Tag: post-operative complications

Association between heart failure and postoperative mortality among patients undergoing ambulatory noncardiac surgery Patients with heart failure are at an increased risk of experiencing postoperative adverse events and mortality. While ambulatory surgical procedures are perceived as being low risk, morbidity and mortality outcomes in this surgical setting have not been...
1. Cardiac device implantation event complication rates were higher for ICDs than PPMs in this retrospective cohort study. 2. Significant variation between hospitals was found related to cardiac device implantation complications. Evidence Rating Level: 2 (Good) Study Rundown: Cardiovascular implantable electronic devices (CIEDs) include devices such as permanent pacemakers (PPMs) and implantable...
Patients with heart failure are at an increased risk of experiencing postoperative adverse events and mortality. While ambulatory surgical procedures are perceived as being low risk, morbidity and mortality outcomes in this surgical setting have not been well studied. In this retrospective cohort study, 355,121 adult patients with and...
Protective intraoperative mechanical ventilation has been associated with reduced postoperative pulmonary complication risk. Obesity is associated with an increased risk of atelectasis and impaired respiratory function. In this setting, high positive end-expiratory pressure with alveolar recruitment maneuvers have been proposed for routine intraoperative mechanical ventilation to prevent these physiologic...
1. In this prospective cohort study, severe but not moderate, unrecognized obstructive sleep apnea was associated with increased postoperative cardiovascular events in patients undergoing major non-cardiac surgery. 2. Mean cumulative oxyhemoglobin desaturation less than 80% during the first 3 postoperative nights was longer in those with cardiovascular complications. Evidence Rating Level:...
1. In this prospective cohort study, severe but not moderate, unrecognized obstructive sleep apnea was associated with increased postoperative cardiovascular events in patients undergoing major non-cardiac surgery. 2. Mean cumulative oxyhemoglobin desaturation less than 80% during the first 3 postoperative nights was longer in those with cardiovascular complications. Evidence Rating Level:...
1. At 14 years of follow-up, there were no differences in rates of pelvic organ prolapse, constipation, pain, sexuality, quality of life or vaginal bleeding between women who underwent supracervical compared to total hysterectomy. 2. Those who underwent supracervical hysterectomy were more likely to report urinary incontinence, but this difference...
1. Wound complications were less likely among women with incisions closed by sutures. 2. Skin closure with sutures required more time than staples. Evidence Rating Level: 1 (Excellent)       Study Rundown: Cesarean section (C-section) is an increasingly common obstetric procedure. Despite public health initiatives to decrease rates of primary and...
1. Adverse respiratory events following corrective surgery for sleep apnea are much lower than previously noted. 2. Respiratory complications that do occur are likely to arise in the first few hours following surgery and are predominantly simple oxygen desaturations. Evidence Rating Level: 2 (Good)       Study Rundown: Literature suggests that...