Effects of preoperative physiotherapy on signs and symptoms of pulmonary collapse and infection after major abdominal surgery: secondary analysis of the LIPPSMAck-POP multicentre randomised controlled trial
ConclusionsPreoperative physiotherapy prevents postoperative pulmonary complications and is associated with the minimisation of signs and symptoms of pulmonary collapse/consolidation and airway infection and specifically results in reduced oxygen therapy requirements and antibiotic prescriptions.Trial registrationANZCTR12613000664741; 19/06/2013. (Source: Perioperative Medicine)
Source: Perioperative Medicine - October 25, 2021 Category: Surgery Source Type: research
Ultrasound-accelerated thrombolysis in high-risk perioperative pulmonary embolism: two case reports and review of literature
ConclusionCurrent guidelines on treatment of PE offer no specific therapies for perioperative patients with high-risk PE. However, systemic thrombolysis is often excluded due to the perioperative setting and the risk of major bleeding. Catheter-directed thrombolysis was shown to utilise less thrombolytic agent while obtaining comparable thrombolytic effects. The risk for major bleeding (including intracranial haemorrhage) is also significantly lowered. Until further trials determining the value of adopted treatment strategies of high-risk PE in perioperative patients are available, USAT should be considered in similar case...
Source: Perioperative Medicine - October 18, 2021 Category: Surgery Source Type: research
Distribution of crystalloid fluid infused during onset of anesthesia-induced hypotension: a retrospective population kinetic analysis
ConclusionThe decrease in MAP that accompanies anesthesia induction depresses the blood hemoglobin concentration by inhibiting both the distribution and elimination of infused crystalloid fluid. The report provides mathematical information about the degree of these changes. (Source: Perioperative Medicine)
Source: Perioperative Medicine - October 11, 2021 Category: Surgery Source Type: research
Objectively measured preoperative physical activity is associated with time to functional recovery after hepato-pancreato-biliary cancer surgery: a pilot study
ConclusionSeventy-six percent of patients enlisted for resection of HPB (pre)malignancy performed insufficient MVPA. A higher level of MVPA was associated with a shorter time to functional recovery. (Source: Perioperative Medicine)
Source: Perioperative Medicine - October 4, 2021 Category: Surgery Source Type: research
Influence of sugammadex versus neostigmine for neuromuscular block reversal on the incidence of postoperative pulmonary complications: a meta-analysis of randomized controlled trials
ConclusionsCompared with neostigmine, the use of sugammadex for reversal of NMB was associated with a lower risk of PPCs, mainly due to a lower incidence of postoperative respiratory failure with the use of sugammadex. (Source: Perioperative Medicine)
Source: Perioperative Medicine - September 20, 2021 Category: Surgery Source Type: research
Enhanced recovery after surgery for hip fractures: a systematic review and meta-analysis
ConclusionsERAS significantly decreases the TTS, LOS, and complication rate without increasing readmission rate and mortality, which adds to the evidence that the implementation of ERAS is beneficial to patients undergoing hip fracture repair surgeries. (Source: Perioperative Medicine)
Source: Perioperative Medicine - September 13, 2021 Category: Surgery Source Type: research
Limited impact of a top-down approach to improve enhanced recovery programme in French university hospitals: a before-after retrospective survey
ConclusionERP application did not significantly improved between 2015 and 2017 for three surgical models after an institutional information and diffusion of recommendations in 29 surgical departments of seventeen French University hospitals underlining the limit of a top-down approach. (Source: Perioperative Medicine)
Source: Perioperative Medicine - September 6, 2021 Category: Surgery Source Type: research
Effect of posture on pulmonary function and oxygenation after fast-tracking video-assisted thoracoscopic surgery (VATS) lobectomy: a prospective pilot study
ConclusionsEarly mobilisation should be encouraged to enhance recovery after video-assisted thoracoscopic surgery lobectomy by increasing lung function and oxygen delivery.Trial registration• Name of the registry:clinicaltrials.gov• Trial registration number:NCT04508270• Date of registration: August 11, 2020 (Source: Perioperative Medicine)
Source: Perioperative Medicine - September 2, 2021 Category: Surgery Source Type: research
