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Procedure: Laparoscopy

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Use of diaphragm pacing in the management of acute cervical spinal cord injury
CONCLUSIONS Diaphragm pacing system implantation in patients with acute CSCI can be one part of a comprehensive critical care program to improve outcomes. However, the association of DPS with the marked improved mortality seen on bivariate analysis may be due solely to improvements in critical care throughout the study period. Further studies to define the benefits of DPS implantation are needed. LEVEL OF EVIDENCE Therapeutic, level IV.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - October 26, 2018 Category: Orthopaedics Tags: 2018 WTA PODIUM PAPER Source Type: research

Association Between the Seat Belt Sign and Intra-abdominal Injuries in Children With Blunt Torso Trauma in Motor Vehicle Collisions.
CONCLUSIONS: Patients with seat belt signs after MVCs are at greater risk of IAI than those without seat belt signs, predominately due to gastrointestinal injuries. Although IAIs are less common in alert patients with seat belt signs who do not have initial complaints of abdominal pain or tenderness, the risk of IAI is sufficient that additional evaluation such as observation, laboratory studies, and potentially abdominal CT scanning is generally necessary. PMID: 25377401 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - November 1, 2014 Category: Emergency Medicine Authors: Borgialli DA, Ellison AM, Ehrlich P, Bonsu B, Menaker J, Wisner DH, Atabaki S, Olsen CS, Sokolove PE, Lillis K, Kuppermann N, Holmes JF, for the Pediatric Emergency Care Applied Research Network (PECARN) Tags: Acad Emerg Med Source Type: research

Emergency Department Care of the Post-Metabolic and Bariatric Surgery Patient
This article will examine the specifics of each procedure along with the complications associated with any metabolic or bariatric surgery. Complications unique to each operation will be reviewed as well as recommendations for the management of these patients.
Source: Pediatric Emergency Care - March 1, 2020 Category: Emergency Medicine Tags: CME Review Article Source Type: research

Use of the Laryngeal mask airway (LMA) protector TM for laparoscopic cholecystectomies: A case series
Publication date: February 2017 Source:Trends in Anaesthesia and Critical Care, Volume 12 Author(s): L.Z. Tan, D.J.A. Tan, E. Seet
Source: Trends in Anaesthesia and Critical Care - March 10, 2017 Category: Anesthesiology Source Type: research

The comparison of protector LMA vs endotracheal tube in patients undergoing laparoscopic surgery a randomised controlled trial
Publication date: December 2018Source: Trends in Anaesthesia and Critical Care, Volume 23Author(s): Mehmet Yilmaz, Ayse Zeynep Turan, Ayten Saracoglu, Kemal Tolga Saracoglu
Source: Trends in Anaesthesia and Critical Care - November 23, 2018 Category: Anesthesiology Source Type: research

Comparison of laryngeal mask airways proseal versus i-gel in patients undergoing laparoscopic surgeries
Publication date: February 2020Source: Trends in Anaesthesia and Critical Care, Volume 30Author(s): Apala Roy Chowdhury, Arif Mohamed, Lailu Mathews, Thilaka Muthiah
Source: Trends in Anaesthesia and Critical Care - February 25, 2020 Category: Anesthesiology Source Type: research

A 30-day prospective audit of all inpatient complications following acute care surgery: How well do we really perform?
Conclusion: Nontrauma ACS/EGS procedures are associated with a high postoperative morbidity rate. This study will serve as a prospective benchmark for postoperative complications among ACS/EGS patients and subsequent quality improvement across Canada. PMID: 32216251 [PubMed - as supplied by publisher]
Source: Canadian Journal of Surgery - March 26, 2020 Category: Surgery Authors: Ball CG, Murphy P, Verhoeff K, Albusadi O, Patterson M, Widder S, Hameed SM, Parry N, Vogt K, Kortbeek JB, MacLean AR, Engels PT, Rice T, Nenshi R, Khwaja K, Minor S, Canadian Collaborative on Urgent Care Surgery (CANUCS) Tags: Can J Surg Source Type: research

Fast track pathway provides safe, value based care on busy acute care surgery service
BACKGROUND Fast track (FT) pathways have been adopted across a multitude of elective surgeries but have been slow to be adopted into the acute care surgery realm. We hypothesized that an FT pathway for acute cholecystitis patients would decrease patient length of stay and resource utilization. METHODS All patients at two hospitals, one with an FT pathway and one with a traditional pathway, who underwent an urgent laparoscopic cholecystectomy for acute cholecystitis between May 1, 2019, and October 31, 2019, were queried using CPT codes. Exclusion criteria were conversion to open or partial cholecystectomy. Retro...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - March 1, 2021 Category: Orthopaedics Tags: AAST 2020 PODIUM PAPER Source Type: research

