Day surgery is effective and safe for patients with great saphenous vein varices who meet American Society of Anesthesiologists I-II grading

Conclusion: DS for GSVV is an effective and safe procedure, which was the same as IS. However compared with IS, DS could decrease the average medical cost for patients and hospital stays obviously. Hence DS for GSVV is a win-win procedure for patient and health care.
Source: Nigerian Journal of Clinical Practice - Category: Rural Health Authors: Source Type: research

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D-DIMERS are degradation products resulting from plasmin-induced clot lysis.1 They can indicate a thrombotic or hemorrhagic status. In patients with increased fibrinolysis as a result of thrombus formation, elevated D-dimer levels give a prothrombotic signal, reflecting activation of coagulation and fibrinolysis.2 In contrast, elevated D-dimer levels resulting from hyperfibrinolysis are indicative of a hemorrhagic risk.3 Elevated D-dimer levels also can imply coexisting thrombotic and hemorrhagic propensity, such as in disseminated intravascular coagulation4 or in atrial fibrillation with anticoagulative treatment.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
Authors: Torres H, Rivera M, Garcia L, Altieri G Abstract Presented herein is the case of a 37-year-old male who was scheduled for an anterior decompressive laminectomy after suffering trauma to the cervical area (C6-C7). An intraoperative acute pulmonary embolism (APE) was suspected after persistent hypoxemia and a decreased end-tidal CO2 that was refractory to proper management. After 6 intraoperative episodes of cardiac arrest that followed, intravenous alteplase (thrombolytic therapy) was administered, and the patient was stabilized without major complications. Eventually, APE was successfully diagnosed and tre...
Source: Puerto Rico Health Sciences Journal - Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research
CONCLUSION: Single-stage basilic vein transposition is a feasible surgical option in end-stage renal disease patients and provides durable autogenous access with very reasonable outcomes in terms of complication rates and patency rates. PMID: 32389064 [PubMed - as supplied by publisher]
Source: Vascular - Category: Surgery Authors: Tags: Vascular Source Type: research
Authors: Marion JT, Seyedsaadat SM, Pasternak JJ, Rabinstein AA, Kallmes DF, Brinjikji W Abstract PURPOSE: Compare functional outcomes of acute ischemic stroke patients undergoing embolectomy with either local anesthesia or conscious sedation. Secondarily, identify differences in hemodynamic parameters and complication rates between groups. MATERIALS AND METHODS: Single institution, retrospective review of all acute ischemic stroke patients undergoing embolectomy between January 2014 and July 2018 (n = 185). Patients receiving general anesthesia (n = 27) were excluded. One-hundred an...
Source: Interventional Neuroradiology - Category: Radiology Tags: Interv Neuroradiol Source Type: research
Abstract 1. INTRODUCTION Hemorrhoids are vascular cushions underlying the distal rectal mucosa and contributing for approximately 15-20% of the resting anal pressure with a complete closure of the anal canal. They can become pathological (hemorrhoidal disease, HD) being the most common cause of painless rectal bleeding during defecation with or without prolapsing anal tissue1 . In this case the blood is bright red, not mixed with faeces but instead coated on their outer surface, or dropping after bowel movement. HD is generally classified by its location in internal (originated above the dentate line and covered b...
Source: Reviews on Recent Clinical Trials - Category: Cancer & Oncology Authors: Tags: Rev Recent Clin Trials Source Type: research
Rationale: A cardiac foreign body can cause thrombosis or infection, but sometimes it may not cause any symptoms in a patient. The diagnosis is mainly performed using a radiological examination. Especially, ultrasound is useful not only for detecting the foreign body but also for hemodynamic findings. However, the disadvantage of ultrasound is that it cannot be used where shadows are generated because of poor permeability. The transesophageal echocardiography (TEE) is superior to transthoracic echocardiography (TTE) for identifying posterior cardiac structures because the probe is located in the esophagus behind the hear...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
CONCLUSIONS: Thromboprophylaxis reduces the incidence of VTE in CRC surgical patients but may increase the chances of bleeding. Several risk factors can influence VTE incidence. PMID: 32286764 [PubMed - as supplied by publisher]
Source: International Angiology - Category: Cardiology Tags: Int Angiol Source Type: research
Venous thromboembolism (VTE) consists of deep vein thrombosis (DVT) and pulmonary embolism (PE), it accounts for approximately 10% of annual hospital deaths [1]. The latest guidelines of the American College of Chest Physicians (ACCP) emphasis VTE prophylaxis in all patients undergoing major surgical procedures including thyroid operations regardless of anesthesia type [2]. However, previous researchers have described that VTE prophylaxis might increase the bleeding risk [3], postoperative bleeding is uncommon in thyroid surgery, but sometimes is lethal, the complication is the main concern for head and neck surgeons.
Source: Thrombosis Research - Category: Hematology Authors: Tags: Letter to the Editors-in-Chief Source Type: research
Patients with sepsis commonly require invasive procedures and frequently have an associated coagulopathy.1 In a recent observational survey conducted in Japan, among 1,895 patients with sepsis treated in intensive care units, 29% were diagnosed with sepsis-induced coagulopathy, a term that is synonymous with disseminated intravascular coagulation (DIC) as defined by laboratory criteria.2 In patients with sepsis, the imbalance in clot generation (coagulation) and clot breakdown (fibrinolysis) is a pivotal response that occurs due to host defense mechanisms but is associated with the development of organ dysfunction.3,4 In a...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
CONCLUSIONS: The novel ASRF vascular catheter reduces pericatheter fluid stasis and has the potential to reduce CRT. Further in vitro and in vivo trials are warranted to validate these findings and evaluate clinical efficacy. PMID: 32282381 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
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