Morbidity of in-hospital purulent-septic infections of adults patients after different types of endovascular cardiosurgical operations

2020 ◽  
pp. 13-19
Author(s):  
Viktor Ivanovich Sergevnin ◽  
Larisa Gennadievna Kudryavtseva ◽  
Anna Igorevna Zolotukhina
Keyword(s):  
Medical Records ◽  
Heart Surgery ◽  
Surgical Intervention ◽  
Heart Rhythm ◽  
Community Acquired Pneumonia ◽  
Short Term ◽  
Intervention Community ◽  
Duration Of Surgery ◽  
Different Types ◽  
Low Incidence

An estimate of the incidence of nosocomial purulent-septic infections (GSI) of adult patients after various types of closed heart surgery according to the results of a study of medical records of 3275 patients is presented. It was established that the incidence rate of typical GSI after endovascular cardiac surgery was 3.1, with prenosological forms — 3.9 per 1000 operations. The main clinical options for postoperative GSI were infections in the field of surgical intervention, community-acquired pneumonia, urinary tract infection and bloodstream infection. There were no statistically significant differences between the incidence of GSI after stenting of the coronary arteries, operations for heart rhythm disturbances, stenosis of the carotid artery and other operations. The low incidence of GSI after closed heart surgery is due to the short duration of surgery, as well as the absence or short-term resuscitation of patients.

Enteroplication in cats with intussusception: a retrospective study (2001–2016)

2018 ◽  
Vol 21 (6) ◽  
pp. 488-494 ◽  
Author(s):  
Georg Haider ◽  
Katharina Leschnik ◽  
Nikola Katic ◽  
Gilles Dupré
Keyword(s):  
Medical Records ◽  
Clinical Signs ◽  
Long Term Outcomes ◽  
Short Term ◽  
Recurrence Rates ◽  
Initial Surgery ◽  
Duration Of Surgery ◽  
Previously Treated ◽  
Short And Long Term

Objectives The aim of this study was to report complications, as well as short- and long-term clinical outcomes of cats suffering from surgically reduced intussusception with and without enteroplication. Methods Medical records of cats presented at our institution with intussusception between 2001 and 2016 were reviewed. The following data were retrieved: signalment; history; physical examination; diagnostic imaging, surgical and histological findings; and outcomes. Animals were grouped as with or without enteroplication. Duration of surgery, survival, complication and recurrence rates, duration of hospitalisation, and short- and long-term outcomes were compared. Results Cats with intussusception presented with unspecific type and duration of clinical signs. Male or male castrated cats and Maine Coons were over-represented in both groups. Enteroplication was performed in 48% (10/21) of the cats. Cats in the enteroplication group were significantly younger than those in the non-enteroplication group ( P = 0.023). Duration of surgery, time of hospitalisation, complication rate and outcomes did not differ between the two groups. Two complications in the short term and one complication in the long term were possibly associated with enteroplication. A recurrence of intussusception was seen in 2/17 cats approximately 12 months after initial surgery, both previously treated with enteroplication. Conclusions and relevance Although the number of cases was limited, our results suggest that enteroplication should be cautiously performed in cats with intussusception as it may be associated with major complications in the short and long term, and its efficacy remains unclear. Based on this study, the need for enteroplication in cats following a correction of intussusception could be questioned.

Differentiated approach to the provision of anesthetic aid for operations in otorhinolaryngology

2020 ◽  
Vol 19 (5) ◽  
pp. 57-62
Author(s):  
T. A. Mashkova ◽  
◽  
L. S. Bakulina ◽  
A. V. Chistotinov ◽  
A. I. Nerovnyi ◽  
...  
Keyword(s):  
Postoperative Period ◽  
Pathological Process ◽  
Short Term ◽  
Intravenous Anesthesia ◽  
Emergency Situations ◽  
Duration Of Surgery ◽  
Different Types ◽  
Somatic State ◽  
Endotracheal Anesthesia

The expansion of the range of anesthetic aids for ENT operations is largely associated with the development of endoscopic surgery and pharmacology. Taking into account the characteristics of each type of anesthesia, as well as the patient’s somatic state and the nature of the pathological process, the operating team makes a decision about choosing the type of anesthesia. The article presents the experience of anesthesiological support of operations in the Department of Otorhinolaryngology No. 1 of Voronezh Regional Clinical Hospital No. 1, there are also parallels with the works of Russian and foreign colleagues. For the purpose of efficiency research of different types of anesthesia for otorhinolaryngological operations, as well as for investigating opportunities to minimize the risk of complications, 2569 anesthetic aids were analyzed. Drug sedation was performed in 2163 cases (84,2%), endotracheal anesthesia in 266 cases (10,35%), short – term intravenous anesthesia in 110 cases (4,28%), and Stand-by anesthesia in 30 cases (1,17%). The stress response to surgical intervention was controlled according to the value of blood cortisol level, which patients have in all groups, both intraoperatively and in the postoperative period, was within the reference range (138–690 mmol/l), which indicates the adequacy of the ongoing allowance. Authors make a conclusion that the adequacy of anesthesia should be ensured by matching the type of anesthetic aid to the nature of the pathological process, the type and duration of surgery, taking into account the patient’s condition and the likelihood of developing emergency situations intraoperatively and in the postoperative period. Using modern achievements in otorhinolaryngology and anesthesiology, competent interaction between the surgeon and the anesthesiologist during the operation allows to significantly reduce the operational and anesthetic risks and increase the quality of otorhinolaryngological care.

