Preoperative Care of the Newborn with Myelomeningocele

2008 ◽  
pp. 105-110
Author(s):  
M. Memet Özek
Keyword(s):  
2019 ◽  
Vol 22 (253) ◽  
pp. 2999-3005
Author(s):  
Paloma Gonçalves Martins Acioly ◽  
Eny Dórea Paiva ◽  
Eny Dórea Paiva ◽  
Tatiana Pífano da Silva

Objetivo: identificar, nas produções científicas, as intervenções de enfermagem para os pacientes pediátricos em pré-operatório. Métodos: revisão integrativa da literatura. Utilizaram-se as bases de dados: Índice Cumulativo de Enfermagem e Literatura de Saúde Aliada (CINAHL), Sistema Online de Busca e Análise de Literatura Médica (MEDLINE), Literatura Latino Americana e do Caribe (LILACS) e Banco de dados Excerpta Medica (EMBASE). A busca ocorreu em outubro de 2018, foram  definidos critérios de inclusão e exclusão, combinando-se os descritores: preoperative care, nursing, children, utilizando os operadores booleanos entre eles. Resultados: doze artigos foram considerados relevantes, dos quais emergiram três categorias: brincadeiras terapêuticas, ações educativas em saúde e programas direcionados e personalizados. Conclusão: as intervenções de enfermagem presentes nos estudos analisados podem ser utilizadas em crianças com variados diagnósticos cirúrgicos. Elas propiciaram ao paciente uma maior compreensão do processo cirúrgico, a redução da ansiedade e o aumento da cooperação com a equipe de saúde.


Author(s):  
Carol J. Peden ◽  
Geeta Aggarwal ◽  
Robert J. Aitken ◽  
Iain D. Anderson ◽  
Nicolai Bang Foss ◽  
...  

Abstract Background Enhanced Recovery After Surgery (ERAS) protocols reduce length of stay, complications and costs for a large number of elective surgical procedures. A similar, structured approach appears to improve outcomes, including mortality, for patients undergoing high-risk emergency general surgery, and specifically emergency laparotomy. These are the first consensus guidelines for optimal care of these patients using an ERAS approach. Methods Experts in aspects of management of the high-risk and emergency general surgical patient were invited to contribute by the International ERAS® Society. Pubmed, Cochrane, Embase, and MEDLINE database searches on English language publications were performed for ERAS elements and relevant specific topics. Studies on each item were selected with particular attention to randomized controlled trials, systematic reviews, meta-analyses and large cohort studies, and reviewed and graded using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Recommendations were made on the best level of evidence, or extrapolation from studies on non-emergency patients when appropriate. The Delphi method was used to validate final recommendations. The guideline has been divided into two parts: Part 1—Preoperative Care and Part 2—Intraoperative and Postoperative management. This paper provides guidelines for Part 1. Results Twelve components of preoperative care were considered. Consensus was reached after three rounds. Conclusions These guidelines are based on the best available evidence for an ERAS approach to patients undergoing emergency laparotomy. Initial management is particularly important for patients with sepsis and physiological derangement. These guidelines should be used to improve outcomes for these high-risk patients.


2011 ◽  
Vol 61 (1) ◽  
pp. 60-71 ◽  
Author(s):  
Márcia Rodrigues Neder Issa ◽  
Núbia Faria Campos Isoni ◽  
Alessandra Marinho Soares ◽  
Magda Lourenço Fernandes
Keyword(s):  

2021 ◽  
pp. ijgc-2021-003170
Author(s):  
Andre Lopes ◽  
Alayne Magalhães Trindade Domingues Yamada ◽  
Thais de Campos Cardenas ◽  
Jaqueline Nunes de Carvalho ◽  
Emília de Azevedo Oliveira ◽  
...  

BackgroundPrehabilitation is a process that occurs before surgery and aims to improve patient functional capacity and enhance surgical recovery. This process includes medical, nutritional, physical, and psychological interventions that may reduce the duration of hospital stay and provide postoperative physical benefits.Primary ObjectiveTo evaluate the impact of a prehabilitation program on postoperative recovery time for patients who will undergo gynecological surgery following the Enhanced Recovery After Surgery (ERAS) guidelines.Study HypothesisA multidisciplinary, preoperative prehabilitation program for patients who will undergo gynecological surgery leads to a reduction in the length of hospital stay and improves patient functional capacity.Trial DesignProspective, interventionist, and randomized controlled trial in a 1:1 ratio, open to multidisciplinary team and patients, blinded to surgeons and anesthesiologists. The control group will undergo ERAS standard preoperative care while the intervention group will have ERAS standard preoperative care plus prehabilitation.Major Inclusion CriteriaPatients scheduled to undergo gynecologic surgery performed by laparotomy with a preoperative schedule that allows prehabilitation intervention for 2 to 3 weeks.Primary EndpointTo compare time between surgery and the day the patient is ready for discharge in patients who underwent the prehabilitation process versus those who did not. Readiness for discharge is defined as the ability to take care of one’s-self, to walk alone, and to ingest at least 75% of daily recommended calorie intake.Sample Size194 participantsEstimated Dates for Completing Accrual and Presenting ResultsAt present, 30 patients have been recruited. Accrual should be completed by 2023–24.Trial RegistrationThe study is approved by the IBCC – São Camilo Oncologia ethics committee (reference number 4.256.553) and is registered at clinicaltrials.gov (NCT04596800).


2009 ◽  
pp. 171-171
Author(s):  
Rajendra Sewta
Keyword(s):  

Author(s):  
Chikezie Eseonu ◽  
Jordina Rincon-Torroella ◽  
Alfredo Quiñones-Hinojosa

Brain tumor cases make up a significant part of the neurosurgery Oral Board Exam. A multitude of brain tumors exist and can be intraaxial or extraaxial. When considering a differential diagnosis for a brain lesion, infection, hematomas, infarctions, thrombosed aneurysms, inflammation, and demyelinating disease must be considered in addition to tumors. Common adult brain tumors consist of gliomas, meningiomas, metastases, and pituitary tumors. Management of brain tumors consists of understanding preoperative care, indications for surgery, surgical approaches, interpretation of preoperative and postoperative imaging, intraoperative and postoperative complications, and the role of adjuvant therapy, including chemotherapy and radiotherapy. Reviewing these essential points for the most common brain tumor cases and mastering the current treatment recommendations for common tumors will also be helpful for the boards.


Sign in / Sign up

Export Citation Format

Share Document