#Postoperative

British Journal of Anaesthesia

@bjajournals.bsky.social

3 days ago

Does #fMRI impaired resting state functional connectivity indicate a predisposition to #postoperative #delirium? New investigation from Taylor et al.

www.bjanaesthesia.org/article/S0007-0912(25)00...

JMIR Publications

@jmirpub.bsky.social

5 days ago

Virtual Reality for the Management of #postoperative Pain and Anxiety in Children and Adolescents Undergoing Nuss Repair of Pectus Excavatum: #rct Background: Virtual reality (VR) is a novel technology with implications for pain and sensory processing. VR may serve as a novel, scalable method to deliver clinically validated therapy for pain management as an alternative or adjunct to opioids for acute pain. Given that psychological factors and pain perception are both components of #postoperative pain, it may also be beneficial to incorporate modalities that decrease anxiety, such as active relaxation and guided meditation with VR. Unfortunately, these therapies are not widely available due to multiple barriers. VR has the potential to deliver pain-reducing, psychologically based therapy to children, thereby enhancing multimodal analgesia and potentially decreasing opioid use. This #study investigates the role of VR in reducing pain and anxiety after #surgery. Given the substantial risks associated with opioid use, particularly in younger populations, alternative pain management strategies are crucial. Objective: The primary aim of this #study was to evaluate the efficacy of VR as a nonpharmacological intervention for managing #postoperative pain intensity, pain unpleasantness, anxiety, and opioid use in children and adolescents undergoing Nuss repair of pectus excavatum. Methods: A single-center, prospective, randomized, controlled trial was conducted at a tertiary care children’s hospital and research center. Ninety children and adolescents (8-18 y) undergoing the Nuss procedure were randomized to guided relaxation or mindfulness VR (n=30) and distraction-based gaming VR (n=30), combined to form the VR group (n=60), and a control group using a passive 360° video (n=30). #patients received a 10-minute session on #postoperative days 1 and 2. Pain intensity, pain unpleasantness, and anxiety were evaluated before and 0-, 15-, and 30-minute post-session. In-hospital pain scores, anxiety scores, and opioid use were collected. Results: Children and adolescents who participated in VR reported a significantly greater decrease in pain intensity from baseline (0.41, SE 0.23) compared with those in the 360° video group at 30 minutes (=.04) before multiplicity adjustment but not after multiplicity adjustment. There were no significant differences in pain scores or opioid use between the VR and control groups on #postoperative day 1 or 2, nor were there changes in pain unpleasantness or anxiety at any time after the intervention. Conclusions: Daily, 10-minute VR sessions provided some trends toward transient analgesic and anxiolytic effects, albeit none that were statistically significant. VR did not significantly decrease overall pain scores or opioid usage, possibly due to the limited intervention duration and high standardized opioid use. Future studies should investigate extended and more frequent VR sessions and the integration of VR with other therapeutic modalities. Trial Registration: ClinicalTrials.gov NCT04351776; https://clinicaltrials.gov/#study/NCT04351776

New JMIR Periop Med: Virtual Reality for the Management of #postoperative Pain and Anxiety in Children and Adolescents Undergoing Nuss Repair of Pectus Excavatum: #rct

JMIR Publications

@jmirpub.bsky.social

1 month ago

Forced-Air Warming Temperature Settings for Treating #postoperative Hypothermia in the Post#anesthesia Care Unit: #rct Background: Hypothermia, defined as a core body temperature below 36°C, is a common #postoperative complication associated with adverse outcomes such as delayed wound healing, infections, and increased bleeding. Objective: This #rct evaluated the efficacy of different forced-air warming system temperature settings in treating #postoperative hypothermia in the Post#anesthetic Care Unit (PACU). Methods: A total of 132 elective #surgery #patients at Ramathibodi Hospital (April 2023–May 2024) were randomized into three groups: Group C (warming set to 38°C), Group F1 (42°C), and Group F2 (42°C, reduced to 38°C after achieving 36°C). Tympanic temperature was recorded at 5-minute intervals during rewarming and every 10 minutes after normothermia (≥36°C) was achieved. The primary outcome was rewarming time, while secondary outcomes included the incidence of temperature drops, hemodynamic parameters, adverse events, and #patient comfort scores Results: Baseline characteristics and clinical variables, including vital signs, were comparable among groups (P > .05). Group F2 achieved the shortest mean rewarming time (33.30 ± 13.81 minutes), though differences between groups were not statistically significant (P = 0.460) Group F2 had the lowest incidence of temperature drops below 36°C after normothermia (2.27%; P = .009). Group C had the highest incidence of rewarming exceeding 1 hour (22.73%; P = .017). Conclusions: While rewarming times were similar across groups, the protocol using an initial setting of 42°C followed by a reduction to 38°C (Group F2) effectively minimized temperature drops after normothermia, suggesting its superiority for managing #postoperative hypothermia in the PACU. Clinical Trial: Thaiclinicaltrials.org Registration number TCTR20231012004 https://www.thaiclinicaltrials.org/show/TCTR20231012004

New JMIR Periop Med: Forced-Air Warming Temperature Settings for Treating #postoperative Hypothermia in the Post#anesthesia Care Unit: #rct

