São Paulo medical journal = Revista paulista de medicina
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Randomized Controlled Trial
The effect of prophylactic rewarming on postoperative nausea and vomiting among patients undergoing laparoscopic hysterectomy: a prospective randomized clinical study.
Postoperative nausea and vomiting (PONV) is a common complication from general anesthesia that impacts on postoperative recovery. ⋯ ChiCTR-IOR-17012901.
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The COVID-19 pandemic has led to an immense need to develop training on case recognition and management, with a focus on patients' and health professionals' safety at several levels of healthcare settings in Brazil. Different simulation strategies can be included in the diverse clinical care phases for these patients. ⋯ Developing training programs for situations such as the current COVID-19 pandemic promotes safety not only for patients but also for healthcare workers. In the present context, clear definition of which patients need hospital outpatient or inpatient care will avoid collapse of the Brazilian healthcare system. Institutions that do not have simulated environments can, through the examples described, adopt procedures to promote didactic information in order to help healthcare professionals during this time.
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During a surgical procedure, patients are often subjected to fasting for times that are more prolonged than the ideal, which may lead to complications. ⋯ Prolonged perioperative fasting, especially in the postoperative period, was observed in a sample of patients with gastric and colorectal cancer, and this was an independent predictor of LOS.