scholarly journals Carotid Endarterectomy Without Indwelling Shunts and Intraoperative Electrophysiologic Monitoring

1987 ◽  
Vol 14 (2) ◽  
pp. 131-135 ◽  
Author(s):  
Kesava Reddy ◽  
Michael West ◽  
Brian Anderson
Keyword(s):  
North America ◽  
Mortality Rate ◽  
Prospective Study ◽  
Carotid Endarterectomy ◽  
Surgical Procedure ◽  
Eeg Monitoring ◽  
Satisfactory Outcome ◽  
A Prospective Study ◽  
Cerebral Monitoring

Abstract:Although carotid endarterectomy is a common surgical procedure in North America, controversies exist regarding the type of anesthesia, the use of indwelling shunts and the need for intraoperative cerebral monitoring. We present a prospective study of 100 carotid endarterectomies performed over a three year period by a single surgeon without the use of indwelling shunts, patch grafts, or EEG monitoring. The combined stroke and mortality rate was 1%. Our results confirm those of other authors; that indwelling shunts and EEG monitoring are not absolutely essential for a satisfactory outcome in carotid endarterectomies.

scholarly journals Computerised EEG Monitoring for Carotid Endarterectomy

1986 ◽  
Vol 14 (1) ◽  
pp. 32-36 ◽  
Author(s):  
A. B. Baker ◽  
A. J. Roxburgh
Keyword(s):  
Prospective Study ◽  
Carotid Endarterectomy ◽  
Cerebral Ischaemia ◽  
Eeg Monitoring ◽  
Spectral Edge Frequency ◽  
Spectral Edge ◽  
Significant Events ◽  
Eeg Power ◽  
Definition Of ◽  
A Prospective Study

A prospective study was undertaken in twenty patients undergoing carotid endarterectomy using computerised EEG monitoring in the form of a density-modulated spectral array, spectral edge frequency and integrated EEG power for monitoring cerebral ischaemia. This form of monitoring proved to be easy to use and understand. Because ischaemic EEG events longer than one minute were not necessarily followed by postoperative deficits, the definition of significant events that would cause ischaemia may need to be modified.

scholarly journals Bridge-therapy with enoxaparin in the preoperative period of endarterectomy

2010 ◽  
Vol 68 (5) ◽  
pp. 775-777
Author(s):  
Jair Leopoldo Raso ◽  
Rogério Zenóbio Darwich ◽  
Francisco de Lucca Jr ◽  
Romeu Valle Santana ◽  
Marco Túlio Tanure ◽  
...  
Keyword(s):  
Molecular Weight ◽  
Mortality Rate ◽  
Prospective Study ◽  
Low Molecular Weight Heparin ◽  
The Other ◽  
Low Molecular Weight ◽  
Preoperative Period ◽  
Safe Strategy ◽  
A Prospective Study ◽  
Bridge Therapy

Cervical clot is one of the complications of endarterectomy. This risk may be higher in patients using aspirin or clopidogrel. On the other hand, stroke may occur if the medication is interrupted before surgery. We carried out a prospective study of 124 endarterectomies in 119 patients in which aspirin or clopidogrel was stopped and a bridge-therapy with enoxaparin was administered preoperatively. There was no case of stroke during the period of the bridge-therapy. One patient developed cervical clot (0.8%) in the fifth postoperative day. Mortality rate in this series was 0.8%. There was no complication directly related to the use of enoxaparin. Bridge-therapy with low molecular weight heparin is a safe strategy for patients elected for endarterectomy

A Prospective Study on the Cost-Effective Utilization of Long-Term Inpatient Video-EEG Monitoring in a Developing Country

2009 ◽  
Vol 26 (2) ◽  
pp. 123-128 ◽  
Author(s):  
Thomas Chemmanam ◽  
Ashalatha Radhakrishnan ◽  
Sankara P. Sarma ◽  
Kurupath Radhakrishnan
Keyword(s):  
Prospective Study ◽  
Developing Country ◽  
Cost Effective ◽  
Eeg Monitoring ◽  
Effective Utilization ◽  
A Prospective Study ◽  
The Cost ◽  
Video Eeg

scholarly journals A prospective study to predict the severity of acute pancreatitis by BISAP score

2017 ◽  
Vol 4 (7) ◽  
pp. 2221
Author(s):  
Yogesh Kumar Bung ◽  
Chandrasekhar Sharanappa Neeralagi ◽  
Lakkanna Suggaiah ◽  
Usharani Rathnam ◽  
Chandrakant Kesari
Keyword(s):  
Acute Pancreatitis ◽  
Mortality Rate ◽  
Prospective Study ◽  
Organ Failure ◽  
Pancreatic Necrosis ◽  
Medical Science ◽  
Fisher Exact Test ◽  
Local Complications ◽  
Increased Risk ◽  
A Prospective Study

