Interim EPS Project Presentation

Nov 7, 2011Download as PPTX, PDF0 likes211 views

Maxim Gladines

I made this presentati

This systematic review and meta-analysis assessed the efficacy of dexamethasone in reducing postoperative nausea, vomiting, pruritus, and enhancing postoperative analgesia in patients receiving neuraxial anesthesia with neuraxial morphine. The analysis included 8 randomized controlled trials with a total of 768 patients, 473 of which received dexamethasone and 295 received placebo. The results showed that dexamethasone was effective at reducing postoperative nausea, vomiting, and use of rescue antiemetics compared to placebo. Dexamethasone also reduced 24-hour pain scores and use of rescue analgesics. However, dexamethasone was not effective for reducing neuraxial morphine-induced pruritus.

FUNCTION AFTER OPEN ABDOMINAL AORTIC POSOPERATIVE PULMONARY ANEURYSM REPAIR ...Felipe Posada

1) The study compared postoperative pulmonary function and pain control in COPD patients undergoing open abdominal aortic aneurysm repair with either epidural (Group I) or intravenous (Group II) analgesia. 2) Pulmonary function test (FEV1 and FVC) results were significantly better preserved in Group I patients on postoperative days 1 and 4. 3) Group I patients also had significantly less reported pain on postoperative days 1, 2, and 4 both at rest and during activity. 4) There were no differences in length of hospital stay, morbidity, or mortality between the groups.

Chest test presentationCookie Rojas-Wilson

The document summarizes information about the lungs and respiratory system. It discusses how the diaphragm contracts to increase the volume of the thoracic cavity and decrease intrapulmonary pressure, causing air to flow into the lungs. It then describes the two layers of pleura that surround the lungs and details how a small amount of fluid normally exists in the pleural space to allow the lungs to expand and contract without friction. The document concludes by outlining chest tube placement procedures and characteristics of chest tubes.

Club de revistas 19/04/2012Felipe Posada

This study aimed to determine the best pre-operative risk stratification tool for predicting major adverse cardiac events after vascular surgery. The study compared several risk predictors: the revised cardiac risk index (RCRI), pre-operative biomarkers (BNP, troponin, CRP), and ambulatory Holter monitoring. On multivariate analysis, only pre-operative troponin elevation and BNP above the optimal cutoff were independently associated with cardiac events. Both BNP and troponin risk stratification significantly improved risk classification. However, troponin decreased correct classification of patients with complications. Pre-operative BNP evaluation was found to be the single best clinically useful predictor of postoperative cardiac outcomes.

Manejo perioperatorio de la terapia antitromb��tica, chest, 2012Felipe Posada

This guideline addresses the perioperative management of anticoagulant and antiplatelet therapy in patients requiring elective surgery or procedures. Key recommendations include: 1) Stopping vitamin K antagonists (VKAs) 5 days before surgery instead of shorter durations. 2) Bridging anticoagulation for patients at high risk of thrombosis during VKA interruption, such as those with mechanical heart valves or atrial fibrillation. 3) Continuing aspirin in moderate-to-high risk patients undergoing non-cardiac surgery instead of stopping 7-10 days before surgery. The recommendations aim to simplify management and minimize risks of thrombosis and bleeding in the perioperative period.

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