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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This presentation by Dr. Mark L. Prasarn focuses on the importance of assessing preoperative bone health in older patients undergoing spine fusion surgery. It covers the potential bone-related complications, osteogenesis process, osteoconduction, osteoinduction, and the favorable biomechanical envir

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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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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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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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Newborn female with VACTERL association, imperforate anus, and perianal skin tag identified at birth. Patient transferred for surgical intervention and further workup due to associated abnormalities. Imaging studies show multiple sacral vertebral anomalies. Differential diagnosis includes genetic sy

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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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Explore the evolution and rationale behind preoperative fasting guidelines in infants and children, including historical cases of aspiration during anesthesia. Learn about Mendelson Syndrome, recommendations for aspiration prevention, and the development of NPO orders over the years. Discover the im

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A 75-year-old male with a history of multiple animal exposures presented with fever, altered mental status, headache, and diarrhea. Physical exam revealed vital signs within normal limits, and labs showed various results including negative infectious disease workup but pending further tests. Imaging

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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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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 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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Parathyroid carcinoma (PC) is a rare malignancy often challenging to differentiate from benign thyroid nodules. This case study highlights a 50-year-old male patient whose nonfunctioning sporadic PC was initially misidentified as a follicular thyroid nodule. Despite preoperative evaluations, includi

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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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Understanding perioperative fluid therapy is crucial for maintaining normovolemia, achieving hemodynamic stability, and preventing complications. Factors such as total body water variation, fluid resuscitation goals, desirable outcomes, and fluid and electrolyte regulation play a critical role in en

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This detailed guide provides step-by-step instructions on patient preparation for surgical procedures, including patient prep, setting up sterile fields, and prepping the operative site. It covers essential aspects such as emplacing a tourniquet, washing the wound, performing preoperative irrigation

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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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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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Surgical site infections (SSIs) are a significant concern in healthcare settings, with 25% of healthcare-associated infections being SSIs. They are preventable, but still pose challenges due to multifactorial causes. Risk factors include uncontrolled diabetes, obesity, smoking, and length of preoper

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A 25-year-old pregnant woman presented with a history of blunt trauma, diffuse pain, and urinary retention. Despite a normal initial ultrasound, she developed breathlessness and urinary issues. Clinical examination revealed significant pallor and diffuse abdominal tenderness. This case highlights th

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This paper presentation by Andrew Wang's team focuses on the data integration during robotic ultrasound-guided surgery. The project proposes the integration of live ultrasound feed and an image browser to view saved ultrasound images, along with the ability to construct 3D models of organs using pre

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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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Detailed presentation materials for a dermatological case including case history, clinical skin examination findings, clinical photographs, histopathology results, and additional workup details. Emphasis on the importance of non-identifying information in presentations for discussion at the CDS Quar

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14-year-old female patient presents with 4-day history of left eye swelling, pain, proptosis, blurred vision, and headaches. Past episodes of similar symptoms, past medical history, and family history of sickle cell trait noted. Physical exams, workup, differential diagnosis, and treatment plan incl

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Explore the historical perspective, anatomical considerations, land marks, blood supply, and principles of scalp flaps and craniotomy procedures. Learn about the 5 layers of the scalp, neurovascular structures, blood vessels involved, and crucial steps in preoperative planning and execution of crani

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Orthopaedic surgery involves intricate planning, precise execution, and specialized equipment to restore function to the body. From preoperative assessments to intraoperative techniques like radiography and magnification, this field aims to enhance mobility and quality of life. The use of tourniquet

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Comprehensive discussion on assessing patients with abnormal liver test results, focusing on distinguishing between acute and chronic liver conditions. Covers diagnostic workup, patient cases, and differential diagnosis, emphasizing the importance of patient history, physical examination, and key di

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An 11-year-old female child with end-stage renal disease (ESRD) and multiple surgical histories was evaluated for renal transplant and ileal conduit surgery. The patient presented with hypertension, chronic kidney disease, neurogenic bladder, and urinary incontinence. Preoperative assessments reveal

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Preoperative assessment and management play a crucial role in optimizing outcomes for young children undergoing elective circumcision, especially when the child has a history of upper respiratory tract infection (URTI). Factors such as URTI severity, parental smoking, airway anomalies, and history o

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Pediatric preoperative anxiety can lead to negative behavioral changes post-hospitalization and adverse outcomes during anesthesia. Identifying risk factors and implementing non-pharmacologic and pharmacologic interventions can help alleviate anxiety and improve overall surgical experience for child

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This study by Ivy N. Haskins, MD, analyzes the association between active smoking and 30-day wound events following minimally invasive inguinal hernia repair. It explores the necessity and feasibility of preoperative smoking cessation, involving a detailed analysis of 2,652 inguinal hernia repairs,

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Developing a comprehensive Surgical Site Infection (SSI) bundle to reduce infection rates, including interventions like preoperative chlorhexidine baths, standardized antibiotic protocols, and targeted prophylactic measures. By implementing these strategies, the aim is to lower infection rates below

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Preoperative patient education plays a crucial role in surgical nursing, aiming to reduce anxiety, empower patients, and enhance recovery outcomes. Limited systematic evidence exists on its specific impact, influenced by patient engagement, knowledge levels, nurse expertise, and empowerment factors.

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Explore the epidemiology, etiologies, clinical course, and management approaches for lower back pain. Gain insights into the clinical approach, physical examination, workup, and effective management strategies for this common condition.

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Assessing a 4-year-old male patient booked for right eye squint surgery involves evaluating his preoperative risks, conducting necessary tests, assessing medication needs, and ensuring fasting protocols are followed. Key aspects include reviewing medical history, conducting physical examinations, ad

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A 16-year-old female presented with low-grade fever and bone pain persisting for 7 months. With elevated CRP and ESR levels, a bone biopsy has been requested to investigate the underlying cause. Blood cultures and rheumatologic workup were negative, and results are pending. Further evaluation is ess

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The North Bristol Quality Improvement Team is focused on achieving more transplants in less time with a better experience through their Living Kidney Donation (LKD) pathway. They aim to streamline the pathway, reducing visits and increasing transplant rates. Initiatives include nurse-led triage appo

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A 2-month-old infant presented with sudden onset weakness in all four limbs following an upper respiratory tract infection. Clinical findings include froglike posture, diminished tone in all limbs, absent reflexes, and cranial nerve involvement. Possibilities include brainstem encephalitis, myelitis

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The diagnostic workup for Patient X includes various imaging studies such as ECG, CXR, Head CT scan, CT Abdomen/Pelvis, and Repeat CXR. Laboratory results show abnormal CBC values, BMP findings, LFTs, and lactate levels with associated VBG results. Further evaluation is needed based on these results

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Investigating the impact of preoperative fasting on the continuity of regular oral medication administration reveals concerns with excessive fasting, including insulin resistance, dehydration, and confusion. The study highlights how misleading fasting instructions can lead to the discontinuation of

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