scholarly journals Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised

BMJ ◽  
2000 ◽  
Vol 321 (7275) ◽  
pp. 1493-1493 ◽  
Author(s):  
A. Rodgers
Keyword(s):  
Spinal Anaesthesia ◽  
Postoperative Mortality ◽  
Mortality And Morbidity

Fibrin Glue Administration to Support Bronchial Stump Line

2008 ◽  
Vol 16 (6) ◽  
pp. 450-453 ◽  
Author(s):  
Soner Gursoy ◽  
Murat U Yapucu ◽  
Ahmet Ucvet ◽  
Serkan Yazgan ◽  
Oktay Basok ◽  
...  
Keyword(s):  
High Risk ◽  
Fibrin Glue ◽  
Pulmonary Resection ◽  
Bronchopleural Fistula ◽  
Surgical Margin ◽  
Postoperative Mortality ◽  
Lung Abscess ◽  
Bronchial Stump ◽  
Neoadjuvant Radiotherapy ◽  
Mortality And Morbidity

Bronchopleural fistula is an important cause of mortality and morbidity after pulmonary resection. The use of fibrin glue to reduce the tension and number of sutures in the bronchial stump was assessed in this prospective study of 20 patients between June 2002 and May 2003. They all had a high risk of bronchopleural fistula development because of bronchiectasis, tuberculosis, lung abscess, diabetes mellitus, preoperative neoadjuvant radiotherapy, or residual tumor at the surgical margin. After pulmonary resection, the bronchial stump was closed with separate nonabsorbable sutures supported with fibrin glue. Bronchopleural fistula was observed in only 1 (5%) patient during 6.45 ± 3.09 months of follow-up. There was no postoperative mortality. Closing the bronchial stump with an appropriate technique and supporting it with fibrin glue were considered effective in preventing bronchopleural fistula development after pulmonary resection in high-risk patients.

scholarly journals Effect of Arterial Hypertension on Postoperative Mortality and Morbidity after Off-pump CABG Surgery

2017 ◽  
Vol 10 (1) ◽  
pp. 13-16
Author(s):  
Asraful Hoque ◽  
Shahriar Moinuddin
Keyword(s):  
Coronary Artery ◽  
Arterial Hypertension ◽  
Postoperative Mortality ◽  
P Value ◽  
Hypertensive Patients ◽  
Mortality And Morbidity ◽  
Off Pump ◽  
Group A ◽  
Pump Cabg ◽  
Group B

Background: Arterial hypertension is one of the leading modifiable risk factor in coronary artery disease patients who underwent coronary artery bypass grafting (CABG) with the major impact on clinical outcome in these patients. This study was done to evaluate the effect of arterial hypertension on postoperative mortality and morbidity after off-pump CABG.Methods: 200 patients with mean age of 52 ± 6 years, (182 male/18 female) undergoing off pump CABG were divided equally into two groups, 100 patients with hypertension (Group A) and 100 patients without hypertension (Group B). Postoperative mortality and morbidities (Wound infection, AMI, TIA, Stroke) up to 6 months were recorded in the 2 groups.Results: In comparison with the normotensive patients, hypertensive patients had a higher mortality rate (Group A 10% and Group B 2%, p value-<0.05) and increased frequency of myocardial infarction (Group A 12 % and Group B 3%, p value - <0.05). There was also increased rate of infection in hypertensive patients (Group A 13 % and Group B 4%, p value - <0.05). We found that hypertensive patients developed post-operative cerebrovascular complications like TIA (Group A 8 % and Group B 1%, p value - <0.05) and stroke (Group A 11 % and Group B 2%, p value - <0.05) more frequently than normotensive patients. Post-operative ventilator support and duration of hospital stay were almost similar in both groups.Conclusions: Among CABG patients, those with a history of hypertension have an increased frequency of post-operative complications and increased mortality.Cardiovasc. j. 2017; 10(1): 13-16

Comparison of accuracy of prediction of postoperative mortality and morbidity between a new, parsimonious risk calculator (SURPAS) and the ACS Surgical Risk Calculator

2020 ◽  
Vol 219 (6) ◽  
pp. 1065-1072 ◽  
Author(s):  
Sina Khaneki ◽  
Michael R. Bronsert ◽  
William G. Henderson ◽  
Maryam Yazdanfar ◽  
Anne Lambert-Kerzner ◽  
...  
Keyword(s):  
Postoperative Mortality ◽  
Risk Calculator ◽  
Surgical Risk ◽  
Mortality And Morbidity ◽  
Accuracy Of Prediction

Effects of Perioperative Dexmedetomidine on Postoperative Mortality and Morbidity: A Systematic Review and Meta-analysis

2019 ◽  
Vol 41 (1) ◽  
pp. 138-154.e4 ◽  
Author(s):  
Ke Peng ◽  
Fu-hai Ji ◽  
Hua-yue Liu ◽  
Juan Zhang ◽  
Qing-cai Chen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Postoperative Mortality ◽  
Mortality And Morbidity

30-Day Postoperative Morbidity of Emergency Surgery for Obstructive Right- and Left-Sided Colon Cancer in Obese Patients: A Multicenter Cohort Study of the French Surgical Association

2019 ◽  
Vol 37 (2) ◽  
pp. 111-118
Author(s):  
Laurent Genser ◽  
Gilles Manceau ◽  
Diane Mege ◽  
Valérie Bridoux ◽  
Zaher Lakkis ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Emergency Surgery ◽  
Postoperative Morbidity ◽  
Postoperative Mortality ◽  
Hemodynamic Instability ◽  
Normal Weight ◽  
Obese Patients ◽  
Multicenter Cohort Study ◽  
Mortality And Morbidity ◽  
Cardiovascular Comorbidity

Background: Emergency surgery impairs postoperative outcomes in colorectal cancer patients. No study has assessed the relationship between obesity and postoperative results in this setting. Objective: To compare the results of emergency surgery for obstructive colon cancer (OCC) in an obese patient population with those in overweight and normal weight patient groups. Methods: From 2000 to 2015, patients undergoing emergency surgery for OCC in French surgical centers members of the French National Surgical Association were included. Three groups were defined: normal weight (body mass index [BMI] < 25.0 kg/m2), overweight (BMI 25.0–29.9 kg/m2), and obese (BMI ≥30.0 kg/m2). Results: Of 1,241 patients, 329 (26.5%) were overweight and 143 (11.5%) were obese. Obese patients had significantly higher American society of anesthesiologists score, more cardiovascular comorbidity and more hemodynamic instability at presentation. Overall postoperative mortality and morbidity were 8 and 51%, respectively, with no difference between the 3 groups. For obese patients with left-sided OCC, stoma-related complications were significantly increased (8 vs. 5 vs. 15%, p = 0.02). Conclusion: Compared with lower BMI patients, obese patients with OCC had a more severe presentation at admission but similar surgical management. Obesity did not increase 30-day postoperative morbidity except stoma-related complications for those with left-sided OCC.

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