JMIR Publications

@jmirpub.bsky.social

1 month ago

Reminder>> Intercostal cryoanalgesia versus thoracic epidural analgesia for #PostOperative #Pain control after thoracic #Surgery: #Study #Protocol for a randomized clinical trial (preprint) #openscience #PeerReviewMe #PlanP

JMIR Publications

@jmirpub.bsky.social

1 month ago

Intercostal cryoanalgesia versus thoracic epidural analgesia for #PostOperative #Pain control after thoracic #Surgery: #Study #Protocol for a randomized clinical trial (preprint) #openscience #PeerReviewMe #PlanP

Current Medical Science

@currentmedscience.bsky.social

2 months ago

Anesthesia, Anesthetics, and Postoperative Cognitive Dysfunction in Elderly Patients

This study examines the effects of #Anesthesia techniques & #Pharmacological agents on #Postoperative #CognitiveDysfunction in elderly patients, providing a reference for rational anesthesia strategies to enhance #SurgicalOutcomes. #medsky
To read: link.springer.com/article/10.1...

Allan Katz

@allankatz.bsky.social

2 months ago

Social Determinants of Health and Mortality After Inpatient Surgery This cohort study examines the association of neighborhood-level income, immigration status, and migration recency with 30-day mortality among adults in Ontario, Canada, who underwent inpatient electi...

(JAMA) Do #dischargeplanners take this into account? Lower neighborhood #income was associated with #higher #postoperative #mortality, suggesting that improving surgical outcomes may require addressing disparities in #SDOH.

JMIR Publications

@jmirpub.bsky.social

2 months ago

Reminder>> A Comparative Evaluation of Fine-Tuning, Retrieval-Augmented Generation, and Hybrid Large Language Models for #PostOperative Clinical Decision Support (preprint) #openscience #PeerReviewMe #PlanP

JMIR Publications

@jmirpub.bsky.social

2 months ago

A Comparative Evaluation of Fine-Tuning, Retrieval-Augmented Generation, and Hybrid Large Language Models for #PostOperative Clinical Decision Support (preprint) #openscience #PeerReviewMe #PlanP

Current Medical Science

@currentmedscience.bsky.social

3 months ago

Development and Validation of a Deep Learning Predictive Model Combining Clinical and Radiomic Features for Short-Term Postoperative Facial Nerve Function in Acoustic Neuroma Patients

This study presents a predictive model that integrates #Clinical & #Radiomic features to predict short-term #Postoperative #FacialNerve function in patients with #AcousticNeuroma, supporting the refinement of treatment strategies. #medsky

To read: link.springer.com/article/10.1...

GBG

@gbg.de

4 months ago

#NeoRad study #GBG116: phase III trial investigating whether #preoperative radiotherapy can improve disease-free survival compared to #postoperative #radiotherapy after #neoadjuvant #chemotherapy in patients with high-risk early breast cancer.
👉 More information: www.gbg.de/en/trials/neorad

All Scientifical

@allscientifical.bsky.social

5 months ago

Which material is commonly used for clean postoperative wound dressing? A) Dirty cloth B) Sterile ga Which material is commonly used for clean postoperative wound dressing? A) Dirty cloth B) Sterile ga

Which material is commonly used for clean postoperative wound dressing?
A) Dirty cloth
B) Sterile gauze
C) Sandpaper
D) Plastic wrap
#wounds #postoperative #wounddressing #surgery ... Continue to: www.facebook.com/113009240922...

Prof Rakesh Garg

@rakeshgarg.bsky.social

5 months ago

Effect of perioperative transdermal nicotine patch on postoperative pain: A systematic review and meta-analysis - PubMed The perioperative transdermal nicotine patch did not significantly reduce postoperative pain scores compared with placebo. There appears to be a significant reduction in smokers, but the evidence is i...

🩹 IJA!
Systematic review & meta-analysis shows perioperative transdermal nicotine patches may reduce #postoperative pain & analgesic needs.
A potential tool in multimodal analgesia.
🔗 pubmed.ncbi.nlm.nih.gov/40657138/
#PainMedicine #Anaesthesia

JMIR Publications

@jmirpub.bsky.social

5 months ago

Effects of Oliceridine versus Sufentanil on #PostOperative Recovery Quality during Hysteroscopy under Laryngeal Mask Airway Anesthesia: #Protocol for a Single-Blind and #RCT #ClinicalTrial Date Submitted: Sep 21, 2025. Open Peer Review Period: Sep 22, 2025 - Nov 17, 2025.

Reminder>> Effects of Oliceridine versus Sufentanil on #PostOperative Recovery Quality during Hysteroscopy under Laryngeal Mask Airway Anesthesia: #Protocol for a Single-Blind and #RCT #ClinicalTrial (preprint) #openscience #PeerReviewMe #PlanP

TopMedTalk

@topmedtalk.bsky.social

5 months ago

🎧 New @topmedtalk.bsky.social ! @acumpstey.bsky.social talks with TJ Gan (MD Anderson) & Tim Miller (Duke) about #postoperative #monitoring, #AI, #wearables & #robotic #surgery - and how all of these are shaping the future of #perioperative care.

www.topmedtalk.com/podcasts/adv...

