Impact of adding dexmedetomidine to various lidocaine concentrations in the interscalene brachial plexus block for upper limb surgery by В.І. Коломаченко, І.Ю. Одинець, О.Є. Гавриков, В.І. Купін

“…The purpose of the study was to investigate the effect of adding dexmedetomidine to lidocaine solutions of different concentrations in the interscalene brachial plexus block by examining the onset time and duration of motor block and analgesia. Materials and methods. The study included 75 patients who underwent elective upper limb surgery under interscalene brachial plexus block. …”
Get full text

Effective Dose of Oliceridine Fumarate Co-Administered with Remimazolam in Suppressing Gastroscope Insertion Responses for Adults by Yang W, Zhou R, Zhou X, Chen X, Zhou D, Zhang X

“…Weilin Yang,1,* Rui Zhou,2,* Xinyu Zhou,1 Xuemeng Chen,1 Dan Zhou,1 Xianjie Zhang1 1Department of Anesthesiology, Deyang People’s Hospital, Deyang, 618000, People’s Republic of China; 2Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Translational Research Institute of Brain and Brain‑Like Intelligence, Clinical Research Center for Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, 200434, People’s Republic of China*These authors contributed equally to this workCorrespondence: Dan Zhou, Department of Anesthesiology, Deyang People’s Hospital, NO. 173, Section 1 of North Taishan Road, Jingyang District, Deyang, Sichuan Province, 618000, People’s Republic of China, Email zd13069617@163.com Xianjie Zhang, Department of Anesthesiology, Deyang People’s Hospital, NO. 173, Section 1 of North Taishan Road, Jingyang District, Deyang, Sichuan Province, 618000, People’s Republic of China, Email zhangxianjie791002@163.comObjective: To determine the 50% effective dose (ED50) and 95% effective dose (ED95) of oliceridine in suppressing gastroscope insertion responses during painless gastroscopy when combined with 0.3 mg/kg remimazolam.Methods: This prospective study enrolled 52 patients scheduled for elective painless gastroscopy. …”
Get full text

National Healthcare Transformation Program in Saudi Arabia: Awareness of the New Models of Care Among Health Professionals by Althuwaybi MA, Alshammari TM, Tharkar S, Alodhayani AA, Al-Muammar M, Abulmeaty M, Almutari KM

“…Participants exhibited a strong awareness of preventive care (91%), urgent care (84%), chronic disease care (84%), and mother and childcare (70%) models, whereas awareness of elective (54.8%) and palliative care (55.4%) was notably lower. …”
Get full text

Fear of childbirth in pregnancy was not increased during the COVID‐19 pandemic in the Netherlands: a cross‐sectional study by Sanne J. M. Zilver, Yvette M. G. A. Hendrix, Birit F. P. Broekman, Robert A. deLeeuw, Christianne J. M. deGroot, Maria G. vanPampus

“…Abstract Introduction Fear of childbirth is a well‐known problem during pregnancy and can have implications for childbirth, including prolonged labor, use of epidural analgesia, obstetric complications, presence of traumatic stress symptoms, or request for an elective cesarean section. The coronavirus disease 2019 (COVID‐19) pandemic has affected mental health and therefore could have increased fear of childbirth during the pandemic. …”
Get full text

New insights in fluid monitoring for surgical patients. A concept study by Audrius Andrijauskas, Povilas Andrijauskas, Darius Dilijonas, Tomas Jovaiša, Vaidotas Marozas, Vaidotas Marozas, Edgaras Stankevičius, Axel Kerroum, Darius Čincikas, Saulė Švedienė, Giedrius Kvederas, Narūnas Porvaneckas, Christer Svensen

“…PurposeThis study evaluates the primary hypothesis of red cell mass (RCM) dependent amplitude of homeostatically acceptable limits of fluctuation in plasma dilution by exploring the correlation between RCM-specific equilibrated hematocrit (EQ_Hct) and amplitude of plasma dilution during perioperative mini Volume Loading Test (mVLT).Materials and methodsWe retrospectively analyzed data from our previous RCTs, including 1,651 invasive arterial plasma dilution (aPD), 1,645 noninvasive “capillary” plasma dilution (cPD) and 236 estimates of EQ_Hct from 236 perioperative mVLT sessions. …”
Get full text

The effect of prehabilitation for older patients awaiting total hip replacement. A randomized controlled trial with long-term follow up by Odd-Einar Svinøy, Jakob Vangen Nordbø, Are Hugo Pripp, May Arna Risberg, Astrid Bergland, Pål Oliver Borgen, Gunvor Hilde

“…The aim of this study was to evaluate efficacy of preoperative exercises and education (AktivA®) for adults 70 years or older awaiting total hip replacement. Methods In a two-armed randomized controlled trial we recruited 98 participants aged 70 years or older with a Harris Hip Score less than 60 awaiting elective primary total hip replacement. …”
Get full text

