A Validation Study for POSSUM and EuroSCORE as a Predictor of Mortality After Selective Cardiac Surgery by Saeid Saeidimehr1 Saeid Saeidimehr1, Ahmad Ebadi, Farhad Kalantari, Mehdi D Firoozabadi, Fakher Rahim

“…Aim: to assess physiological and operative severity score for the enumeration of mortality (POSSUM) scoring system and compare it with European system for cardiac operative risk evaluation (EuroSCORE) scores in patients who underwent cardiac surgery from two hospitals in the southwestern region of Iran. Methods: in this retrospective study, total of all 1420 patients who were admitted for elective cardiac surgery at our centers, from 2007 to 2012, were scored using the POSSUM and EuroSCORE systems. …”
Get full text

A Validation Study for POSSUM and EuroSCORE as a Predictor of Mortality After Selective Cardiac Surgery by Saeid Saeidimehr1 Saeid Saeidimehr1, Ahmad Ebadi, Farhad Kalantari, Mehdi D Firoozabadi, Fakher Rahim

“…Aim: to assess physiological and operative severity score for the enumeration of mortality (POSSUM) scoring system and compare it with European system for cardiac operative risk evaluation (EuroSCORE) scores in patients who underwent cardiac surgery from two hospitals in the southwestern region of Iran. Methods: in this retrospective study, total of all 1420 patients who were admitted for elective cardiac surgery at our centers, from 2007 to 2012, were scored using the POSSUM and EuroSCORE systems. …”
Get full text

Pregnancy and Birth Outcomes among Women with Idiopathic Thrombocytopenic Purpura by Diego F. Wyszynski, Wendy J. Carman, Alan B. Cantor, John M. Graham, Liza H. Kunz, Anne M. Slavotinek, Russell S. Kirby, John Seeger

“…To examine pregnancy and birth outcomes among women with idiopathic thrombocytopenic purpura (ITP) or chronic ITP (cITP) diagnosed before or during pregnancy. Methods. A linkage of mothers and babies within a large US health insurance database that combines enrollment data, pharmacy claims, and medical claims was carried out to identify pregnancies in women with ITP or cITP. …”
Get full text

A Comparative Study of I-gel with Endotracheal Tube for Pressure Controlled Ventilation by Leejia Mathew, Litha M. Mathew, Philip Mathew, Saritha S. Vargese, Vinodan K

“…Aim and Objectives: To assess whether i-gel is comparable to endotracheal tube for pressure controlled ventilation at different inspiratory pressures. Material and Methods: Forty American Society of Anaesthesiologists (ASA) III patients undergoing elective surgery were selected. …”
Get full text

Comparison of the effects of two amino acids, Gamma-aminobutyric acid (GABA) and L-theanine, on sedation, anxiety, and cognition in preoperative surgical patients – A randomized co... by Shrinidhi S. Deshpande, Madhuri Kurdi, Amrita Baiju, A. S. Athira, Athira G. Sarasamma, Arunima K. Gangadharan

“…Material and Methods: A total of 168 patients aged between 18 and 55 years, belonging to the American Society of Anesthesiologists physical status class I and II, and satisfying all inclusion criteria were randomly divided into three groups that received either oral L-theanine, oral GABA, or oral alprazolam 0.25 mg. …”
Get full text

Perfusion index to predict post spinal hypotension in lower segment caesarean section by Minal J. Harde, Prashant B. Ranale, Sarita Fernandes

“…We aimed to study baseline PI as a predictor of post-spinal hypotension in LSCS. Material and Methods: Prospective observational study conducted in a tertiary care teaching public hospital on patients posted for elective LSCS under spinal anesthesia. …”
Get full text

Spontaneous Bowel Evisceration Through Umbilical Hernia Sites in Adult Patients: A Systematic Review of the Literature by Simone Gianazza, Niccolò Grappolini, Marika Morabito, Andrea Palillo, Marta Ripamonti, Davide Inversini

“…Spontaneous rupture of the hernia sac is a less common complication, primarily associated with persistent ascites or congenital wall defects. Materials and methods: A systematic review was conducted using the PubMed database—the United States National Library of Medicine, with the search terms “spontaneous bowel evisceration” and “umbilical hernia evisceration”. …”
Get full text

Sentinel NOSE: Prospective feasibility study on sentinel lymph node biopsy in bulky nasal vestibule cancer. by Michal D Czerwinski, Ellen M Zwijnenburg, Anne I J Arens, Adriana C H Van Engen, Jimmie Honings, Willem L J Weijs, Robert P Takes, Johannes H A M Kaanders, Cornelia G Verhoef

“…More sensitive assessment of the neck may obviate elective treatment and ultimately reduce the risk of nodal relapse and improve outcome. …”
Get full text

The Relationship between Preoperative Educational Session and Anxiety Level among Women Undergoing Cesarean Section: A Scoping Review by Fatimah A. AlSufyani, Hala A. Thabet, Nouran E. S. Katooa

“… Context: Anxiety is felt in women undergoing elective cesarean section. In obstetric patients, literature has reported a higher level of preoperative anxiety than the general surgical population. …”
Get full text

Risk factors of postoperative complications of gastrointestinal tumor in elderly patients by Huiqiu Liang, Yan Luo

“…[Objective] To investigate the risk factors of postoperative complications of gastrointestinal tumors in elderly patients. [Methods] A total of 242 elderly patients undergoing elective gastrointestinal tumor surgery from January 2016 to January 2017 were selected for retrospective analysis, and preoperative general conditions, preoperative complications, preoperative laboratory tests and other examination indicators, surgical and anesthesia-related factors were collected.Univariate and multivariate logistic regression analysis were used to statistically analyze the influencing factors of postoperative complications. …”
Get full text

