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Perioperative change
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Numerous studies have reported the prognostic significance of the red cell distribution width (RDW) in patients with esophageal squamous cell carcinoma (ESCC), but the relationship between the perioperative change in RDW (delta RDW) and survival in patients with ESCC after surgery has not been evaluated.
9p
vischultz
20-10-2023
4
1
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The patient population with stage III non-small-cell lung cancer (NSCLC) is heterogeneous, with varying staging characteristics and diverse treatment options. Despite the potential practice-changing implications of randomized controlled trials evaluating the efficacy of perioperative epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs), concerns have been raised due to conflicting overall survival (OS) results.
9p
vioracle
29-09-2023
8
2
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Despite extensive research, the debate continues as to the optimal way of guiding intraoperative and postoperative fluid therapy. In 2009 we changed our institutional guideline for perioperative fluid therapy in patients undergoing extrapleural pneumonectomy (EPP) and implemented the use of central venous oxygen saturation and intended low urine output to guide therapy in the early postoperative period. Here we evaluate the consequences of our changes.
7p
viisaacnewton
25-04-2022
6
1
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The proportion of patients defined as obese continues to grow in many westernized nations, particularly the United States (USA). This trend has shifted the perioperative management of obese patients into the realm of routine care.
12p
viisaacnewton
25-04-2022
16
2
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The impact of anesthetic equipment on clinical practice parameters associated with development of acute respiratory distress syndrome (ARDS) has not been extensively studied. We hypothesized a change in anesthesia machines would be associated with parameters associated with lower rates of ARDS.
11p
viisaacnewton
26-04-2022
7
1
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Acute lung injury (ALI) induced by cardiopulmonary bypass (CPB, CPB-ALI) is a common and serious complication after cardiac surgery. And infants and young children are more prone to CPB-ALI. The purpose of this study was to investigate the perioperative changes of plasma gelsolin (pGSN) in patients below 3years of age with cardiac surgeries and CPB, and determine whether pGSN are associated with the occurrence and severity of CPB-ALI.
9p
viisaacnewton
26-04-2022
12
1
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Intravascular fluid shifts, mechanical ventilation and inhalational anesthetic drugs may contribute to intraoperative lung injury. This prospective observational study measured the changes in respiratory impedance resulting from inhalational anesthesia and mechanical ventilation in adults undergoing transurethral resection of bladder tumors.
8p
viottohahn
30-03-2022
11
1
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In morbidly obese patients undergoing laparoscopic bariatric surgery, the combination of obesityrelated comorbidities, pneumoperitoneum and extreme posture changes constitutes a high risk of perioperative hemodynamic complications.
12p
vizhangzhidong
29-12-2021
7
0
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Preoperative endothelial dysfunction is a predictor of myocardial injury and major adverse cardiac events. Non-cardiac surgery is known to induce acute endothelial changes. The aim of this explorative cohort study was to assess the extent of systemic endothelial dysfunction after major emergency abdominal surgery and the potential association with postoperative myocardial injury.
9p
vizhangzhidong
29-12-2021
7
0
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Perioperative fuid therapy management is changing due to the incorporation of diferent fuids, surgi‑ cal techniques, and minimally invasive monitoring systems. The objective of this study was to explore fuid therapy management during the perioperative period in our country
13p
vidietmarhopp
29-12-2021
12
0
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The main mechanism of body temperature decrease during cesarean delivery under spinal anesthesia is core-to-peripheral redistribution of body heat, attributable to vasodilation. Perfusion index (PI) obtained with a pulse oximeter helps to assess peripheral perfusion dynamics by detecting the change in peripheral vascular tone.
9p
vidietmarhopp
28-12-2021
13
0
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The prognostic nutritional index (PNI) reflects immunonutritional status. We evaluated the effects of postoperative PNI and perioperative changes in the PNI on overall survival (OS) in glioblastoma (GBM) patients. Demographic, laboratory, and clinical data were retrospectively collected from 335 GBM patients.
11p
vimahuateng
26-11-2021
9
2
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To explore the influencing factors of perioperative hidden blood loss in intertrochanteric fractures. We undertook a retrospective analysis from January 2016 to October 2019. Clinical data of 118 patients with intertrochanteric fractures were included. Hidden blood loss was calculated from the haematocrit changes before and after surgery using the Gross equation based on height, weight, and haematocrit (HCT) changes before and after surgery.
6p
vivermont2711
28-01-2021
8
1
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In head and neck cancer little is known about the kinetics of osteopontin (OPN) expression after tumor resection. In this study we evaluated the time course of OPN plasma levels before and after surgery.
8p
vimale2711
25-08-2020
8
2
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Serum C-reactive protein (CRP) level can be an indicator of the early stage of infectious complications. However, its utility in advanced esophageal cancer patients who receive radical esophagectomy with two- or three-field lymph node dissection with perioperative steroid therapy and enhanced recovery after surgery (ERAS) care is unclear.
8p
vimanama2711
30-07-2020
11
1
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This study explored the effect of liver resection on perioperative circulating tumor cells (CTCs) and found that the prognostic significance of surgery was associated with changes in CTC counts in patients with hepatocellular carcinoma (HCC).
9p
vimanila2711
29-06-2020
9
2
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To explore the influencing factors of perioperative renal function change and their relationship with prognosis on renal cell carcinoma (RCC) patients with tumor thrombus after nephrectomy and thrombectomy.
10p
vikuala271
13-06-2020
6
1
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The metabolic consequences of preoperative carbohydrate load in breast cancer patients are not known. The present explorative study investigated the systemic and tumor metabolic changes after preoperative per-oral carbohydrate load and their influence on tumor characteristics and survival.
23p
vikuala271
13-06-2020
12
1
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Undergraduate medical education is continuously changing to meet the requirements for the training of future medical practitioners. Over the last few years the concept of perioperative medicine has evolved encompassing the preoperative assessment and optimisation of patients, the intraoperative and postoperative management of these patients and importantly the recognition, diagnosis and treatment of the critically ill patient.
298p
camchuong_1
10-12-2012
44
2
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Healthcare in the UK has experienced intense change over the past few years, much of which has been focused on the perioperative environment. The NHS Plan, introduced by the Labour government in 2000, was at the forefront of the modernisation of the UK’s National Health Service. Focusing on major areas of concern, such as modernisation of the workforce, increasing patient choice, and increasing the efficiency and effectiveness of patient care, the government strategy to rebuild the NHS has affected every segment of the care sector....
228p
socolanong
23-04-2012
55
8
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