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Animation‐guided family empowerment program on perioperative care after neurosurgery:A randomized controlled trial for preventing respiratory complications

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Health Care Science

Health care Science 2024年第3期3卷 141-150页

作者： Yunfen Lv Ziwei Zhao Xinyi Wu Yao Wang Shanshan Qiu Department of Pediatric Neurosurgery Shanghai Children's Medical CenterShanghaiChina

Background:This study aimed to evaluate the effectiveness of using animation as education material for family empowerment program on perioperative care for caregivers whose children were to undergo ***:A total of 204 caregivers were randomly assigned to either the face‐to‐face oral nursing educated group(Oral Group)or the animation‐assisted nursing educated group(Animated Group).The nursing education primarily focused on instructing caregivers about the manual vibration *** primary outcome of interest in this study was participants'knowledge level,collected by a 10‐item *** outcomes included child patients'clinical data,including hospitalization days,treatments,and signs of ***:Participants in the Animated Group exhibited significantly higher accuracy in perioperative care knowledge assessment,and patients in this group had a lower chance of requiring atomization therapy compared to the Oral ***:The animation‐assisted nursing education program effectively enhances pediatric caregivers'knowledge,reduces respiratory complications after surgery,and offers valuable insights for future studies on the use of such programs to instruct caregivers.

关键词： empowerment pediatric perioperative care pneumonia animation

Anesthesia Management in Hereditary Pheochromocytoma and Paraganglioma:Updated Insights into Clinical Features and perioperative care

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Chinese Medical Sciences Journal 2024年第3期39卷 217-223页

作者： Yao-Han Li Le Shen Department of Anesthesiology Peking Union Medical College HospitalPeking Union Medical College&Chinese Academy of Medicine ScienceBeijing 100730China State Key Laboratory of Complex Severe and Rare Diseases Peking Union Medical College HospitalPeking Union Medical College&Chinese Academy of Medicine ScienceBeijing 100730China

Approximately 40% of pheochromocytoma and paraganglioma(PPGL) cases are familial, typically presenting earlier with more complex symptoms. This paper synthesizes literature and guidelines to inform on clinical characteristics and perioperative care for PPGL. Pheochromocytoma in von Hippel-Lindau(VHL) disease exhibits heightened secretion activity without significant perioperative hemodynamic changes. Tumors in multiple endocrine neoplasia type 2(MEN2) have a stronger endocrine function, which may induce hemodynamic fluctuations during surgery. Therefore, pheochromocytoma screening is essential at all stages of MEN2. Neurofibromatosis type 1(NF1) often presents multisystem lesions and can result in difficult airway. Pheochromocytoma should be evaluated when NF1 patients present hypertension. Pheochromocytoma and paraganglioma type 5 may present multiple lesions of pheochromocytoma or paraganglioma. In summary, hereditary PPGLs may present with severe lesions in other systems, beyond tumor function. A multi-disciplinary team(MDT) approach is often invaluable in perioperative management.

关键词： pheochromocytoma paraganglioma genetic disease anesthetic management hemodynamic perioperative care

Factors influencing individualized nursing care in acute medical and perioperative settings: A scoping review

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Journal of Integrative Nursing 2024年第4期6卷 231-240页

作者： Ana RAMOS Eunice SÁ Delmira POMBO Florinda SÁ Filipe RAMOS Fernanda BERNARDO Helena MIRA Hélder LOPES Paula SANTOS Regina MARCÃO Idalina GOMES Department of Medical-Surgical Nursing Nursing School of Lisbon(ESEL)LisbonPortugal Nursing Research Innovation and Development Centre of Lisbon(CIDNUR)LisbonPortugal Department of Medical Surgical Central Lisbon University Hospital CenterLisbonPortugal Department of Medical Hospital Garcia de OrtaAlmadaPortugal

Individualized nursing care addresses the needs,experiences,behaviors,feelings,and perceptions of patients and families,but its implementation in clinical practice contexts remains *** review aims to map the factors that interfere with the individualization of nursing care,in acute medical and perioperative *** review was conducted according to the Joanna Briggs Institute *** MEDLINE,CINAHL,Cochrane,SciELO,Scientific Repository of Open Access,and LILACS databases were searched for publications from January 2017 up to March *** the 124 articles selected,17 met the inclusion *** individualization of nursing care is complex and shaped by multiple variables in the care environment,nursing,and patient *** institutional organization,the nurses’expertise,and the patient’s attributes were identified as variables that interfere with the individualization of nursing *** nursing care is responsible for better quality of care and health *** identification of the variables that affect individualized care contributes to planning programs to improve individualization,during hospitalization and the discharge.

