Postoperative Convalescence

2019 ◽  
Vol 36 (1) ◽  
pp. 153-161
Author(s):  
Doug Richie ◽  
Daniel Bullard
Keyword(s):  
Postoperative Convalescence

ERAS in colorectal surgery – neglected preadmission items

2019 ◽  
Vol 98 (9) ◽  
pp. 345-349
Keyword(s):  
Stress Response ◽  
Postoperative Complications ◽  
Colorectal Surgery ◽  
Length Of Stay ◽  
Physical Condition ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Rapid Recovery ◽  
Physiological Functions ◽  
Postoperative Convalescence

The Enhanced Recovery After Surgery (ERAS) concept is a complex of strategies intended to reduce the perioperative stress response and achieve faster postoperative convalescence and rapid recovery of normal physiological functions. Adherence to ERAS should reduce the length of stay and postoperative complications, and it should improve the physical condition of the patient after dimission. This article is focused on those ERAS guidelines that apply to preadmission care.

scholarly journals A Theory of Postoperative Fatigue

1997 ◽  
Vol 90 (12) ◽  
pp. 661-664 ◽  
Author(s):  
Peter Salmon ◽  
George M Hall
Keyword(s):  
Clinical Research ◽  
Cultural Factors ◽  
Postoperative Convalescence

The concept of fatigue has entered medicine from other disciplines in which the term refers to weakening of a material by demands put upon it. Its application to the behavioural and subjective changes that characterize postoperative convalescence has led to the assumption that these changes reflect the physiological and metabolic consequences of surgery. Because evidence does not support this view, we outline a new theory in which postoperative fatigue is the product of physiological, psychological and cultural factors. This theory leads to novel predictions that can be tested in future clinical research. Of particular interest will be the evaluation of systematic attempts to change patient and staff expectations about postoperative convalescence.

Bidirectional Glenn Shunt for Right Ventricular Endomyocardial Fibrosis

2002 ◽  
Vol 10 (4) ◽  
pp. 351-353 ◽  
Author(s):  
Amit Mishra ◽  
Soman Rema Krishna Manohar ◽  
Sankar Kumar Ramalingam ◽  
Marthandavarma Sankaran Valiathan
Keyword(s):  
New York ◽  
Right Ventricular ◽  
Heart Association ◽  
Functional Class ◽  
Endomyocardial Fibrosis ◽  
Glenn Shunt ◽  
Bidirectional Glenn ◽  
Bidirectional Glenn Shunt ◽  
New York Heart Association ◽  
Postoperative Convalescence

A 25-year-old man in New York Heart Association functional class IV with right ventricular endomyocardial fibrosis received a palliative bidirectional Glenn shunt. Despite a stormy postoperative convalescence the bidirectional Glenn shunt provided good long-term palliation.

Total Gastrectomy in the Aged with Special Reference to Postoperative Convalescence and Return to Normal Life

1985 ◽  
Vol 2 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Shigemasa Koga ◽  
Masayuki Oda ◽  
Nobuaki Kaibara ◽  
Toshiko Hisaki
Keyword(s):  
Special Reference ◽  
Total Gastrectomy ◽  
Normal Life ◽  
Postoperative Convalescence

scholarly journals Vitamin D Deficiency and Its Response to Supplementation as “Stoss Therapy” in Children with Cyanotic Congenital Heart Disease Undergoing Open Heart Surgery

2019 ◽  
Vol 03 (01) ◽  
pp. 17-23
Author(s):  
Manoj Kumar Sahu ◽  
Chalattil Bipin ◽  
Harsha Vardhan Niraghatam ◽  
Ameya Karanjkar ◽  
Sarvesh Pal Singh ◽  
...  
Keyword(s):  
Vitamin D ◽  
Mechanical Ventilation ◽  
Congenital Heart Disease ◽  
Cardiac Surgery ◽  
Heart Disease ◽  
Congenital Heart ◽  
Control Group ◽  
Study Group ◽  
Significant Difference ◽  
Postoperative Convalescence

Abstract Background Data from many studies suggest that patients with congenital heart disease are vitamin D (vitD) deficient. Following cardiac surgery as a result of intraoperative institution of cardiopulmonary bypass (CPB), serum vitD levels become even low. This may affect postoperative convalescence in terms of mechanical ventilation, inotropic support, infection, and so forth. Objective We intended to study the prevalence of vitD deficiency pre and post cardiac surgery and the effect of vitD supplementation (stoss therapy) on postoperative convalescence of the children with tetralogy of Fallot (TOF) undergoing intracardiac repair (ICR). Methodology In this randomized controlled trial (RCT), 60 children younger than 18 years with TOF and serum vitD levels < 20ng/dL were randomized into two groups. The study group received vitD supplementation as “stoss therapy” at 10,000 units/kg body weight. All these children underwent ICR with CPB. Demographic data, preoperative, intraoperative, and postoperative variables were compared between the study and the control groups. Results Prevalence of severe vitD deficiency was 93.1%. When compared with the control group, study group showed higher serum vitD levels in the immediate preoperative period (p = 0.001), postoperative period following CPB (p = 0.012), and on the first postoperative day (p = 0.003). No statistically significant difference was observed in postoperative mechanical ventilation (p = 0.35), intensive care unit (ICU) stay (p = 0.15), and inotropic duration (p = 0.19). Conclusion Children with TOF are highly deficient of vitD, its level falls further after CPB, and supplementing vitD preoperatively does not influence postoperative recovery pattern. Supplementation of vitD as “stoss therapy” was useful in raising the serum levels before and after cardiac surgery.

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