Publications by authors named "W Jacob Lavelle"
Article Synopsis
- The study investigates the effects of wearing N95 masks compared to loop/surgical masks on healthcare workers during long shifts, focusing on symptoms like fatigue and blood gas levels.
- It involved a survey and measurements of carbon dioxide and oxygen levels before and after shifts, with 39 subjects participating.
- Results indicated that those wearing N95 masks reported significantly higher fatigue levels, but no meaningful differences were found in arterial blood gas parameters between the two mask types.
Introduction: Introduction: Lumbar facet fracture-dislocations are rare injuries that are generated from a significant trauma. Literature regarding these injuries is limited to case reports, and there are even more limited reports concerning whether the delay of operative intervention in neurologically intact patients can achieve good clinical results if concomitant injuries and/or medical issues preclude urgent operative intervention. There has been no consensus on which operative techniques are effective in achieving an anatomic reduction of these injuries.
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- The aging spine can present complex surgical challenges due to issues like spinal alignment and quality of life, especially in elderly patients who may have osteoporosis and frailty.
- A literature review highlighted factors affecting spinal alignment, such as flexibility and bone health, and emphasized the importance of thorough preoperative assessments and radiographic evaluations to guide surgical planning.
- Personalized surgical strategies should be developed based on individual patient conditions and health, with the potential use of anabolic agents to improve bone quality and reduce complications related to surgery.
Article Synopsis
- This study focused on how liposomal bupivacaine (LB) impacts pain management and recovery outcomes in patients undergoing outpatient spine surgery.
- It involved 381 patients using LB and 1,143 patients receiving traditional analgesia, with results showing that LB patients used fewer opioids during the hospital stay and had lower emergency department visit rates post-discharge.
- However, opioid use differences after discharge were not statistically significant, indicating LB might improve initial recovery but may not significantly affect long-term opioid use.