关键词： Acute care nursing care patient individualization perioperative care

Artificial intelligence in perioperative management of major gastrointestinal surgeries

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World Journal of Gastroenterology 2021年第21期27卷 2758-2770页

作者： Sohan Lal Solanki Saneya Pandrowala Abhirup Nayak Manish Bhandare Reshma P Ambulkar Shailesh V Shrikhande Department of Anesthesiology Critical Care and PainTata Memorial HospitalHomi Bhabha National InstituteMumbai 400012MaharashtraIndia Gastro-Intestinal Services Department of Surgical OncologyTata Memorial HospitalHomi Bhabha National InstituteMumbai 400012MaharashtraIndia

Artificial intelligence(AI)demonstrated by machines is based on reinforcement learning and revolves around the usage of *** purpose of this review was to summarize concepts,the scope,applications,and limitations in major gastrointestinal *** is a narrative review of the available literature on the key capabilities of AI to help anesthesiologists,surgeons,and other physicians to understand and critically evaluate ongoing and new AI applications in perioperative *** uses available databases called“big data”to formulate an *** of other data based on these algorithms can help in early diagnosis,accurate risk assessment,intraoperative management,automated drug delivery,predicting anesthesia and surgical complications and postoperative outcomes and can thus lead to effective perioperative management as well as to reduce the cost of *** physicians,anesthesiologists,and surgeons are well-positioned to help integrate AI into modern surgical *** all need to partner and collaborate with data scientists to collect and analyze data across all phases of perioperative care to provide clinical scenarios and *** implementation and use of AI along with real-time human interpretation will revolutionize perioperative care,and is the way forward in future perioperative management of major surgery.

关键词： Algorithms Artificial intelligence Big data Data management Machine learning perioperative care

perioperative nursing principles guided by the concept of enhanced recovery after surgery

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Frontiers of Nursing 2021年第1期8卷 1-6页

作者： Hong-Jie Xie Fan Cui Wei-Bing Shuang Department of First Clinical Medical College Shanxi Medical UniversityTaiyuanShanxi 030001China Department of Urology The First Hospital of Shanxi Medical UniversityTaiyuanShanxi 030001China

Objective:To explore the clinical effect of perioperative nursing guided by the concept of enhanced recovery after surgery and summarize ***:Pubmed,Chinese National Knowledge Infrastructure(CNKI),Chinese Biomedical Literature Database(CBM),Wanfang Database,and VIP Database were searched to obtain the relevant literature involving enhanced recovery after surgery(ERAS)guidance,obtain the effective clinical data,review the reports in literature,and obtain the effective ***:Compared with the traditional nursing program,perioperative nursing principles guided by the concept of ERAS provide more accurate nursing care to patients and reduce the occurrence of intraoperative stress events through comprehensive nursing measures such as preoperative pre-rehabilitation measures,intraoperative body temperature and fluid management,postoperative analgesia,prevention of nausea and vomiting,early mobilization,catheter nursing,and better out-of-hospital ***:perioperative nursing principles guided by the concept of ERAS can significantly reduce the incidence of perioperative complications,shorten the hospital stay of patients,and promote postoperative rehabilitation of *** transformation and implementation of this concept can bring significant benefits to hospitals,medical care,and patients.

