Articles: postoperative.
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PleuralSESSION TYPE: Slide PresentationsPRESENTED ON: Sunday, March 23, 2014 at 04:15 PM - 05:15 PMPURPOSE: Prolonged pulmonary air leaks (PAL), after lung surgery or any causes of pneumothorax, are a source of significant morbidity and resource utilization. Usual approaches include prolonged thoracostomy tube drainage, pleurodesis or open surgical repair. Bronchoscopic techniques using various agents and devices have been essayed but with only anecdotal benefits reported. The use of endobronchial valves (EBV) is a minimal invasive method that may be effective for the treatment of a PAL. ⋯ Treatment of PALDISCLOSURE: The following authors have nothing to disclose: Aldo Torracchi, Rosa Cordovilla, Gonzalo Varela Simó, Marcelo Fernando Jiménez López, Nuria María Novoa Valentín, Maria Rodríguez, María Teresa Gómez Hernández, Jose Luis ArandaNo Product/Research Disclosure Information.
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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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OSA PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Obstructive Sleep Apnea (OSA) represents a perioperative risk. Continuous positive airway pressure (CPAP) therapy has demonstrated its ability to reduce this risk. However, many patients don't adhere to this treatment. Our study was designed to identify patients with poor adherence to CPAP therapy. ⋯ The following authors have nothing to disclose: Eric Deflandre, Stephanie Degey, Vincent Bonhomme, Anne-Francoise Donneau, Robert Poirrier, Jean-Francois Brichant, Pol HansNo 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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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.