Introduction and History of Postoperative Care for Adult Cardiac Surgical Patients

2018 ◽  
pp. 1-5
Author(s):  
Mahnoosh Foroughi
Keyword(s):  
Postoperative Care ◽  
Surgical Patients ◽  
History Of

scholarly journals An unusual cause of delayed hematoma after carotid endarterectomy: a case report

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yi Zhao ◽  
Zhichao Lai ◽  
Xiaojun Song ◽  
Rong Zeng ◽  
Changwei Liu ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Case Report ◽  
Carotid Endarterectomy ◽  
Early Stage ◽  
Prostatic Hyperplasia ◽  
Surgical Patients ◽  
Blood Products ◽  
Case Presentation ◽  
Life Threatening ◽  
History Of

Abstract Background Neck hematoma is a complication of carotid endarterectomy, usually occurring in the comparatively early stage postoperatively. Case presentation We described a patient developing life-threatening hemorrhage and non-clotting hematoma at a comparatively later stage after CEA. DIC was diagnosed according to the lab results, and the patient underwent re-operation and was supported with blood products until the coagulopathy was corrected. The patient had a history of prostatic hyperplasia and experienced malaise during the hospitalization. Prostate cancer with bone metastases was diagnosed. Conclusions This case report describes a rare underlying cause of hematoma after CEA, which reminds us to pay attention to prostate symptoms or related medical history, especially malignancy, in surgical patients, which may result in severe complications.

scholarly journals The Extended Postoperative Care-Score (EXPO-Score)—An Objective Tool for Early Identification of Indication for Extended Postoperative Care

2019 ◽  
Vol 8 (10) ◽  
pp. 1666
Author(s):  
Timo Iden ◽  
Amke Caliebe ◽  
Jochen Renner ◽  
Maj-Britt Hertz ◽  
Jan Höcker ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postoperative Care ◽  
Surgical Patients ◽  
University Center ◽  
Patient Allocation ◽  
Metabolic Equivalents ◽  
Period 2 ◽  
Extended Care ◽  
Related Risk ◽  
American Society

Extended postoperative care and intensive care unit capacity is limited and efficient patient allocation is mandatory. This study aims to develop an effective yet simple score to predict indication for extended postoperative care, as there is a lack of objective criteria for early prediction of admission to extended care in surgical patients. This prospective observational study was divided into two periods (Period 1: Extended Postoperative Care-Score (EXPO)-Score generation; Period 2: EXPO-Score validation) and it was performed at a tertiary university center in Germany. A total of 4042 (Period 1) and 2198 (Period 2) adult patients ≥ 18 years old receiving elective or emergency surgery were included in this study. After identifying patient- and surgery-related risk factors by an expert panel, the EXPO-Score was developed through logistic regression from data of Period 1 and validated in Period 2. Three risk factors are sufficient for generating a reliable predictive EXPO-Score: (1) the American Society of Anesthesiologists’ (ASA) physical status, (2) cardiopulmonary physical exercise status expressed in metabolic equivalents (MET), and (3) the type of surgery. The score threshold (0.23) has a sensitivity of 0.87, a specificity of 0.91, and an accuracy of 0.90 for predicting indication for extended postoperative care. The EXPO-Score provides a validated, early collectable, and easy-to-use tool for predicting indication of extended postoperative care in adult surgical patients.

Neurologic injury in cardiac surgical patients with a history of stroke

1996 ◽  
Vol 61 (1) ◽  
pp. 42-47 ◽  
Author(s):  
J. Mark Redmond ◽  
Peter S. Greene ◽  
Maura A. Goldsborough ◽  
Duke E. Cameron ◽  
R. Scott Stuart ◽  
...  
Keyword(s):  
Surgical Patients ◽  
Neurologic Injury ◽  
History Of

