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Total 3851 results found since Jan 2013.

Perioperative Analgesia in Spine Surgery: A Review of Current Data Supporting Future Direction
Orthop Clin North Am. 2023 Oct;54(4):495-506. doi: 10.1016/j.ocl.2023.05.007. Epub 2023 Jul 4.ABSTRACTThis Clinical Research discusses the diverse nature of spine surgery procedures and the use of multimodal analgesia within enhanced recovery after surgery (ERAS) protocols to improve patient outcomes. Spine surgeries range from minor decompressions to extensive tumor resections, performed by neurosurgeons or orthopedic spine surgeons on adults and children. To manage perioperative pain effectively, various methods have been employed, including multimodal analgesia within ERAS protocols. Incorporating ERAS protocols into sp...
Source: The Orthopedic Clinics of North America - September 17, 2023 Category: Orthopaedics Authors: William Michael Bullock Amanda H Kumar Erin Manning Jerry Jones Source Type: research

Pro-Con Debate: Consideration of Race, Ethnicity, and Gender Is Detrimental to Successful Mentorship
Anesth Analg. 2023 Oct 1;137(4):747-753. doi: 10.1213/ANE.0000000000006502. Epub 2023 Sep 5.ABSTRACTAnesthesiology remains a specialty with low representation of women or members of racial and ethnic groups considered underrepresented in medicine (UiM). In the United States, women account for 33% of anesthesiology residents, while physicians identifying as Black, African American, Latinx, American Indian, or Alaska Native account for approximately 10%. Underrepresentation of these groups is even more pronounced in academic anesthesiology, especially at the senior ranks and roles, such as department chairs. Leaders in the f...
Source: Anesthesia and Analgesia - September 15, 2023 Category: Anesthesiology Authors: Alicia B Barclay Kenneth Moran Dmitry Tumin Kimberley R Nichols Source Type: research

Intraoperative Renal Replacement Therapy in Orthotopic Liver Transplantation
Adv Kidney Dis Health. 2023 Jul;30(4):378-386. doi: 10.1053/j.akdh.2023.03.003.ABSTRACTAcute kidney injury in patients admitted to the hospital for liver transplantation is common, with up to 80% of pretransplant patients having some form of acute kidney injury. Many of these patients start on dialysis prior to their transplant and have it continued intraoperatively during their surgery. This review discusses the limited existing literature and expert opinion around the indications and outcomes around intraoperative dialysis (intraoperative renal replacement therapy) during liver transplantation. More specifically, we disc...
Source: Adv Data - September 1, 2023 Category: Epidemiology Authors: Humberto Bohorquez Jay L Koyner Courtney R Jones Source Type: research

Nurse-led Preoperative Education With Home-based Internet Resources for Pediatric Patients and Their Parents
J Perianesth Nurs. 2023 Aug 30:S1089-9472(23)00177-6. doi: 10.1016/j.jopan.2023.05.001. Online ahead of print.ABSTRACTThe majority of pediatric patients and their parents experience fear and anxiety related to their surgical experience. Traditionally, anesthesia providers addressed this anxiety with pharmacologic therapy, such as benzodiazepines, to provide amnesia and anxiolysis. However, this approach has been questioned due to the potential for developmental neurotoxicity, among other drawbacks. Further, the pharmacological approach does not remove preexisting anxiety that the child and parent experience before arrival ...
Source: Journal of Perianesthesia Nursing - September 1, 2023 Category: Nursing Authors: Kathryn A Williamson Source Type: research

Intraoperative Renal Replacement Therapy in Orthotopic Liver Transplantation
Adv Kidney Dis Health. 2023 Jul;30(4):378-386. doi: 10.1053/j.akdh.2023.03.003.ABSTRACTAcute kidney injury in patients admitted to the hospital for liver transplantation is common, with up to 80% of pretransplant patients having some form of acute kidney injury. Many of these patients start on dialysis prior to their transplant and have it continued intraoperatively during their surgery. This review discusses the limited existing literature and expert opinion around the indications and outcomes around intraoperative dialysis (intraoperative renal replacement therapy) during liver transplantation. More specifically, we disc...
Source: Adv Data - September 1, 2023 Category: Epidemiology Authors: Humberto Bohorquez Jay L Koyner Courtney R Jones Source Type: research

Perioperative neurocognitive disorders
Br J Hosp Med (Lond). 2023 Aug 2;84(8):1-2. doi: 10.12968/hmed.2023.0184. Epub 2023 Aug 21.ABSTRACTPerioperative neurocognitive disorders are a group of conditions characterised by changes in cognitive function, which affect older people after surgery and anaesthesia. Multicomponent interventions may reduce the impact of perioperative neurocognitive disorders on patients and healthcare systems.PMID:37646546 | DOI:10.12968/hmed.2023.0184
Source: British Journal of Hospital Medicine - August 30, 2023 Category: Internal Medicine Authors: Stuart Connal Source Type: research