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Perfusion outcomes with near-infrared indocyanine green imaging system in laparoscopic total mesorectal excision for mid-rectal or low-rectal cancer (POSTER): a study protocol.
BMJ Open
May 2024
Department of General Surgery, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, China
Introduction: Anastomotic leakage (AL) is defined as the failure of complete healing or disruption of the anastomosis subsequent to rectal cancer surgery, resulting in the extravasation of intestinal contents into the intra-abdominal or pelvic cavity. It is a serious complication of rectal cancer surgery, accounting for a considerable increase in morbidity and mortality. The use of fluorescence imaging technology in surgery allows surgeons to better evaluate blood perfusion.
View Article and Find Full Text PDFEducation and clinical pharmacist-led management strategies for the risk and prophylaxis of venous thromboembolism in general surgery.
Thromb J
August 2023
Department of General Surgery, Faculty of Medicine, Hacettepe University, Ankara, 06230, Türkiye.
Background: Despite the risks of venous thromboembolism (VTE) in surgical patients are well defined, primary thromboprophylaxis (TP) can be neglected. The aim of this study was to evaluate the risk of VTE and appropriateness of TP and to assess the effects of education and clinical pharmacy (CP) services.
Methods: This study was conducted in a total of 3 periods (n = 800): pre-education (n = 340), post-education (n = 269) and CP intervention period (n = 191) and the risk of VTE and the appropriateness of TP were evaluated.
Unrestricted drinking before surgery: an iterative quality improvement study.
Anaesthesia
December 2022
Department of Anaesthesiology and Pain Therapy, Helios Klinikum Emil von Behring, Berlin, Germany.
Average pre-operative fasting times for clear liquids are many times longer than those specified in national and international guidelines. We sought to decrease fasting times by applying a quality management tool aimed at continuous improvement. Through the application of iterative 'plan-do-study-act' cycles, tools to reduce pre-operative liquid fasting times were developed and applied, the effects measured, analysed and interpreted and the conclusions used to inform the next plan-do-study-act cycle.
View Article and Find Full Text PDFEffect of a waiting room communication strategy on imaging rates and awareness of public health messages for low back pain.
Int J Qual Health Care
October 2021
Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, New South Wales 2050, Australia.
Background: Few studies have investigated the effects of waiting room communication strategies on health-care behavior.
Objective: We aimed to determine the effect of a waiting room communication strategy, designed to raise awareness of potential harms of unnecessary imaging, on lumbar imaging rates in the emergency department (ED).
Methods: We conducted a controlled experimental study with a replicated time series design.
Results of a Time and Motion Survey Regarding Subcutaneous versus Intravenous Administration of Daratumumab in Patients with Relapsed or Refractory Multiple Myeloma.
Clinicoecon Outcomes Res
June 2021
Real World and Late Phase, Syneos Health Clinical Spain SL, Madrid, Spain.
Purpose: Daratumumab (DARA) is a humanized anti-CD38 monoclonal antibody and approved as monotherapy or in combination with standard of care regimens for the treatment of multiple myeloma (MM). DARA intravenous (IV) administration is time-consuming; availability of DARA subcutaneous (SC) is expected to reduce this burden. A time and motion survey was undertaken to elicit healthcare providers' (HCPs') understanding of the workflow and time estimates for administration of DARA IV and SC (beyond treatment time) in patients with relapsed/refractory MM.
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