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    Wyświetlanie 1-4 z 4
    Tytuł:
    Patient satisfaction with the perioperative care by anesthesiologists: pilot study at four surgical departments
    Autorzy:
    Springer, Janusz
    Dudzińska, Karolina
    Nurkowska, Monika
    Hasak, Liudmila
    Dylczyk-Sommer, Anna
    Powiązania:
    https://bibliotekanauki.pl/articles/895771.pdf
    Data publikacji:
    2019-02-05
    Wydawca:
    Gdański Uniwersytet Medyczny
    Tematy:
    patient
    satisfaction
    surgical
    perioperative care
    anesthesiologist
    Opis:
    Background: The aim of this pilot study was to measure the outcomes of perioperative care by anesthesiologists and patient satisfaction at four surgical departments. Methods: We designed an original 25–item questionnaire and used it to complete structured interviews of 80 consenting, alert, adult surgical patients during their 1st to 3rd post–operative day. Results: Although >70% were satisfied with the information sharing, 43% patients were unsure or not informed about the possible complications of anesthesia. Similarly, >75% positively rated the anesthesiologists' bedside manner; however 69% were either unsure or sure that an anesthesiologist did not visit them after surgery. Interestingly, this lack of continued care had no overall effect on patient satisfaction. Majority reported receiving immediate post–operative analgesia (65%). The Oncological Surgery patients reported highest (and the Orthopedic patients the lowest) satisfaction with their postoperative nausea and pain management. Majority of responders were overall satisfied with their care. Conclusions: Our data indicate a high level of patient satisfaction with nearly all aspects of perioperative anesthesiology care. However, anesthesiologists need to more thoroughly inform patients about possible complications of anesthesia. A larger survey is needed to fully assess the patient care and satisfaction trends discussed above.
    Źródło:
    European Journal of Translational and Clinical Medicine; 2018, 1, 2; 58-63
    2657-3148
    2657-3156
    Pojawia się w:
    European Journal of Translational and Clinical Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Randomized Clinical Trial to Compare the Effects of Preoperative Oral Carbohydrate Loading versus Placebo on Insulin Resistance and Cortisol Level after Laparoscopic Cholecystectomy
    Autorzy:
    Pędziwiatr, Michał
    Pisarska, Magdalena
    Matłok, Maciej
    Major, Piotr
    Kisielewski, Michał
    Wierdak, Mateusz
    Natkaniec, Michał
    Budzyński, Piotr
    Rubinkiewicz, Mateusz
    Budzyński, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/1394369.pdf
    Data publikacji:
    2015
    Wydawca:
    Index Copernicus International
    Tematy:
    laparoscopic cholecystectomy
    insulin resistance
    preoperative carbohydrate loading
    perioperative care
    Opis:
    Postoperative insulin resistance, used as a marker of stress response, is clearly an adverse event. It may induce postoperative hyperglycemia, which according to some authors can increase the risk of postoperative complications. One of the elements of modern perioperative care is preoperative administration of oral carbohydrate loading (CHO-loading), which shortens preoperative fasting and reduces insulin resistance. The aim of the study is to establish the influence of CHO-loading on the level of insulin resistance and cortisol in patients undergoing elective laparoscopic cholecystectomy. Material and methods. Patients were randomly allocated to one of 2 groups. The intervention group included 20 patients who received CHO-loading (400 ml Nutricia pre-op®) 2 hours prior surgery. The control group received a placebo (clear water). In every patient blood samples were taken 2 hours prior to surgery, immediately after surgery, and on the 1st postoperative day. Levels and changes in glucose, cortisol and insulin resistance were analyzed in both groups. Results. Although there were differences in the levels of cortisol, insulin, and insulin resistance, no statistically significant differences were observed between groups in every measurement. The length of stay and postoperative complications were comparable in both groups. Conclusions. We believe that CHO-loading is not clinically justified in case of laparoscopic cholecystectomy. No effect on the levels of glucose, insulin resistance and cortisol was observed. Even though such procedure is safe, in our opinion there is no clinical benefit from CHO-loading prior to laparoscopic cholecystectomy.
