data were compared between subtypes. Postoperative HI was assessed using a magnetic resonance imaging-based scoring system. Results: Fifty-four patients (29 males, 25 females) were included in this study, with 12 (22.2%) under 18 years old. Overall, 35 cases were IC-CDS, while 19 were IC-IDS. Compared with IC-CDS, patients with IC-IDS tended to have hormone hypofunction before surgery (p = 0.03). Tumor volume in IC-IDS group (9.0 ± 8.6 cm3) was also higher than that in IC-CDS group (3.3 ±3.4 cm, p = 0.011). Thirty-seven patients underwent standard endoscopic transsphenoidal approach (SEA) and 17 underwent an extended endoscopic transsphenoidal approach (EEA). Gross total resection (GTR) was achieved in 50 cases (92.6%). Postoperative CSF leak was observed in four patients (7.4%). Permanent diabetes insipidus (DI) occurred in 13 patients (27.7%), six in IC-CDS and seven in IC-IDS. Postoperative HI occurred in 38.9% of patients. Univariate analysis revealed that large tumor size (p = 0.014), prior hypopituitarism (p = 0.048) and IC-IDS (p < 0.001) were significantly associated with postoperative HI. Multivariate analysis revealed that IC- IDS was the sole predictor of postoperative HI. Conclusion: To our knowledge, this is the largest case series in the literature to describe IC resected by endoscopic surgery in a single institution. Classification based on diaphragm sellae competence highlights distinct clinical features and surgical outcomes between IC-CDS and IC-IDS subtypes. Notably, IC-IDS is an independent risk factor for postoperative HI. Preoperative identification of subtype can guide surgical strategy and potentially minimize complications.

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Canellas, Joao Vitor, Fabio Ritto, and Paul Tiwana. Comparative efficacy and safety of pharmacological interventions to reduce inflammatory complications after mandibular third molar surgery: a systematic review and network meta-analysis protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2021. http://dx.doi.org/10.37766/inplasy2021.7.0069.

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Review question / Objective: This systematic review aims to compare the effects of different drugs to reduce postoperative inflammatory complications (pain, edema, and trismus) after mandibular third molar surgery by applying a frequentist network meta-analysis approach. To this end, the proposed study will answer the following questions: 1) Among diverse drugs currently available, which postoperative pharmacological regimen is the most efficient to reduce pain after mandibular third molar surgery? 2) Is the pre-emptive analgesia effective in reducing pain immediately after the mandibular third molar surgery? In this case, 3) Which preoperative pharmacological regimen is the most efficient? 4) Among diverse corticosteroids currently available, what is the best option to control the edema induced by the surgery? 5) What is the optimal dose and route of administration of corticosteroids prior to mandibular third molar surgery to control the pain/ edema induced by the surgery? Condition being studied: Inflammatory complications after mandibular third molar surgery (Pain, edema, and trismus).

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