Efficacy and safety of a generic remifentanil formulation versus fentanyl and Ultiva during general anaesthesia: A phase III, prospective, multi-centric, observer-blind, randomised... by Indrani Hemantkumar, Ashok Kumar Swain, Manjaree Mishra, Swati Singh, Challakere Lakshminarain Gurudatt, Janampet Bekkam Giridhar

“…This study aimed to compare the efficacy and safety of a generic remifentanil (test drug) with fentanyl and Ultiva (innovator formulation) during general anaesthesia in the Indian population. Methods: This phase III, multi-centre (n = 13), randomised, three-arm, comparative study was conducted from 24 November 2021 to 31 March 2022. …”
Get full text

Effect of passive tobacco smoke on the incidence of respiratory adverse events in female patients undergoing general anesthesia– a cohort study by Maryyam Hanif, Samina Ismail

“…This study aims to assess whether females exposed to passive tobacco smoke undergoing GA, experience a higher incidence of perioperative respiratory AEs. Methods This single-center prospective cohort study was conducted from July 2021 to July 2022, at a University Hospital. …”
Get full text

Comparative Efficacy of Two Multimodal Analgesia Protocols for Postoperative Pain Management Following Total Knee Arthroplasty: A Double-Blind, Randomized Clinical Trial by Nazanin Zahra Farokhi, Alireza Susanabadi, Alireza Amani, Mohsen Parsi Khameneh, Hesameddin Modir

“…This study compared the effectiveness and safety of two multimodal analgesia regimens in patients undergoing TKA. Materials and Methods: In this double-blind, randomized clinical trial, 84 patients scheduled for elective TKA under spinal anesthesia were allocated to receive either dexmedetomidine–dexamethasone–ketamine (DDK) group or granisetron–midazolam–ketorolac group as 24 h postoperative infusions. …”
Get full text

Anterolateral Thigh Flap—the Optimal Flap in Coverage of Severe Elbow Injuries by Venkata Koteswara Rao Rayidi, Panagatla Prakash, R Srikanth, Jammula Sreenivas, Karavattula Swathi

“…The ALT flap has found application in elective upper limb defects on account of it’s ability to be tailor made for individual defects. …”
Get full text

Vesicovaginal fistula diagnosis and repair, Benghazi-Libya (Nine years of experience) by A Etabbal, R El Kawafi, A Greiw

“…Aim: To confirm that the immediate repair of iatrogenic urinary bladder injures during obstetric or gynecological surgeries prevents VVF formation, and to identify optimal time and outcome of surgical techniques of VVF repair. Patients & Methods: Prospective study was carried over 9 years and included 95 patients. …”
Get full text

Systematic Review: Outcomes by Duration of NPO Status prior to Colonoscopy by Aasma Shaukat, Ashish Malhotra, Nancy Greer, Roderick MacDonald, Joseph Wels, Timothy J. Wilt

“…We reviewed the evidence for the relationship between NPO timing and aspiration incidence and colonoscopy rescheduling. Methods. We searched MEDLINE (1990–April 2015) for English language studies of any design and included them if at least one bowel preparation regimen was completed within 8 hours of colonoscopy. …”
Get full text

Preoperative Sarcopenia in Predicting Postoperative Complications following Gastrointestinal Cancer Surgery: An Observational Study by Narendra Maharjan, Paleswan Joshi Lakhey, Sumita Pradhan, Bishnu Prasad Kandel, Ramesh Singh Bhandari

“…This study aimed to determine whether preoperative sarcopenia is associated with postoperative complications following gastrointestinal cancer surgery. Methods: A prospective observational study was conducted from April 2019 to August 2020 at Tribhuvan University Teaching Hospital, Nepal. …”
Get full text

Transforaminal Lumbar Endoscopic Discectomy: A Novel Alternative for Management of Lumbar Disc Herniation in Patients With Rheumatoid Arthritis? by Stylianos Kapetanakis, Constantinos Chaniotakis, Paschalis Tsioulas, Nikolaos Gkantsinikoudis

“…The aim of the present study is to assess the progress of health-related quality of life following transforaminal endoscopic lumbar discectomy (TELD) for LDH in patients suffering from RA. Methods Seventy-four patients, scheduled to undergo elective TELD for LDH, were prospectively enrolled in the study. …”
Get full text

Building consensus on clinical procedural skills for South African family medicine training using the Delphi technique by Bob Mash, Ian Couper, Jannie Hugo

“…Background: The development of registrar training as part of the newly created speciality of family medicine in South Africa requires the development of a national consensus on the clinical procedural skills outcomes that should be expected of training programmes. Methods: This study utilized a Delphi technique to establish a national consensus between 35 experts from training institutions, those already in family practice and managers who might be employing family physicians in both private and public sector contexts. …”
Get full text

Incidence and burden of comorbid pain and depression in patients with chronic rhinosinusitis awaiting endoscopic sinus surgery in Canada by Bassem M. N. Hanna, R. Trafford Crump, Guiping Liu, Jason M. Sutherland, Arif S. Janjua

“…The secondary objective was to report on levels of depression and pain among patients in the sample reporting severe sleep problems. Methods This is a cross-sectional study of patient-reported outcomes collected prospectively from a cohort of 261 patients assigned to the wait list for elective endoscopic sinus surgery in a large urban region of Canada. …”
Get full text