Perioperative Patient Blood Management
The Patient Blood Management (PBM) Program implemented by Orthopaedic Surgeon Daryl Teague to provide optimal care for Ruby, a 73-year-old with diabetes and high blood pressure, who needs a new hip joint. The program includes preoperative anemia assessment, intraoperative blood conservation, and pos
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DrEaMing CQUIN update for 23/24
Importance of implementing Enhanced Recovery after Surgery (ERAS) protocols to improve patient outcomes following major surgical procedures. It covers the benefits of early mobilization, fluid optimization, and proper analgesia techniques. By emphasizing early postoperative activities like drinking,
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Anesthesia and Perioperative Care - Comprehensive Guide by Dr. Rajesh Raman
This detailed guide by Dr. Rajesh Raman covers various aspects of anesthesia and perioperative care, including preoperative assessment and optimization, intraoperative care, postoperative care, perioperative risk assessment, risk due to surgery, medication management, and routine investigations for
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Understanding Coronary Artery Bypass Graft (CABG) in Adult Nursing
Coronary Artery Bypass Graft (CABG) is a surgical procedure where a blood vessel from another part of the body is grafted onto an occluded coronary artery to bypass blockages. This procedure is less common in women compared to men and is typically indicated for severe coronary artery disease. It is
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Anesthesia And Perioperative Care
This detailed guide covers key aspects of anesthesia and perioperative care, emphasizing preoperative assessment, optimization, intraoperative management, and postoperative care. Topics include perioperative risk assessment, risk scoring, routine investigations, and medication management strategies
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Anesthesia and Perioperative Care by Dr. Rajesh Raman
This informative content covers various aspects of anesthesia and perioperative care including preoperative assessment, optimization, intraoperative and postoperative care, perioperative risk assessment, risk due to surgery, risk scores for major cardiac events, routine investigations for patients,
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Anesthetic Management of Bronchoscopy for Airway Foreign Body
This article discusses the anesthetic management of bronchoscopy for airway foreign body, including presentation, preoperative work-up, intraoperative management, and postoperative care. It highlights the incidence of foreign body inhalation, immediate and delayed presentations, findings on chest X-
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Techniques of External Fracture Fixation in Veterinary Surgery
Dr. Archana Kumari, Asst. Professor and Junior Scientist in Veterinary Surgery and Radiology, presents various methods of external fracture fixation such as Robert Jones bandage, Ehmer sling, plaster cast, Thomas splints, walking cast, and hanging pin cast. The walking cast is indicated for fracture
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Managing Postoperative Nausea and Vomiting in Infants and Children
Postoperative nausea and vomiting (PONV) is a significant concern in pediatric patients due to their increased risk compared to adults. This presentation by Dr. Jeannette Kierce covers the pathophysiology, risk factors, prophylaxis, and rescue treatments for PONV in infants and children, emphasizing
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Understanding Ward Management in Healthcare Settings
Ward management involves optimizing resources in a ward to provide maximum care and comfort to patients. It includes functions like accommodation, treatment, recovery support, training opportunities, and research possibilities. Different types of wards exist, such as general wards and specific wards
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Essential Aspects of Perioperative Nursing Care
Perioperative nursing involves comprehensive care for patients before, during, and after surgery. It encompasses various phases such as preoperative, intraoperative, and postoperative care, with a focus on ensuring the patient's well-being and safety throughout the surgical process. Key goals includ
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Preoperative Planning for Surgery: Optimizing Patient Outcomes
Major surgery can induce physiological changes, increasing oxygen demand and leading to postoperative risks. Careful preoperative planning is crucial to minimize adverse effects. This involves thorough history-taking, examination, and investigations to assess patient readiness and optimize their con
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Autologous Blood Donation: Advantages, Types, and Considerations
Autologous blood donation involves collecting and storing a patient's own blood for later transfusion, offering numerous advantages such as reducing the risk of transfusion-transmitted diseases and providing compatible blood for patients with allo-antibodies. However, it also comes with concerns lik
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Association of Renal and Cerebral Near Infrared Spectroscopy with Low Cardiac Output in Single Ventricle Patients
Near-infrared spectroscopy (NIRS) has been studied in infants after Stage I palliation surgery to assess its association with low cardiac output and adverse outcomes. This retrospective study investigated postoperative cerebral and renal NIRS values in infants with single ventricle physiology. Resul
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Anesthesia Management for Post-Tonsillectomy Hemorrhage in Children
This article discusses the epidemiology, causes, and anesthesia management of post-tonsillectomy and adenoidectomy hemorrhage in children. It covers the rates of hemorrhage following these procedures, including primary and secondary occurrences, mortality statistics, and specific factors contributin
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Interdisciplinary Prehabilitation Pilot for Elective Colorectal Surgeries at Our Lady of Lourdes Hospital
Our Lady of Lourdes Hospital in Drogheda initiated an interdisciplinary prehabilitation pilot program for patients undergoing elective colorectal surgeries. The program aims to reduce length of stay by addressing modifiable risk factors and optimizing patients' physiological reserve. By targeting po
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The Role of ESR and CRP in Preoperative Workup for Total Knee Arthroplasty
Preoperative assessment for primary total knee arthroplasty should consider including ESR and CRP levels as routine tests due to their accuracy in diagnosing periprosthetic joint infection (PJI). Elevated postoperative ESR/CRP levels can serve as predictors of PJI, aiding in prompt diagnosis and tre
