HYPOTHESIS Awareness of guidelines for damage control can improve patient outcomes after postraumatic open abdomen. DESIGN Retrospective (November 1992 to December 1998), prospective (January 1999 to July 2001), 104-month study. SETTING Los Angeles County and University of Southern California Medical Center, Los Angeles. PATIENTS All patients undergoing damage control resulting in posttra...

PURPOSE Little information is available regarding the use of patient-controlled sedation (PCS) among elderly patients undergoing operative procedures under local or regional anaesthesia. This prospective, randomized study evaluated the safety of propofol PCS, and the attitude among elderly patients toward self-administration of sedation during cataract surgery. METHODS Prospective, randomized...

BACKGROUND Postoperative outcomes following major surgery are influenced by surgical and anaesthesiological factors. While techniques of minimal invasive surgery have been associated with improved outcome, the techniques of minimal invasive, multimodal anaesthesia have not been adequately investigated. The aim of this study was to compare intrathecally based anaesthesia (ITA) including standard...

OBJECTIVES An increased lactate level is classically considered a marker for poorer prognosis, however little information is available on intraoperative lactate's kinetics and its connection with prognosis. This study aimed to evaluate the time when perioperative lactate is most relevant for prognosis. METHODS This was an observational prospective study conducted in a tertiary hospital. Patie...

INTRODUCTION Complications due to hemodilution (hematocrit value less than 22%) after cardiopulmonary bypass inevitably resulted with significantly greater intensive care requirements, long hospital stays, more operative costs, and increased mortality rates. We tried to identify whether crystalloid cardioplegia is the strongest predictor of intraoperative hemodilution or not. MATERIALS AND ME...

STUDY DESIGN Retrospective review of the results of somatosensory evoked potentials (SSEP) performed in cervical spine surgery. PURPOSE To evaluate the utility of spinal cord monitoring during cervical spine surgery in a single surgeon's practice, based on how often it prompted an intraoperative intervention. OVERVIEW OF LITERATURE Intraoperative monitoring during cervical spine surgery is ...

BACKGROUND The single tapered dilator (STD) percutaneous dilatational tracheostomy (PDT) technique now appears to be the single most common method of performing a tracheostomy in the critical care unit (CCU). METHODS A single-centre, prospective evaluation of all PDTs performed in an adult mixed surgical and medical CCU between November 2003 and October 2009 was done. All procedures were unde...

III Einstein International Symposium on Intensive Care and the XXX Mechanical Ventilation. Aug 16-18, 2023. Category: Cardiology Introduction: After Cardiac Surgery (CS) patients require mechanical ventilation (MV) due to intraoperative postoperative factors.() These factors may contribute a prolonged period of MV, which be associated with worse outcomes.(,) are already known in other patient p...