6 results match your criteria: "Department of Surgery University of Melbourne Melbourne Victoria Australia.[Affiliation]"
Article Synopsis
- The study aimed to evaluate the management and peri-operative outcomes of neurogenic bladder patients undergoing percutaneous nephrolithotomy (PCNL) at the hospital over the past decade.
- Out of 298 PCNL procedures, 58 were performed on patients with neurogenic bladders, including 33 patients with spinal cord injuries (SCI), with various data collected on demographics, stone characteristics, and complications.
- The findings suggest that PCNL is a safe and effective treatment for upper urinary tract stones in patients with neurogenic bladders, especially when other methods like ureteroscopy are not viable due to SCI.
Article Synopsis
- The rise of robotic assisted surgery (RAS) in Reconstructive and Functional Urology (RFU) improves surgical outcomes but also challenges quality and safety standards due to varying institutional requirements.
- A narrative review highlights issues in assessing surgeon competency, as reliance on case numbers is insufficient, and differentiating between robotic training and specific RFU experience is complex.
- The conclusion emphasizes the need for standardized guidelines in training and credentialing to ensure patient safety and high-quality care in RFU procedures.
Impact of focused cardiac and lung ultrasound screening performed by a junior doctor during admission to the surgical ward on patients before emergency non-cardiac surgery: A pilot prospective observational study.
Australas J Ultrasound Med
May 2023
Department of Surgery University of Melbourne Melbourne Victoria Australia.
Purpose: To assess whether pre-operative focused cardiac ultrasound and lung ultrasound screening performed by a junior doctor can change diagnosis and clinical management of patients aged ≥65 years undergoing emergency, non-cardiac surgery.
Method: This pilot prospective observational study included patients scheduled for emergency, non-cardiac surgery. The treating team completed a diagnosis and management plan before and after focused cardiac and lung ultrasound, which was performed by a junior doctor.
Article Synopsis
- A systematic review and meta-analysis investigated the link between retinal imaging features and Alzheimer's disease (AD), focusing on studies that defined AD based on brain amyloid beta status.
- Thirty-eight studies showed weak associations, indicating that retinal changes like nerve fiber layer thinning and increased foveal avascular zone may be related to AD, though these findings were inconsistent.
- The study highlights challenges in interpreting retinal imaging as AD biomarkers due to small sample sizes and differences in imaging techniques, suggesting the need for standardized methods in future research.
Introduction: Ultrasound-guided peripheral intravenous cannulation (USGPIVC) benefits patients with difficult intravenous access (DIVA) through visualising otherwise non-visible and non-palpable veins. Supervised live-case training is an important component of learning this skill, but supervisor availability can present a barrier limiting or delaying staff completing their training.
Aims: The aim of this study was to determine the first-attempt success rate of newly trained USGPIVC inserters using remote supervision and timely written feedback based on app-based screen recordings taken during insertion.
The adoption of point-of-care lung ultrasound for both suspected and confirmed COVID-19 patients highlights the issues of accessibility to ultrasound training and equipment. Lung ultrasound is more sensitive than chest radiography in detecting viral pneumonitis and preferred over computed tomography for reasons including its portability, reduced healthcare worker exposure and repeatability. The main lung ultrasound findings in COVID-19 patients are interstitial syndrome, irregular pleural line and subpleural consolidations.
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