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Soins périopératoires
Soins périopératoires : Questions médicales fréquentes
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"name": "Quelles sont les mesures préopératoires pour réduire les risques ?",
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"@type": "Question",
"name": "Comment gérer la douleur après une chirurgie ?",
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"name": "Quel est le rôle de la rééducation post-opératoire ?",
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"name": "Quels sont les soins de plaie post-opératoires ?",
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"name": "Quelles sont les complications possibles après une chirurgie ?",
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"name": "Comment reconnaître une infection post-opératoire ?",
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"name": "Quels sont les signes d'une hémorragie post-opératoire ?",
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"@type": "Question",
"name": "Comment prévenir les complications respiratoires ?",
"position": 24,
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"text": "Encourager la respiration profonde, la mobilisation précoce et l'utilisation d'un spiromètre."
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"name": "Quels sont les risques d'une anesthésie générale ?",
"position": 25,
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"text": "Les risques incluent des réactions allergiques, des problèmes respiratoires et des nausées."
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"@type": "Question",
"name": "Quels facteurs augmentent le risque chirurgical ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'âge avancé, les maladies chroniques et le tabagisme sont des facteurs de risque majeurs."
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"@type": "Question",
"name": "Comment le diabète influence-t-il la chirurgie ?",
"position": 27,
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"text": "Le diabète peut retarder la cicatrisation et augmenter le risque d'infections post-opératoires."
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"name": "Quel impact a l'obésité sur les interventions chirurgicales ?",
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"name": "Comment le tabagisme affecte-t-il la récupération ?",
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"name": "Quels médicaments peuvent influencer le risque chirurgical ?",
"position": 30,
"acceptedAnswer": {
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"text": "Les anticoagulants, les anti-inflammatoires et certains médicaments cardiovasculaires peuvent augmenter les risques."
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Twenty-three components of intraoperative and postoperative care were defined. Consensus was reached after three rounds of a modified Delphi Process....
These guidelines are based on best available evidence for an ERAS...
Implementation of bariatric surgery on an outpatient basis is hampered by concerns about timely detection of postoperative complications. Telemonitoring could enhance detection and support transition ...
This study aimed to evaluate non-inferiority and feasibility of an outpatient recovery pathway after bariatric surgery, supported by remote monitoring compared to standard care....
Preference-based non-inferiority randomized trial....
Center for obesity and metabolic surgery, Catharina hospital Eindhoven, the Netherlands....
Adult patients scheduled for primary gastric bypass or sleeve gastrectomy....
Same-day discharge with one week ongoing Remote Monitoring (RM) of vital parameters or Standard Care (SC) with discharge on postoperative day one....
Primary outcome was a thirty-day composite Textbook Outcome score encompassing mortality, mild and severe complications, readmission and prolonged length-of-stay. Non-inferiority of same-day discharge...
Textbook Outcome was achieved in 94% (n = 102) in RM versus 98% (n = 100) in SC (RR 2.9; 95% CI, 0.60-14.23, p = 0.22). The non-inferiority margin was exceeded which is a statistically inconclusive re...
In conclusion, outpatient bariatric surgery supported with telemonitoring is clinically comparable to standard overnight bariatrics in terms of textbook-outcome. Both approaches reached primary endpoi...
Chronic liver diseases represent a prevalent pathology that exerts considerable pressure on healthcare providers and various healthcare systems worldwide [...]....
ERAS pathway has been proposed as the standard of care in elective abdominal surgery. Guidelines on ERAS in emergency surgery have been recently published; however, few evidences are still available i...
This is a prospective multicenter observational study including patients who underwent major emergency general surgery for either intra-abdominal infection or intestinal obstruction. The primary endpo...
A total of 589 patients were enrolled in the study, 256 (43.5%) of them underwent intestinal resection with anastomosis. Major complications occurred in 92 (15.6%) patients and 30-day mortality was 6....
The present study supports that an enhanced recovery protocol in emergency surgery is feasible and safe. Laparoscopy was associated with an earlier recovery, whereas preoperative hyperglycemia, fluid ...
To develop a conceptual framework describing nursing care from the anaesthesia nurse's perspective in the perioperative context....
Surgical patients find themselves in a vulnerable situation in need of advanced treatment and care. Nurse anaesthetists have a central role in reducing harm and enhance patient safety, in which person...
Noblit and Hare's interpretative meta-ethnography, directed by the eMERGe reporting guidance....
A comprehensive systematic search of nine databases without year limitation. Fifteen studies published between 2002 and 2021 were found eligible for inclusion. Quality appraisal was performed using th...
Four themes were identified: being vigilant to keep safe from harm, strengthening patients' confidence, expressing courage to act and speak up, and endorsing team collaboration to achieve best practic...
Nurse anaesthetists aim to deliver holistic nursing care. Nursing care is expressed at two levels, foregrounding and backgrounding anaesthetic nursing, in line with the philosophy of person-centred ca...
The framework may be used to inform educational programs and clinical practice in nurse anaesthesia and to promote person-centred care as a shared value across all levels involved in perioperative pat...
Data were retrieved from already published literature....
1.7 billion children lack access to surgical care worldwide. The emergency, critical, and operative care (ECO) resolution represents a call to action to reinvigorate the efforts to address these dispa...
The concept introduced by protocols of enhanced recovery after surgery modifies perioperative traditional care in digestive surgery. The integration of these modern recommendations components during t...
To emphasize the most important points of a multimodal perioperative care protocol....
Careful analysis of each recommendation of both ERAS and ACERTO protocols, justifying their inclusion in the multimodal care recommended for digestive surgery patients....
Enhanced recovery programs (ERPs) such as ERAS and ACERTO protocols are a cornerstone in modern perioperative care. Nutritional therapy is fundamental in digestive surgery, and thus, both preoperative...
This position paper from the Brazilian College of Digestive Surgery strongly emphasizes that the implementation of ERPs in digestive surgery represents a paradigm shift in perioperative care, transcen...