scholarly journals Peer review report 2 on “Analysis of delayed discharge after day-surgery laparoscopic cholecystectomy. Case Controlled Study”

2017 ◽  
Vol 37 ◽  
pp. 225
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Peer Review ◽  
Day Surgery ◽  
Controlled Study ◽  
Delayed Discharge

scholarly journals Analysis of delayed discharge after day-surgery laparoscopic cholecystectomy

2017 ◽  
Vol 40 ◽  
pp. 33-37
Author(s):  
Junning Cao ◽  
Bo Liu ◽  
Xiangjun Li ◽  
Jianjun Leng ◽  
Xiangfei Meng ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Day Surgery ◽  
Delayed Discharge

Pregabalin As A Premedicant To Attenuate Pressor Response In Patients Undergoing Laparoscopic Cholecystectomy: A Prospective, Randomized, Double-Blind, Placebo-Controlled Study

2020 ◽  
Vol 11 (3) ◽  
pp. 3418-3423
Author(s):  
Sweety Agrawal ◽  
Shubdha Bhagat ◽  
Pratibha Deshmukh ◽  
Amol Singham
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Pressor Response ◽  
Controlled Study ◽  
Double Blind ◽  
Co2 Insufflation ◽  
Ramsay Sedation Scale ◽  
Minute Interval ◽  
Group A ◽  
Group B ◽  
Induction Of Anaesthesia

The present study was done to evaluate the ability of oral pregabalin to attenuate the pressor response to airway instrumentation in patients undergoing laparoscopic cholecystectomy under general anesthesia. Sixty-four adult patients aged between 25-55 year of either gender belonging to ASA-1 or ASA2 physical status weighing 50-70 kg were enrolled in this study. Thirty-two patients each were randomized to group A, or group B. Patients in group A received tablet Pregabalin (150mg) and those in group B received placebo orally one hour before induction of anaesthesia. Heart rate, blood pressure, and sedation were assessed preoperatively before giving the tablets and after 30 minutes, and just before induction of anaesthesia. Intraoperative, pulse rate, mean arterial pressure, ECG in the lead II, SPO2 and ETCO2 were monitored. All the above parameters were noted during laryngoscopy and intubation, 3 minutes after CO2 insufflation, and then at every 10-minute interval till the end of surgery. These parameters were also recorded after extubating the patient. The Ramsay sedation scale was used to assess the sedation at the baseline, one hour after drug intake , one hour after extubation and 4 hour after surgery. Any adverse effects in the postoperative period were recorded. The result of our study shows that pre-emptive administration of oral pregabalin 150 mg significantly reduced the pressor response at the time of laryngoscopy and intubation, after CO2 insufflation and just after extubation. We conclude that oral pregabalin premedication is effective in successful attenuation of hemodynamic pressor response to laryngoscopy, intubation and pneumoperitoneum in patients undergoing laparoscopic cholecystectomy

An Intelligent Patient Admission Model of Day Surgery Using Heterogeneous Data with Semi-Supervised Learning: A Case Study of Laparoscopic Cholecystectomy (Preprint)

2021 ◽  
Author(s):  
Wenchang Li ◽  
Lisha Jiang ◽  
Hongwei Shi ◽  
Hongsheng Ma
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Scientific Evidence ◽  
Patient Characteristics ◽  
Day Surgery ◽  
Heterogeneous Data ◽  
Patient Admission ◽  
Admission Criteria ◽  
Important Indicator ◽  
Medical Quality ◽  
Admission Decisions

BACKGROUND Day surgery has many advantages including shortening hospital stay, decreasing the risk of hospital-associated infections, and increasing cost efficiency over traditional surgery, it has gained a great reputation and popularity in recent years. However, the patients’ admission criteria of day surgery at present were mainly based on expert experience, which was a lack of scientific evidence. OBJECTIVE Our study is to investigate the day surgery patient’s admission criteria and build an intelligent machine learning model of day surgery patients who underwent laparoscopic cholecystectomy, to ensure patients’ safety and medical quality, providing reference and inspiration for other day surgery admission decisions. METHODS We analyzed the clinical data of day surgery patients who underwent laparoscopic cholecystectomy at West China Hospital from Jan 1st 2009 to Dec 31st 2021 and developed a semi-supervised artificial intelligence algorithm, SDSPA algorithm, which is built by self-training and uses both structured data like patient characteristics and unstructured clinical diagnosis to assist surgeons to make quick admission decisions. RESULTS After comparing several classifiers with self-training in our experiment, the performance of LightGBM with unstructured text processed by BERT were the best, obtaining an accuracy of 0.85 and an f1-score of 0.83, as well as reaching 0.97 on the precision score, which is an important indicator related to patients’ safety. CONCLUSIONS The application of our SDSPA algorithm can make the patient admission of day surgery more intelligent, and maximize the utilization of medical resources while ensuring patients’ safety.

