scholarly journals Anesthesiologists’ approach to the treatment of catheter related bladder discomfort: A survey study

2021 ◽  
Author(s):  
Ülkü Ceren Köksoy ◽  
Züleyha Kazak Bengisun ◽  
Hakan Yılmaz ◽  
Baturay Kansu Kazbek ◽  
Filiz Tüzüner
Keyword(s):  
Symptomatic Treatment ◽  
Ethics Committee ◽  
Early Postoperative Period ◽  
Male Gender ◽  
Survey Study ◽  
Urinary Catheterization ◽  
Teaching Position ◽  
Inflammatory Drugs ◽  
Male Patients ◽  
Turkish Society

INTRODUCTION: Urinary catheterization causes catheter related bladder discomfort (CRBD) in the early postoperative period following all surgeries. CRBD mostly develops after urological interventions and has two independent predictors: Male gender and urinary catheters ≥ 18F. We aimed to investigate the awareness of anesthesiology and reanimation specialists to CRBD and its treatment. METHODS: After ethics committee approval, a questionnaire with informed consent of 20 multiple-choice and open-ended questions was transferred to docs.google.com. and Turkish Society of Anesthesiology and Reanimation Specialists were contacted for contribution. RESULTS: 144 anesthesiologists, 26-66 years old (39.5±8.02 years), 54.5% males, 45.5% females, 66.4% with a teaching position and 55.5% with >10 years of experience participated. 54.4% reported encountering >1 CRBD per week and mostly following urology (70.9%), obstetrics and gynecology (52.5%) and general surgery (51.1%) cases. The frequency and severity (66% and 69.5%) of CRBD was reported higher in male patients. 94.4% agreed that CRBD should be treated. 37.8% believed the surgeon should manage CRBD, 60.1% believed it should be planned together. All male participants stated treatment was necessary (p=0.008). Participants chose preemptive (19.9%, n=28), symptomatic (80.1%, n=113) or both (4.3%, n=6) treatments. The choices for preemptive and symptomatic treatment were similar; non-steroidal anti-inflammatory drugs (70.8%, 59%), paracetamol (43.4%, 50.7%) and tramadol (18.9%, 21.6%). Participants’ knowledge on factors effecting CRBD was lacking. DISCUSSION AND CONCLUSION: Anesthesiologists do not utilize preemptive and effective treatment for CRBD; one thirds of them do not consider it their responsibility. Anesthesiologists should be aware of CRBD and participate in the treatment using multimodal approaches.

scholarly journals Effect of corvitin on oxygen homeostasis and blood gas transmitters in ischemia-reperfusion of the lower limbs

2021 ◽  
Vol 20 (2) ◽  
pp. 37-44
Author(s):  
V. N. Zasimovich ◽  
V. V. Zinchuk ◽  
N. N. Ioskevich
Keyword(s):  
Lower Limb ◽  
Ischemia Reperfusion ◽  
Venous Blood ◽  
Nitrogen Monoxide ◽  
Early Postoperative Period ◽  
Lower Limbs ◽  
Healthy Individuals ◽  
Oxygen Homeostasis ◽  
Group I ◽  
Male Patients

Introduction. Reperfusion-reoxygenation syndrome (RRS) after revascularization of the lower limbs in obliterating atherosclerosis of the arteries is accompanied by a violation of the oxygen transport function of the blood (OTFB) and the content of gas transmitters (GTs). Reperfusion injury affects not only the tissues of the lower limbs, but also of anatomically distant organs, which supposes that effective RRS correction is required. Aim. To study the effect of Corvitin on the OTFB parameters and the content of GT of nitrogen monoxide (NO) and hydrogen sulfide (H2S) in the venous blood of the forearm after revascularization of the lower limb in chronic atherosclerotic occlusion of the superficial femoral artery (SFA). Materials and methods. The study included 118 male patients. Revascularization of the lower limb was carried out by the method of loop endaterectomy from the SFA. Patients of group I (n=52) received traditional medication, 51 patients of group II additionally received Corvitin. In the blood from the vein of the elbow bend before the operation, on the 3rd and 8th days after it, the indices of OTFB and GTs were determined. Results. In group I, on the 3rd day after surgery, pO2 increased in relation to healthy individuals by 5.2–18.5%, while pCO2 decreased by 4.8–6.7%, depending on the stage of initial ischemia. The concentrations of NO and H2S increased by 9.2–50.1% and 9.2–21.1%, respectively. The increase in the parameters of hyperoxemia, hypocapnemia and GT after the return of blood circulation decreases with the use of Corvitin (p˂0.05). By the end of the early postoperative period, the indicators of OTFB and GT not only return to their initial values, but also do not significantly differ from the group of healthy individuals (p˃0.05). Conclusion. The use of Corvitin effectively corrects violations of OTFB and GT during ischemia-reperfusion of the lower limbs, which prevents tissue reperfusion damage.

