The aim of postoperative care of a patient having undergone a post-traumatic amputation is to prevent complications and ensure the optimal healing of the amputated limb. The team is especially attentive to pain and supports the patient in their acceptance process.
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Clinical Manifestations.
Alzheimers Dement
December 2024
University of Florida, Gainesville, FL, USA.
Background: Preexisting cognitive impairment is a significant risk factor for post operative delirium (POD), and POD increases morbidity and mortality. Disturbances of attention (i.e.
View Article and Find Full Text PDFAnesthesia and Pain Management for Scoliosis Surgery: A Narrative Review.
Clin Spine Surg
January 2025
Chair and Department of Palliative Medicine, University of Medical Sciences, Poznań, Poland.
Study Design: This was a narrative review.
Objective: The objective of this review was to summarize the current evidence and knowledge gaps regarding anesthesia and pain management for scoliosis surgery, including multimodal analgesia, and identify the best anesthetic approach to scoliosis surgery that ensures patient safety and pain relief even in the postoperative period, with minimal influence on SSEP monitoring.
Summary Of Background Data: Spinal surgeries and fusions for scoliosis are associated with high pain levels.
Heparin-induced thrombocytopenia (HIT) is an adverse drug reaction with significant thromboembolic risk. Though there are models for use of non-heparin anticoagulants, heparin remains the preferred anticoagulant in many operative settings, especially cardiovascular surgery and percutaneous cardiac intervention. The natural history of HIT can be stereotyped into phases using HIT laboratory testing to guide clinical management and determine whether heparin re-exposure can be considered.
View Article and Find Full Text PDFThree-Dimensional Sectional Measurements of Shoulder Muscle Volume and Computed Tomography Density to Monitor Serial Postoperative Volume Changes in the Transverse Force Couple of Shoulder Muscles in Anterior Shoulder Instability.
Cureus
December 2024
Radiology, Saitama Medical University, Saitama, JPN.
Purpose: In this study, we evaluated serial changes in shoulder muscle volume and computed tomography (CT) density of the transverse force couple (i.e., subscapularis (Ssc) vs.
View Article and Find Full Text PDFDay 3 neutrophil-to-lymphocyte ratio and its derived indices predict 90-day poor outcomes following mechanical thrombectomy in acute ischemic stroke patients.
Front Neurol
December 2024
Department of Neurology, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Objective: To investigate the dynamic changes in neutrophil-to-lymphocyte ratio (NLR) and its derived indices following mechanical thrombectomy (MT) in patients with acute ischemic stroke (AIS) and evaluate their predictive value for prognosis.
Methods: This single-center retrospective cohort study included AIS patients who underwent MT at Zhongshan Hospital of Xiamen University from January 2018 to February 2024. Peripheral blood samples were collected on admission, day 1, and day 3 after MT to determine the NLR, derived NLR (dNLR), and neutrophil-monocyte-to-lymphocyte ratio (NMLR).
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