scholarly journals Evaluating the Effect of Intraoperative Dextrose 10% Administration on Reducing Postoperative Nausea and Vomiting after Laparoscopic Surgery

2019 ◽  
Vol 13 (1) ◽  
pp. 78-85
Author(s):  
Ashraf Nabil Saleh ◽  
Dalia Fahmy Emam ◽  
Mohamed Mohamed Kamal
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Nausea ◽  
Postoperative Nausea And Vomiting ◽  
Study Groups ◽  
Primary Objective ◽  
Nausea And Vomiting ◽  
Controlled Study ◽  
Double Blind ◽  
Female Patients ◽  
Medication Consumption

Background: Although PONV is usually self-limiting or is treated without sequelae, the incidence of PONV could be as high as 70% to 80% in high-risk populations such as female sex, obese patients, age younger than 40 years, nonsmoker patients, history of PONV or motion sickness. Objectives: The study aimed to investigate whether dextrose 10% decreases the incidence of postoperative nausea and vomiting in female patients undergoing laparoscopic cholecystectomy Materials and Methods: This prospective, double-blind randomized placebo-controlled study comprised 130 ASA physical status I and II nonsmoker female patients, 20-40 years of age, scheduled for laparoscopic cholecystectomy at Ain Sham University – Assembled operating theater from August 2018 to October 2018. Patients were arbitrarily divided into two study groups of 65 patients each. Group LR received lactated Ringer’s solution and group D received 10% dextrose. The primary objective of this study was to compare the incidence of PONV in the study treatment groups. The secondary outcomes included measurement of antiemetic medication consumption as well as blood glucose changes between groups. Results: 50 from a total of 65 participants (76.9%) in Lactated Ringer (LR) group experienced nausea. On the other hand, 30 participants only (46.2%) in dextrose (D) group were nauseated. This dissimilarity was statistically highly significant (P= 0.0003). Conclusion: In this study, dextrose 10% administration resulted in improved postoperative emesis management as explained by the lower incidence of nausea and rescue antiemetic consumption.

scholarly journals LAPAROSCOPIC CHOLECYSTECTOMY;

2013 ◽  
Vol 20 (05) ◽  
pp. 699-706
Author(s):  
HEMMATPOOR BEHZAD ◽  
MAHVAR TAYEBEH ◽  
MAKHSOSI BEHNAM REZA ◽  
Saeb Morteza
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Shoulder Pain ◽  
Rating Scale ◽  
Controlled Study ◽  
P Value ◽  
Medical Sciences ◽  
Preoperative Administration ◽  
Elective Laparoscopic Cholecystectomy ◽  
Double Blinded ◽  
To Receive

Background: shoulder pain after laparoscopic procedure is a frequent complication encountered in surgery ward. Severaltreatments have been proposed to reduce it. This study aimed to evaluate the efficacy of preoperative administration of gabapentin inpreventing and attenuating Post Laparoscpoic Shoulder Pain (PLSP) after laparoscopic cholecystectomy. Design: In a randomised,double blinded placebo controlled study. Setting: Woman's Hospital, Kermanshah University of Medical Sciences. Period: April 2011 toMarch 2012. Material and methods: 90 patients of ASA physical status I-II undergoing elective laparoscopic cholecystectomy wererandomly allocated to receive gabapentin 600 mg or placebo ,half an hour before surgery. The presence analgesia and side effects wererecorded for 12h postoperatively in same times. Results: Incidence Verbal Rating Scale (VRS) ≥ 4 at different times after arrival to PACUwere significantly lower in gabapentin group in arrival (P Value= 0.003) and then after 30 miniute (P Value= 0.02) and 2 (P Value=0.003), 4 (P Value= 0.03) and 6 (P Value= 0.04) hours after arrival to Post Anesthesia Care Unit (PACU). But this sigificancy lost at 12hours (P Value= 0.07) after arrival to PACU. Also there was a reduction in amounts of postoperative in ward analgesic consumption. Sideeffects were not different between two groups. Conclusions: 600 mg gabapentin as premedication is effective and safe for reducing postlaparoscopicshoulder pain intensity after general laparoscopy compared with placebo.

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