Publications by authors named "Judith Wishin"
Article Synopsis
- The study compared two groups of patients undergoing spinal fusion for adolescent idiopathic scoliosis: a control group and a group treated with a specific clinical pathway involving methadone and other medications.
- Implementing this pathway resulted in lower average pain scores and significantly reduced postoperative opioid consumption in the experimental group.
- Additionally, patients in the experimental group had a shorter hospital stay, highlighting the effectiveness of the multimodal approach in improving care.
Incorporating airway examination photography into the electronic record.
Rom J Anaesth Intensive Care
April 2017
Article Synopsis
- Photography of the airway is being researched to improve the preoperative assessment of patients, specifically for identifying those who may have difficult airways.
- The University of Florida Health Presurgical Clinic incorporates three specific photographs of patients during pre-anesthesia visits to aid in this assessment.
- A survey of anesthesia providers showed that these images significantly enhance care planning and satisfaction with the airway evaluation process, proving their usefulness in a clinical setting.
Background: The purpose of this study was to validate a patient-centered anesthesia triage system (PCATS) by examining its association with, and predictive value of, ASA physical status (PS) classification. ASA PS classification is a widely used indicator of health status and the predictor of risk of perioperative complications. Thus, ASA PS is a good triage point such that healthy surgical patients (ASA PS I and II) undergoing low-complexity surgery are assessed by telephone, whereas less-healthy patients (ASA PS III and IV) or those patients undergoing highly complex surgery are seen in person at a presurgical clinic.
View Article and Find Full Text PDFAdherence to microbicide gel use is critical to optimizing effectiveness in preventing human immunodeficiency virus transmission. The authors hypothesized that ester taggants added to vaginal gels would generate exhaled alcohol and ketone metabolites and provide a "breath test" for vaginal gel use. This 2-arm (vaginal and dermal), randomized, participant-blinded, pilot study tested this hypothesis.
View Article and Find Full Text PDFA breath-based adherence system to document ingestion of oral medications (e.g., HAART) was investigated.
View Article and Find Full Text PDFEmerging options for the management of fecal incontinence in hospitalized patients.
J Wound Ostomy Continence Nurs
March 2008
Fecal incontinence is a common problem among hospitalized patients. It predisposes them to complications such as infections and pressure ulcers, resulting in added morbidity and increased length of stay. Despite the prevalence and clinical implications of fecal incontinence, relatively few well-designed studies have been completed assisting clinicians to determine which management strategies prevent complications most effectively.
View Article and Find Full Text PDFBackground: Management of fecal incontinence is a priority in acute and critical care to reduce risk of perineal dermatitis and transmission of nosocomial infections.
Objective: To evaluate the safety of the Flexi-Seal Fecal Management System in hospitalized patients with diarrhea and incontinence.
Methods: A prospective, single-arm clinical study with 42 patients from 7 hospitals in the United States was performed.