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Preoperative Assessment of Patients for Anesthesia: Guidelines and Protocols
Efficient preoperative assessment is crucial to ensure patient safety and optimal outcomes during anesthesia administration. This process involves thorough history taking, physical examination, evaluation of medical conditions, and planning for anesthesia techniques. The assessment helps in identify
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Understanding Pediatric Social and Emotional Milestones in Anesthesia
Tailoring preoperative assessment and anesthetic management to a child's developmental level is crucial. Children's responses to stress vary based on their cognitive potential and developmental stage. Incorporating behavioral techniques informed by developmental theories like Piaget's and Erickson's
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Clinical and Laboratory Features of Radical Total Gastrectomy: Early Outcomes
Assessing the clinical and laboratory features, as well as the early outcomes following radical total gastrectomy is crucial in the management of gastric cancer. This study conducted at Hanoi Oncology Hospital retrospectively analyzed 43 patients who underwent this procedure. The overview includes d
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Understanding Ostomy: Types, Procedures, and Postoperative Nutrition Care
An ostomy is a surgical procedure done when normal bowel or bladder function is lost due to various reasons like birth defects, diseases, or injuries. It involves creating openings in the abdomen for elimination of waste. This case study highlights a patient with abdominal pain who underwent a parti
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Use of Motor-Evoked Potentials in Cervical Spinal Cord Tumor Patients
Neurophysiological intraoperative monitoring using motor-evoked potentials is crucial in evaluating spinal cord function during surgery for cervical spinal cord tumors. This study examines the relationship between neurological changes and intraoperative motor-evoked potentials in patients, aiming to
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Adjuvant Therapies in Early Stage NSCLC: A Review
Examining the role of adjuvant therapies in stage IB-IIIA non-small cell lung cancer (NSCLC) post-surgery. Discussion includes the impact of chemotherapy and radiation therapy on overall survival rates and the historical context of adjuvant treatment decisions. Management strategies and consideratio
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Common Complications of Exodontia in Dental Practice
Undesirable situations can arise during dental exodontia, including perioperative and postoperative complications. Perioperative complications may include crown fractures, soft tissue injuries, and failure to obtain anesthesia, while postoperative complications can involve trismus, hematoma, and wou
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Understanding Spinal Orthoses: Types, Uses, and Benefits
Spinal orthoses are back braces used to treat spinal disorders and injuries. They provide support, limit movement, and aid in healing. Orthoses are prescribed to realign the spine, immobilize it, limit mobility, and support weakened areas. Various types of orthoses are available based on the segment
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Understanding Postoperative Pain Measurement Methods
Standard methods for measuring postoperative pain include categorical, visual analogue, and numerical rating scales. Patients should self-assess their pain using these tools for accurate reporting, as demonstrated by research on pain congruence between patients and nurses. Enhancing understanding of
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Postoperative Hypotension: Management and Recovery Strategies
In a case of postoperative hypotension following a transurethral prostatectomy under spinal anesthesia, a 78-year-old patient presented with agitation and shivering in the PACU. Vital signs and pain scores were monitored, showing a blood pressure of 89/40, heart rate of 85/min, and respiratory rate
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Postoperative Hypotension in a Diabetic and Hypertensive Patient Undergoing Prostatectomy
A 78-year-old patient with a history of diabetes and hypertension developed hypotension post-transurethral prostatectomy under spinal anesthesia. Upon arrival in the postoperative care unit, the patient was agitated and shivering with a blood pressure of 89/40. The routine monitoring in PACU include
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Cost Savings in Postoperative Pain Management with NOL-Guided Anesthesia
Acute postoperative pain is a significant issue globally, with high prevalence rates and potential long-term consequences. This economic assessment explores cost savings associated with using NOL-guided anesthesia to optimize postoperative pain treatment. By categorizing postoperative pain scores an
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Understanding Postoperative Shock and Respiratory Failure
Postoperative shock refers to different types of shock that may occur after surgery, such as hypovolemic, cardiogenic, or septic shock. It is crucial to recognize the signs and symptoms of shock early to prevent irreversible consequences. On the other hand, respiratory failure can be acute or chroni
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Understanding Hypocalcemia and Related Conditions
Hypocalcemia can be caused by various factors such as hypoparathyroidism, nonparathyroid conditions, and postoperative complications. Symptoms include muscle tetany, paresthesia, and seizures. Conditions like pseudohypoparathyroidism and congenital hypoparathyroidism also contribute to calcium imbal
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Understanding Postoperative Pain Management: Lessons in Practice
Exploring the impact of perioperative intravenous ketamine on acute postoperative pain in adults, a review analyzed data from 130 studies with 8341 participants. The study focused on pain intensity, opioid consumption, and surgery type, presenting results using graphical approaches. Key findings hig
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Surgical Interventions for Vertical Strabismus in Superior Oblique Palsy: A Review
Binocular misalignment in superior oblique palsy often requires surgical interventions to address vertical strabismus, which can lead to visual issues and neck muscle problems. This review assessed the effects of various surgical treatments on individuals with this condition. Despite limited data pr
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