Articles: postoperative.
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Critical Care Posters ISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Opioid-induced respiratory depression (OIRD) and post-operative apnea (POA), can lead to increased post-operative complications. Identification of OIRD and POA remains difficult with current monitoring technology. A novel, non-invasive, Respiratory Volume Monitor (RVM) that provides continuous, real-time, measurements of minute ventilation (MV), tidal volume (TV) and respiratory rate (RR), is now available. The RVM was utilized to detect the effect of opioids on respiratory status and apneic breathing patterns. ⋯ Diane Ladd: Employee: Repiratory Motion, Inc Jenny Freeman: Employee: Respiratory Motion, Inc., Shareholder: Respiratory Motion, Inc. The following authors have nothing to disclose: Edward GeorgeNo Product/Research Disclosure Information.
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Asthma PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: The cost of inhalers for asthma in the United States is about $15 billion annually. Obese patients with asthma use more inhalers compared to their nonobese counterparts. Asthma seen in obese patients differs from classical atopic asthma, and symptoms have been shown to improve with weight loss. We sought to examine the change in inhaler use among morbidly obese patients with asthma following bariatric surgery. ⋯ The following authors have nothing to disclose: Randall Schwartz, Marlow Hernandez, Franck Rahaghi, Jose Ramirez, Raul Rosenthal, Gustavo FerrerNo Product/Research Disclosure Information.
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OSA PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Obstructive Sleep Apnea (OSA) represents a perioperative risk. Continuous positive airway pressure (CPAP) therapy has demonstrated its ability to reduce this risk. However, many patients don't adhere to this treatment. Our study was designed to identify patients with poor adherence to CPAP therapy. ⋯ The following authors have nothing to disclose: Eric Deflandre, Stephanie Degey, Vincent Bonhomme, Anne-Francoise Donneau, Robert Poirrier, Jean-Francois Brichant, Pol HansNo Product/Research Disclosure Information.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Mar 2014
[New oral anticoagulantsRegional anaesthesia and new oral anticoagulants].
New oral anticoagulants (NOAC) are increasingly applied after hip and knee replacement and in patients with non-vavular atrial fibrillation. Patients with cardiac disease benefit from regional anaesthesia, especially catheter-provided postoperative pain relief, but are at higher risk for puncture-related haematoma when NOAC are applied simultaneously. ⋯ The respective time intervals are prolonged in patients with renal insufficiency, especially when Dabigatran is applied, until 36 to 72 h. In general, high risk patients with NOAC undergoing surgery benefit from an interdicsciplinary approach and from less traumatic techniques such as spinal anaesthesia or superficial peripheral nerve blocks.
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PleuralSESSION TYPE: Slide PresentationsPRESENTED ON: Sunday, March 23, 2014 at 04:15 PM - 05:15 PMPURPOSE: Prolonged pulmonary air leaks (PAL), after lung surgery or any causes of pneumothorax, are a source of significant morbidity and resource utilization. Usual approaches include prolonged thoracostomy tube drainage, pleurodesis or open surgical repair. Bronchoscopic techniques using various agents and devices have been essayed but with only anecdotal benefits reported. The use of endobronchial valves (EBV) is a minimal invasive method that may be effective for the treatment of a PAL. ⋯ Treatment of PALDISCLOSURE: The following authors have nothing to disclose: Aldo Torracchi, Rosa Cordovilla, Gonzalo Varela Simó, Marcelo Fernando Jiménez López, Nuria María Novoa Valentín, Maria Rodríguez, María Teresa Gómez Hernández, Jose Luis ArandaNo Product/Research Disclosure Information.