Management of Common Postoperative Complications

Stephenson, Christopher R.; Mohabbat, Arya B.; Raslau, David; Gilman, Elizabeth; Wight, Elizabeth; Kashiwagi, Deanne T.

doi:10.1016/j.mayocp.2020.03.008

Cited by 17 publications

(12 citation statements)

References 107 publications

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“…According to the cause of fever, postoperative fever can be divided into infectious fever and non-infectious fever. Non-infectious fevers are in turn associated with trauma and inflammation from the surgery, suture foreign body reactions, transfusion reactions, and drug-induced fevers [34,35]. According to the time postoperative fever occurs, postoperative fever can be divided into early postoperative fever (0-2 days), middle postoperative fever (3-6 days) and late postoperative fever (7-10 days).…”

Section: Obesity and Postoperative Fevermentioning

confidence: 99%

Study on the relationship between obesity and complications of Pediatric Epilepsy surgery

et al. 2023

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Objective Studies have shown that obesity has a significant impact on poor surgical outcomes. However, the relationship between obesity and pediatric epilepsy surgery has not been reported. This study aimed to explore the relationship between obesity and complications of pediatric epilepsy surgery and the effect of obesity on the outcome of pediatric epilepsy surgery, and to provide a reference for weight management of children with epilepsy. Methods A single-center retrospective analysis of complications in children undergoing epilepsy surgery was conducted. Body mass index (BMI) percentiles were adjusted by age and used as a criterion for assessing obesity in children. According to the adjusted BMI value, the children were divided into the obese group (n = 16) and nonobese group (n = 20). The intraoperative blood loss, operation time, and postoperative fever were compared between the two groups. Results A total of 36 children were included in the study, including 20 girls and 16 boys. The mean age of the children was 8.0 years old, ranging from 0.8 to 16.9 years old. The mean BMI was 18.1 kg/m2, ranging from 12.4 kg/m2 to 28.3 kg/m2. Sixteen of them were overweight or obese (44.4%). Obesity was associated with higher intraoperative blood loss in children with epilepsy (p = 0.04), and there was no correlation between obesity and operation time (p = 0.21). Obese children had a greater risk of postoperative fever (56.3%) than nonobese children (55.0%), but this was statistically nonsignificant (p = 0.61). The long-term follow-up outcomes showed that 23 patients (63.9%) were seizure-free (Engel grade I), 6 patients (16.7%) had Engel grade II, and 7 patients (19.4%) had Engel grade III. There was no difference in long-term seizure control outcomes between obese and nonobese groups (p = 0.682). There were no permanent neurological complications after surgery. Conclusion Compared with nonobese children with epilepsy, obese children with epilepsy had a higher intraoperative blood loss. It is necessary to conduct early weight management of children with epilepsy as long as possible.

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Section: Obesity and Postoperative Fevermentioning

confidence: 99%

Study on the relationship between obesity and complications of Pediatric Epilepsy surgery

et al. 2023

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“…The nature of surgical complications presents another unique challenge. Acute postoperative surgical complications include general complications such as sepsis and myocardial infarction, as well as procedure-specific complications like anastomotic leak after colorectal surgery or duodenal stump leak after gastrectomy—events that are low frequency but potentially catastrophic and time-sensitive when they occur 24 , 25 . Prediction of rare clinical events presents the risk of alert fatigue and wasted resources if a model flags too many false positives, and unnecessary excess morbidity and mortality for a model with too many false negatives.…”

Section: Clinical Risk Predictionmentioning

confidence: 99%

The role of digital technology in surgical home hospital programs

2023

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Home hospital (HH), a care delivery model of providing hospital-grade care to patients in their homes, has become increasingly common in medical settings, though surgical uptake has been limited. HH programs have been shown to be safe and effective in a variety of medical contexts, with increased usage of this care pathway during the COVID-19 pandemic. Though surgical patients have unique clinical considerations, surgical Home Hospital (SHH) programs may have important benefits for this population. Various technologies exist for the delivery of hospital care in the home, such as clinical risk prediction models and remote patient monitoring platforms. Here, we use institutional experiences at Brigham and Women’s Hospital (BWH) to discuss the utility of technology in enabling SHH programs and highlight current limitations. Additionally, we comment on the importance of data interoperability, access for all patients, and clinical workflow design in successfully implementing SHH programs.

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“…Burst abdomen can be treated successfully to decrease morbidity and mortality due to it. Immediately after the operation, the main danger is sudden hemorrhage from the operated area, producing shock [13]. Specifically, in case of abdominal operations, the most common complication during the recovery period is paralytic ileus or failure of the intestine to work.…”

Section: Encourage Early Ambulationmentioning

confidence: 99%

Satisfaction on Nursing Management of Postoperative Complications Rendered by Surgical Staff Nurses in Philippines

Fucio

Romero

2023

HESMED

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This study examined the satisfaction levels of surgical staff nurses and clients on the nursing management of postoperative complications in different hospitals in Iriga City, Philippines. The study investigated the personal and professional attributes of surgical staff nurses, the level of satisfaction of nursing care in preventing postoperative complications, the relationship between personal and professional attributes and interventions, and proposed measures based on the study's findings. The results showed that most surgical staff nurses were female, had a baccalaureate degree, attended training in the surgical area, and had 6 to 10 years of experience. Both staff nurses and patients were satisfied with the nursing management rendered in preventing postoperative complications, and there was no significant difference in satisfaction levels between clients and staff nurses. There was no significant relationship between the profile of staff nurses and the level of satisfaction with nursing care for preventing postoperative complications.

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Management of Common Postoperative Complications

Cited by 17 publications

References 107 publications

Study on the relationship between obesity and complications of Pediatric Epilepsy surgery

Study on the relationship between obesity and complications of Pediatric Epilepsy surgery

The role of digital technology in surgical home hospital programs

Satisfaction on Nursing Management of Postoperative Complications Rendered by Surgical Staff Nurses in Philippines

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