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The impact of white matter lesions and subclinical cerebral ischemia on postoperative cognitive training outcomes after heart valve surgery: A randomized clinical trial.
J Neurol Sci
December 2024
Heart and Brain Research Group, Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany; Department of Neurology, University Hospital Giessen and Marburg, Giessen, Germany.
Background: White matter lesions and subclinical cerebral ischemia (SCI) are described as risk factors for postoperative cognitive decline (POCD) following cardiac surgery. This report aims to investigate the effect of brain lesions on postoperative cognitive training outcomes.
Methods: In a randomized, treatment-as-usual controlled trial, elderly patients scheduled for elective heart valve surgery participated.
Postoperative care after thoracic surgery in the times of ERAS.
Best Pract Res Clin Anaesthesiol
March 2024
Department of Thoracic Surgery, Barts Thorax Centre, St Bartholomew's Hospital, West Smithfield, London, EC1A 7BE, UK. Electronic address:
This review documents the importance of postoperative interventions that accelerate the functional recovery of the thoracic surgical patient. Enhanced recovery after surgery (ERAS) pathways aim to mitigate the harmful surgical stress response. Improvements to the entire patient pathway, by removing unnecessary care elements while introducing evidence-based interventions, have synergistic effects.
View Article and Find Full Text PDFOptimising recovery after caesarean delivery.
Best Pract Res Clin Anaesthesiol
September 2024
Department of Anesthesiology, University Hospital Leuven, Belgium.
Caesarean delivery is the most performed inpatient surgery worldwide, with rates expected to rise. Optimising maternal recovery benefits not only the mother, but also the newborn and society. Enhanced Recovery After Caesarean delivery (ERAC) protocols standardize the approach to perioperative management of patients in order to accelerate early postoperative maternal rehabilitation.
View Article and Find Full Text PDFPrognosticating post-bariatric surgery outcomes and management of postoperative recurrent weight gain and diabetes recurrence.
Front Nutr
December 2024
Department of Gastroenterology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Bariatric surgery stands as the most potent treatment for achieving substantial weight reduction and alleviating the complications associated with obesity. However, it is not the treatment of choice for patients with obesity combined with type 2 diabetes mellitus, and the benefit of bariatric surgery varies widely among individuals. There is a noticeable inconsistency in the outcomes following these procedures.
View Article and Find Full Text PDFComparison of the effects of transcutaneous electrical nerve stimulation and microcurrent electrical neuromuscular stimulation after total knee arthroplasty.
J Phys Ther Sci
January 2025
Department of Orthopaedic Surgery, Hirosaki Memorial Hospital, Japan.
[Purpose] This study aimed to compare the effects of transcutaneous electrical nerve stimulation and microcurrent electrical neuromuscular stimulation on pain relief and knee function following total knee arthroplasty. [Participants and Methods] This was a prospective, single-center, three-group parallel study. Thirty-five patients scheduled for total knee arthroplasty were divided into transcutaneous electrical nerve stimulation, microcurrent electrical neuromuscular stimulation, and control groups.
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