Postoperative Symptoms 24 Hours After Ambulatory Anesthesia

1997 ◽  
Vol 41 (6) ◽  
pp. 321
Author(s):  
FRANCES CHUNG ◽  
VICTOR UN ◽  
JUN SU ◽  
Kathryn E. McGoldrick
Keyword(s):  
Ambulatory Anesthesia ◽  
Postoperative Symptoms

scholarly journals Laparoscopic Fundoplication Is Effective Treatment for Patients with Gastroesophageal Reflux and Absent Esophageal Contractility

2021 ◽  
Author(s):  
Steven Tran ◽  
Ronan Gray ◽  
Feruza Kholmurodova ◽  
Sarah K. Thompson ◽  
Jennifer C. Myers ◽  
...  
Keyword(s):  
Laparoscopic Fundoplication ◽  
Symptom Control ◽  
Symptom Assessment ◽  
Partial Fundoplication ◽  
Esophageal Dysmotility ◽  
Postoperative Symptoms ◽  
Esophageal Contractility ◽  
Prospective Database

Abstract Background Anti-reflux surgery in the setting of preoperative esophageal dysmotility is contentious due to fear of persistent long-term dysphagia, particularly in individuals with an aperistaltic esophagus (absent esophageal contractility). This study determined the long-term postoperative outcomes following fundoplication in patients with absent esophageal contractility versus normal motility. Methods A prospective database was used to identify all (40) patients with absent esophageal contractility who subsequently underwent fundoplication (36 anterior partial, 4 Nissen). Cases were propensity matched based on age, gender, and fundoplication type with another 708 patients who all had normal motility. Groups were assessed using prospective symptom assessment questionnaires to assess heartburn, dysphagia for solids and liquids, regurgitation, and satisfaction with surgery, and outcomes were compared. Results Across follow-up to 10 years, no significant differences were found between the two groups for any of the assessed postoperative symptoms. Multivariate analysis found that patients with absent contractility had worse preoperative dysphagia (adjusted mean difference 1.09, p = 0.048), but postoperatively there were no significant differences in dysphagia scores at 5- and 10-year follow-up. No differences in overall patient satisfaction were identified across the follow-up period. Conclusion Laparoscopic partial fundoplication in patients with absent esophageal contractility achieves acceptable symptom control without significantly worse dysphagia compared with patients with normal contractility. Patients with absent contractility should still be considered for surgery.

Use of the Laryngeal Mask Airway as an Alternative to the Tracheal Tube During Ambulatory Anesthesia

1997 ◽  
Vol 85 (3) ◽  
pp. 573-577 ◽  
Author(s):  
Girish P. Joshi ◽  
Yoshimi Inagaki ◽  
Paul F. White ◽  
Lisa Taylor-Kennedy ◽  
Linda I. Wat ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Tracheal Tube ◽  
Laryngeal Mask ◽  
Ambulatory Anesthesia

Rate of Recovery of Taste Function after Preservation of Chorda Tympani Nerve in Middle Ear Surgery with Special Reference to Type of Disease

2003 ◽  
Vol 112 (1) ◽  
pp. 52-56 ◽  
Author(s):  
Masafumi Sakagami ◽  
Mieko Sone ◽  
Keijiro Fukazawa ◽  
Kojiro Tsuji ◽  
Yasuo Mishiro
Keyword(s):  
Recovery Of Function ◽  
Inflammatory Diseases ◽  
Chronic Otitis Media ◽  
Normal Function ◽  
Middle Ear Surgery ◽  
Chorda Tympani ◽  
Chorda Tympani Nerve ◽  
Taste Disturbance ◽  
Postoperative Symptoms ◽  
Rate Of Recovery

To study the recovery of function of the chorda tympani nerve, we examined by electrogustometry 79 patients (83 ears) with both preoperative normal function of the nerve and operative preservation of the nerve, every 2 days during hospitalization and at 6 months after surgery. For symptoms such as tongue numbness and taste disturbance, patients with noninflammmatory (NI) diseases (13/20 or 65.0%) showed a significantly higher rate of symptoms than did patients with chronic otitis media (COM; 13/35 or 37.1%) at 2 weeks after surgery (p = .032). The patients with NI diseases (5/20 or 25.0%) tended to show a higher rate of symptoms than did the COM patients (2/35 or 5.7%) or cholesteatoma patients (2/28 or 7.1%) at 6 months after surgery. The rate of recovery of the EGM threshold to normal at 2 weeks after surgery was significantly lower in NI disease patients (6/20 or 30.0%) than in COM patients (23/ 35 or 62.9%) or cholesteatoma patients (19/28 or 67.9%; p = .015 and .008, respectively). Thus, the patients with NI diseases had postoperative symptoms and elevation of EGM threshold more frequently than did the patients with inflammatory diseases.