Intermediate-Term Outcomes of a Third-Generation, 2-Component Total Ankle Prosthesis

2021 ◽  
pp. 107110072098611
Author(s):  
Calvin J. Rushing ◽  
Bryon J. Mckenna ◽  
Emily A. Zulauf ◽  
Christopher F. Hyer ◽  
Gregory C. Berlet
Keyword(s):  
Medical Records ◽  
Case Series ◽  
Third Generation ◽  
Single Institution ◽  
Short Term ◽  
Level Of Evidence ◽  
Ankle Prosthesis ◽  
Low Incidence ◽  
Component Revision

Background: Short-term outcomes for the INBONE I and INBONE II tibial stems have been favorable. The INBONE-II talus has been shown to have lower reoperation and failure rates compared to its predecessor at short term follow-up. The purpose of the present study was to assess mid-term outcomes for the third generation, two component total ankle prosthesis at 5 to 9 years follow-up, evaluating both the tibial and talar components. Methods: All patients who underwent primary total ankle arthroplasty (TAA) with INBONE-II between July 2010 and July 2014 at a single institution and who were at least 5 years postoperative were included. A total of 15 ankles with a mean follow-up of 85 months (range, 61-113 months) met the criteria. Radiographs were assessed using coronal and sagittal alignment parameters preoperatively, at 6 weeks postoperatively, and at the most recent follow-up. Medical records were reviewed and revisions, reoperations, and complications were classified according to the criteria established by Vander Griend et al and Glazebrook et al, respectively. Results: The survivorship of the prosthesis at a mean of 85 months was 93.7%. The coronal and sagittal tibiotalar alignments 6 weeks after surgery were 2.1 degrees ( P = .081) and 36% ( P = .15), respectively. Maintenance of this alignment was observed during the latest follow-up ( P = .684 and P = .837, respectively). One ankle (6.7%) required early component revision, while 4 (26.7%) required a non–implant-related revision. Six complications (2 high grade, 1 intermediate, and 3 low) in 5 ankles (33.3%) were recorded according to the Glazebrook classification system. Conclusion: The present study is the first to report midterm follow-up after TAA with this third-generation, 2-component prothesis. High survivorship, maintenance of correction, and a low incidence of major complications were observed in this small case series. The most common complication overall was lateral gutter impingement, which accounted for the majority of the nonrevisional reoperations. Level of Evidence: Level IV, case series.

Nursing Diagnosis for Potential Organ Donors: Accuracy Study

2021 ◽  
pp. 105477382110194
Author(s):  
Luciana Nabinger Menna Barreto ◽  
Éder Marques Cabral ◽  
Marina Raffin Buffon ◽  
Juliana Elenice Pereira Mauro ◽  
Lisiane Pruinelli ◽  
...  
Keyword(s):  
Heart Rate ◽  
Diagnostic Accuracy ◽  
Medical Records ◽  
Heart Rhythm ◽  
Organ Donors ◽  
Predictive Capacity ◽  
Nursing Diagnosis ◽  
Accuracy Study ◽  
Altered Blood ◽  
Accuracy Data

The objective was to analyze the diagnostic accuracy of Impaired physiological balance syndrome in potential brain-dead organ donors. It is a study of diagnostic accuracy. Data was retrospectively collected from 145 medical records through the filling out of an instrument containing 25 indicators of the nursing diagnosis (ND). Descriptive and inferential statistics were used. The prevalence of the ND was 77 (53.1%). The indicator with the best measures of accuracy was altered heart rate. Therefore, it has the best predictive capacity for determining the ND. It was identified that the absence of the indicators altered heart rate, hyperglycemia, and altered blood pressure is associated with the absence of the ND, while the presence of the indicators hyperthermia, hypothermia, and altered heart rhythm is associated with the presence of the ND. Accurate indicators will assist in diagnostic inference and the interventions and results will have greater chances of targeting and effectiveness.

