Articles: postoperative.
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Observational Study
Outcome by mode of anaesthesia for hip fracture surgery. An observational audit of 65 535 patients in a national dataset.
Large observational studies of accurate data can provide similar results to more arduous and expensive randomised controlled trials. In 2012, the National Hip Fracture Database extended its dataset to include 'type of anaesthesia' data fields. We analysed 65 535 patient record sets to determine differences in outcome. ⋯ Mortality within 24 hours after surgery was significantly higher among patients receiving cemented compared with uncemented hemiarthroplasty (1.6% vs 1.2%, p = 0.030), suggesting excess early mortality related to bone cement implantation syndrome. If these data are accurate, then either there is no difference in 30-day mortality between general and spinal anaesthesia after hip fracture surgery per se, and therefore future research should focus on how to make both types of anaesthesia safer, or there is a difference, but mortality is not the correct outcome to measure after anaesthesia, and therefore future research should focus on differences between general and spinal anaesthesia. These could include more anaesthesia-sensitive outcomes, such as hypotension, pain, postoperative confusion, respiratory infection and mobilisation.
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Cancer Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Clear cell features are most common in carcinomas of lower urinary tract or female reproductive system and rare in lung carcinomas. ⋯ The following authors have nothing to disclose: Eric Toloza, Anna Cheng, Domenico Coppola, Yuan Shan, Carla Moodie, Joseph Garrett, Diana Krblich, Nam Tran, Soner Altiok, Prudence SmithNo Product/Research Disclosure Information.
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COPD Epidemiology & Physiology PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Common techniques used to measure lung volumes may yield inaccurate results in patients with large bullae. Plethysmography may overestimate while gas dilution may underestimate functional lung volumes. Auto Smart Segmentation (SS) is used by radiation physicists to accurately map lung portions receiving radiation therapy. It uses contouring methodology to trace and accurately measure volume of contoured anatomic structures. Hypothesis. Contouring of bullae on thoracic Computed Tomography (CT) and digital subtraction of contoured volumes using SS will yield accurate lung volumes unaffected by technical limitations or patient effort. ⋯ The following authors have nothing to disclose: Basim Dubaybo, Sikandar AnsariNo Product/Research Disclosure Information.
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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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Critical Care Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMPURPOSE: Bleomycin is feared for its induction of pulmonary toxicity, bleomycin-induced pneumonitis, organizing pneumonia or progression to interstitial lung fibrosis in 10% of patients. Knowledge of the pathogenesis and treatment is largely anecdotal and controversial from either in-vitro animal studies or case reports ⋯ The following authors have nothing to disclose: Shraddha Goyal, Patrick Kohlitz, Pratibha KaulNo Product/Research Disclosure Information.