Publications by authors named "Goetsch T"
WALANT (Wide Awake Local Anesthesia No Tourniquet) has been widely implemented in hand surgery. We conducted a systematic review from 1979 to 2022, led by a team of anesthesiologist. Only randomized studies comparing WALANT to other types of regional anesthesia were included.
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- This study aimed to enhance the assessment of renal masses through MRI by analyzing T1 and T2 relaxation times.
- It involved 125 patients with normal kidneys and 75 with renal masses, measuring T1 and T2 values to evaluate differences between groups and types of renal tumors.
- While T1 values showed no significant differences across renal mass types, T2 values revealed significant differences among them, suggesting T2 mapping may be a valuable tool for differentiating renal masses.
Article Synopsis
- The study compares two learning methods for surgical trainees performing clavicle plate placements: naive practice (NP), which involves watching an expert video before each trial, and deliberate practice (DP), where trainees receive personalized feedback after each attempt.
- Results showed that trainees using DP had significantly better objective performance scores and greater improvements over time compared to those using NP, indicating that structured feedback enhances learning.
- Although DP led to better performance outcomes, it was also associated with higher stress levels, as measured by an analgesia-nociception index, suggesting a trade-off between effective learning and the stress of performance evaluation.
Background: Challenging behaviours and emotional dysregulation are common sequelae of acquired brain injury (ABI), but treatment remain underdeveloped. Dialectical behaviour therapy is an evidence-based therapy for emotional dysregulation.
Objective: To explore the feasibility and preliminary efficacy of dialectical behaviour therapy for ABI.
Study of the feasibility of outpatient sacrocolpopexy by laparoscopy.
J Gynecol Obstet Hum Reprod
September 2024
Article Synopsis
- Laparoscopic sacrocolpopexy (LSCP) is evaluated as an outpatient procedure for treating pelvic prolapse, emphasizing its growing importance in ambulatory care.
- A study at the University Hospital of Strasbourg included women needing LSCP, finding that 28.5% of participants were hospitalized post-surgery, which is considered low.
- Patients reported high satisfaction levels and no significant decline in quality of life, indicating that LSCP can be safely performed in an outpatient setting with minimal complications.
Opioid administration is particularly challenging in the perioperative period. Computerized-based Clinical Decision Support Systems (CDSS) are a promising innovation that might improve perioperative pain control. We report the development and feasibility validation of a knowledge-based CDSS aiming at optimizing the management of perioperative pain, postoperative nausea and vomiting (PONV), and laxative medications.
View Article and Find Full Text PDFBackground: The aim of the study was to describe and investigate the effect of pulmonary arterial hypertension (PAH) therapies in a cohort of patients with severe precapillary pulmonary hypertension (PH) associated with chronic obstructive pulmonary disease (COPD; PH-COPD), and to assess factors predictive of treatment response and mortality.
Material And Methods: We retrospectively included patients with severe incident PH-COPD who received PAH therapy and underwent RHC at diagnosis and on treatment.
Results: From 2015 to 2022, 35 severe PH-COPD patients, with clinical features of pulmonary vascular phenotype, were included.
Background: The long-term prognosis of impulsive compulsive disorders (ICD) remains poorly studied in Parkinson's disease (PD).
Objective: Evaluating the natural history of ICD and its impact on PD symptoms including cognition and treatment adjustments.
Materials And Methods: We assessed PD patients at baseline (BL) with (BL-ICD+) or without (BL-ICD-) ICD despite dopamine agonist (DA) exposure of > 300 mg levodopa-equivalent daily dose for > 12 months at baseline and after more than two years of follow-up.
Purpose: Hand-held ultrasound (HHUS) is gaining popularity among clinicians. Although its use for procedural guidance could have several advantages in hand surgery, other surgeons may wonder about its added benefits. This cadaveric study aimed to examine the hypothesis of increased accuracy of wireless HHUS-guided injections versus that of blind injections into the flexor sheath.
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- - The study analyzed the impact of different surgeon expertise levels on clinical outcomes for distal radius fractures treated with minimally invasive plate osteosynthesis (MIPO), comparing level III and level V surgeons.
- - Results showed that patients operated on by level V surgeons had significantly better clinical outcomes (higher Mayo score and lower QuickDASH score) and fewer complications compared to those treated by level III surgeons.
- - The findings suggest that improving surgical performance through targeted training could lead to better patient outcomes and fewer complications in surgical practices.
Background And Purpose: Dual-task (DT) training has become a common intervention for older adults with balance and mobility limitations. Minimal detectable change (MDC) of an outcome measure is used to distinguish true change from measurement error. Few studies reporting on reliability of DT outcomes have reported MDCs.
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