ANZ journal of surgery
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ANZ journal of surgery · Jun 2016
Enhanced Recovery After Surgery in elective hip and knee arthroplasty reduces length of hospital stay.
Standardized perioperative care within an Enhanced Recovery After Surgery (ERAS) programme aims to reduce postoperative morbidity and length of hospital stay (LOS). This study evaluated the effect of ERAS in patients undergoing elective, primary total hip and knee arthroplasty (THA and TKA) in a New Zealand public hospital. ⋯ ERAS in THA and TKA has been shown to be safe and effective in improving recovery through shorter hospital stay.
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ANZ journal of surgery · Jun 2016
Management and outcomes of children with severe burns in New South Wales: 1995-2013.
As a result of improvements in injury prevention, severe burns appear increasingly uncommon in Australian children. Such injuries continue to have devastating impacts, with major consequences for the patient, their family, treating clinicians and the caring institution. ⋯ Severe burn injuries in children have significant morbidity and mortality. They would appear expensive to manage and impact substantially on health care resources.
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ANZ journal of surgery · Jun 2016
Endoscopic self-expandable metallic stenting for palliation of malignant gastric outlet obstruction in Southeast Asia.
Malignant gastric outlet obstruction (GOO) is a pre-terminal event in the natural history of gastric and pancreaticobiliary cancers. The use of endoscopic placement of self-expandable metallic stents (SEMS) is a less invasive alternative palliative option for these patients. This is the first study in Southeast Asia to evaluate the clinical efficacy and safety of endoscopic SEMS placement in patients with malignant GOO. ⋯ Endoscopic SEMS placement is a minimally invasive, safe and effective option for the palliation of malignant GOO.
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ANZ journal of surgery · May 2016
Implementation and evaluation of a checklist to improve patient care on surgical ward rounds.
Key aspects of care may be overlooked on a busy surgical ward round. This study assessed the use of a checklist to correct these omissions. Its use as the basis of structured ward round documentation was then measured. ⋯ The use of a checklist during surgical ward rounds makes significant improvement in the consideration of most key aspects of care and education in the completion of a structured progress form substantially improved documentation.