The opioid epidemic in acute care surgery—Characteristics of overprescribing following laparoscopic cholecystectomy
This study aimed to identify patient characteristics associated with higher opioid prescribing following laparoscopic cholecystectomy (LC). METHODS Among patients aged 18 years or older who underwent LC at a single institution in 2014 to 2016, opioids prescribed at discharge were converted to oral morphine equivalents (OME) and compared with developing state guidelines (maximum, 200 OME). Preoperative opioid use was defined as any opioid prescription 1 month to 3 months before LC or a prescription unrelated to gallbladder disease less than 1 month before LC. Univariate and multivariable methods determined characteristic...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2018 Category: Orthopaedics Tags: 2018 EAST Podium Source Type: research

Benchmarking the value of care: Variability in hospital costs for common operations and its association with procedure volume
CONCLUSION Marked variability of median hospital costs for common operations exists. Differences remained consistent across changing coding structures and database years and were strongly associated with volume. Taken together, the findings suggest room for improvement in emergency general surgery and a need to address large discrepancies in an often-overlooked aspect of value. LEVEL OF EVIDENCE Epidemiological, level III.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - April 23, 2020 Category: Orthopaedics Tags: AAST 2019 PODIUM PAPERS Source Type: research

Recognition and management of phaeochromocytoma
Publication date: October 2014 Source:Anaesthesia & Intensive Care Medicine, Volume 15, Issue 10 Author(s): Inas Ahmed , Chandran Jepegnanam Phaeochromocytomas are catecholamine-secreting neuroendocrine tumours arising from the chromaffin cells in the adrenal medulla. These tumours may be identified incidentally, as part of a workup for multiple endocrine neoplasia or during unrelated surgery. Better understanding of catecholamine physiology and advances in preoperative preparation has significantly reduced surgical mortality from around 40% to less than 3%. Surgery is the definitive treatment in most cases and l...
Source: Anaesthesia and intensive care medicine - October 12, 2014 Category: Anesthesiology Source Type: research

Anaesthesia and minimally invasive surgery
This article will focus on the pathophysiological changes caused by CO2 pneumoperitoneum, the anaesthetic management for patients undergoing laparoscopy, and potential complications.
Source: Anaesthesia and intensive care medicine - December 4, 2014 Category: Anesthesiology Source Type: research

Robotic versus open pediatric ureteral reimplantation
We held the first Pediatric Urology Journal Club (PUJC) hosted in February. We discussed Michael Kurtz and colleagues' recent database review comparing costs and complications of robot-assisted laparoscopic ureteral reimplantation (RALUR) versus open ureteral reimplantation (OUR) for vesicoureteral reflux (VUR) [1]. Selected tweets from the discussion are featured in parenthesis according to Table 1 (online supplement).
Source: Journal of Pediatric Urology - April 1, 2017 Category: Urology & Nephrology Authors: Christopher E. Bayne, Diana Cardona-Grau, Michael H. Hsieh Tags: Pediatric Urology Journal Club Source Type: research

Recognition and management of phaeochromocytoma and paraganglioma
Publication date: Available online 17 August 2017 Source:Anaesthesia & Intensive Care Medicine Author(s): Henry Wang, Chandran Jepegnanam Phaeochromocytomas and paragangliomas (PPGL) are catecholamine-secreting neuroendocrine tumours arising from the chromaffin cells in the adrenal medulla. These tumours may be identified incidentally, as part of a work-up for multiple endocrine neoplasia or following haemodynamic surges during unrelated procedures. Advances in perioperative management and improved management of intraoperative haemodynamic instability have significantly reduced surgical mortality from around 40% t...
Source: Anaesthesia and intensive care medicine - August 17, 2017 Category: Anesthesiology Source Type: research

Outcomes of laparoscopic inguinal herniorrhaphy in female pediatric patients, particularly those with ovarian hernias
Inguinal hernia in females may contain uterine adnexa. The common presentation is herniation of one ovary, but involvement of both ovaries in a unilateral hernial sac and simultaneous herniation of other organs are possible. Regardless, ovarian hernias have a high incarceration rate. The aim of this study was to evaluate the outcomes of laparoscopic inguinal herniorrhaphy in female pediatric patients, particularly those with ovarian hernias.
Source: Journal of Pediatric Surgery - August 22, 2017 Category: Surgery Authors: Sung Ryul Lee Tags: Pediatric Surgical Images Source Type: research