#Preoperative

Sky Sugaring

@sugaringsky.bsky.social

1 month ago

Sugaring both of my friends &
Playing match maker for Valentine:)
#transgender #ts #preoperative #sexy
onlyfans.com/skysugaring

BIO Integration

@bio-integration.org

2 months ago

Differentiating Hepatic Perivascular Epithelioid Cell Tumor from Hepatocellular Carcinoma without High-Risk Factors using Contrast-Enhanced Ultrasound Announcing a new article publication for BIO Integration journal. Hepatic perivascular epithelioid cell tumor (PEComa) is a rare tumor with malignant potential that is frequently misdiagnosed as hepat...

Investigating the #imaging characteristics of #PEComa & #HCC without high-risk factors using #CUS and #CUES to improve #preoperative diagnostic accuracy.

#OpenAccess: bio-integration.org/imaging-preo...

British Journal of Anaesthesia

@bjajournals.bsky.social

3 months ago

#Preoperative GLP-1 RA use is associated with fewer perioperative #respiratorycomplications in people living with type 2 #diabetesmellitus

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

British Journal of Anaesthesia

@bjajournals.bsky.social

3 months ago

Can #deeplearning analysis of #preoperative #ECGs improve #riskprediction for perioperative major cardiovascular events?

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

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

JMIR Publications

@jmirpub.bsky.social

4 months ago

Virtual Reality Exposure Therapy and #patient Education for #preoperative Anxiety in Pediatrics: #rct Background: The perioperative environment is complex and may be challenging for #patients and guardians to navigate. The emotional burden and stressors inherent to the perioperative process commonly result in #preoperative anxiety. Many studies have demonstrated the usefulness of virtual reality (VR) in various #patient populations. Objective: Our aim was to determine the effect of a VR-based exposure tool on the #preoperative anxiety of children and their guardians. Methods: We performed a single-center prospective #rct including children 6-12 years of age, presenting for ambulatory tonsillectomy and/or adenoidectomy, with or without bilateral ear tube insertion. The #patients were randomized to receive VR instruction of the perioperative workflow or standard #preoperative experience (non-VR). The primary outcome was #patient and guardian #preoperative anxiety, as measured by the 6-item State-Trait Anxiety Inventory. Results: The #study cohort included 107 parent/guardian dyads; 51 in the intervention (VR) group and 56 in the control (non-VR) group. Baseline characteristics between the #study and control groups were comparable; however, #patients in the control group were more likely to report feeling upset compared to the VR group. Following VR intervention, both #patients and guardians experienced reduced #preoperative anxiety compared to the control group. #patients exposed to VR were five times more likely to feel calm [odds ratio (OR) 4.95; 95% Confidence Interval (CI) 2.32-10.61; p

New JMIR Periop Med: Virtual Reality Exposure Therapy and #patient Education for #preoperative Anxiety in Pediatrics: #rct

@rcatanho.bsky.social

5 months ago

La mayoría de las causas de cancelación de las cirugías electivas de catarata el día de la operación pueden prevenirse con la evaluación preoperatoria #surgery #cancellation #preoperative journals.lww.com/tnoa/fulltex...

@thedoctoreditor.bsky.social

8 months ago

Video Visits Can Ease Patients' Pre-Op Stress Having a video consult from home instead of an office visit can reduce pre-operative anxiety for people facing certain kinds of surgeries.

Having a video consult from home instead of an office visit can reduce pre-operative anxiety for people facing certain kinds of surgeries. bit.ly/3TRqlla #doctorvisit @thelancet.com @amsterdamumc.bsky.social
#VideoVisits #PreOperative #virtualvisits #surgery #videoconferencing

Tom Abbott

@tomabbott.bsky.social

8 months ago

Clinician Survey: Prehabilitation before major surgery Please take the time to complete our survey. Your feedback is important.

Are you a clinician involved in #preoperative assessment or #prehabilitation & would like to shape future research? We are interested in you views on #preop #nutrition & #exercise

Have a look at this short survey:

www.smartsurvey.co.uk/s/SO1SUQ/

Thank you!

JMIR Publications

@jmirpub.bsky.social

8 months ago

Evaluating Large Language Models for #preoperative #patient Education in Superior Capsular Reconstruction: Comparative #study of Claude, GPT, and Gemini Background: Large Language Models (LLMs) are revolutionizing natural language processing, increasingly #applied in clinical settings to enhance #preoperative #patient education. Objective: To evaluate the effectiveness and #applicability of various LLMs in #preoperative #patient education by analyzing their responses to superior capsular reconstruction (SCR)-related inquiries. Methods: Ten sports medicine clinical experts formulated 11 SCR issues and developed #preoperative #patient education strategies during an online meeting, inputting 12 text commands into Claude-3-Opus, GPT-4-Turbo, and Gemini-1.5-Pro. Three experts assessed the language models' responses for correctness, completeness, logic, potential harm, and overall satisfaction, while #preoperative education documents were evaluated using DISCERN and PEMAT instruments, and reviewed by five #postoperative #patients for readability and educational value; readability of all responses was also analyzed using the cntext package and py-readability-metrics. Results: Between July 1 and August 17, 2024, sports medicine experts and #patients evaluated 33 responses and 3 #preoperative #patient education documents generated by three language models regarding SCR #surgery. For the 11 query responses, clinicians rated Gemini significantly higher than Claude in all categories (P

New JMIR Periop Med: Evaluating Large Language Models for #preoperative #patient Education in Superior Capsular Reconstruction: Comparative #study of Claude, GPT, and Gemini

