Hair Transplant for Eyebrow Restoration

Eyebrow restoration can be best done with individual single hair follicles grafts harvested by FUE. Understanding the male and female eyebrow allows us to plan an aesthetic reconstruction, requiring 70 to 120 grafts. Selection of donor hair, angle of placement, alignment and direction within the rows influences the results, as does scarring and perfusion of the skin. Details of planning, technique, anesthesia and postoperative care, as well as drawbacks of older methods, are discussed in the article.

Pain management and intraocular pressure monitoring following phacoemulsification

Phacoemulsification is the gold standard procedure for cataract removal in veterinary patients. Registered veterinary nurses involved in the care of patients undergoing this surgery should be aware of potential complications postoperatively and tailor their nursing considerations to individual patients. Pain assessment in ophthalmic patients should take a different format to that in traditional soft tissue or orthopaedic surgeries, and monitoring of intraocular pressure is an important part of postoperative care. This report aims to discuss these nursing interventions for a patient nursed in a referral hospital setting.

STEPP IN: A Multicenter Quality Improvement Collaborative Standardizing Postoperative Handoffs

OBJECTIVE To reduce care failures by 30% through implementation of standardized communication processes for postoperative handoff in NICU patients undergoing surgery over 12 months and sustained over 6 months. METHODS Nineteen Children’s Hospitals Neonatal Consortium centers collaborated in a quality improvement initiative to reduce postoperative care failures in a surgical neonatal setting by decreasing respiratory care failures and all other communication failures. Evidence-based clinical practice recommendations and a collaborative framework supported local teams’ implementation of standardized postoperative handoff communication. Process measures included compliance with center-defined handoff staff presence, use of center-defined handoff tool, and the proportion of handoffs with interruptions. Participant handoff satisfaction was the balancing measure. Baseline data were collected for 8 months, followed by a 12-month action phase and 7-month sustain phase. RESULTS On average, 181 postoperative handoffs per month were monitored across sites, and 320 respondents per month assessed the handoff process. Communication failures specific to respiratory care decreased by 73.2% (8.2% to 4.6% and with a second special cause signal to 2.2%). All other communication care failures decreased by 49.4% (17% to 8.6%). Eighty-four percent of participants reported high satisfaction. Compliance with use of the handoff tool and required staff attendance increased whereas interruptions decreased over the project time line. CONCLUSIONS Team engagement within a quality improvement framework had a positive impact on the perioperative handoff process for high-risk surgical neonates. We improved care as demonstrated by a decrease in postoperative care failures while maintaining high provider satisfaction.

Improving Postoperative Care Through Mindfulness-Based Cognitive Therapy and Isometric Exercise Interventions: A Systemic Review (Preprint)

BACKGROUND This review identifies the impacts of mindfulness-based cognitive therapy (MBCT) and isometric exercise interventions (IEIs) in postoperative care settings. Both interventions are relatively new approaches to maintain physical functioning, alleviate pain, prevent joint stiffness and muscular atrophy, and positively influence other postoperative care outcomes. OBJECTIVE To our knowledge, a review of the impacts of these interventions and, more specifically, of their combination has not been done before. This review will be the first to do so. METHODS Studies were identified by searching “PubMed” and “Cochrane databases” within PPRISMA algorithm format and using the relevant keyword combinations, which resulted in 39 studies meeting the inclusion criteria. RESULTS In general, MBCT was shown to positively impact both pain relief and physical functioning while IEIs positively impacted physical functioning. Numerous other benefits were also described from both interventions and further research is needed to confirm these findings as well as to determine other possible benefits. However, no studies were found that combined MBCT and IEIs. CONCLUSIONS While there are many positive results from each individual intervention, there is a lack of information about how the combination of MBCT and IEIs might impact postoperative care. The combination of the two interventions might prove to be more effective than each individual intervention alone and the findings from this review show that they could even be complementary. Going forward, research should be expanded to study the possible benefits of the combination of MBCT and IEIs in postoperative care routines as well as other possible combinations.