Patient positioning is an important technique for tension control during dermatologic surgery. Increasing tension across a surgical site during excision and decreasing tension during closure ultimately reduces the work required to complete procedures and increases efficiency. These techniques should be considered in areas of high tension and repetitive motion such as the back and lower extremities.
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http://dx.doi.org/10.12788/cutis.0147 | DOI Listing |
Medicina (Kaunas)
December 2024
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea.
: The modified prone position, which is an alteration of the standard prone position, reduces cardiac preload. Dynamic variables including stroke volume variation (SVV), pulse pressure variation (PPV), and pleth variability index (PVI) are reliable predictors for fluid responsiveness during surgery. To the best of our knowledge, no studies assessing dynamic variables for fluid responsiveness have been conducted in the modified prone position.
View Article and Find Full Text PDFMedicina (Kaunas)
December 2024
Medical College, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria.
Situs anomalies, including situs inversus and situs ambiguous (SAMB), are rare congenital conditions typically noted in pediatric populations, with SAMB being particularly uncommon in adults. This case study addresses the incidental discovery of situs ambiguous with polysplenia in a 65-year-old man evaluated for suspected adrenal adenoma. The patient's medical history included benign prostatic hyperplasia and tuberculous pleurisy.
View Article and Find Full Text PDFDiagnostics (Basel)
December 2024
Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung 807378, Taiwan.
The hospital-at-home (HaH) model delivers hospital-level acute care, including diagnostics, monitoring, and treatments, in a patient's home. It is particularly effective for managing conditions such as pneumonia. Point-of-care ultrasonography (PoCUS) is a key diagnostic tool in the HaH model, and it often serves as a substitute for imaging-based diagnosis in the HaH setting.
View Article and Find Full Text PDFBMC Nurs
January 2025
Department of Adult Health Nursing, College of Health Sciences, Arsi University, Asella, Ethiopia.
Background: Pressure injuries are a significant concern in healthcare settings, leading to increased morbidity, healthcare costs, and patient suffering. This systematic review aims to evaluate the impact of multifaceted interventions on the prevention of Pressure injuries and improvements in nursing practices.
Methods: A systematic search was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across multiple databases, including studies from Google Scholar (332), Science Direct (14), grey literature sources (45), PubMed (0), Cochrane Library (437), and Hinari (322).
Surg Endosc
January 2025
Excellence Center for GI Endoscopy, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.
Background: Prone positioning during endoscopic retrograde cholangiopancreatography (ERCP) can lead to post-procedure neck pain due to increased cervical spine stress and prolonged muscle stretching. This study aimed to evaluate the efficacy and satisfaction of an ergonomic wedge pillow for patients undergoing prone ERCP.
Methods: Patients indicated for ERCP were randomized 1:1 to a study group (with the pillow) or a control group.
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