Articles: patients.
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To investigate the efficacy of single injection femoral nerve block (FNB) on the independence level in functional activities in the early postoperative period in patients with total knee arthroplasty (TKA). ⋯ Single injection FNB provided effective analgesia in patients undergoing TKA. However, the independence level in functional activities in the early postoperative period was not influenced by the analgesia method.
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L'intubation trachéale chez le brûlé de la face et du cou au stade de séquelles peut être difficile voire impossible chez certains patients. La technique de ventilation à l'aide d'un masque laryngé ou d'intubation avec un fibroscope bronchique permet de résoudre la plupart des problèmes d'intubation difficile. Les Auteurs rapportent deux observations chez deux patientes porteuses de séquelles de brûlures de la face et du cou.
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Previous research has demonstrated that patients with atrial fibrillation (AF) possess very little knowledge of their disease, the consequences of AF and the benefits/risks of anti-coagulant therapy. The aim of this pilot study was to examine patient's knowledge and perceptions of AF and their anticoagulant treatment before and after a brief educational intervention. ⋯ Most patients with AF possess very limited knowledge about their cardiac condition, its consequences, and how anticoagulant treatment can benefit them. This pilot study has demonstrated that a brief educational intervention with an information booklet can help to somewhat improve their knowledge about anticoagulation therapy for AF.
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Das Gesundheitswesen · Jun 2006
[Patient satisfaction with outpatient/short stay operations in a practice clinic].
In a pilot scheme for outpatient/short-stay surgery in a practice clinic in Magdeburg, Germany, as well as medical indicators patient satisfaction was evaluated as part of its research programme. Typically, the recovery phase is transferred to the home environment. For this reason the practice clinic has little opportunity to observe the patient's post-operative course. Patient satisfaction, therefore, is a particularly important indicator in evaluating the quality of patient care in outpatient, generally elective, surgery. This study assessed patient satisfaction with the services offered by the practice clinic. The analysis also identified which determinants had significant impact on patient satisfaction in order to obtain information about reasonable measures for improvement. ⋯ The very high satisfaction scores, however, include criticism of detail and indicate scope for improvement. Negative reaction to the particularly relevant attribute "participation in decision-making" can markedly impair overall satisfaction. Patients' participation in their care has a special place with regard to patient satisfaction. The practice clinic intends to repeat the study as a part of its quality assurance programme.
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To review the pathophysiology of coagulopathy in massively transfused, adult and previously hemostatically competent patients in both elective surgical and trauma settings, and to recommend the most appropriate treatment strategies. ⋯ Coagulopathy associated with massive transfusion remains an important clinical problem. It is an intricate, multifactorial and multicellular event. Treatment strategies include the maintenance of adequate tissue perfusion, the correction of hypothermia and anemia, and the use of hemostatic blood products to correct microvascular bleeding.