JMIR Publications

@jmirpub.bsky.social

8 months ago

Agreement Between Provider-Completed and #patient-Completed #preoperative Frailty Screening Using the Clinical Risk Analysis Index: Cross-Sectional Questionnaire #study Background: Frailty is associated with #postoperative morbidity and mortality. #preoperative screening and management of persons with frailty improves #postoperative outcomes. The Clinical Risk Analysis Index (RAI-C) is a validated provider-based screening tool for assessing frailty in pre#surgical populations. #patient self-screening for frailty may provide an alternative to provider-based screening if resources are limited; however, the agreement between these 2 methods has not been previously explored. Objective: The objective of our #study was to examine provider-completed versus #patient-completed RAI-C assessments to identify areas of disagreement between the 2 methods and inform best practices for RAI-C screening implementation. Methods: Orthopedic physicians and physician assistants completed the RAI-C assessment on veterans aged 65 years and older undergoing elective total joint arthroplasty (eg, total hip or knee arthroplasty) and documented scores into the electronic #health record during their #preoperative clinic evaluation. Participants were then mailed the same RAI-C form after #preoperative evaluation and returned responses to #study coordinators. Agreement between provider-completed and #patient-completed RAI-C assessments and differences within individual domains were compared. Results: A total of 49 participants aged 65 years and older presenting for total joint arthroplasty underwent RAI-C assessment between November 2022 and August 2023. In total, 41% (20/49) of participants completed and returned an independent postvisit RAI-C assessment before #surgery and within 180 days of their initial evaluation. There was a moderate but statistically significant correlation between provider-completed and #patient-completed RAI-C assessments (r=0.62; 95% CI 0.25-0.83; P=.003). Provider-completed and #patient-completed RAI-C assessments resulted in the same frailty classification in 60% (12/20) of participants, but 40% (8/20) of participants were reclassified to a more frail category based on #patient-completed assessment. Agreement was the lowest between provider-completed and #patient-completed screening questions regarding memory and activities of daily living. Conclusions: RAI-C had moderate agreement when completed by providers versus the participants themselves, with more than a third of #patient-completed screens resulting in a higher frailty classification. Future studies will need to explore the differences between and accuracy of RAI-C screening #approaches to inform best practices for #preoperative RAI-C assessment implementation.

New JMIR Periop Med: Agreement Between Provider-Completed and #patient-Completed #preoperative Frailty Screening Using the Clinical Risk Analysis Index: Cross-Sectional Questionnaire #study

JMIR Publications

@jmirpub.bsky.social

9 months ago

Evaluating Large Language Models for #preoperative #patient Education in Superior Capsular Reconstruction: Comparative #study of Claude, GPT, and Gemini Background: Large Language Models (LLMs) are revolutionizing natural language processing, increasingly #applied in clinical settings to enhance #preoperative #patient education. Objective: To evaluate the effectiveness and #applicability of various LLMs in #preoperative #patient education by analyzing their responses to superior capsular reconstruction (SCR)-related inquiries. Methods: Ten sports medicine clinical experts formulated 11 SCR issues and developed #preoperative #patient education strategies during an online meeting, inputting 12 text commands into Claude-3-Opus, GPT-4-Turbo, and Gemini-1.5-Pro. Three experts assessed the language models' responses for correctness, completeness, logic, potential harm, and overall satisfaction, while #preoperative education documents were evaluated using DISCERN and PEMAT instruments, and reviewed by five #postoperative #patients for readability and educational value; readability of all responses was also analyzed using the cntext package and py-readability-metrics. Results: Between July 1 and August 17, 2024, sports medicine experts and #patients evaluated 33 responses and 3 #preoperative #patient education documents generated by three language models regarding SCR #surgery. For the 11 query responses, clinicians rated Gemini significantly higher than Claude in all categories (P

New JMIR Periop Med: Evaluating Large Language Models for #preoperative #patient Education in Superior Capsular Reconstruction: Comparative #study of Claude, GPT, and Gemini

JMIR Publications

@jmirpub.bsky.social

1 year ago

Agreement Between Provider-Completed and #patient-Completed #preoperative Frailty Screening Using the Clinical Risk Analysis Index: Cross-Sectional Questionnaire #study Background: Frailty is associated with #postoperative morbidity and mortality. #preoperative screening and management of persons with frailty improves #postoperative outcomes. The Clinical Risk Analysis Index (RAI-C) is a validated provider-based…

New JMIR Periop Med: Agreement Between Provider-Completed and #patient-Completed #preoperative Frailty Screening Using the Clinical Risk Analysis Index: Cross-Sectional Questionnaire #study

Jeff Simmons

@jeffromd.bsky.social

1 year ago

I needed a quick chart for my #PREOPCLINIC on chemotherapy agents and their effects on #preoperative labs and organs.

#ChatGPT to the 🛟
#MedSky #AnSky

How do you think it did?

Jeff Simmons

@jeffromd.bsky.social

1 year ago

Expanding the perioperative lens: Does the end justify the means? In 1994, Fischer et al. established the preoperative clinic for the perioperative services at Stanford University Medical Center. By lowering the risk…

An article discussing where we might could go with #perioperative medicine and #preoperative optimization.
www.sciencedirect.com/science/arti...

Dr Howard Smith Reports

@drhowardsmith.bsky.social

1 year ago

Your Smartwatch Could Conduct Your Pre-Operative Assessment: Watch captures real-life data to assist anesthesia pre-op evaluation. #smartwatch #anesthesia #preoperative #evaluation
www.instagram.com/p/DCFKzDrMAFU/