Perioperative morbidity and mortality in dogs with invasive adrenal neoplasms treated by adrenalectomy and cavotomy

2019 ◽  
Vol 48 (5) ◽  
pp. 742-750 ◽  
Author(s):  
Philipp D. Mayhew ◽  
Sarah E. Boston ◽  
Allison L. Zwingenberger ◽  
Michelle A. Giuffrida ◽  
Jeffrey J. Runge ◽  
...  
Keyword(s):  
Morbidity And Mortality ◽  
Perioperative Morbidity ◽  
Adrenal Neoplasms

scholarly journals Venovenosus extrakorporális membránoxigenizációval (ECMO) végzett mellkassebészeti műtétek tapasztalatai Magyarországon. Retrospektív klinikai tanulmány

2019 ◽  
Vol 160 (42) ◽  
pp. 1655-1662
Author(s):  
Ildikó Madurka ◽  
Jenő Elek ◽  
Ákos Kocsis ◽  
László Agócs ◽  
Ferenc Rényi-Vámos
Keyword(s):  
Gas Exchange ◽  
Lung Resection ◽  
Lung Ventilation ◽  
Clinicopathological Characteristics ◽  
Morbidity And Mortality ◽  
Related Complication ◽  
Single Lung Ventilation ◽  
Perioperative Morbidity ◽  
Venovenous Ecmo ◽  
Vv Ecmo

Abstract: Introduction: Most modern thoracic operations are performed with single-lung ventilation balancing between convenient surgical approach and adequate gas exchange. The technical limitations include difficult airways or insufficient parenchyma for the intraoperative single-lung ventilation. Earlier, cardiopulmonary bypass was the only solution, however, today the extracorporeal membrane oxygenation is in the forefront. Aim: We retrospectively analysed our elective operations by use of venovenous ECMO to assess the indication, safety, perioperative morbidity and mortality. Patients and method: 12 patients were operated using venovenous (VV-) ECMO between 28 April 2014 and 30 April 2018 in the National Institute of Oncology. The main clinicopathological characteristics, data regarding the operation, the use of ECMO and survival were collected. Results: The mean age was 45 years, 2 patients had benign and 10 had malignant diseases. Extreme tracheal stricture was the indication for ECMO in 3 cases, while 4 patients had previous lung resection and lacked enough parenchyma for single-lung ventilation. 5 patients had both airway and parenchymal insufficiency. The average time of apnoea was 142 minutes without interruption in any of the cases. We did not experience any ECMO-related complication. We had no intraoperative death and 30-day mortality was 8.33%. Conclusion: In case of technical inoperability, when there is no airway or insufficient parenchyma for gas exchange, but pulmonary vascular bed is enough and there is no need for great-vessel resection, VV-ECMO can safely replace the complete gas exchange without further risk of bleeding. The use of VV-ECMO did not increase the perioperative morbidity and mortality. Previously inoperable patients can be operated with VV-ECMO. Orv Hetil. 2019; 160(42): 1655–1662.

scholarly journals A CASE REPORT- A CASE OF RIGHT SIDED ABSENT MAXILLA WITH ANTICIPATED DIFFICULT AIRWAY POSTED FOR PERINEAL URETHROPLATY

2020 ◽  
pp. 1-2
Author(s):  
Tanya Elizabeth Cherian ◽  
M. Sathyasuba
Keyword(s):  
Case Report ◽  
Difficult Airway ◽  
Urethral Stricture ◽  
Postoperative Recovery ◽  
Morbidity And Mortality ◽  
Video Laryngoscopy ◽  
Effective Management ◽  
Airway Control ◽  
Perioperative Morbidity ◽  
Airway Assessment

The key to success in patients with difficult airway is effective airway assessment and meticulous planning. Making use of simple and time-tested equipment and modifying these methods accordingly enable successful airway control avoiding perioperative morbidity and mortality . We report a case of 75 year old male with posterior urethral stricture planned for perineal urethroplasty with anticipated difficult airway. The airway was managed using video laryngoscopy and the procedure was uneventful with good postoperative recovery. This case report insists on making use of other conventional methods in the effective management of an anticipated difficult airway during a pandemic.

scholarly journals Perioperative Morbidity and Mortality of Patients With COVID-19 Who Undergo Urgent and Emergent Surgical Procedures

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anne Knisely ◽  
Zhen Ni Zhou ◽  
Jenny Wu ◽  
Yongmei Huang ◽  
Kevin Holcomb ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Morbidity And Mortality ◽  
Perioperative Morbidity

Specific diseases: chronic heart failure/hypertension

ESC CardioMed ◽  
2018 ◽  
pp. 2663-2665
Author(s):  
Rodrigo Modolo ◽  
Ana Paula de Faria
Keyword(s):  
Heart Failure ◽  
Cardiac Surgery ◽  
Chronic Heart Failure ◽  
Adverse Events ◽  
Heart Function ◽  
Adverse Outcomes ◽  
Morbidity And Mortality ◽  
Cardiac Markers ◽  
Perioperative Morbidity ◽  
Clinical Conditions

Hypertension and chronic heart failure are clinical conditions that greatly impact perioperative adverse outcomes of patients undergoing non-cardiac surgery. Although the first does not have a major impact on morbidity and mortality, it is the most frequent condition present in these patients. The second—chronic heart failure—is increasing in prevalence, with the ageing of the population and with the identification of incipient structural cardiac abnormalities, and has a major impact on the perioperative morbidity and mortality. For those reasons, the proper identification of these conditions in the perioperative setting is imperative in order to diminish perioperative adverse events. This chapter summarizes the current indications for identification, assessment of heart function and of cardiac markers, and the therapeutic management of these patients.

scholarly journals Surgical prehabilitation using mobile health coaching in patients with obesity: A pilot study

2020 ◽  
Vol 48 (5) ◽  
pp. 373-380
Author(s):  
Kasia Kulinski ◽  
Natalie A Smith
Keyword(s):  
Risk Factors ◽  
Mobile Health ◽  
Elective Surgery ◽  
Text Message ◽  
Cost Effective ◽  
Text Messages ◽  
Morbidity And Mortality ◽  
Perioperative Morbidity ◽  
Increased Risk ◽  
Patient Health

Many patients spend months waiting for elective procedures, and many have significant modifiable risk factors that could contribute to an increased risk of perioperative morbidity and mortality. The minimal direct contact that usually occurs with healthcare professionals during this period represents a missed opportunity to improve patient health and surgical outcomes. Patients with obesity comprise a large proportion of the surgical workload but are under-represented in prehabilitation studies. Our study piloted a mobile phone based, multidisciplinary, prehabilitation programme for patients with obesity awaiting elective surgery. A total of 22 participants were recruited via the Wollongong Hospital pre-admissions clinic in New South Wales, Australia, and 18 completed the study. All received the study intervention of four text messages per week for six months. Questionnaires addressing the self-reported outcome measures were performed at the start and completion of the study. Forty percent of participants lost weight and 40% of smokers decreased their cigarette intake over the study. Sixty percent reported an overall improved health score. Over 80% of patients found the programme effective for themselves, and all recommended that it be made available to other patients. The cost was A$1.20 per patient per month. Our study showed improvement in some of the risk factors for perioperative morbidity and mortality. With improved methods to increase enrolment, our overall impression is that text message–based mobile health prehabilitation may be a feasible, cost-effective and worthwhile intervention for patients with obesity.

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