关键词： enhanced recovery after surgery perioperative care prehabilitation measures intraoperative optimization measures postoperative rehabilitation measures

Fast-track rehabilitation program vs conventional care after colorectal resection:A randomized clinical trial

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World Journal of Gastroenterology 2011年第5期17卷 671-676页

作者： Gang Wang Zhi-Wei Jiang Jing Xu Jian-Feng Gong Yang Bao Li-Fei Xie Jie-Shou Li Research Institute of General Surgery Jinling Hospital School of Medicine Nanjing University Nan-j ing 210002 Jiangsu Province China Department of Medical Oncology Jinling HospitalSchool of Medicine Nanjing University Nanjing 210002 Ji-angsu Province China

AIM:To compare the fast-track rehabilitation program and conventional care for patients after resection of colorectal ***:One hundred and six consecutive patients who underwent fast-track rehabilitation program were encouraged to have early oral feeding and movement for early discharge,while 104 consecutive patients underwent conventional care after resection of colorectal *** gastrointestinal functions,postoperative complications and hospital stay time were ***:The restoration time of gastrointestinal functions in the patients was significantly faster after fasttrack rehabilitation program than after conventional care(2.1 d vs 3.2 d,P care(13.2% vs 26.9%,P care(6.6% vs 15.4%,P care(5 d vs 7 d,P care(3.8% vs 8.7%).CONCLUSION:The fast-track rehabilitation program can significantly decrease the complications and shorten the time of postoperative hospital stay of patients after resection colorectal cancer.

关键词： perioperative care Fast track Rehabilita-tion Colorectal cancer resection

Strategies and recommendations for the management of gastrointestinal surgery during the COVID-19 pandemic:experience shared by Chinese surgeons

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Gastroenterology Report 2020年第3期8卷 167-174,I0001页

作者： Jia Ke Nan Lan Ting Wang Jin-Jie Wu Zhen He Xiao-Sheng He Kai-Xiong Tao Qun Qian Ping-Hong Zhou Guo-Xin Li Min-Hua Zheng Zhong-Tao Zhang Jia-Fu Ji Ping Lan Department of Colorectal Surgery The Sixth Affiliated HospitalSun Yat-sen UniversityGuangzhouGuangdongP.R.China Guangdong Institute of Gastroenterology Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor DiseasesGuangzhouGuangdongP.R.China Department of Gastrointestinal Surgery Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubeiP.R.China Department of General Surgery Zhongnan Hospital of Wuhan UniversityWuhanHubeiP.R.China Endoscopy Center Zhongshan HospitalFudan UniveristyShanghaiP.R.China Department of General Surgery Nanfang HospitalSouthern Medical UniversityGuangzhouGuangdongP.R.China Department of Gastrointestinal Surgery Ruijin HospitalShanghai Jiaotong University School of MedicineShanghaiP.R.China Department of General Surgery Beijing Friendship HospitalCapital Medical UniversityNational Clinical Research Center for Digestive DiseasesBeijingP.R.China Department of Gastrointestinal Cancer Center Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education)Peking University Cancer Hospital&InstituteBeijingP.R.China

Novel coronavirus disease-2019(COVID-19),caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),is an ongoing public-health pandemic *** SARS-CoV-2 has been known to spread primarily through respiratory droplets,recent evidence also supports fecal/oral as an additional route of transmission,raising concerns over gastrointestinal(GI)transmission of the ***,we,as the front-line Chinese GI surgeons,would like to share our experience and lessons in the combat against *** is essential to create science-based,rational,and practical strategies during the outbreak of ***,we provide multi-institutional consensus on minimizing disease transmission while continuing to provide care from all aspects for patients in GI surgery,including outpatient clinics,inpatient units,gastrointestinal endoscopy centers,and adjustments in perioperative *** experiences and recommendations are worth sharing and may help to establish specific infection-control and outcome measures.

