Hip fractures in the winter – using the National Hip Fracture Database to examine seasonal variation in incidence and mortality

Each year around 66,000 people in England, Wales and Northern Ireland will suffer a hip fracture [1], making this the commonest reason for an older person to need emergency anaesthesia and surgery and is the commonest cause of accidental death.
Source: Injury - Category: Orthopaedics Authors: Source Type: research

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In this study, we examined the effect of laparoscopic-guided transversus abdominis plane block (LG TAP) for further optimizing multimodal pain control.MethodsThis is a retrospective analysis of a prospectively collected database of 140 consecutive patients undergoing LSG without TAP block (pre-TAP group) compared to 131 patients undergoing LSG with LGTAP (TAP group). All operations were performed laparoscopically utilizing uniform clinical pathways. Baseline characteristics for both groups were comparable. Both groups received standardized anesthesia. Outcomes included time to postoperative ambulation, pain scores, PCA vol...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
ConclusionsIntracorporeal anastomosis using linear staplers reduced anastomotic bleeding and stenosis compared to extracorporeal anastomosis after LTG. Future research will be required to determine the ideal method for intracorporeal anastomosis in LTG.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
The Keck School of Medicine of USC is opening a 1-year Neurocritical Care fellowship position ideally starting July/2020. Both DO/MD accepted. Qualified candidates for the 1-year program should have completed previous fellowships in Anesthesia CC, PCCM, Surgical CC, Neurosurgery, or any other training program that required at least 6 months of critical care training. Interested candidates can email benjamin.emanuel@med.usc.edu.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Critical Care Source Type: forums
Authors: Tsujimura T, Inoue M Abstract Swallowing has a vital function in airway protection and is the next step after mastication. Swallowing impairment, which is known as dysphagia, is frequently accompanied by pain. Previous clinical studies have shown that orofacial pain affects swallowing function. Thus, it was hypothesized that orofacial noxious inputs may modulate swallowing function. Previous studies using anesthetized animals has proposed that the facial skin-nucleus tractus solitarii (NTS), masseter muscle-NTS, lingual muscle-NTS, and lingual muscle-paratrigeminal nucleus-NTS pathways may be involved in t...
Source: Journal of oral science - Category: Dentistry Tags: J Oral Sci Source Type: research
Conclusions: We demonstrate the efficacy and safety of CXL under general anesthesia in halting the progression of KCN for pediatric patients with developmental delay or an inability to cooperate with the procedure until topical anesthesia.
Source: Cornea - Category: Opthalmology Tags: Clinical Science Source Type: research
Conclusions: The intimate relationship between epithelium and sensory nerves of the cornea has been well documented; however, changes in the corneal epithelial stem cell niche in conjunction with development of innervation have not previously been reported. Considering the architecture of the corneal nerves in conjunction with the architecture of the POV may assist in developing treatments that can support the regeneration and maintenance of epithelium during nerve regeneration.
Source: Cornea - Category: Opthalmology Tags: Case Report Source Type: research
Publication date: Available online 31 March 2020Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Milos Tijanić, Kristina Burić, Simona Stojanović, Nikola Burić
Source: Journal of Cranio Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Schmalz, Gerhard / Farack, Mathias / Kottmann, Tanja / Schmidt, Jana / Krause, Felix / Ziebolz, DirkPage 139 - 144Purpose: The aim of this retrospective cross-sectional study was to detect dental health and dental treatment under general anaesthesia, as well as associations to selected parameters in a patient cohort with different disabilities.Material and Methods: Patients with disabilities, including mental, physical, combination of mental and physical as well as psychiatric disability, which received dental rehabilitation under general anaesthesia between 1 January 2002 and 31 December 2011 were included. Based on the a...
Source: Oral health and Preventive dentistry - Category: Dentistry Source Type: research
Authors: Chuh A, Zawar V, Fölster-Holst R, Sciallis G, Rosemann T Abstract Dermoscopy in primary care enhances clinical diagnoses and allows for risk stratifications. We have compiled 25 recommendations from our experience of dermoscopy in a wide range of clinical settings. The aim of this study is to enhance the application of dermoscopy by primary care clinicians. For primary care physicians commencing dermoscopy, we recommend understanding the aims of dermoscopy, having adequate training, purchasing dermoscopes with polarised and unpolarised views, performing regular maintenance on the equipment, seeking co...
Source: Journal of Primary Health Care - Category: Primary Care Tags: J Prim Health Care Source Type: research
Conditions:   Obesity;   Surgery;   Anesthesia Intervention:   Other: no intervention Sponsor:   University of Vermont Medical Center Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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