scholarly journals Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding Score

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
John R. Richards ◽  
Gal Ozery ◽  
Mark Notash ◽  
Peter E. Sokolove ◽  
Robert W. Derlet ◽  
...  
Keyword(s):  
Emergency Department ◽  
Real Time ◽  
Survey Study ◽  
Emergency Department Overcrowding ◽  
Urban University ◽  
Male Patients ◽  
University Level ◽  
Level I ◽  
National Emergency ◽  
Ed Crowding

Objective. The boarding of patients in Emergency Department (ED) hallways when no inpatient beds are available is a major cause of ED crowding. One solution is to board admitted patients in an inpatient rather than ED hallway. We surveyed patients to determine their preference and correlated their responses to real-time National Emergency Department Overcrowding Score (NEDOCS).Methods. This was a survey of admitted patients in the ED of an urban university level I trauma center serving a community of 5 million about their personal preferences regarding boarding. Real-time NEDOCS was calculated at the time each survey was conducted.Results. 99 total surveys were completed during October 2010, 42 (42%) patients preferred to be boarded in an inpatient hallway, 33 (33%) preferred the ED hallway, and 24 (24%) had no preference. Mean (±SD) NEDOCS (range 0–200) was for patients preferring inpatient boarding, for ED boarding, and without preference. Male patients preferred inpatient hallway boarding significantly more than females. Preference for inpatient boarding was associated with a significantly higher NEDOCS.Conclusions. In this survey study, patients prefer inpatient hallway boarding when the hospital is at or above capacity. Males prefer inpatient hallway boarding more than females. The preference for inpatient hallway boarding increases as the ED becomes more crowded.

Tonsillar Bleed

2018 ◽  
Author(s):  
Titilopemi A. O. Aina ◽  
Sharon Redd
Keyword(s):  
Risk Factors ◽  
Rapid Sequence Induction ◽  
Male Gender ◽  
Recurrent Tonsillitis ◽  
Surgical Scar ◽  
Rapid Sequence ◽  
Secondary Bleeding ◽  
Sequence Induction ◽  
Inflammatory Drugs ◽  
Risk Of Aspiration

Post-tonsillectomy hemorrhage (PTH) is a very serious complication that can occur after a tonsillectomy. There are two broad categories of PTH, based on onset of bleeding: primary (less than 24 hours) or secondary (greater than 24 hours). Primary bleeding is often attributed to the surgical technique, and secondary bleeding is attributed to sloughing of healing surgical scar. Risk factors for PTH include male gender, age greater than 70 years (in adults), age greater than 5 years (in pediatrics), recurrent tonsillitis, use of nonsteroidal anti-inflammatory drugs (particularly ketorolac), among others. Rapid-sequence induction and intubation is advised to reduce the risk of aspiration for patients presenting with PTH.

scholarly journals Analgesia in pet rabbits: a survey study on how pain is assessed and ameliorated by veterinary surgeons

2020 ◽  
Vol 186 (18) ◽  
pp. 603-603 ◽  
Author(s):  
Livia Benato ◽  
Joanna C Murrell ◽  
Emily Jayne Blackwell ◽  
Richard Saunders ◽  
Nicola Rooney
Keyword(s):  
Social Media ◽  
Online Survey ◽  
Companion Animals ◽  
Multimodal Analgesia ◽  
Survey Study ◽  
Analgesic Drugs ◽  
Perioperative Analgesia ◽  
Veterinary Surgeons ◽  
Pain Scales ◽  
Inflammatory Drugs

BackgroundIn the last 20 years, two studies on the veterinary use of perioperative analgesia in small mammals reported a limited use of analgesics in rabbits but suggested an increasing use over the years. The aim of this study was to better understand how pain is treated and ameliorated in rabbits while under veterinary care.MethodsAn online survey of 60 questions was developed and advertised at national and international veterinary conferences, in veterinary publications and on social media.ResultsIn total 94.3 per cent of the respondents routinely administered nonsteroidal anti-inflammatory drugs (NSAIDs) to rabbits undergoing surgical procedures such as neutering, 71.4 per cent administered an opioid and 70.3 per cent routinely administered multimodal analgesia, although dosages do not always match current consensus opinion. Buprenorphine and meloxicam were the most common analgesic drugs prescribed by the respondents. The dosage of meloxicam administered both parenterally and orally varied widely.ConclusionRabbit analgesia has improved over recent years similarly to the trend seen in other companion animals. However, overall it seems that pain assessment is still limited in rabbits. The lack of multimodal composite pain scales specific for rabbits makes this task even more challenging.