Total Hip Arthroplasty Among Superobese Patients: Proceed With Caution by Sagar Telang, MD, Ryan Palmer, MD, Brian C. Chung, MD, Jacob R. Ball, MD, Kurt Hong, MD PhD, Jay R. Lieberman, MD, Nathanael D. Heckmann, MD

“…Using a large modern cohort, this study seeks to quantify the risk of infection and surgical, medical, and thromboembolic complications among superobese THA patients. Methods: The Premier Healthcare Database was queried to identify all primary elective THA patients between 2016 and 2021. …”
Get full text

Midterm Outcomes of Transfibular Total Ankle Arthroplasty: Clinical and Radiographic Analysis of 130 Cases with Minimum 5-Year Follow-Up by Jonathan Day MD, Amanda N. Fletcher MD, MSc, Morgan Motsay BS, Maggie K. Manchester BS, Mark Arthur MD, Zijun Zhang PhD, MD, Lew C. Schon MD

“…Reoperations were mostly elective removal of fibular hardware or medial impingement. …”
Get full text

Incidence and risk factor of blood transfusion after abdominal radical hysterectomy for cervical cancer: a 10-year retrospective study of the US nationwide inpatient sample by Chuan Chen, BenLi Zhu, Youfeng Wang, Yangyang Zhao, Gang Chen, Ying Peng, Ying Peng, Xinyu Wang, Hao Xie, Ying Zhou, Juan Lin

“…Independent risk factors for blood transfusion during abdominal radical hysterectomy remains limited, and identifying these factors is needed. Methods A retrospective analysis of data was performed using the Nationwide Inpatient Sample (NIS), focusing on patients who underwent abdominal radical hysterectomy between 2010 and 2019. …”
Get full text

Does Specialty Matter? A Comparison of Early Postoperative Clinical Outcomes Following Lower Extremity Amputations Between Orthopaedic Surgeon and Vascular Surgeon by Shaya Shahsavarani MD, Oliver Sogard MD, Wonyong Lee MD

“…OS had more emergent cases than elective (16.6% Vs. 13.8%). Regarding the primary outcomes, surgeries by VS showed higher rates of mortality (6.5% Vs. 3.8%), reoperations (9.6% Vs. 7.5%), and readmissions (15.0% Vs. 12.3%). …”
Get full text

Comparative study of Bupivacaine with magnesium sulfate versus bupivacaine with dexmedetomidine in peripheral nerve stimulator-guided transversus abdominis plane block for post-ope... by Himanshu Sharma, Roopesh Kumar, Ashok Mittal, Mahesh Verma

“…Aims and Objective: The objective was to compare magnesium sulfate and dexmedetomidine as adjuvants to bupivacaine (0.25%) in a transversus abdominis plane (TAP) block using a peripheral nerve stimulator (PNS) for post-operative pain relief in parturients undergoing caesarean delivery. Materials and Methods: A total of 150 pregnant women of ASA Grade I and II in the age range of 18–40, underwent elective cesarean delivery under the subarachnoid block, were divided into three groups of 50 each: Group A (bupivacaine and normal saline), Group B (bupivacaine and MgSO4), and Group C (bupivacaine and dexmedetomidine). …”
Get full text

Comparing Short-Term Outcomes of Ventral Hernia Repair Using Heavyweight Non-Woven Polypropylene Mesh With Heavyweight Knitted Polypropylene Mesh by Aldo Fafaj, Lucas R. A. Beffa, Clayton C. Petro, Ajita S. Prabhu, Benjamin T. Miller, Li-Ching Huang, Ryan C. Ellis, Sara M. Maskal, Nir Messer, Sergio Mazzola Poli de Figueiredo, Michael J. Rosen

“…We aimed to evaluate our initial experience with using NWP mesh in retromuscular abdominal wall reconstruction.MethodsWe performed a retrospective review of all patients at our institution who underwent elective, open incisional hernia repair with NWP or KP mesh from January 2014 until December 2023. …”
Get full text

The effectiveness of dexmedetomidine cardioprotection during vascular surgery in high cardiac risk patients by I. A. Kozlov, D. A. Sokolov, P. A. Lyuboshevsky

“…The objective was to study the occurrence of perioperative cardiovascular complications (CVС) and clinical and laboratory cardioprotection parameters in patients treated with dexmedetomidine infusion in perioperative period of vascular surgery.Materials and methods. The study involved 204 patients with high cardiac risk (revised cardiac risk index > 2, risk of perioperative myocardial infarction or cardiac arrest > 1%) who underwent elective vascular surgery. …”
Get full text

