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Pain, ambulatory surgery

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https://read.qxmd.com/read/30865029/high-patient-satisfaction-with-local-anesthesia-and-light-sedation-in-a-novel-fast-track-setup-for-sacrospinous-fixation
#1
Henriette Arenholt Lydiksen, Marianne Glavind-Kristensen, Susanne Greisen
OBJECTIVES: Simple prolapse operations can be performed using local anesthesia. However, this has not been the case for advanced pelvic organ prolapse operations. The aim of this study was to investigate the patient-reported feasibility and acceptability of local anesthesia and light sedation for sacrospinous fixation (SSF). METHODS: This is a prospective observational study on 105 women who underwent SSF in a public outpatient setting from April 2016 to October 2017...
March 8, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30862246/three-dimensional-guided-navigation-percutaneous-screw-fixation-of-fragility-fractures-of-the-pelvis
#2
Justin Shing Yan Wong, Janice Chi Kay Lau, King Him Chui, Kwok Leung Tiu, Kin Bong Lee, Wilson Li
BACKGROUND: Three-dimensional (3D)-guided navigation percutaneous screw fixation of pelvi-acetabular fractures has been reported in patients with high-energy trauma. Its use in fragility fractures of the pelvis is expanding and its results are promising. METHODS: We report a series of 17 consecutive patients with fragility fractures of the pelvis treated with 3D-guided navigation percutaneous screw fixation from 2016 to 2017. Percutaneous screw trajectories were planned preoperatively for the majority of patients...
January 2019: Journal of Orthopaedic Surgery
https://read.qxmd.com/read/30850128/the-relationship-between-pain-related-psychological-factors-and-postoperative-opioid-use-after-ambulatory-hand-surgery
#3
Hayley A Sacks, Jeffrey G Stepan, Lauren E Wessel, Duretti T Fufa
PURPOSE: Pain-related psychological factors, including pain catastrophizing and dispositional mindfulness, have been shown to influence patient pain levels and outcomes after orthopedic surgery. Less is known about the relationship between these factors and postoperative opioid use after hand surgery. The purpose of this study was to examine the association between preoperative pain catastrophizing and mindfulness and postoperative opioid use in patients undergoing ambulatory hand surgery...
March 5, 2019: Journal of Hand Surgery
https://read.qxmd.com/read/30847720/improving-patient-outcomes-with-inguinal-hernioplasty-local-anaesthesia-versus-local-anaesthesia-and-conscious-sedation-a-randomized-controlled-trial
#4
P A Leake, P J Toppin, M Reid, J M Plummer, P O Roberts, H Harding-Goldson, M E McFarlane
PURPOSE: Conscious sedation is regularly used in ambulatory surgery to improve patient outcomes, in particular patient satisfaction. We hypothesized that the addition of conscious sedation would provide greater patient satisfaction with inguinal hernioplasty compared to local anesthesia alone. METHODS: This trial was a single-centre, randomized, placebo-controlled, double-blinded trial where patients undergoing inguinal hernioplasty using local anaesthesia were randomized to receive local anaesthesia alone versus local anaesthesia and conscious sedation...
March 7, 2019: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://read.qxmd.com/read/30838082/day-surgery-for-anterior-cruciate-ligament-reconstruction-in-children-a-prospective-study-on-feasibility-and-satisfaction
#5
D Barbier, D N'Dele, M Bennis, C Thevenin-Lemoine, J Sales De Gauzy, F Accadbled
Purpose: To evaluate the feasibility of day surgery anterior cruciate ligament reconstruction (ACLR) in children. Our hypothesis was that proper patient selection, adequate information and a streamlined clinical pathway would allow for a safe and satisfactory procedure. Methods: A total of 20 patients, seven girls and 13 boys, who underwent outpatient ACLR at mean age of 14 years (8 to 16) were included in this single institution prospective case series. Surgery took place under simple general anesthesia while analgesia protocol combined local anesthesia, oral analgesics for the postoperative period and compressive cryotherapy...