Occupational silica exposure in an Australian systemic sclerosis cohort

Rheumatology ◽  
2020 ◽  
Vol 59 (12) ◽  
pp. 3900-3905 ◽  
Author(s):  
Shreeya Patel ◽  
Kathleen Morrisroe ◽  
Susanna Proudman ◽  
Dylan Hansen ◽  
Joanne Sahhar ◽  
...  
Keyword(s):  
Physical Disability ◽  
Poor Prognosis ◽  
Multivariable Analysis ◽  
Clinical Manifestations ◽  
Subsequent Development ◽  
Male Gender ◽  
Disease Course ◽  
Silica Exposure ◽  
Disease Characteristics ◽  
Male Patients

Abstract Objective To determine the frequency of self-reported occupational exposure to silica in SSc patients enrolled in the Australian Scleroderma Cohort Study, and to compare the disease characteristics of the silica-exposed patients with those of the non-exposed patients. Method Data collected over a 12-year period from 1670 SSc patients were analysed. We compared the demographic and clinical characteristics of those who reported occupational silica exposure with those who did not. A subgroup analysis of male patients was performed, as well as a multivariable analysis of correlates of silica exposure. Results Overall, 126 (7.5%) of the cohort reported occupational silica exposure. These individuals were more likely to be male (73 of 231, i.e. 31.6% males exposed) and to have worked in mining and construction industries. Those who reported silica exposure were younger at the onset of SSc skin involvement [odds ratio (OR) 0.9, P = 0.02], of male gender (OR 14.9, P < 0.001), have joint contractures (OR 1.8, P = 0.05) and have higher physical disability as defined by scleroderma HAQ (OR 1.4, P = 0.01). Conclusion The highest percentage of silica exposure was found in males. These patients were more likely to have the presence of certain clinical manifestations and Scl-70 antibody, which is known to confer a poor prognosis. These findings support the association between occupational silica exposure and the subsequent development of SSc. Further investigation is required to describe the range of clinical manifestations and disease course, including prognosis and treatment response, in those diagnosed with occupationally induced SSc compared with idiopathic SSc.

Preoperative teaching in the perspective of cardiac patients

2011 ◽  
Vol 5 (9) ◽  
pp. 2161
Author(s):  
Helena Sonobe Megumi ◽  
Alessandra Mazzo ◽  
Fernanda Berchelli Girão ◽  
Veralu Escarso Pedreschi ◽  
Patrícia Donizeti da Silva ◽  
...  
Keyword(s):  
Nursing Care ◽  
Ethics Committee ◽  
Personal Identification ◽  
Survey Study ◽  
Interdisciplinary Care ◽  
Social Expectations ◽  
Preoperative Period ◽  
Large Hospital ◽  
Post Operative Period ◽  
Individual Family

