Outpatient compared to inpatient thyroidectomy on 30-day postoperative outcomes: a national propensity matched analysis.

Background: To address the postoperative outcomes between outpatient and inpatient neck surgery involving thyroidectomy procedures.

Methods: A cohort analysis of surgical patients undergoing primary, elective, total thyroidectomy from multiple United States medical institutions who were registered with the American College of Surgeons National Surgical Quality Improvement Program from 2015 to 2018. The primary outcome was a composite score that included any 30-day postoperative adverse event.

Rapid response team-triggered procalcitonin measurement predicts infectious intensive care unit transfers*.

Objective: Determine if procalcitonin at the time of initial rapid response team activation identifies patients who are likely to need subsequent intensive care unit transfer.

Design: Prospective observational cohort study.

Setting: Urban, tertiary care hospital with rapid response team activation through an electronic modified early warning score.

A comparison of methods to identify open-lung PEEP.

Purpose: Many methods exist in the literature for identifying PEEP to set in ARDS patients following a lung recruitment maneuver (RM). We compared ten published parameters for setting PEEP following a RM.

Methods: Lung injury was induced by bilateral lung lavage in 14 female Dorset sheep, yielding a PaO(2) 100-150 mmHg at F(I)O(2) 1.

Gas exchange impairment induced by open suctioning in acute respiratory distress syndrome: impact of permissive hypercapnia.

Objective: To determine whether hypercarbia occurs following the use of open suctioning in lung lavage injured sheep and whether the baseline PaCO2 and duration of suctioning affect gas exchange.

Design: Prospective laboratory evaluation.

Setting: Animal laboratory in a university hospital.

The impact of endotracheal suctioning on gas exchange and hemodynamics during lung-protective ventilation in acute respiratory distress syndrome.

Objective: To evaluate the respiratory and hemodynamic effects of open suctioning (OS) versus closed suctioning (CS) during pressure-control (PC) and volume-control (VC) ventilation, using a lung-protective ventilation strategy in an animal model of acute respiratory distress syndrome (ARDS).

Setting: Animal laboratory in a university hospital.

Design: Randomized cross-over evaluation.

Paradoxical responses to positive end-expiratory pressure in patients with airway obstruction during controlled ventilation.

Objective: To reevaluate the clinical impact of external positive end-expiratory pressure (external-PEEP) application in patients with severe airway obstruction during controlled mechanical ventilation. The controversial occurrence of a paradoxic lung deflation promoted by PEEP was scrutinized.

Design: External-PEEP was applied stepwise (2 cm H(2)O, 5-min steps) from zero-PEEP to 150% of intrinsic-PEEP in patients already submitted to ventilatory settings minimizing overinflation.