scholarly journals Checking the integrity of eyes in prone position: A novel application of video laryngoscopes

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110158
Author(s):  
Daniel Gerber ◽  
Balthasar Eberle ◽  
Gabor Erdoes
Keyword(s):  
Patient Outcome ◽  
Vascular Surgery ◽  
Prone Position ◽  
Visual Loss ◽  
Video Laryngoscope ◽  
Severe Complication ◽  
Simple Solution ◽  
Additional Material ◽  
Perioperative Visual Loss ◽  
Improve Patient

Perioperative visual loss is a rare but severe complication after surgery in prone position. One of several mechanisms is direct ophthalmic compression. This can be avoided through optimal positioning and padding of the head, but position and integrity of the eyes need to be checked at regular intervals. We describe the use of a conventional video laryngoscope during vascular surgery in prone position as a simple solution for intermittent monitoring of external integrity of the eyes and size of the pupils. This requires no additional material and allows documentation of the findings. Our method might reduce complications and improve patient outcome.

Perioperative visual loss after nonocular surgery

2013 ◽  
Vol 27 (6) ◽  
pp. 919-926 ◽  
Author(s):  
Ashfaq Kitaba ◽  
David P. Martin ◽  
Senthil Gopalakrishnan ◽  
Joseph D. Tobias
Keyword(s):  
Visual Loss ◽  
Perioperative Visual Loss

scholarly journals c-MYC and Epithelial Ovarian Cancer

2021 ◽  
Vol 11 ◽  
Author(s):  
Jeyshka M. Reyes-González ◽  
Pablo E. Vivas-Mejía
Keyword(s):  
Patient Outcome ◽  
Ovarian Cancer ◽  
Standard Of Care ◽  
Initial Response ◽  
Platinum Resistance ◽  
Therapy Regimen ◽  
Clinical Challenge ◽  
Tumor Types ◽  
Improve Patient

Ovarian cancer is the deadliest of gynecological malignancies with approximately 49% of women surviving 5 years after initial diagnosis. The standard of care for ovarian cancer consists of cytoreductive surgery followed by platinum-based combination chemotherapy. Unfortunately, despite initial response, platinum resistance remains a major clinical challenge. Therefore, the identification of effective biomarkers and therapeutic targets is crucial to guide therapy regimen, maximize clinical benefit, and improve patient outcome. Given the pivotal role of c-MYC deregulation in most tumor types, including ovarian cancer, assessment of c-MYC biological and clinical relevance is essential. Here, we briefly describe the frequency of c-MYC deregulation in ovarian cancer and the consequences of its targeting.

Categorize Readmitted Patients in Intensive Medicine by Means of Clustering Data Mining

2017 ◽  
Vol 8 (3) ◽  
pp. 22-37 ◽  
Author(s):  
Rui Veloso ◽  
Filipe Portela ◽  
Manuel Filipe Santos ◽  
José Machado ◽  
António da Silva Abelha ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Clinical Tests ◽  
Essential Point ◽  
Clustering Techniques ◽  
The Common ◽  
Clustering Data ◽  
The Stability ◽  
Improve Patient ◽  
Intensive Medicine

With a constant increasing in the health expenses and the aggravation of the global economic situation, managing costs and resources in healthcare is nowadays an essential point in the management of hospitals. The goal of this work is to apply clustering techniques to data collected in real-time about readmitted patients in Intensive Care Units in order to know some possible features that affect readmissions in this area. By knowing the common characteristics of readmitted patients it will be possible helping to improve patient outcome, reduce costs and prevent future readmissions. In this study, it was followed the Stability and Workload Index for Transfer (SWIFT) combined with the results of clinical tests for substances like lactic acid, leucocytes, bilirubin, platelets and creatinine. Attributes like sex, age and identification if the patient came from the chirurgical block were also considered in the characterization of potential readmissions. In general, all the models presented very good results being the Davies-Bouldin index lower than 0.82, where the best index was 0.425.

scholarly journals Perioperative Visual Deficit in a Patient Undergoing Dorsolumbar Spine Surgery

2018 ◽  
Vol 05 (03) ◽  
pp. 195-197 ◽  
Author(s):  
Ved Prakash Pandey ◽  
Arnab Dasgupta ◽  
Anurag Aggarwal ◽  
Sachin Jain
Keyword(s):  
Blood Loss ◽  
General Anesthesia ◽  
Prone Position ◽  
Spine Surgery ◽  
Visual Loss ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Ischemic Optic Neuropathy ◽  
Long Duration ◽  
Retinal Artery

AbstractPerioperative visual loss (POVL) is a rare but potentially serious complication of long-duration surgeries in prone position under general anesthesia. The mechanism of visual loss after surgery, and its incidence, is difficult to determine. It is primarily associated with cardiothoracic and spine surgeries. The proposed causes include corneal injury, retinal ischemia (central retinal artery occlusion/branch retinal artery occlusion [CRAO/BRAO]), ischemic optic neuropathy (ION), and cortical blindness. A large, recent multicenter case-control study has identified risk factors associated with ION for patients undergoing spinal instrumentation surgery in prone position. These include male sex, obesity, use of Wilson's frame, long duration of anesthesia/surgery, larger estimated blood loss, and larger relative use of crystalloids for compensation of blood loss. This report describes a relatively healthy, 71-year-old female patient who developed significant visual impairment after thoracolumbar spine surgery in prone position under general anesthesia. The case raises dilemmas regarding the preoperative identification of patients who should be informed of the risk of POVL, and by whom.

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