LA PRESSE MEDICALE

Implementation of Postoperative Nausea and Vomiting Guidelines for Female Adult Patients Undergoing Anesthesia During Gynecologic and Breast Surgery in an Ambulatory Setting Samira Tabrizi, Vinod Malhotra, Zachary A. Turnbull, Victoria Goode. Journal of PeriAnesthesia Nursing, janvier 2019. Abstract: Purpose Postoperative nausea and vomiting (PONV) is one of the most common complications after anesthesia. This evidence-based quality improvement (QI) project describes the implementation of a PONV guideline and the impact on providers’ compliance with PONV risk assessment using the Apfel PONV…

Quantification of patient-level costs in outpatient total shoulder arthroplasty James M. Gregory, Alexander M. Wetzig, Colton D. Wayne, Lane Bailey, Ryan J. Warth. Journal of Shoulder and Elbow Surgery, janvier 2019. Abstract: Background Patient-level costs of inpatient and outpatient total shoulder arthroplasty (TSA) irrespective of payer status are seldom reported. The purpose of this study was to compare patient-level costs of primary elective TSA between inpatient and outpatient surgery centers. Methods By use of the Texas Health Care Information Collection…

“Let the patient decide” – Person-centered postoperative follow-up contacts, initiated via a phone app after day surgery: Secondary analysis of a randomized controlled trial Karuna Dahlberg, Maria Jaensson, Ulrica Nilsson. International Journal of Surgery, Volume 61, janvier 2019. Abstract: Background Patients undergoing day surgery are expected to manage their recovery on their own. Follow-up routines differ, but many patients have expressed a need for more professional support during recovery. The aim of this study was to describe how many follow-up…

Evaluation of Patient Safety and Satisfaction in a Program of Ambulatory Laparoscopic Cholecystectomy Program With Expanded Criteria Angela Sala-Hernández, Pablo Granero Castro, Eva Montalvá Orón, Javier Maupoey Ibáñez, Rafael García-Domínguez, José Bueno Lledó, Jose Luís Ibáñez Cirión, Rafael López Andújar. Cirugía Española (English Edition), Volume 97, Issue 1, janvier 2019. Abstract: Introduction The good results obtained with the implementation of ambulatory laparoscopic cholecystectomy programs have led to the expansion of the initial inclusion criteria. The main objective was to evaluate…

Major Ambulatory Surgery for the Treatment of Breast Cancer: Factors Conditioning Conversion to Conventional Hospitalization Raúl Medina Velázquez, Laura Jiménez Díaz, Jezabel Fernández Carrión, Clara Rosas Bermúdez, Montserrat Miralles Curto, María Asunción Acosta Mérida, Joaquín Marchena Gómez. Cirugía Española (English Edition), Volume 97, Issue 1, janvier 2019. Abstract: Introduction The main step in curative treatment for breast cancer is surgery. Its use in an ambulatory setting can contribute toward more efficient healthcare, providing additional benefits for patients. In this study,…

Variation in Use of Tympanostomy Tubes: Impact of Privately Owned Ambulatory Surgery Centers. Jennifer N. Cooper, Charles A. Elmaraghy. Ambulatory Surgery Centers, The Journal of Pediatrics, Volume 204, janvier 2019. Abstract: Objective To determine whether privately owned ambulatory surgery centers (ASCs) increase pediatric tympanostomy tube use in their surrounding communities. Study design We studied children <5 years of age who underwent outpatient tympanostomy tube placement in New York or Florida in 2010-2014. Data came from the Healthcare Cost and Utilization…

Outpatient Joint Arthroplasty: Transitioning to the Ambulatory Surgery Center. Charles A. DeCook. The Journal of Arthroplasty, janvier 2019 Abstract: The performance of joint arthroplasty in an outpatient setting is expected to rise significantly over the coming decade, with predictions that greater than half of all primary joint arthroplasties will be performed in an outpatient setting by the year 2026. Financial pressures, bundled payment models, and improved understanding of patient recovery have led to discharging patients home the same day as…

Impact of achieving a post-intervention ward and hospital outpatient exit score on length of stay: a before after study. Adrien Lemoine, Beatrice Bruneau, Florence Julien-Marsollier, Souhayl Dahmani, Anesthésie & Réanimation, Volume 5, Issue 1, janvier 2019, Pages 16-21. Résumé : Pour la prise en charge ambulatoire pédiatrique, les scores de sortie de salle de soins post-interventionnels (SSPI) et d’aptitude à la rue ont été adaptés et validés à partir de ceux utilisé chez l’adulte. Nous avons voulu évaluer leur impact…

Survey on the practice of anaesthesiologists in inguinal hernia surgery in Galicia López Álvarez S(1), Montero Picallo AJ(2), DiéguezGarcía P(3), Pensado Castiñeiras A(4), Álvarez Escudero J(5). Rev Esp Anestesiol Reanim. Décembre 2018. OBJECTIFS: Évaluer les techniques anesthésiques préférées pour la prise en charge de la chirurgie de la hernie inguinale en Galice. Matériels et méthodes : Utilisation du catalogue national des hôpitaux du ministère de la santé en Galice, un questionnaire a été envoyé aux chefs de service d’anesthésie et…

Understanding the Costs Associated With Surgical Care Delivery in the Medicare Population. Kaye DR(1), Luckenbaugh AN(1), Oerline M(1),Hollenbeck BK(1), Herrel LA(1), Dimick JB(2), Hollingsworth JM(1). Ann Surg. 20 décembre 2018. HISTORIQUE: Les réformes chirurgicales de Medicare n’ont pas ciblé les soins chirurgicaux parce que les coûts liés aux épisodes ne sont pas bien interprétés. OBJECTIF: Quantifier les coûts de la chirurgie hospitalière et ambulatoire dans la population de Medicare. MÉTHODES: Les données de réclamations d’un échantillon national de 20% de…