Background: Acute pancreatitis (AP) is as an inflammation of the pancreas with varied range of complication like peri-pancreatic collection, pancreatic necrosis, renal failure, multi-organ dysfunction syndrome which increases mortality rate and morbidity. Majority of AP cases are mild but severe cases of AP are associated with increased complication and mortality. BISAP is simple bedside prognostic scoring system for predicting severity of AP. BISAP is a collection of simple routine investigation and scores are quantified at 24hours of onset of AP. This study aims to assess prognosis of AP cases at ESIC Medical college and Post Graduate Institute of Medical Science and Research, Bangalore, Karnataka, India.Methods: A prospective study of 60 Patients who were diagnosed as AP according to RAC. All patients were admitted in high dependency unit with close observation of vital parameters and investigations were done at 24 hours of onset of AP. BISAP score >3 was considered as Severe Acute Pancreatitis, its correlation with local complications, organ failure, ICU stay and Mortality was studied. Statistical analysis done using Chi-square test and Fisher Exact test for local complications and organ failure using xL Stat and SPSS v.21.0, a p-value <0.05 was considered to be significant.Results: Of the 60 patients, BISAP score was >3 and <3 in 15 and 45 patients respectively. Alcohol was the most common cause of acute pancreatitis, accounting for 53.33%. In current study 12 (20%) patients developed organ failure and among them 9 (75%) had transient organ failure and 3 (25%) had persistent organ failure. Total 8 (13%) patients had developed pancreatic necrosis and among them 6 had BISAP >3. Mortality rate in this study was 2%.Conclusions: The BISAP score is a simple and fairly accurate method for the early identification of patients at increased risk for in hospital mortality and to identify patients at risk of the development of intermediate markers of severity and organ failure within 24 hours of presentation.

scholarly journals Which factors influence treatment decision in fragility fractures of the pelvis? - results of a prospective study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ludwig Oberkircher ◽  
Julia Lenz ◽  
Benjamin Bücking ◽  
Daphne Eschbach ◽  
René Aigner ◽  
...  
Keyword(s):  
Prospective Study ◽  
Surgical Procedure ◽  
Treatment Decision ◽  
Fragility Fractures ◽  
Pain Level ◽  
Level Of Evidence ◽  
Treatment Pathways ◽  
Predominantly Female ◽  
A Prospective Study ◽  
Fracture Types

Abstract Background The aim of the present study was to describe specific characteristics of patients suffering from pelvic fragility fractures and evaluate factors that might influence treatment decisions which may optimize treatment pathways and patient mobility in the future. Methods A prospective study with patients suffering from fractures of the pelvis and aged 60 years or above was performed between 2012 and 2016. Data acquisition took place at admission, every day during hospitalization and at discharge. Results One hundred thirty-four patients (mean age of 79.93 (± 7.67) years), predominantly female (84%), were included. Eighty-six patients were treated non-operatively. Forty-eight patients underwent a surgical procedure. The main fracture types were B2 fractures (52.24%) and FFP IIb fractures (39.55%). At the time of discharge, pain level (NRS) could be significantly reduced (p <  0.001). Patients who underwent a surgical procedure had a significantly higher pain level on day three and four compared to the non-operative group (p = 0.032 and p = 0.023, respectively). Significant differences were found in the mobility level: patients treated operatively on day four or later were not able to stand or walk on day three as compared to non-operatively treated patients. Regarding B2 fractures, a significantly higher mobility level difference between time of admission and discharge was found in patients treated with a surgical procedure compared to patients treated non-operatively (p = 0.035). Conclusions Fracture type, mobility level and pain level influence the decision to proceed with surgical treatment. Especially patients suffering from B2 fractures benefitted in terms of mobility level at discharge when treated operatively. Level of evidence II

scholarly journals A Prospective Study of Coronary Care in a Rural City

1975 ◽  
Vol 3 (1) ◽  
pp. 65-67
Author(s):  
J. C. Clubb ◽  
G. M. Stathers
Keyword(s):  
Myocardial Infarction ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
Prospective Study ◽  
Age Group ◽  
Cent Mortality ◽  
Coronary Care ◽  
General Wards ◽  
A Prospective Study

The results of a two-year prospective study of myocardial infarction in a rural city is reported. In the under 70 years age group there was a 10 per cent mortality of patients whilst being nursed in the coronary care area. Later deaths after transfer to the general wards raised the overall hospital mortality rate to 15 per cent. These figures compare favourably with other series.

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