February 1, 2019: Journal of Children's Orthopaedics
https://read.qxmd.com/read/30821352/readmissions-following-ambulatory-pediatric-endoscopic-sinus-surgery
#6
Mallory McKeon, Genevieve Medina, Kosuke Kawai, Michael Cunningham, Eelam Adil
OBJECTIVES/HYPOTHESIS: Endoscopic sinus surgery (ESS) is indicated in select pediatric patients with medically refractory sinus disease. Our objectives were to examine indications and rates of readmission following ambulatory pediatric ESS and identify specific subgroups that may benefit from inpatient admission. STUDY DESIGN: Retrospective database review. METHODS: The Pediatric Health Information Systems (PHIS) 2004-2016 database was retrospectively reviewed for patients age <18 years who underwent ambulatory ESS between January 2011 and December 2016 and were readmitted within 30 days postoperatively...
March 1, 2019: Laryngoscope
https://read.qxmd.com/read/30805287/incidence-management-and-cost-of-complications-after-transforaminal-endoscopic-decompression-surgery-for-lumbar-foraminal-and-lateral-recess-stenosis-a-value-proposition-for-outpatient-ambulatory-surgery
#7
Kai-Uwe Lewandrowski
Objective: The objective of this study is to analyze incidence, estimate cost savings, and evaluate best management practices of complications resulting from outpatient transforaminal endoscopic decompression surgery for lumbar foraminal and lateral recess stenosis performed in an ambulatory surgery center. Background: Endoscopic spinal surgery is gaining popularity for the treatment of lumbar disc herniations. Recent advances in surgical techniques allow for endoscopically assisted bony decompression for neurogenic claudication symptoms due to spinal stenosis...
January 2019: International Journal of Spine Surgery
https://read.qxmd.com/read/30802910/preoperative-long-acting-opioid-use-is-associated-with-increased-length-of-stay-and-readmission-rates-after-elective-surgeries
#8
Lisa V Doan, Jing Wang, Kristoffer Padjen, Adam Gover, Jawad Rashid, Bijan Osmani, Shirley Avraham, Samir Kendale
OBJECTIVES: To compare postoperative outcomes in patients prescribed long-acting opioids vs opioid-naïve patients who underwent elective noncardiac surgeries. DESIGN: Retrospective cohort study. SETTING: Single urban academic institution. METHODS AND SUBJECTS: We retrospectively compared postoperative outcomes in long-acting opioid users vs opioid-naïve patients who underwent elective noncardiac surgeries. Inpatient and ambulatory surgery cohorts were separately analyzed...
February 25, 2019: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://read.qxmd.com/read/30798778/clinical-practice-guideline-tonsillectomy-in-children-update
#9
Ron B Mitchell, Sanford M Archer, Stacey L Ishman, Richard M Rosenfeld, Sarah Coles, Sandra A Finestone, Norman R Friedman, Terri Giordano, Douglas M Hildrew, Tae W Kim, Robin M Lloyd, Sanjay R Parikh, Stanford T Shulman, David L Walner, Sandra A Walsh, Lorraine C Nnacheta
OBJECTIVE: This update of a 2011 guideline developed by the American Academy of Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations on the pre-, intra-, and postoperative care and management of children 1 to 18 years of age under consideration for tonsillectomy. Tonsillectomy is defined as a surgical procedure performed with or without adenoidectomy that completely removes the tonsil, including its capsule, by dissecting the peritonsillar space between the tonsil capsule and the muscular wall...
February 2019: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/30797918/spinal-epidural-abscess-in-children-case-report-and-review-of-the-literature
#10
R Houston, C Gagliardo, S Vassallo, P Wynne, C A Mazzola
BACKGROUND: Spinal epidural abscess (SEA) is a rare but serious infection that develops in the epidural space anywhere along the spinal cord. Early diagnosis is imperative to prevent permanent neurological sequelae. SEA should be considered in patients with backache, fever, neurological deficits and/ or spinal tenderness. Although these are non-specific symptoms, delayed diagnosis increases the risk of development of sepsis, which may be life threatening, or result in varying degrees of permanent neurological impairment...
