Search results for "Perioperative Care"
Risk of mortality may be increased when hip fracture repair wait time exceeds 24 hours
Targeting surgery within 24 hours would represent a significant change in practice because the majority of patients did not receive surgery within this timeframe, study authors noted.
https://acphospitalist.acponline.org/weekly/archives/2017/12/06/2.htm
6 Dec 2017
Questions and answers in periop medicine
Michael J. Maniaci, MD, ACP Member, reviewed data on cardiac and pulmonary perioperative exams and insulin and aspirin management at the Mayo Clinic Hospital Medicine 2017 conference.
https://acphospitalist.acponline.org/archives/2018/01/questions-and-answers-in-periop-medicine.htm
15 Jan 2018
Training in breathing exercises before upper abdominal surgery reduced postoperative pulmonary complications
Within six weeks before surgery, patients had a 30-minute training session with a physiotherapist, which involved coaching in the breathing exercises, education about pulmonary complications, and an individualized risk assessment.
https://acphospitalist.acponline.org/weekly/archives/2018/01/31/3.htm
31 Jan 2018
Frailty associated with failure to rescue after surgery, study finds
The results suggest that the risk-benefit ratio of even minor elective procedures needs to be carefully considered in individuals who are considered frail, the study authors said.
https://acphospitalist.acponline.org/weekly/archives/2018/03/28/3.htm
28 Mar 2018
Factor frailty into preop assessment
Frailty should be assessed along with baseline cognition, risk for delirium, functional status, nutritional status, and, in particular, patients' treatment goals and expectations, an expert said.
https://acphospitalist.acponline.org/weekly/archives/2018/04/25/1.htm
25 Apr 2018
Six-minute walk distance before cardiac surgery predicts cognitive dysfunction afterward
In addition to six-minute walk distance, intensive care unit length of stay, age, and Mini-Mental State Examination score were found to be independent risk factors for postoperative cognitive dysfunction.
https://acphospitalist.acponline.org/weekly/archives/2018/05/16/3.htm
16 May 2018
Infective endocarditis risk increased after many types of medical procedures
The findings could warrant reconsideration of prophylactic antibiotics for some patients, according to the study authors, who also called for assessment of the costs and benefits of elective procedures for patients at high risk of endocarditis.
https://acphospitalist.acponline.org/weekly/archives/2018/06/13/2.htm
13 Jun 2018
Earlier hip fracture surgery admission associated with lower in-hospital mortality than later treatment
Study authors projected that there would be an additional 10.9 deaths for every 1,000 surgeries if all surgeries were performed after inpatient day 3 instead of on the admission day.
https://acphospitalist.acponline.org/weekly/archives/2018/08/15/4.htm
15 Aug 2018
New index for preoperative cardiovascular evaluation may have strong predictive power
The index categorized patients' cardiovascular risk based on their age, history of heart disease, symptoms of angina or dyspnea, hemoglobin level, and whether they were having vascular or emergency surgery.
https://acphospitalist.acponline.org/weekly/archives/2019/06/19/3.htm
19 Jun 2019
Nearly all deaths related to noncardiac procedures occur after surgery, study finds
About 45% of deaths that occurred in the 30 days after noncardiac surgery were associated with three complications: major bleeding, myocardial injury, and sepsis.
https://acphospitalist.acponline.org/weekly/archives/2019/08/07/3.htm
7 Aug 2019