Pulse Oximetry in the Postoperative Care of Cardiac Surgical Patients

1993 ◽  
Vol 37 (4) ◽  
pp. 220???221
Author(s):  
M. I. BIERMAN ◽  
K. L. STEIN ◽  
J. V. SNYDER
Keyword(s):  
Pulse Oximetry ◽  
Postoperative Care ◽  
Surgical Patients

scholarly journals Prevalence and Associated Factors of Depression among Admitted Adult Patients in Surgical and Medical Wards of Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Merga Siyoum ◽  
Getachew Assfaw ◽  
Henok Yitbark ◽  
Getachew Tesfaw
Keyword(s):  
Social Support ◽  
Mental Illness ◽  
Logistic Regression ◽  
Addis Ababa ◽  
Surgical Patients ◽  
Depression Symptoms ◽  
Medical College ◽  
Prevalence Of Depression ◽  
Poor Social Support ◽  
History Of

Background. Depression is a leading cause of major public health problems globally, and its prevalence has been increasing, particularly in low- and middle-income countries including our country. Therefore, this study is aimed at exploring depression symptoms and their determinants among admitted medical and surgical patients which is important to get optimal care for patients. Methods. An institution-based cross-sectional study was conducted from May to June 2019, on adults’ medical and surgical admitted patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. The systematic random sampling technique was used to get a total of 590 samples. The standardized hospital anxiety and depression scale (HADS) was used to assess individual depression symptoms. We computed the bivariate and multivariate binary logistic regression analyses to identify factors associated with depression symptoms. Statistical significance was declared at P < 0.05 . Result. The prevalence of depression symptoms was found to be 53.9% (95% CI: 50.2, 57.0). In the multivariable logistic regression, female sex ( AOR = 2.04 , 95% CI: 1.35, 3.09), being single ( AOR = 3.65 , 95% CI: 3.48, 2.10, 5.78), widowed ( AOR = 2.82 , 95% CI: 1.27, 6.30), unable to read and write ( AOR = 2.71 , 95% CI: 1.14, 6.47), admission at medical ward ( AOR = 1.59 , 95% CI: 1.02, 2.46), history of mental illness ( AOR = 1.59 , 95% CI: 1.02, 2.46), and poor social support ( AOR = 2.82 , 95% CI: 1.57, 5.11) were factors significantly associated with depression symptoms. Conclusion. The prevalence of depression symptoms among admitted patients was high. Female sex, being single, widowed, unable to read and write, admission at medical ward, history of mental illness, and poor social support were factors significantly associated with depression symptoms. It is better for the Ministry of Health to give training on how to screen depression among medical and surgical patients, and interventions that would be addressing the awareness of the above factors would be beneficial to prevent further complications.

Smoking and Risk Factors in Deep Vein Thrombosis

1978 ◽  
Vol 40 (01) ◽  
pp. 128-133 ◽  
Author(s):  
R J Prescott ◽  
D R B Jones ◽  
C Vasilescu ◽  
J T Henderson ◽  
C V Ruckley
Keyword(s):  
Deep Vein Thrombosis ◽  
Cigarette Smoking ◽  
Past History ◽  
Statistical Significance ◽  
Surgical Patients ◽  
Medical Patients ◽  
Vein Thrombosis ◽  
History Of ◽  
Fibrinogen Test ◽  
Deep Vein

SummaryThe incidence of deep vein thrombosis (DVT) as diagnosed by the 125I fibrinogen test (125IFT) was determined in a series of 300 newly admitted medical and 201 surgical patients. 6 medical patients died before 125IFT screening could be completed. The incidence of DVT was l4% in medical patients and 18% in surgical patients. Increasing age, a malignant condition and a past history of thromboembolism all increased the risk of DVT. Increasing levels of cigarette smoking were found to be associated with a reduced incidence of DVT. Although statistical significance was achieved at only the 10% level for this finding it is in agreement with the results from studies on patients with myocardial infarction. The protective effect of cigarette smoking was observed at all ages, and in both medical and surgical patients.

Face and Neck Lift—Postoperative Care

2018 ◽  
Vol 34 (06) ◽  
pp. 561-569
Author(s):  
Mahmoud Daoud ◽  
Gautham Ullas ◽  
Ullas Raghavan
Keyword(s):  
Postoperative Care ◽  
Preoperative Assessment ◽  
Neck Lift ◽  
History Of ◽  
Face And Neck Lift

AbstractPrimary aim of the article is a discussion of the postoperative care after face and neck lift. A brief history of face and neck lift along with different techniques are described. Importance of preoperative assessment is stressed.

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