关键词： gastroenterological surgery novel coronavirus disease-2019 perioperative care severe acute respiratory syndrome coronavirus 2

Cardiac Surgery with Cardiopulmonary Bypass in Low-Weight or Preterm Neonates:A Retrospective Study Analyzing Early Outcome

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Congenital Heart Disease 2023年第2期18卷 151-168页

作者： Alain J.Poncelet Maureen Peers de Nieuwburgh Stéphane Moniotte Geoffroy de Beco Karlien Carbonez Jean E.Rubay Thierry Detaille Laurent Houtekie Mona Momeni Department of Cardiovascular and Thoracic Surgery Universitécatholique de LouvainCliniques Universitaires Saint-LucBrusselsBelgium Department of Pediatric Cardiology Universitécatholique de LouvainCliniques Universitaires Saint-LucBrusselsBelgium Department of Pediatric Intensive care Universitécatholique de LouvainCliniques Universitaires Saint-LucBrusselsBelgium Department of Anesthesiology Universitécatholique de LouvainCliniques Universitaires Saint-LucBrusselsBelgium

Background:Most outcome studies in congenital cardiac surgery for“low weight”neonates include patients undergoing surgery without cardiopulmonary bypass(CPB).The primary objective of our study was to identify risk factors for in-hospital mortality in neonates weighing less than 3 Kg and undergoing surgery with *** addition,we compared the effect of early surgery with CPB(before 37W-gestational age(GA))for congenital heart disease to delayed surgery until a corrected GA of 37 weeks in an attempt to promote weight ***:Retrospective single-center study including all patients operated between 1997 and ***-and multivariable analysis were used to analyze ***:143 patients were *** median weight was 2.7 Kg and 49(34.3%)weighted<2.5 Kg.80%of the patients were Risk stratification STAT categories≥3.114 patients(80%)were operated without delay(usual timing,median age 9 days),whereas 29 patients(20%)entered a delayed strategy(median age 30 days).In-hospital mortality was 21.7%.By multivariate analysis,dysmaturity,preoperative positive ventilation,post-operative ECMO requirement or resuscitation,and any residual lesion were predictors of in-hospital ***-hospital mortality in the usual timing group and the delayed group were 21.1%and 24.1%,respectively(p=0.71).In-hospital mortality for neonates operated prior to 37W-GA(n=10)was 27.3%.Conclusions:Predictors of in-hospital mortality in neonates less 3 Kg requiring CPB surgery did not differ from those unveiled in other contemporary *** data demonstrates that a strategy of delaying surgery in selected patients resulted in similar clinical outcome.

关键词： Congenital heart disease neonate perioperative care morbidity and survival

Enhanced recovery pathways in pancreatic surgery: State of the art

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World Journal of Gastroenterology 2016年第28期22卷 6456-6468页

作者： Nicolò Pecorelli Sara Nobile Stefano Partelli Luca Cardinali Stefano Crippa Gianpaolo Balzano Luigi Beretta Massimo Falconi Division of Pancreatic Surgery Pancreas Translational and Clinical Research Center San Raffaele Scientific Institute "Vita-Salute" University Department of Surgery Università Politecnica delle Marche Department of Anesthesiology San Raffaele Scientific Institute "Vita-Salute" University

Pancreatic surgery is being offered to an increasing number of patients every year. Although postoperative outcomes have significantly improved in the last decades, even in high-volume centers patients still experience significant postoperative morbidity and full recovery after surgery takes longer than we think. In recent years, enhanced recovery pathways incorporating a large number of evidence-based perioperative interventions have proved to be beneficial i n t e r m s o f i m p rove d p o s t o p e ra t i ve o u t c o m e s, and accelerated patient recovery in the context of gastrointestinal, genitourinary and orthopedic surgery. The role of these pathways for pancreatic surgery is still unclear as high-quality randomized controlled trials are lacking. To date, non-randomized studies have shown that care pathways for pancreaticoduodenectomy and distal pancreatectomy are safe with no difference in postoperative morbidity, leading to early discharge and no increase in hospital readmissions. Hospital costs are reduced due to better organization of care and resource utilization. However, further research is needed to clarify the effect of enhanced recovery pathways on patient recovery and post-discharge outcomes following pancreatic resection. Future studies should be prospective and follow recent recommendations for the design and reporting of enhanced recovery pathways.

关键词： Pancreas surgery perioperative care Length of stay Postoperative complications Pancreatic neoplasms Evidence-based medicine