Elective Surgery Research Papers - Academia.edu (original) (raw)

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The aim of this prospective study is to examine the frequency and the severity of intra-abdominal hypertension in a mixed ICU of the University hospital. Methods. A closed system for intravesical intermittent measurement of IAP was... more

The aim of this prospective study is to examine the frequency and the severity of intra-abdominal hypertension in a mixed ICU of the University hospital.
Methods. A closed system for intravesical intermittent measurement of IAP was constructed.
Results. The frequency and the severity of IAH were examined in the period from June 2009 to December 2012 in 240 ICU patients divided into 3 groups (patients submitted to elective surgery, emergency surgery, and medical patients) in the University Hospital. In the elective surgery group there was 12.5% IAH, while in the emergency group IAH was 43.75%, and in the medical patients it was 42.5%. There was no statistical significant difference in the frequency of IAH among the mixed population of patients we examined and those studied by other authors with the same type of population.
Conclusions. The standardized measurement of intra-abdominal pressure is fundamental for defining intra-abdominal hypertension and abdominal compartment syndrome. The measurement of intra-abdominal pressure should be a part of the basic monitoring of patients at risk of intra-abdominal hypertension. Our point of view is that before there are indications for a surgical decompression, less invasive treatment options should be optimized.

Background To investigate general practitioners' (GPs') attitudes to guidelines for elective surgical referral in England. To understand their use of guidelines, and attitudes to shared decision making in the referral decision.... more

Background To investigate general practitioners' (GPs') attitudes to guidelines for elective surgical referral in England. To understand their use of guidelines, and attitudes to shared decision making in the referral decision. Methods A questionnaire was developed which investigated attitudes to and use of guidelines. It was given to a stratified random sample 30% (n = 310) drawn from GP lists of 10 English health districts (primary care trusts (PCTs)). GPs were invited to respond online, by telephone, fax or post. Data were analysed using descriptive statistics and backwards stepwise logistic regression. Results Responses were representative of GPs in England, but (despite up to 6 contacts per non-responder) the overall response rate was 41.6% (n = 129; with the range across PCTs of 25-61%). Most responding GPs indicated support for referral guidelines but 18% reported that they had never used them. Less than three per cent reported use for most or all referral decisions. ...

Background Documentation of pregnancy status (PS) is an integral component of the assessment of women of reproductive age when admitted to hospital. Our aim was to determine how accurately PS was documented in a multicentre audit of... more

Background Documentation of pregnancy status (PS) is an integral component of the assessment of women of reproductive age when admitted to hospital. Our aim was to determine how accurately PS was documented in a multicentre audit of female admissions to general surgery. Methods A prospective multicentre audit of elective and emergency admissions was performed in 18 Scottish centres between 08:00 on 11 May 2015 and 07:59 on 25 May 2015. The lower age limit was the minimum age for admission to the adult surgical ward and the upper age limit was 55 years. Results There were 2743 admissions, with 612 (22.3%) women of reproductive age. After 82 exclusions, the final total was 530: 169 (31.9%) elective and 361 (68.1%) emergency. Documentation of PS was achieved in 274 (51.7%) cases: 52 (30.8%) elective and 222 (61.5%) emergency. In 318 (88.1%) of the emergency admissions, the patient had abdominal pain. Of these, 211 (65.1%) had a documented PS. The possibility of pregnancy was established in 237 (44.7%) cases. Discussion Establishing the possibility of pregnancy before surgery is poor, particularly in the elective setting. Objective documentation of PS in the emergency setting in those with abdominal pain is also poor. Our study highlights an important safety issue in the management of female patients. We advocate electronic storage of pregnancy test results and new guidelines to cover both elective and emergency surgery. PS should form part of the pre-theatre safety brief and checklist. BACKGROUND

The primary purpose of this literature review is to investigate different views of elective surgery management during the COVID-19 pandemic. In other words, the guidelines about diseases prevention and their proper management during... more

The primary purpose of this literature review is to investigate different views of elective surgery management during the COVID-19 pandemic. In other words, the guidelines about diseases prevention and their proper management during performing elective surgeries have been reviewed. Materials and Methods: Current articles related to COVID-19 and practicing elective surgeries in different remarkable EndNote X8 database journals in 2020 were retrieved. All articles referring to COVID-19 precaution rules in implementing elective surgeries were integrated into the article's main goals. Results: All reviews showed alarming guideline steps that should be taken for validated preventing and managing elective surgeries practiced during the COVID-19 pandemic. Emphasizing qualified elective surgery protocols were quoted in many articles to do elective surgeries with successful results. Conclusion: Taking effective and evidence-based steps in patients` selection, precautions, and hospitals` safety cares result in protective surgical results. Elective surgeries should be practiced in highly-equipped hospitals with extraordinary quarantine measures during a COVID-19 pandemic. Safety measures are the primary goal for patients, staff, surgeons, and other health providers before surgeons get involved with any elective surgeries during the COVID-19 pandemic. Questions of how different elective surgical operations are planned during the COVID-19 pandemic are essential controversies. As no clear answers are found to questions of how elective surgeries can be practiced during a COVID-19 pandemic, specific rules issued by the world's most authentic surgical associations have been adopted by surgeons to operate elective surgeries.

Preoperative consultation of surgical patient by cardiologist is intended to treat an inadequately treated cardiac condition before undergoing surgery. This can yield in terms of new therapy, lead to optimization of the patients' cardiac... more

Preoperative consultation of surgical patient by cardiologist is intended to treat an inadequately treated cardiac condition before undergoing surgery. This can yield in terms of new therapy, lead to optimization of the patients' cardiac comorbidity, impact significantly in terms of perioperative management and potentially reduce postoperative adverse cardiac events. However, judicious use of preoperative consultation request is required both for avoiding unnecessary consultation, investigation and delay in proceeding with surgery as well as cost effective health care delivery. This mini review is aimed at finding the practice patterns of anesthesiologists' preoperative requests for cardiology consultations. Different clinical situations faced in preoperative evaluation of cardiac patients planned for non-cardiac surgery with regard to the need for preoperative cardiac consultation and a step wise approach for determining the probable need of request is also presented.

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