Articles: postoperative.
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Thoracic Surgery PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Surgery is the best treatment choice for most of pulmonary lesions. Pulmonary function tests (PFT) play an important role in this process by assessing the risks and the functional effects of the procedure. Our goal was to evaluate the impact of lung resection surgery on pulmonary function. ⋯ The following authors have nothing to disclose: Marta Sousa, Vitor Melo, Eloisa Silva, Jorge Vale, João Silva, Bárbara Rodrigues, António TorresNo Product/Research Disclosure Information.
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Critical Care Posters ISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Opioid-induced respiratory depression (OIRD) and post-operative apnea (POA), can lead to increased post-operative complications. Identification of OIRD and POA remains difficult with current monitoring technology. A novel, non-invasive, Respiratory Volume Monitor (RVM) that provides continuous, real-time, measurements of minute ventilation (MV), tidal volume (TV) and respiratory rate (RR), is now available. The RVM was utilized to detect the effect of opioids on respiratory status and apneic breathing patterns. ⋯ Diane Ladd: Employee: Repiratory Motion, Inc Jenny Freeman: Employee: Respiratory Motion, Inc., Shareholder: Respiratory Motion, Inc. The following authors have nothing to disclose: Edward GeorgeNo Product/Research Disclosure Information.
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Infectious Disease Case Reports Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: An 85 year old male with CAD, severe aortic stenosis, sick sinus syndrome status post pacemaker and CHF, underwent a coronary artery bypass graft and an aortic valve replacement surgery with pericardial valve. He received a preoperative dose of IV vancomycin and cefazolin and 3 postoperative doses of cefazolin as part of the prophylactic protocol. On Hospital Day (HD) #4 he became septic and had several episodes of diarrhea with right lower quadrant abdominal pain. ⋯ We believe that the institution of IVIG was surgery averting for this patient with significant comorbidities even though it has only been described in case reports.Reference #1: J Salcedo, S Keates. Intraveous immunoglobilin therapy for severe Clostridium Difficile colitis. Gut 1997; 41: 366-370DISCLOSURE: The following authors have nothing to disclose: Nicolas Crescimone, Giri Srikanthanoff label use.
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Asthma PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: The cost of inhalers for asthma in the United States is about $15 billion annually. Obese patients with asthma use more inhalers compared to their nonobese counterparts. Asthma seen in obese patients differs from classical atopic asthma, and symptoms have been shown to improve with weight loss. We sought to examine the change in inhaler use among morbidly obese patients with asthma following bariatric surgery. ⋯ The following authors have nothing to disclose: Randall Schwartz, Marlow Hernandez, Franck Rahaghi, Jose Ramirez, Raul Rosenthal, Gustavo FerrerNo Product/Research Disclosure Information.
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Age-related changes in skin contribute to impaired wound healing after surgical procedures. Changes in skin with age include decline in thickness and composition, a decrease in the number of most cell types, and diminished microcirculation. The microcirculation provides tissue perfusion, fluid homeostasis, and delivery of oxygen and other nutrients. ⋯ Judicious use of fluids, maintenance of normal body temperature, pain control, and increased tissue oxygen tension are examples of adjustable variables that support the microcirculation. Anesthetic agents influence the microcirculation of a combination of effects on cardiac output, arterial pressure, and local microvascular changes. The authors examined the role of anesthetic management in optimizing the microcirculation and potentially improving postoperative wound repair in older persons.