European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
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Eur J Vasc Endovasc Surg · Sep 2007
Fast track open aortic surgery: reduced post operative stay with a goal directed pathway.
Open aortic aneurysm repair is traditionally associated with an extended hospital stay. The aim of this study was to examine the feasibility of reducing post-operative stay through the implementation of a fast-track, goal directed, clinical pathway for elective open aortic surgery. ⋯ Post-operative stay in patients undergoing standard elective open infra-renal aortic surgery can be safely reduced with the introduction of a goal directed pathway.
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Delirium is common in many surgical settings. Patients undergoing elective vascular surgery may be at particular risk of developing delirium, and may have modifiable aetiological factors that can be addressed by pre-operative interventions. We decided to review the literature regarding the incidence and aetiology of delirium in elective vascular surgical patients. ⋯ Delirium is common in people undergoing elective vascular surgery. Further research is required to examine the effect on outcome of delirium, and the effect of psychiatric and geriatric medicine interventions in this setting.
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Eur J Vasc Endovasc Surg · Jul 2007
Review Meta AnalysisExercise therapy and the additional effect of supervision on exercise therapy in patients with intermittent claudication. Systematic review of randomised controlled trials.
To review the evidence for the effectiveness of exercise therapy and to estimate the additional effect of supervision on exercise therapy in patients with intermittent claudication. ⋯ Exercise therapy increases the PWD and AWD in patients with intermittent claudication. Supervised exercise therapy increases the PWD and AWD more than standard care. However, the additional value of supervision over unsupervised exercise regimens needs further clarification.