Challenging patient groups

This article focuses on those patients that do not necessarily fit a systems-based approach of classification. Many of these patients present challenges to the clinicians involved with perioperative care and so it is important to have a good understanding of how they should be managed. This article will focus on elderly patients, pregnant patients presenting for non-obstetric surgery, obese patients and immunocompromised patients. We have chosen to focus on key aspects of preoperative, intraoperative and postoperative care for each patient group, highlighting the physiological basis of such recommendations.
Source: Surgery (Oxford) - Category: Surgery Source Type: research

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Authors: Taylor CR, Dominguez JE, Habib AS Abstract Obesity is a significant global health problem. It results in a higher incidence of complications for pregnant women and their neonates. Cesarean deliveries are more common in obese parturients as well. The increased burden of comorbidities seen in this population, such as obstructive sleep apnea, necessitates antepartum anesthetic consultation. These patients pose unique challenges for the practicing anesthesiologist and may benefit from optimization prior to delivery. Complications from anesthesia and overall morbidity and mortality are higher in this population...
Source: Local and Regional Anesthesia - Category: Anesthesiology Tags: Local Reg Anesth Source Type: research
Source: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy - Category: Endocrinology Tags: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Source Type: research
Discussion relating to one of these at least in the Guardian,Record number of over-45s giving birth in England, NICESurveillance report NICE guideline (NG126)Ectopic pregnancy and miscarriage: diagnosis and initial managementThis guideline will be updated:read this page to find out why.In the newsSinging the blues: how music can help ease postnatal depressionMelodies for Mums, an iniative that is part of a study being funded by the Wellcome.Maternity care failings in Shropshire (BMJ)OpinionBMJ editorialScreening for cytomegalovirus in pregnancy
Source: Browsing - Category: Databases & Libraries Tags: midwifery Source Type: blogs
A large new study found no link between the method of birth and obesity.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Pregnancy and Childbirth Caesarean Section Obesity Source Type: news
Conditions:   Gestational Diabetes Mellitus;   Medical Nutrition Therapy;   Overweight/Obese;   Gut Microbiota;   Adverse Pregnancy Outcomes Interventions:   Dietary Supplement: Prebiotic-containing dairy;   Dietary Supplement: Dietary intervention Sponsor:   Capital Medical University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
This study raises serious concerns about whether we’ve been careful enough about the safety of this chemical,” said Patricia Hunt, a professor of molecular bioscience at Washington State, and a corresponding author of the paper, in a statement. Despite how huge the difference, the results are not getting much evident pushback from other researchers in the field. “It honestly blew my mind—not because I don’t believe it, but because it appears to be true,” says Lori Hoepner, assistant professor of environmental and occupational health sciences at SUNY Downstate School of Public Health. &ld...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized bisphenol a BPA endocrine disruptor Environment Environmental Health Source Type: news
Gestational diabetes mellitus (GDM) has serious effects on both mother and child. Like Type 2 Diabetes Mellitus, it is increasing in prevalence world-wide. In addition to obesity, sleep duration has been named...
Source: BMC Pregnancy and Childbirth - Category: OBGYN Authors: Tags: Research article Source Type: research
Authors: Güler B, Özler S, Kadıoğlu N, Özkan E, Güngören MS, Çelen Ş Abstract Our aim was to investigate whether Antimullerian Hormone (AMH), complete blood count (CBC), Homeostasis model assessment (HOMA-IR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and weight gain have any diagnostic value for the prediction of cardiovascular disease (CVD) in obese and non-obese pregnant patients. A prospective, case-control study was carried out, including 187 patients (93 obese, and 94 non-obese). CVD risk for each patient was evaluated according to the American College o...
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
In conclusion, offspring of mothers who smoked during pregnancy have higher odds of overweight and mean difference of BMI, and these associations persisted into adulthood. PMID: 31800784 [PubMed - in process]
Source: Cadernos de Saude Publica - Category: International Medicine & Public Health Authors: Tags: Cad Saude Publica Source Type: research
(Reuters Health) - Obese women who have weight-loss surgery between pregnancies may be less likely to experience complications like high blood pressure and preterm births in their second pregnancy, a recent study suggests.
Source: Reuters: Health - Category: Consumer Health News Tags: healthNews Source Type: news
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