    Źródło:
    Polish Journal of Surgery; 2015, 87, 8; 402-408
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Perioperative care of patients undergoing Functional Endoscopic Sinus Surgery
    Autorzy:
    Zieliński, Maciej
    Miśkiewicz-Orczyk, Katarzyna
    Waligóra, Aleksandra
    Ura-Sabat, Katarzyna
    Misiołek, Maciej
    Powiązania:
    https://bibliotekanauki.pl/articles/1401690.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    perioperative care
    FESS
    Endoscopic sinus surgery (FESS)
    nasal irrigation
    Opis:
    The final success and outcomes of patients treatment undergoing Functional Endoscopic Sinus Surgery depends on the correct preparation for surgery, perioperative and postoperative care. Proceedings before FESS in case of chronic rhinosinusitis arise from „European position paper on rhinosinusitis and nasal polyps 2012” and includes pretreatment with local nasal and systemic steroids, sinus irrigation, as well as in some cases antibiotic therapy. Reduction of intra- and post-operative bleeding is possible by intraoperative use of gauze local vasoconstricting inserts, reverse Trendelenburg position, reduction of blood pressure and application of tranexamic acid. After the surgery the use of nasal packing is often recommended. Moreover postoperative care has been largely transferred to the patient and therefore we are highlighting how important is education of patient, providing accurate information and training in the appropriate use of prescribed preparations for na-posal irrigation and nasal steroids. The use of steroids was proved to reduce the risk of recurrence of the disease and it is reasonable when we are sure that they have an opportunity to reach physically to whole mucous membrane of the nose. The effectiveness of nasal irrigation can be enhanced by use of the containers enabling the appropriate application (the exact adherence to the nasal vestibule , at an angle 45° ) and generating sufficient pressure ( rinse of the entire nasal cavity –120 mbar) and the use of appropriate fluid composition accelerates healing and reduce pain. Use of in vitro studies and computational fluid dynamics simulations allow to predict the effectiveness of rinsing different paranasal sinuses.
    Źródło:
    Polski Przegląd Otorynolaryngologiczny; 2016, 5, 3; 55-59
    2084-5308
    2300-7338
    Pojawia się w:
    Polski Przegląd Otorynolaryngologiczny
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Perioperative strategies in patients who refuse blood product transfusion
    Autorzy:
    Wujtewicz, Magdalena
    Powiązania:
    https://bibliotekanauki.pl/articles/1391892.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    blood transfusion
    Jehovah’s Witnesses’
    perioperative care
    refusal of blood transfusion
    Opis:
    Treatment with blood and ’its substitutes is a common practice in surgical patients who bleed perioperatively; also, nonsurgical patients with chronic disease receive blood/blood components. However, some patients refuse blood because of personal or religious beliefs, like in the case of Jehovah’s Witnesses. Those patients may accept different artificial substitutes of blood components as well as some surgical techniques, that decrease the risk of bleeding or the volume of blood lost. It is extremely important to inform the patients about the risk of losing blood without its replacement and to get an informed consent, as well as to document which treatments and/or procedures the patient consents to and which they do not. Such patients must be correctly prepared for the operation with hematologic optimization. All drugs that influence hemostasis must be stopped preoperatively. There have been several interventions/methods of decreasing the need for transfusion developed. All surgeons and anesthesiologists must be familiar with indications and appropriate use of blood and blood components and their alternatives, but close liaison with hematology specialists and their local blood sciences laboratory is encouraged. Based on the latest guidelines, there are many options of preoperative preparations and treatment, very important for the surgical and anesthesiology team, described in the manuscript.
    Źródło:
    Polish Journal of Surgery; 2020, 92, 5; 43-49
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-4 z 4

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