Pregnancy outcomes in C3 glomerulopathy: a retrospective review by Lauren O. Fergus, Meryl Waldman, Monica D. Hall, Lynn Vining, Jillian Hall, Tina Liu, Yuzhou Zhang, Patrick J. Walker, Richard J. H. Smith, Carla M. Nester

“…Little is known of the impact of pregnancy on the natural history of C3G or whether a coincident diagnosis of C3G affects maternal-fetal outcomes. Methods Female subjects from the University of Iowa’s C3G Natural History Study who met consensus biopsy criteria were included if they had at least one pregnancy and available renal/obstetric data. …”
Get full text

Impact of the coronavirus infectious disease (COVID-19) pandemic on the provision of inflammatory bowel disease (IBD) antenatal care and outcomes of pregnancies in women with IBD by Shaji Sebastian, Rachel Cooney, Jimmy Limdi, Helen Steed, Aaron Bancil, Veronica Hall, Paul Collins, Christian Philipp Selinger, Alexandra Kent, Aileen Fraser, Lyn Smith, Melanie Gunn, Thean Soon Chew, Georgina Kerry, Kamal V Patel, Maya Roysam, Klaartje Bel Kok

“…Birth occurred by vaginal delivery in 72 (56.4%) and by caesarean section in 48 (43.6%) cases. Thirty-three were elective (12 for IBD indications) and 15 emergency caesarean sections. …”
Get full text

Effects of esketamine combined with thoracic paravertebral block on postoperative early sleep in patients undergoing thoracoscopic lobectomy by LI Wenyan, ZHANG Yong, ZHANG Chen, SHI Li

“…Objective To observe the effects of continuous intravenous infusion of esketamine combined with thoracic paravertebral nerve block (TPVB) on postoperative early sleep, analgesia, and recovery quality in patients undergoing thoracoscopic lobectomy. Methods A total of 76 patients scheduled for elective thoracoscopic lobectomy at Nanjing First Hospital from January 2023 to January 2024 were randomly divided into two groups: the control group (C group) and the esketamine group (E group), with 38 patients in each group. …”
Get full text

Association of body mass index and outcomes in surgical and transcatheter aortic valve replacement by Bennet S. Cho, MD, Troy N. Coaston, BS, Amulya Vadlakonda, BS, Sara Sakowitz, MPH, MS, Syed Shaheer Ali, Esteban Aguayo, MD, Peyman Benharash, MD

“…This study assessed the nuanced relationship between BMI and clinical outcomes in a nationally representative cohort undergoing aortic valve replacement. Methods: Adult (≥18 years) admissions for elective SAVR or TAVR from the 2016–2021 National Inpatient Sample were analyzed. …”
Get full text

UK poSt Arthroplasty Follow-up rEcommendations (UK SAFE): what does analysis of linked, routinely collected national datasets tell us about mid–late term revision risk after knee r... by Andrew Judge, Sarah R Kingsbury, Nigel K Arden, Rafael Pinedo-Villanueva, Lindsay K Smith, Cesar Garriga, Antonella Delmestri, Martin Stone

“…Objective To identify patients at risk of mid-late term revision of knee replacement (KR) to inform targeted follow-up.Design Analysis of linked national datasets from primary and secondary care (Clinical Practice Research Datalink (CPRD GOLD), National Joint Registry (NJR), English Hospital Episode Statistics (HES) and Patient Reported Outcome Measures (PROMs)).Participants Primary elective KRs aged ≥18 years.Event of interest Revision surgery ≥5 years (mid–late term) postprimary KR.Statistical methods Cox regression modelling to ascertain risk factors of mid–late term revision. …”
Get full text

Development and evaluation of a national administrative code-based system for estimation of hospital-acquired venous thromboembolism in Ireland by Barry Kevane, Fionnuala Ní Áinle, Richard Daly, Ciara Kirke, Deirdre Lynch, Emer Gallagher, Therese Dalchan, Jacqui Curley, Ruth Buckley, Maeve P Crowley, Ann Marie O’Neill

“…Inclusion criteria were inpatient only, length of stay ≥2 days, age ≥16 years and non-maternity admission type (elective or emergency only). Maternity and paediatric hospitals were excluded.The PPV was determined through a detailed review of HA-VTE cases identified through the HSE KPI from April 2020 to October 2022 in a single large tertiary referral centre and determining the proportion indicating a true HA-VTE. …”
Get full text

Cerebrospinal Fluid Presepsin as a Marker of Nosocomial Infections of Central Nervous System by S. A. Abudeyev, K. V. Kiselyov, O. V. Parinov, Yu. D. Udalov, M. A. Zabelin, A. S. Samoylov, K. A. Popugayev

“…We studied CSF sampling obtained during spinal anesthesia for elective urologic surgery in order to defne the normal CSF PSP. …”
Get full text