Articles: postoperative.
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Surgery CasesSESSION TYPE: Case ReportsPRESENTED ON: Sunday, March 23, 2014 at 09:00 AM - 10:00 AMINTRODUCTION: Cystic Fibrosis (CF) is a disease which can develop lung destruction and cause respiratory insufficiency in children. Lobar lung transplantation from adult donors has arisen as a treatment in some cases of respiratory failure in pediatric patients. ⋯ The following authors have nothing to disclose: Juan Pablo Reig, Amparo Sole, Emilio Ansótegui, Juan Escrivá, Juan Antonio PastorNo Product/Research Disclosure Information.
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Thoracic Surgery PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Totally minimally invasive Ivor Lewis esophagectomy(MIIE) with per-oral placement of anvil has been reported elsewhere, but MIIE with manual pursestring and per-thoracic port placement of anvil has been seldomly reported. 27 cases with the later technique were conducted in this prospective study. ⋯ The following authors have nothing to disclose: Hecheng Li, Longfei Ma, Yiliang Zhang, Yawei Zhang, Jiaqing Xiang, Haiquan ChenNo Product/Research Disclosure Information.
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Pediatr Crit Care Me · Mar 2014
Observational StudySerum Cortisol and Early Postoperative Outcome After Stage-1 Palliation for Hypoplastic Left Heart Syndrome.
The postoperative cortisol profile and its association with early outcomes are poorly understood in neonates undergoing surgery for complex congenital heart disease. We investigated the postoperative profile of cortisol and its relationship with the clinical course in a cohort of newborns after stage-1 palliation for hypoplastic left heart syndrome. ⋯ Cortisol levels fell significantly over the first 24 hours after stage-1 palliation for hypoplastic left heart syndrome. A higher postoperative cortisol was associated with increased postoperative morbidity, which warrants further investigation.
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Observational Study
HIV, vascular surgery and cardiovascular outcomes: a South African cohort study.
Risk factors for peri-operative cardiac morbidity are poorly described in HIV-positive patients. This prospective observational study describes cardiovascular risk factors in a cohort of vascular surgical patients of known HIV status. We recruited 225 patients with 73 (32%) being HIV-positive. ⋯ HIV-positive and -negative patients had similar outcomes in: 30-day mortality (p = 0.78); three-day postoperative troponin leak (p = 0.66); and a composite outcome of mortality and troponin release (p = 0.69). We conclude that although HIV-positive patients have fewer cardiovascular risk factors, they have similar peri-operative major adverse cardiac events to HIV-negative patients. Research should focus on why this is the case, and if alternative clinical risk predictors can be developed for HIV patients.
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Late Breaking AbstractsSESSION TYPE: Slide PresentationPRESENTED ON: Saturday, March 22, 2014 at 09:00 AM - 10:00 AMPURPOSE: Venous thromboembolism (VTE) remained common following surgical resection of esophageal cancer. In this prospective randomized controlled trial (NCT01267305), we aim to compare the safety and efficacy between two anticoagulants applied in the prophylaxis of VTE following esophagectomy. ⋯ The following authors have nothing to disclose: Yaxing Shen, Ming Zhong, Lijie TanNo Product/Research Disclosure Information.