Quality in Pediatric Ambulatory Anesthesia

2013 ◽  
Vol 51 (1) ◽  
pp. 147-163 ◽  
Author(s):  
Nancy B. Samol ◽  
Eric P. Wittkugel
Keyword(s):  
Ambulatory Anesthesia

Sealing of superior semicircular canal dehiscence is associated with improved balance outcomes postoperatively versus plugging of the canal in middle fossa craniotomy repairs: a case series

2020 ◽  
Vol 133 (2) ◽  
pp. 462-466
Author(s):  
Vivian Wung ◽  
Prasanth Romiyo ◽  
Edwin Ng ◽  
Courtney Duong ◽  
Thien Nguyen ◽  
...  
Keyword(s):  
Semicircular Canal ◽  
Chart Review ◽  
Case Series ◽  
Superior Semicircular Canal Dehiscence ◽  
Superior Semicircular Canal ◽  
Postoperative Mri ◽  
Mri Scans ◽  
Postoperative Symptoms ◽  
Fluid Signal ◽  
Canal Dehiscence

OBJECTIVEThe authors compared postoperative symptoms between patients with sealed and those with plugged semicircular canal dehiscence repairs.METHODSIn total, 136 ears from 118 patients who underwent surgical repair for semicircular canal dehiscence were identified via chart review. Data from postoperative MRI scans showing preservation or loss of semicircular canal fluid signal and postoperative reports of autophony, amplification, aural fullness, tinnitus, hyperacusis, hearing loss, vertigo, dizziness, disequilibrium, oscillopsia, and headache were amalgamated and analyzed.RESULTSPatients with preservation of fluid signal were far less likely to have dizziness postoperatively (p = 0.007, OR 0.158, 95% CI 0.041–0.611). In addition, these patients were more likely to have tinnitus postoperatively (p = 0.028, OR 3.515, 95% CI 1.145–10.787).CONCLUSIONSThe authors found that superior semicircular canal dehiscence patients who undergo sealing without plugging have improved balance outcomes but show more tinnitus postoperatively than patients who undergo plugging.

scholarly journals Ambulatory anesthesia for patients with sleep apnea

2015 ◽  
pp. 143
Author(s):  
Raviraj Raveendran ◽  
Frances Chung
Keyword(s):  
Sleep Apnea ◽  
Ambulatory Anesthesia

Drug controversies in ambulatory anesthesia

2001 ◽  
Vol 20 (4) ◽  
pp. 236-245
Author(s):  
F. Barry Florence ◽  
Peter S.A. Glass
Keyword(s):  
Ambulatory Anesthesia

scholarly journals Robotic-Assisted Digital Exoscope for Resection of Cerebral Metastases: A Case Series

2021 ◽  
Author(s):  
Alexander J Schupper ◽  
Gabrielle Price ◽  
Constantinos G Hadjipanayis
Keyword(s):  
Case Series ◽  
Progression Free Survival ◽  
Extent Of Resection ◽  
Neurological Complications ◽  
Primary Treatment ◽  
Complete Resection ◽  
Cerebral Metastases ◽  
Discharge Disposition ◽  
Tumor Tissues ◽  
Postoperative Symptoms

Abstract BACKGROUND Surgical resection is the primary treatment for cerebral metastases with safe complete resection as the goal. The robotically assisted digital surgical exoscope is a novel system with advanced visualization methods with recent applications in neurosurgery. OBJECTIVE To evaluate the outcomes for patients with cerebral metastases undergoing resection with the surgical exoscope. METHODS Data were retrospectively collected from patients with cerebral metastases where resection was achieved with using the surgical exoscope from 2016 to 2020. Demographics, clinical, imaging, and operative and outcome findings were collected. The relationship between perioperative data and discharge disposition as well as progression-free survival (PFS) and 12 mo overall survival (OS) was assessed. RESULTS A total of 31 patients (19 males) with a median patient age 63 yr (range 38-80) were included. Average pre- and postoperative volumes were 18.1 cc and 0.75 cc, respectively. Mean depth of the resected lesions was 0.6 cm (range 0-3.6 cm). Complete resection was achieved in 64.5% of patients. The mean extent of resection was 96.7%, with 71.0% achieving PFS at 6 mo. Overall PFS rate was 58.1% and the OS rate at 12 mo was 83.9%. Neurological complications included motor (35.5%) and sensory (12.9%) deficits, with 12 patients reporting no postoperative symptoms. CONCLUSION The surgical exoscope can delineate tumor tissues with high resolution, as shown by a gross total resection achieved for the majority of cases in our series. Postoperative complications and patient outcomes were similar to those reported with use of the operative microscope. Use of the exoscope can provide optimal visualization and delineation of cerebral metastases.

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