Intravenous Lipids in Adult Surgical Patients

2014 ◽  
pp. 115-119 ◽  
Author(s):  
Stanislaw Klek ◽  
Dan L. Waitzberg
Keyword(s):  
Surgical Patients ◽  
Intravenous Lipids

Quality management in the prophylaxis of venous thrombembolism - Results of a survey including 464 medical and surgical patients

VASA ◽  
2011 ◽  
Vol 40 (2) ◽  
pp. 123-130
Author(s):  
Klein-Weigel ◽  
Richter ◽  
Arendt ◽  
Gerdsen ◽  
Härtwig ◽  
...  
Keyword(s):  
Renal Function ◽  
High Risk ◽  
Quality Management ◽  
High Risk Group ◽  
Surgical Patients ◽  
Medical Patients ◽  
Risk Status ◽  
Vte Prophylaxis ◽  
Safety Concerns

Background: We surveyed the quality of risk stratification politics and monitored the rate of entries to our company-wide protocol for venous thrombembolism (VTE) prophylaxis in order to identify safety concerns. Patients and methods: Audit in 464 medical and surgical patients to evaluate quality of VTE prophylaxis. Results: Patients were classified as low 146 (31 %), medium 101 (22 %), and high risk cases 217 (47 %). Of these 262 (56.5 %) were treated according to their risk status and in accordance with our protocol, while 9 more patients were treated according to their risk status but off-protocol. Overtreatment was identified in 73 (15.7 %), undertreatment in 120 (25,9 %) of all patients. The rate of incorrect prophylaxis was significantly different between the risk categories, with more patients of the high-risk group receiving inadequate medical prophylaxis (data not shown; p = 0.038). Renal function was analyzed in 392 (84.5 %) patients. In those patients with known renal function 26 (6.6 %) received improper medical prophylaxis. If cases were added in whom prophylaxis was started without previous creatinine control, renal function was not correctly taken into account in 49 (10.6 %) of all patients. Moreover, deterioration of renal function was not excluded within one week in 78 patients (16.8 %) and blood count was not re-checked in 45 (9.7 %) of all patients after one week. There were more overtreatments in surgical (n = 53/278) and more undertreatments in medical patients (n = 54/186) (p = 0.04). Surgeons neglected renal function and blood controls significantly more often than medical doctors (p-values for both < 0.05). Conclusions: We found a low adherence with our protocol and substantial over- and undertreatment in VTE prophylaxis. Besides, we identified disregarding of renal function and safety laboratory examinations as additional safety concerns. To identify safety problems associated with medical VTE prophylaxis and “hot spots” quality management-audits proved to be valuable instruments.

Self-Destructive Behavior in Hospitalized Medical and Surgical Patients

1985 ◽  
Vol 8 (2) ◽  
pp. 279-289 ◽  
Author(s):  
Charles H. Kellner ◽  
Connie L. Best ◽  
John M. Roberts ◽  
Oliver Bjorksten
Keyword(s):  
Surgical Patients ◽  
Destructive Behavior

Serial application of the Cardiac Surgery Score (CASUS) to cardiac surgical patients

2010 ◽  
Vol 58 (S 01) ◽  
Author(s):  
A Badreldin ◽  
M Heldwein ◽  
T Bossert ◽  
K Hekmat
Keyword(s):  
Cardiac Surgery ◽  
Surgical Patients

Closure of median sternotomy by the Sternal Talon®-system in high-risk cardiac surgical patients

2010 ◽  
Vol 58 (S 01) ◽  
Author(s):  
M Müller ◽  
C Heilmann ◽  
S Sorg ◽  
S Kueri ◽  
M Thoma ◽  
...  
Keyword(s):  
High Risk ◽  
Median Sternotomy ◽  
Surgical Patients

Untersuchungen zur Quantifizierung der Änderung der Skelettmuskeldurchblutung nach Gefäßrevaskularisationen mit einem 99mTechnetiummarkierten Tracer

1990 ◽  
Vol 29 (05) ◽  
pp. 215-220 ◽  
Author(s):  
R. Benning ◽  
K. Nagel ◽  
M. Jugenheimer ◽  
S. Fischer ◽  
S. Worthmann ◽  
...  
Keyword(s):  
Transluminal Angioplasty ◽  
Lower Limbs ◽  
Surgical Patients ◽  
Treadmill Test ◽  
Negative Results ◽  
Clinical Observations ◽  
Before And After ◽  
Comparative Results ◽  
First Time ◽  
Percutaneous Transluminal

A new 99mTc-labelled tracer (99mTc-Sestanriibi) was used for the first time to demonstrate the perfusion of the skeletal muscle. In 16 patients with obstructive atherosclerosis of the lower limbs the change of perfusion of thigh and lower leg was studied with SPECT before and after vascular surgery (n = 11) or percutaneous transluminal angioplasty (n = 5). Comparative results of scintigraphic measurements and clinical observations (ancle-arm pressure, treadmill test) in 10 surgical patients (14 operated legs) showed correct positive or negative results in 86% (12/14).

Risk stratification in cardiac surgical patients on VAD

2004 ◽  
Vol 52 (S 1) ◽  
Author(s):  
K Hekmat ◽  
A Kroener ◽  
S M�ller-Hill ◽  
S Thelitz ◽  
HJ Geissler ◽  
...  
Keyword(s):  
Risk Stratification ◽  
Surgical Patients
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