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Results for “POSTOPERATIVE CARE”

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At least 37 records · Page 2Linked to original sources
PubMed1999

Thiersch skin grafting and postoperative care of otologic patients.

Postoperative care is as important as the actual surgical procedure, if not more important. Thiersch skin grafting remains an excellent technique to ensure proper healing in the mastoid cavity and ear canal. Successful surgical outcomes depend on a well-coordinated effort by the surgical team and the patient. Preoperative planning, intraoperative surgical technique, and postoperative care and follow-up are discussed in this article.

Ear Diseases↗
PubMed2005

The enhanced postoperative care system.

The perioperative care system is a continuum that includes preoperative patient evaluation, operating room scheduling, the operation itself, and postoperative care. This costly fast-paced system requires its various components to function efficiently and interact effectively. This review explores the interrelation between the operational elements of the enhanced care postoperative care system (intensive care units, intermediate care units, postanesthesia care units, and monitored floor beds) and other perioperative care activities. This care system provides patients with enhanced (from routine floor) nursing and medical care, continuous physiological monitoring, and sophisticated treatments (eg, continuous infusion of vasoactive substances). A management, rather than clinical, approach is used to provide insight into the operations of the perioperative care system so that bottlenecks to patient flow may be identified and eliminated. Emphasis is placed on the need to switch from a "fiefdom" mentality, where each component of the system acts independently and defensively, to systems thinking, in which complex interrelated patterns are identified, analyzed, and optimized.

Delivery of Health Care↗
PubMed1975

Postoperative care of the rhinoplasty patient.

Postoperative care for the patient following rhinoplasty begins with the taping, packing, and splinting of the nose. In the immediate postoperative period the patient is encouraged to rest with the head in an elevated position, to take fluids by moutn, and to apply ice water compresses to the eyes. An analgesic sufficiently potent to ablate the pain as well as an evening sedative is prescribed, if needed. The systemic administration of enzymes, antibiotics, and steroids is not utilized by the authors in the postoperative care of rhinoplasty patients. Careful attention to maintaining the position of the nasal dorsum and the removal of any hematoma is essential in the first two postoperative weeks. During the first year following rhinoplasty, participation in contact sports and exposure to the sun are discouraged.

Bandages↗
PubMedDate not supplied

Pediatric cardiac postoperative care.

The Heart Institute of the University of São Paulo, Medical School is a referral center for the treatment of congenital heart diseases of neonates and infants. In the recent years, the excellent surgical results obtained in our institution may be in part due to modern anesthetic care and to postoperative care based on well-structured protocols. The purpose of this article is to review unique aspects of neonate cardiovascular physiology, the impact of extracorporeal circulation on postoperative evolution, and the prescription for pharmacological support of acute cardiac dysfunction based on our cardiac unit protocols. The main causes of low cardiac output after surgical correction of heart congenital disease are reviewed, and methods of treatment and support are proposed as derived from the relevant literature and our protocols.

Heart Defects, Congenital↗
PubMed1977

[Breast cancer: postoperative care (author's transl)].

Sixty percent of breast cancer patients show postoperative morbidity due to local recurrence or metastases. For these women and those who suffer from therapy-dependent somatic or psychologic disorders, organized postoperative care is necessary. Mode of action and organization of the Heidelberg postoperative care unit are described. An evaluation of postoperative care programs in Germany, Austria and Switzerland reveals the necessity of increasing our activities. An interdisciplinary approach in this field is of great importance.

Austria↗
PubMed1994

Neurosurgical postoperative care.

The goals of postoperative neurosurgical intensive care are early detection of neurologic deterioration and maintenance or reestablishment of systemic and neurologic homeostatsis. Encompassed within these goals is an effort to prevent postoperative complications or to minimize their impact once they have occurred. This article focuses on postoperative care following intracranial surgery. Criteria for admission to the intensive care unit are discussed.

Brain Diseases↗
PubMedDate not supplied

[Effect of age on postoperative care in patients following heart surgery under extracorporeal circulation].

The mean age of patients with heart disease who require surgical treatment is increasing. In conjunction with the development of surgical and postoperative care techniques, the mortality rate of these patients has decreased. In our intensive care unit (ICU), we proposed to determine if older patients undergoing cardiac surgery had more morbidity and required more care than other patients. An evaluation was made of the differences in evolution and nursing requirements of patients over 70 and under 70 who had undergone heart surgery with extracorporeal circulation by assessing the complications. A retrospective comparative study was made of the records of 50 patients > or = 70 years and 50 patients < 70 years who had undergone cardiac surgery and were admitted to intensive care for postoperative care. An analysis was made of pathology before surgery, operative incidents, evolution and postoperative complications of different body systems, postoperative care in intensive care by examining nursing records, the duration of the ICU stay and the hospital stay. The results indicated that there were no significant differences between the two groups in mortality, ICU stay, and severe complications. Patients over 70 had more frequent arrhythmias and difficulties in maintaining an optimal respiratory function. Such patients require more nursing care and a longer hospital stay. However, it is concluded that age per se is not a contraindication for heart surgery.

Age Distribution↗