ABSTRACTObjetive: to identify cardiac clients’ experience with preoperative teaching, in a large sized hospital in the interior of the state of São Paulo. Method: survey study conducted in a large hospital, with the approval of Research Ethics Committee (CEP 140/08 / ICS / UNIP). Data were collected through interviews, with the aid of an instrument consisting of personal identification, objective and discourse questions about pre-operatively teaching on customer's perspective. Were interviewed all patients (6-100%) undergoing cardiac surgery between August and September, 2009. Results: data revealed clients’ expectations regarding preoperative teaching by nurses, with valorization of information about the surgical environment and procedure, use of equipments and devices in the post-operative period and inclusion of family members. Feelings of tranquility and calm were reported by 83.3% with information received in the preoperative period; however, 16.7% mentioned preoccupation, anxiety and agitation before the surgery. Conclusión: individual, family and social expectations of the clientele should be considered in the planning of preoperative nursing care of cardiac clients, aiming at comprehensive, humanized and interdisciplinary care. Descriptors: thoracic surgery; patients; expectations; preoperative orientation.RESUMO Objetivo: identificar a experiência dos clientes cardíacos com o ensino pré-operatório, em hospital de grande porte do interior paulista. Método: estudo de levantamento desenvolvido em um hospital de grande porte, mediante aprovação do Comitê de Ética em Pesquisa (140/08 CEP/ICS/UNIP). Os dados foram coletados por meio de de entrevista, com instrumento composto de dados DE identificação, perguntas objetivas e discursivas acerca do ensino pré-operatório, na perspectiva do cliente. Foram entrevistados todos (6-100%) pacientes submetidos à cirurgia cardíaca entre o período de agosto e setembro de 2009. Resultados: os dados revelaram expectativas dos clientes em relação à realização do ensino pré-operatório pelo enfermeiro, com valorização de informações sobre o ambiente e procedimento cirúrgicos, uso de equipamentos e dispositivos no pós-operatório e inclusão de familiares. Sentimentos de tranqüilidade e calma foram relatados por 83,3% com as informações recebidas no pré-operatório; porém, 16,7% alegaram preocupação, ansiedade e agitação anterior à cirurgia. Conclusões: as expectativas individuais, familiares e sociais da clientela devem ser consideradas no planejamento da assistência de enfermagem pré-operatória do cliente cardíaco, com vistas à integralidade, humanização e interdisciplinaridade do cuidado. Descritores: cirurgia cardíaca; paciente; expectativas; orientação pré-operatória.RESUMENObjetivo: identificar la experiencia de los pacientes cardiacos sobre la enseñanza preoperatoria, en el hospital de gran porte del interior paulista. Metodo: estudio de encuesta desarollado en un hospital de gran porte, con aprovación del Comité de Ética en Investigación (140/08CEP/ICS/UNIP). Los datos fueron colectados a traves de entrevista, utilizóse instrumento compuesto de datos de identificación, preguntas objetivas y discursivas sobre enseñanza preoperatoria, en la perspectiva del cliente. Fueron entrevistados todos (6-100%) los pacientes sometidos a cirugía cardiaca entre agosto y septiembre de 2009. Resultados: los datos revelaron expectativas de los pacientes sobre la enseñanza del enfermero, con valorización de informaciones del ambiente y procedimientos quirúrgícos, uso de equipamientos y dispositivos en el posoperatorio y inclusión de la família. Sentimientos de tranquilidad y calma fueron relatados por 83,3% con las informaciones recebidas en el preoperatorio; pero, 16,7% alegaron preocupación, ansiedad y inquietud antes de la cirugía. Conclusión: las expectativas individuales, familiares y sociales de los pacientes deben ser consideradas en el planeamiento de la asistencia de enfermería preoperatoria del cliente cardiaco para un cuidado integral, humanizado y interdisciplinario. Descriptores: cirugía cardiaca; paciente; expectativas; enseñanza preoperatoria.

Proportion of Unmarried Siblings of Homosexual and Non Homosexual Gender-Dysphoric Patients*

1992 ◽  
Vol 37 (3) ◽  
pp. 163-167 ◽  
Author(s):  
Ray Blanchard ◽  
Peter M. Sheridan
Keyword(s):  
Logistic Regression ◽  
Common Law ◽  
Male Gender ◽  
The Other ◽  
Heterosexual Relationships ◽  
Homosexual Male ◽  
Sexual Histories ◽  
Male Patients ◽  
Romantic Interest

Among the siblings of homosexuals, a lack of sexual and romantic interest in women may be independent of erotic feelings for men. This study investigated the sexual histories of siblings of gender-dysphoric outpatients. The patients were classified into three groups: non homosexual males, homosexual males and homosexual females. Their siblings consisted of 301 brothers and 284 sisters over the age of 25. Logistic regression showed that the brothers of the homosexual male patients were significantly less likely to have been married, either legally or common-law, than the brothers of the other gender-dysphoric groups, even with age and relative birth order taken into account. This finding suggests that the low propensity for long term heterosexual relationships seen in homosexual male gender-dysphoric patients also tends to appear in their brothers.

The Maudsley bipolar disorder project Clinical characteristics of bipolar disorder I in a Catchment area treatment sample

2003 ◽  
Vol 18 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Vanessa Raymont ◽  
David Bettany ◽  
Sophia Frangou
Keyword(s):  
Bipolar Disorder ◽  
Substance Abuse ◽  
Catchment Area ◽  
Clinical Characteristics ◽  
Age Of Onset ◽  
Psychiatric Service ◽  
Male Gender ◽  
Younger Age ◽  
Male Patients ◽  
Psychotic Features

AbstractThe clinical characteristics of bipolar I disorder (BD1) have prognostic and therapeutic importance. The aim of this study was to examine the effect of demographic and clinical variables on the course of BD1. We reviewed the case notes of all BD1 patients (n = 63) receiving treatment in a London psychiatric service during a 1-month period. Depressive and manic onsets were equally likely without any gender difference. The earlier the age of onset, the more likely it was for patients to experience psychotic features. Only depressive onsets predicted a higher number of episodes of the same polarity. Male gender and substance abuse were associated with younger age at first presentation, while women with co-morbid substance abuse had more manic episodes. Male patients were more likely than females to be unemployed or single.

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