scholarly journals Frailty measures, inflammatory biomarkers and post-operative complications in older surgical patients

2010 ◽  
Vol 39 (6) ◽  
pp. 758-761 ◽  
Author(s):  
Benedicte Rønning ◽  
Torgeir Bruun Wyller ◽  
Ingebjørg Seljeflot ◽  
Marit Slaaen Jordhøy ◽  
Eva Skovlund ◽  
...  
Keyword(s):  
Inflammatory Biomarkers ◽  
Surgical Patients ◽  
Operative Complications ◽  
Post Operative Complications

Post-operative complications

2016 ◽  
Author(s):  
Claire Perkins
Keyword(s):  
At Risk ◽  
Surgical Patients ◽  
Good Knowledge ◽  
Appropriate Care ◽  
Post Operative Period ◽  
Care Treatment ◽  
Operative Complications ◽  
Treatment Plans ◽  
Operative Assessment ◽  
Post Operative Complications

Surgical patients are at risk of post-operative complications. A thorough pre-operative assessment and the implementation of appropriate care/treatment plans will reduce the likelihood of complications occurring. The surgical nurse should have a good knowledge and understanding of recognizing, preventing, and treating post-operative complications. The ABCDE approach should be used in the immediate post-operative period and if the patient becomes acutely unwell. This chapter uses body systems and the ABCDE approach to review post-operative complications.

scholarly journals Alcohol Misuse Prevalence and Associations with Post-Operative Complications in US Surgical Patients: A Review

2009 ◽  
Vol 2 (1) ◽  
pp. 50-58 ◽  
Author(s):  
Alex H. S. Harris ◽  
Madeleine S. Frey ◽  
Anna F. DeBenedetti ◽  
Katharine A. Bradley
Keyword(s):  
Alcohol Misuse ◽  
Surgical Patients ◽  
Operative Complications ◽  
Post Operative Complications

Comparison of preoperative screening tools predicting postoperative complications in oncogeriatric surgical patients.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 9557-9557
Author(s):  
Monique Huisman ◽  
Barbara Van Leeuwen ◽  
Giampaolo Ugolini ◽  
Isacco Montroni ◽  
Cesare Stabilini ◽  
...  
Keyword(s):  
Solid Tumors ◽  
Preventive Measures ◽  
Elective Surgery ◽  
Screening Tools ◽  
Surgical Patients ◽  
Major Surgery ◽  
Time Saving ◽  
Increased Risk ◽  
Operative Complications ◽  
Post Operative Complications

9557 Background: In the onco-geriatric surgical population it is important to identify patients at increased risk of adverse post-operative outcome in order to effectively implement preventive measures and to improve outcome in this population. There is need for a time saving and efficient screening tool. Our aim was to determine the predictive ability of the Mini Mental State Examination (MMSE), Brief Fatigue Inventory (BFI) and Timed “Up & Go” (TUG) concerning the occurrence of a major post-operative complication in a series of elderly patients undergoing elective surgery for solid tumors. Methods: In an international cohort, 329 patients ≥70years undergoing elective surgery for solid tumors were prospectively included. Primary endpoint was the incidence of a major complication during the first 30 days after surgery. Pre-operatively the MMSE, BFI and TUG were scored. TUG depicts the time needed to stand up from a chair, walk 3 meters, turn around, walk back and sit down. Data were analyzed using multivariable logistic regression analyses to estimate odds ratios (OR) and 95% confidence intervals (95%-CI). Results: The majority of patients underwent major surgery (n=219; 66.6%). A total of 71 (22.1%) patients experienced major complications. TUG, MMSE and BFI, adjusted for center, gender and minor or major surgery, were independent predictors of the occurrence of major post-operative complications (see Table). Conclusions: Screening tools are able to predict major post-operative complications in onco-geriatric surgical patients. TUG is most specific in identifying patients at risk and could be considered to allocate preventive measures effectively. [Table: see text]

Access to surgery: a geriatrician's perspective

2012 ◽  
Vol 94 (9) ◽  
pp. 302-303
Author(s):  
Jugdeep Dhesi
Keyword(s):  
Older People ◽  
Surgical Patients ◽  
Older Population ◽  
Younger Patients ◽  
Lengths Of Stay ◽  
Operative Complications ◽  
Access To Surgery ◽  
Post Operative Complications

Older people are less likely to have surgery than younger people. This is true even for conditions more prevalent in the older population. given that older surgical patients have higher rates of post-operative complications, longer lengths of stay and higher mortality than younger patients, these findings are not particularly surprising.

Pelvic Canal Narrowing Caused by Triple Pelvic Osteotomy in the Dog

1994 ◽  
Vol 07 (03) ◽  
pp. 110-113 ◽  
Author(s):  
D. L. Holmberg ◽  
M. B. Hurtig ◽  
H. R. Sukhiani
Keyword(s):  
Postoperative Complications ◽  
Pelvic Osteotomy ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Cross Sectional ◽  
Canal Width ◽  
Operative Complications ◽  
Post Operative Complications

SummaryDuring a triple pelvic osteotomy, rotation of the free acetabular segment causes the pubic remnant on the acetabulum to rotate into the pelvic canal. The resulting narrowing may cause complications by impingement on the organs within the pelvic canal. Triple pelvic osteotomies were performed on ten cadaver pelves with pubic remnants equal to 0, 25, and 50% of the hemi-pubic length and angles of acetabular rotation of 20, 30, and 40 degrees. All combinations of pubic remnant lengths and angles of acetabular rotation caused a significant reduction in pelvic canal-width and cross-sectional area, when compared to the inact pelvis. Zero, 25, and 50% pubic remnants result in 15, 35, and 50% reductions in pelvic canal width respectively. Overrotation of the acetabulum should be avoided and the pubic remnant on the acetabular segment should be minimized to reduce postoperative complications due to pelvic canal narrowing.When performing triple pelvic osteotomies, the length of the pubic remnant on the acetabular segment and the angle of acetabular rotation both significantly narrow the pelvic canal. To reduce post-operative complications, due to narrowing of the pelvic canal, overrotation of the acetabulum should be avoided and the length of the pubic remnant should be minimized.

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