Articles: operative.
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Little is known about the preferred treatment strategies of chiropractors in managing low back pain patients with prior lumbar fusions. There are several case reports which describe chiropractic care following surgical intervention, but there are no cohort or experimental studies published. Therefore, we sought to examine self-reported management approaches and practice patterns related to the management of patients with prior surgical lumbar fusion, among United States Veterans Affairs (VA) chiropractors. ⋯ This survey provides preliminary data on VA chiropractic services in the management of patients with prior lumbar fusion. These patients are often seen by VA chiropractors, and our findings support the need for further study to advance understanding of interventions utilized by chiropractors in this patient population.
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Eur J Trauma Emerg Surg · Jun 2020
Comparative StudyEarly results after operatively versus non-operatively treated flail chest: a retrospective study focusing on outcome and complications.
Flail chest was traditionally treated non-operatively using mechanical ventilation and pain control. In order to reduce the occurrence of ventilation-associated complications and long-term disability, operative rib fixation is becoming a proven standard therapy for these patients. However, the consequences of the surgical complications may influence success rates negatively. The aim of this study was to compare the outcome of flail chest treatment by surgical rib fixation with non-operative treatment, with special focus on the impact of surgical complications. ⋯ Operative fixation of a flail chest in trauma patients results in a lower rate of pneumonia, less mechanical ventilation days and shorter hospital stay, compared with non-operative treatment, but at the cost of surgery-related complications requiring invasive solutions in some cases.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2020
[Cancer Patients: Relevant Aspects for Anesthesiology].
Surgical oncology makes up an essential part of all surgical procedures performed. Anesthetists can contribute significantly to the treatment success by a thorough pre-operative assessment of patients. ⋯ Hence, it is the responsibility of anesthetists to gather knowledge about the changes in organ systems due to the rapidly increasing list of anti-cancer agents. This article serves as a review from anesthetists to anesthetists conveying the important aspects for taking a comprehensive patient history as well as summarizing the adverse events of major drug classes currently in use in oncology.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 2020
[Anaesthesia-related Infection Prevention during Operations].
The processes of anaesthesia during operations enable surgical disciplines to perform a wide range of procedures. However, anaesthesia procedure may also represent a potential risk of infection for the surgical patient. Important hygiene measures concern the following topics: hand hygiene, surface disinfection, administration of parenteral drugs, dealing with catheters, intubation, perioperative antibiotic prophylaxis, temperature management, change intervals, OR workflow organization. The selection of hygiene measures for anaesthesia staff in the operating theatre listed in this article is presented in the sequence of the work flow, whereby certain topics such as hand hygiene naturally play an important role in all work phases.