JMIR Publications

@jmirpub.bsky.social

5 months ago

Effects of Oliceridine versus Sufentanil on #PostOperative Recovery Quality during Hysteroscopy under Laryngeal Mask Airway Anesthesia: #Protocol for a Single-Blind and #RCT #ClinicalTrial Date Submitted: Sep 21, 2025. Open Peer Review Period: Sep 22, 2025 - Nov 17, 2025.

Effects of Oliceridine versus Sufentanil on #PostOperative Recovery Quality during Hysteroscopy under Laryngeal Mask Airway Anesthesia: #Protocol for a Single-Blind and #RCT #ClinicalTrial (preprint) #openscience #PeerReviewMe #PlanP

JMIR Publications

@jmirpub.bsky.social

6 months ago

Reminder>> A Single-Centre, Open-label, Randomised Controlled Trial with Mixed Methods Evaluation of Continuous Ambulatory Vital Signs Monitoring on Clinical Outcomes, Implementation, and Staff and #Patient Experiences in Adult #PostOperative #Patients… (preprint) #openscience #PeerReviewMe #PlanP

JMIR Publications

@jmirpub.bsky.social

6 months ago

A Single-Centre, Open-label, Randomised Controlled Trial with Mixed Methods Evaluation of Continuous Ambulatory Vital Signs Monitoring on Clinical Outcomes, Implementation, and Staff and #Patient Experiences in Adult #PostOperative #Patients on General… (preprint) #openscience #PeerReviewMe #PlanP

TopMedTalk

@topmedtalk.bsky.social

7 months ago

Huge thank you to John Whittle from UCL for joining @acumpstey.bsky.social on @topmedtalk.bsky.social at the EBPOM Global World Congress in #London to explain the importance of #metabolic #flexibility,its impact on #postoperative #complications & importance in #perioperative #care.

rb.gy/2lnxp9

JMIR Publications

@jmirpub.bsky.social

7 months ago

Reminder>> The Effectiveness of #Digital Intervention on #Psychological Resilience in #PostOperative Breast #Cancer #Patients during Chemotherapy Intervals: A Quasi-Experimental #Study (preprint) #openscience #PeerReviewMe #PlanP

JMIR Publications

@jmirpub.bsky.social

7 months ago

Reminder>> Efficacy and safety of Electroacupuncture for #PostOperative insomnia in #Patients with spinal metastasis: #Protocol of a prospective, multi-center, randomized controlled #Study (preprint) #openscience #PeerReviewMe #PlanP

JMIR Publications

@jmirpub.bsky.social

7 months ago

The Effectiveness of #Digital Intervention on #Psychological Resilience in #PostOperative Breast #Cancer #Patients during Chemotherapy Intervals: A Quasi-Experimental #Study (preprint) #openscience #PeerReviewMe #PlanP

JMIR Publications

@jmirpub.bsky.social

7 months ago

Efficacy and safety of Electroacupuncture for #PostOperative insomnia in #Patients with spinal metastasis: #Protocol of a prospective, multi-center, randomized controlled #Study (preprint) #openscience #PeerReviewMe #PlanP

A Chronic Voice

@achronicvoice.com

8 months ago

Precision pain management: Tailoring strategies to individual patient profiles - Journal of Anaesthesia Practice Pain, a universal human experience, remains one of the most challenging aspects of healthcare, particularly in the field of anaesthetics.

“ #Patients with a history of #ChronicPain may have altered #pain pathways, making them more susceptible to severe #PostOperative pain. Recognising..is crucial for anaesthetists when planning post-surgical #PainManagement.": buff.ly/1F8U26q

via JAPractice

Jeff Browndyke

@jeffbrowndyke.bsky.social

8 months ago

If you are concerned about postoperative delirium & subsequent increased dementia risk, these are some of the clinician scientists that you want on your team.

#postoperative #delirium #dementia

JMIR Publications

@jmirpub.bsky.social

9 months ago

Reminder>> Integrated High-Throughput Targeted Metabolomics and Machine Learning for Early Prediction and Prevention of #PostOperative Delirium in Elderly Surgical #Patients (preprint) #openscience #PeerReviewMe #PlanP

JMIR Publications

@jmirpub.bsky.social

9 months ago

Integrated High-Throughput Targeted Metabolomics and Machine Learning for Early Prediction and Prevention of #PostOperative Delirium in Elderly Surgical #Patients (preprint) #openscience #PeerReviewMe #PlanP

AJ

@realajyoung.bsky.social

9 months ago

Post about Trump being a prick again about something and a post about a new Covid variant directly below? Is this a sign? Am I just high? #postoperative #recovery #highaf

Sky Sugaring

@sugaringsky.bsky.social

9 months ago

6 months Post Operative Transgender Beauty
#postoperative #transgender #trans #mtf #maletofemale #lgbtq #sexeducation

Sky Sugaring

@sugaringsky.bsky.social

9 months ago

Post-Op Trans friend
Sugared smooth
#trans #transgender #postoperative #lgbtq #pridemonth #celebration #