February 21, 2019: World Neurosurgery
https://read.qxmd.com/read/30797234/recurrent-femoral-shaft-fractures-in-a-child-with-gnathodiaphyseal-dysplasia-a-case-report
#11
Takuma Kuroda, Ichiro Okano, Takatoshi Sawada, Satoshi Okamoto, Yuki Midorikawa, Tetsuya Tachibana, Toshio Yagi, Katsunori Inagaki
BACKGROUND: Gnathodiaphyseal dysplasia (GDD) is an extremely rare autosomal dominant disease characterized by cemento-osseous lesions in the jawbones, bone fragility, and diaphyseal sclerosis of the tubular bones. Patients with GDD are prone to sustain fractures by minor accidents. Although over 80 cases have been reported, detailed information about the orthopedic treatment of the fractures is limited. CASE PRESENTATION: A 9-year-old Japanese girl with a known history of GDD presented with pain and deformity in the left thigh after a minor fall...
February 23, 2019: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/30773355/outpatient-joint-arthroplasty-transitioning-to-the-ambulatory-surgery-center
#12
Charles A DeCook
The performance of joint arthroplasty in an outpatient setting is expected to rise significantly over the coming decade, with predictions that greater than half of all primary joint arthroplasties will be performed in an outpatient setting by the year 2026. Financial pressures, bundled payment models, and improved understanding of patient recovery have led to discharging patients home the same day as the index procedure. Arthroplasty surgeons are starting to utilize ambulatory surgery centers (ASCs) to perform these outpatient arthroplasty procedures...
January 15, 2019: Journal of Arthroplasty
https://read.qxmd.com/read/30770421/ultrasound-guided-percutaneous-peripheral-nerve-stimulation-neuromodulation-of-the-suprascapular-nerve-and-brachial-plexus-for-postoperative-analgesia-following-ambulatory-rotator-cuff-repair-a-proof-of-concept-study
#13
Brian M Ilfeld, John J Finneran, Rodney A Gabriel, Engy T Said, Patrick L Nguyen, Wendy B Abramson, Bahareh Khatibi, Jacklynn F Sztain, Matthew W Swisher, Pia Jaeger, Dana C Covey, Matthew J Meunier, Eric R Hentzen, Catherine M Robertson
BACKGROUND AND OBJECTIVES: Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducing needle followed by the delivery of electric current. This modality has been reported to treat chronic pain as well as postoperative pain following knee and foot surgery. However, it remains unknown if this analgesic technique may be used in ambulatory patients following upper extremity surgery. The purpose of this proof-of-concept study was to investigate various lead implantation locations and evaluate the feasibility of using percutaneous brachial plexus PNS to treat surgical pain following ambulatory rotator cuff repair in the immediate postoperative period...
February 15, 2019: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/30765184/periprosthetic-femoral-fractures-after-total-hip-arthroplasty-an-algorithm-of-treatment
#14
Vito Pavone, Claudia de Cristo, Antonio Di Stefano, Luciano Costarella, Gianluca Testa, Giuseppe Sessa
BACKGROUND: Periprosthetic femoral fractures (PFFs) following total hip arthroplasty are becoming more prevalent and management of these fractures is often demanding. The surgeon has to assess in detail implant loosening, bone loss and type of fracture. The aim of the study is to identify the suitability of a treatment algorithm, based on the Vancouver classification that takes into account the activity and comorbidity of each patient. PATIENTS AND METHODS: This study retrospectively assessed 38 patients who were surgically treated for a PFF around total hip arthroplasty between 2010 and 2014...
February 2, 2019: Injury
https://read.qxmd.com/read/30762264/an-exploratory-study-of-the-relationship-between-post-operative-nausea-and-vomiting-and-post-discharge-nausea-and-vomiting-in-children-undergoing-ambulatory-surgery
#15
Arvind Chandrakantan, Ruth A Reinsel, Ronald Jasiewicz, Zvi C Jacob, Peggy A Seidman
BACKGROUND: The factors contributing to postoperative nausea and vomiting in children have been identified, but there have been no reported studies that have studied pediatric post-discharge nausea and vomiting . AIMS: A preliminary study of the factors affecting post discharge nausea and vomiting in ambulatory children, specifically whether postoperative nausea and vomiting factors are contributory. METHODS: 122 pediatric patients aged 5-10 years undergoing elective ambulatory surgery participated in this institution-approved study...