Comprehensive Effects of Short-Term Rental Platforms Across Hotel Types in U.S. and International Destinations

2021 ◽  
pp. 193896552110335
Author(s):  
John W. O’Neill ◽  
Jihwan Yeon
Keyword(s):  
Service Providers ◽  
Comprehensive Analysis ◽  
Competitive Market ◽  
Substitution Effects ◽  
Short Term ◽  
Hotel Performance ◽  
The World ◽  
Different Types ◽  
Location Type ◽  
The Impact

In recent years, short-term rental platforms in the lodging sector, including Airbnb, VRBO, and HomeAway, have received extensive attention and emerged as potentially alternative suppliers of services traditionally provided by established commercial accommodation providers, that is, hotels. Short-term rentals have dramatically increased the available supply of rooms for visitors to multiple international destinations, potentially siphoning demand away from hotels to short-term rental businesses. In a competitive market, an increase in supply with constant demand would negatively influence incumbent service providers. In this article, we examine the substitution effects of short-term rental supply on hotel performance in different cities around the world. Specifically, we comprehensively investigate the substitution effects of short-term rental supply on hotel performance based on hotel class, location type, and region. Furthermore, we segment the short-term rental supply based on its types of accommodations, that is, shared rooms, private rooms, and entire homes, and both examine and quantify the differential effects of these types of short-term rentals on different types of hotels. This study offers a comprehensive analysis regarding the impact of multiple short-term rental platforms on hotel performance and offers both conceptual and practical insights regarding the nature and extent of the effects that were identified.

Exploiting the instability of eccentric tube robots for distal force control in minimally invasive cardiac ablation

2021 ◽  
pp. 095440622110075
Author(s):  
Hessa Alfalahi ◽  
Federico Renda ◽  
Conor Messer ◽  
Cesare Stefanini
Keyword(s):  
Minimally Invasive ◽  
Force Control ◽  
Motion Tracking ◽  
Heart Surgery ◽  
Compliant Mechanism ◽  
Heart Rhythm ◽  
Disease Recurrence ◽  
Optimal Level ◽  
Design Parameters ◽  
Cardiac Ablation

While the dilemma of motion tracking and force control in beating-heart surgery is previously addressed using active control architectures and rigid robotic actuators, this work leverages the highly controllable mechanical properties of concentric tube robots for intelligent, design-based force control in minimally invasive cardiac ablation. Briefly, cardiac ablation is the conventional procedure for treating arrhythmia patients, by which exposing the diseased cardiac tissue to Radio-Frequency (RF) energy restores the normal heart rhythm. Yet, the procedure suffers low success rate due to the inability of existing flexible catheters to maintain a consistent, optimal contact force between the tip electrode and the tissue, imposing the need for future repeat surgeries upon disease recurrence. The novelty of our work lies in the development of a statically-balanced compliant mechanism composed of (1) distal bi-stable concentric tubes and (2) a compliant, torsional spring mechanism that provides torque at tubes proximal extremity, resulting in an energy-free catheter with a zero-stiffness tip. This catheter is expected to maintain surgical efficacy and safety despite the chaotic displacement of the heart, by naturally keeping the tip force at an optimal level, not less and not more than the surgical requirement. The presented experimental results of the physical prototype, reflect the feasibility of the proposed design, as well as the robustness of the formulated catheter mathematical models which were uniquely deployed in the selection of the optimal design parameters.

scholarly journals ALTERNATIVE TO THE INVERTED “Y” INCISION IN SCOLIOSIS SECONDARY TO MYELOMENINGOCELE

2019 ◽  
Vol 18 (1) ◽  
pp. 14-16
Author(s):  
Diego Veiga Bezerra ◽  
Luis Eduardo Munhoz da Rocha ◽  
Dulce Helena Grimm ◽  
Carlos Abreu de Aguiar ◽  
Luiz Müller Ávila ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Spina Bifida ◽  
Postoperative Period ◽  
Medical Records ◽  
Surgical Intervention ◽  
Case Series ◽  
Material Failure ◽  
Spinal Deformities ◽  
Level Of Evidence ◽  
Skin Conditions

ABSTRACT Objective: To evaluate the healing of the modified inverted “Y” incision in patients with scoliosis due to myelomeningocele. Methods: Retrospective study through medical records review of patients with myelomeningocele surgically treated with a modified inverted “Y” approach between January 2013 and December 2015. Results: We analyzed the medical records of six patients. Two patients progressed with skin complications in the immediate postoperative period and only one of them required surgical intervention for debridement and suturing. In another patient, it was necessary to perform two surgical reviews due to material failure without skin complications in these interventions. Conclusions: The modified inverted “Y” technique is a great alternative to traditional incision and inverted “Y” because it has good results in patients with spina bifida associated with poor skin conditions treated surgically for correction of spinal deformities. Level of Evidence IV; Case series.

scholarly journals Duration of Short-term Effects of PNF According to Different Types of Joint Movement

2012 ◽  
Vol 27 (5) ◽  
pp. 589-592
Author(s):  
Katsuyuki KATOU ◽  
Hitoshi MARUYAMA
Keyword(s):  
Joint Movement ◽  
Short Term ◽  
Different Types ◽  
Short Term Effects
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