We would like to thank Dr. Cattano for his comments regarding our article, “A Perioperative Systems Design to Improve Intraoperative Glucose Monitoring Is Associated with a Reduction in Surgical Site Infections in a Diabetic Patient Population.”1 Our local implementation of the glucose bundle primarily focused on (1) implementation of intraoperative decision support, (2) departmental agreement around the utility of intraoperative glucose monitoring, and (3) broadened availability of intraoperative glucose point-of-care testing. The implementation of this bundle was a free-standing initiative, not linked to any other quality improvement initiatives that occurred during the study time course. Glycosylated hemoglobin (HgbA1C) was only available for a subset of patients: 810 (20%) preintervention and 3,088 (26%) postintervention. HgbA1C was therefore not included in the propensity score because matching on HgbA1C resulted in a dramatic decrease in the number of matched pairs.
Publication date: Available online 16 October 2019Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): M.S. Raghuraman, A. Arthi, M.S. Iswaryarajan Hercule
ConclusionThis study showed that calcitonin could be helpful analgesic agent in different painful situations. Calcitonin can be considered an eligible treatment for acute pains related to vertebral fractures and a feasible alternative for the treatment of the acute and chronic neuropathic pains where other medications might fail.ResumoJustificativa e objetivosA calcitonina é um hormônio polipeptídico que regula o metabolismo do cálcio no organismo. Por muitos anos a calcitonina tem sido usada para manter e melhorar a densidade mineral óssea e reduzir a incidência de fraturas. Muitos ...
Conclusions. Complex hernia repairs using bioabsorbable mesh were conducted in a small cohort of high-risk patients. These data demonstrate good outcomes with limited morbidity and mortality. There were no recurrences. PMID: 31617453 [PubMed - as supplied by publisher]
ConclusionsThe laparoscopic approach was associated with earlier oral intake and a lower comprehensive complication index. It is a safe and feasible technique that confers the advantages of minimally invasive surgery. It can be considered the preferred surgical option when the surgical expertise is available.
Conclusion– This survey indicated that perioperative steroid use is currently widespread. Sufficient equipoise exists for a trial in this area with regard to examining the impact of dexamethasone on postoperative complications and the postoperative systemic inflammatory response. Respondents favoured a 3-armed trial – no steroids vs low-dose steroids vs high-dose steroids.
Delayed gastric emptying and the resultant “full stomach” is the most important risk factor for perioperative pulmonary aspiration. Using point-of-care gastric sonography, we aimed to investigate the prevalenc...
Conclusion: Results show that ThuLEP could be a better option in high-risk patients with BPH.
CONCLUSION: The study illustrates the beneficial action of M. pubescens as an antihypertensive agent. PMID: 31589128 [PubMed - as supplied by publisher]
Abstract Recent clinical studies indicate that sodium-glucose cotransporter 2 (SGLT2) inhibitors exhibit a renoprotective effect. While studies at the single nephron level suggest that direct effects of SGLT2 inhibitors on renal hemodynamics may be a possible mechanism underlying their renoprotective effect, few studies have focused on such direct effects at the whole-kidney level. In the present study, we investigated the acute and direct effect of SGLT2 inhibition on creatinine clearance, an index of whole-kidney glomerular filtration rate (GFR), in a rat model of type 2 diabetes. Twelve to fifteen-week-old male...
New CA2. I just finished my first liver transplant and it was awesome. Pt was late 60s hx of chronic Hep C and met colon CA to liver s/p resection 7 yrs ago. Diabetes, HTN but normal heart. Case went great despite lasting 9 hrs and losing 2L of blood since it was a re-operation. "Usual" case length is 4-5 hours. 6 units of PRBCs, 5 units FFP, 6pk platelets, some cryo, 1L albumin, and 2.5L crystalloid. We went upstairs with normal ABG and no pressors. The set-up was a beast but thank dog... Liver Transplant