Screening, assessment and management of perioperative malnutrition: a survey of UK practice
ConclusionsMalnutrition in the perioperative period is a modifiable risk factor which is common and results in increased morbidity for patients and increased cost to healthcare systems. This survey highlights areas of practice where perioperative clinicians can improve the assessment and management of patients at nutritional risk prior to elective surgery. (Source: Perioperative Medicine)
Source: Perioperative Medicine - August 26, 2021 Category: Surgery Source Type: research
The efficacy of computer-assisted cognitive behavioral therapy (cCBT) on psychobiological responses and perioperative outcomes in patients undergoing functional endoscopic sinus surgery: a randomized controlled trial
ConclusionThe newly developed cCBT program was an effective non-pharmacological adjunctive treatment for improving the surgery-related psychosomatic responses and perioperative outcomes.Trial registrationThe study was registered with the Chinese Clinical Trial Registry (ChiCTR1900025994) on 17 September 2019. (Source: Perioperative Medicine)
Source: Perioperative Medicine - August 19, 2021 Category: Surgery Source Type: research
The influence of fasting and carbohydrate-enriched drink administration on body water amount and distribution: a volunteer randomized study
ConclusionWe have proven that pre-op did not impact either body composition or body water.Trial registrationClinicalTrials.gov,NCT04665349. Registered on 11 December 2020 —retrospectively registered. (Source: Perioperative Medicine)
Source: Perioperative Medicine - August 10, 2021 Category: Surgery Source Type: research
Prevalence, risk factors, and complications associated with hyponatraemia following elective primary hip and knee arthroplasty
ConclusionApproximately one fifth of elective joint arthroplasty patients had post-operative hyponatraemia. In these patients, older age, lower pre-operative Na and higher fasting glucose predicted post-operative hyponatraemia. We found no evidence that those discharged with hyponatraemia had more reattendance at emergency departments or readmission to hospital. We suggest that otherwise well patients with mild hyponatraemia can safely be discharged and followed up in the community. (Source: Perioperative Medicine)
Source: Perioperative Medicine - August 3, 2021 Category: Surgery Source Type: research
Emergency Laparotomy Follow-Up Study (ELFUS): prospective feasibility investigation into postoperative complications and quality of life using patient-reported outcome measures up to a year after emergency laparotomy
ConclusionsThis study affirms the feasibility of collecting PROMs and morbidity data successfully at various time points following emergency laparotomy, and is the first longitudinal study to describe quality of life up to a year after surgery. This finding is important in the design of a larger observational study into quality of life and recovery after EL. (Source: Perioperative Medicine)
Source: Perioperative Medicine - July 26, 2021 Category: Surgery Source Type: research
Postoperative atrial fibrillation in paraesophageal hernia repair: can it be prevented?
We report the case of an 85-year-old female with a history of untreated hypertension (HTN) and no prior history of AF, who presented 5 days after an elective repair of a paraesophageal hernia with recurrence of a large type III paraesophageal hiatal hernia, AF, and subsequent acute thromboembolic ischemic stroke. Patient ’s AF resolved shortly after treatment with calcium channel blocker. The risk of stroke is high in patients who develop AF and a period of 48 h after onset of AF is usually considered safe as the risk of stroke is low in this time period. However, this may not be the case during the perioperativ e peri...
Source: Perioperative Medicine - July 20, 2021 Category: Surgery Source Type: research
Utility of NT-proBNP as an objective marker of postoperative heart failure after coronary artery bypass surgery: a prospective observational study
ConclusionsPostoperative NT-proBNP can serve as an objective marker of the severity of postoperative myocardial dysfunction. Due to overlap in individuals, NT-proBNP is useful mainly for comparisons at cohort level. As such, it provides a tool for study purposes when an unbiased assessment of prevention or treatment of PHF is desirable.Trial registrationClinicalTrials.gov Identifier:NCT00489827https://clinicaltrials.gov/ct2/show/NCT00489827?term=glutamics&draw=2&rank=1. (Source: Perioperative Medicine)
Source: Perioperative Medicine - July 13, 2021 Category: Surgery Source Type: research