February 14, 2019: Paediatric Anaesthesia
https://read.qxmd.com/read/30700071/full-endoscopic-lumbar-fusion-outcomes-in-patients-with-minimal-deformities-a-retrospective-study-of-data-collected-between-2011-and-2015
#16
Solomon Kamson, Dawei Lu, Paul D Sampson, Yiyi Zhang
BACKGROUND: Open transforaminal lumbar interbody fusion (TLIF) is the gold standard treatment for back pain due to degenerative disc disease and lumbar instability. Traditional open TLIF has been associated with extensive tissue dissection, excessive blood loss, and slow recovery time. Full-endoscopic transforaminal lumbar interbody fusion (FE-TLIF) is an evolving treatment. OBJECTIVES: This study aims to review outcomes of FE-TLIF performed in an ambulatory surgery center (ASC) on patients with advanced disc disease with minimal spinal deformity...
January 2019: Pain Physician
https://read.qxmd.com/read/30675561/safety-and-patient-satisfaction-of-outpatient-shoulder-arthroplasty
#17
Timothy S Leroux, William A Zuke, Bryan M Saltzman, Beatrice Go, Nikhil N Verma, Anthony A Romeo, Jason Hurst, Brian Forsythe
Background: There is increasing interest in outpatient shoulder arthroplasty (SA); however, the clinical evidence behind this practice is sparse. The purpose of this study was to assess the safety of outpatient SA performed in an ambulatory surgery center and to determine patient factors that are associated with increased risk for perioperative complications or dissatisfaction. Methods: Patient demographics and operative variables were collected retrospectively for patients undergoing outpatient SA at 2 ambulatory surgery centers with a minimum follow-up of 90 days...
March 2018: JSES Open Access
https://read.qxmd.com/read/30666122/clinical-outcomes-and-risk-factors-in-patients-with-cervical-metastatic-spinal-cord-compression-after-posterior-decompressive-and-spinal-stabilization-surgery
#18
Mingxing Lei, Jun Yu, Shiju Yan, Xiao An, Yaosheng Liu
Purpose: The aim of this study was to investigate the clinical results of surgery for cervical spine metastasis and identify clinical risk factors affecting postoperative survival and neurological outcome. Patients and methods: A retrospective analysis of medical records was performed on 19 patients who had undergone decompressive surgery and spine stabilization due to metastatic spinal cord compression in the cervical spine. All patients had severe pain before surgery...
2019: Therapeutics and Clinical Risk Management
https://read.qxmd.com/read/30665796/perioperative-factors-that-contribute-to-postoperative-pain-and-or-nausea-and-vomiting-in-ambulatory-laparoscopic-surgery
#19
J López-Torres López, D Piedracoba Cadahía, M J Alcántara Noalles, T Simó Cortés, P Argente Navarro
INTRODUCTION: Both postoperative pain and postoperative nausea and vomiting are major factors that determine the time and quality of recovery in laparoscopic surgery. OBJECTIVE: To determine the perioperative factors that contribute to the appearance of postoperative pain and postoperative nausea and vomiting in outpatient laparoscopic surgery. MATERIAL AND METHODS: A prospective study was conducted on a cohort of 297 patients undergoing laparoscopic ambulatory surgery...
January 18, 2019: Revista Española de Anestesiología y Reanimación
https://read.qxmd.com/read/30662121/comparison-of-the-efficacy-of-intrathecal-isobaric-ropivacaine-and-bupivacaine-in-day-care-knee-arthroscopy-a-randomized-controlled-trial
#20
S Suresh Kumar, Vandana Talwar, Poonam Gupta, Anoop Raj Gogia
Background: The primary goal of ambulatory anesthesia is a rapid recovery with minimal side effects. Ropivacaine, due to its property of sensory-motor dissociation, maybe a useful agent when equivalent spinal anesthesia and quicker recovery of motor function is desirable. Aim: The aim of this study is to compare the efficacy of intrathecal isobaric ropivacaine with bupivacaine and to assess their postoperative recovery profile in patients undergoing arthroscopic knee surgery...
October 2018: Anesthesia, Essays and Researches
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