OBJECTIVE To compare the rates of venous thromboembolism (VTE) by using routine postoperative enoxaparin versus early ambulation, SCDs, hydration, and selective prophylactic pharmacologic anticoagulation. METHODS 1,692 patients undergoing laparoscopic gastric bypass from October 2001 to October 2008 were included and divided into 2 groups based on when they were operated upon. Group A (435 p...

background: intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. dynamic hip screw (dhs) is still considered the gold standard for treating intertrochanteric fractures by many. not many studies compare the dhs with proximal femoral nail (pfn), in type ii intertrochanteric ...

Background Analgesia after Cesarean delivery (CD) requires early ambulation to prevent thromboembolic disease and to facilitate baby care. We retrospectively reviewed anesthesia charts and medical records of patients who underwent CD to compare the efficacy of spinal anesthesia supplemented with intrathecal morphine hydrochloride (ITM) and combined spinal-epidural anesthesia followed by opioid-...

Duchenne muscular dystrophy (DMD) is the most common childhood form of muscular dystrophy, with an estimated frequency of 1:5000 live births. The impact of the disease presents as early as infancy with significant developmental delays, and ultimately loss of ambulation and respiratory insufficiency. Glucocorticoids are the only pharmacological agents known to alter the natural progression of th...

BACKGROUND Harvesting the superior gluteal artery perforator (SGAP) flap involves dissection of vessels through the gluteal muscle, potentially compromising gait and ambulation. We compared patient-reported gait and ambulation problems between SGAP flap and deep inferior epigastric perforator (DIEP) flap reconstructions. METHODS Forty-three patients who underwent bilateral free flap breast re...

BACKGROUND Functional outcomes can improve with early intensive care unit (ICU) mobilization programs but require additional resources. Details regarding resource allotment and methods to deliver therapy are lacking. We describe an effective team-based, resource-efficient mobility program (REMP). METHODS Consecutive admissions (November 2009 to March 2010) underwent an evaluation by a physica...

Introduction: Suicidal jumper’s fracture (unstable sacral fracture) is characterized not only by multiple fractures including thoracolumbar fractures, but also major chest and abdominal injuries. Early stabilization of these fractures and early ambulation are required for the treatment and management of chest and abdominal injuries. We present 3 cases of suicidal jumper’s fracture with thoracol...

Abstract Background Laparoscopic bariatric surgeries in morbidly obese patients have shown a steep rise recently. Quadratus lumborum block (QLB) has been used to decrease pain various kinds of surgeries. The purpose this study is evaluate the ability pre-emptive QLB intra- and postoperative opioid consumption. Results Intraoperative HR MAP were significantly lower group starting 20 min after in...

Spinal anesthesia is often the preferred technique of anesthesia for cesarean delivery. It is a simple procedure with rapid onset and deep sensory block effect that produces excellent operating conditions (1). As a complication of spinal anesthesia, post-dural puncture headache (PDPH) is caused by the needle penetration of the dura matter and loss of cerebrospinal fluid (CSF). During the postpa...

BACKGROUND AND PURPOSE Although neuroangiography remains the criterion standard standard for the detection of and surgical/interventional planning for cerebrovascular diseases, it usually requires that patients be confined to bed rest for several hours after angiography to prevent local complications. Decreasing catheter size has reduced the risk of hemorrhagic complications associated with ear...