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Preoperative Endoscopy Discharge InstructionsKatsetos-Hensley, Melissa K. 27 April 2020 (has links)
No description available.
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Outcome assessment in plastic surgery : a study of patients' health related quality of life before and after cosmetic surgeryKlassen, Anne Frances January 1997 (has links)
No description available.
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The effect of preoperative apple juice on the prevalence of hypoglycaemia in paediatric patientsLee, Clover-Ann 24 January 2013 (has links)
Background: Children have historically been fasted for prolonged periods
preoperatively to reduce the volume and acidity of their gastric contents and thus
the risk of regurgitation and pulmonary aspiration. Evidence shows that this risk
is not increased by following the current recommended fasting guidelines, and
that prolonged fasting may be detrimental to children, who may present with
hunger, thirst, depleted intravascular volume, metabolic acidosis and
hypoglycaemia.
A recent study at Charlotte Maxeke Johannesburg Academic Hospital showed a
18.5% prevalence of biochemical hypoglycaemia, defined as a blood glucose
concentration of less than 3.5 mmol/l, in children from one to five years of age
presenting for elective surgery.
Aims: The aims of this study were to document the prevalence of biochemical
hypoglycaemia in children from the ages of one to five years who were given
apple juice to drink at least two hours preoperatively, and to compare these
results to a historical control group.
Methods: A prospective, contextual comparative study design was used.
Approval was obtained from the University of the Witwatersrandʼs Human Ethics
Committee and other relevant authorities.
The groups were matched for age and weight. Consent was obtained from the
guardians of all children who met the inclusion criteria before being enrolled in
the study.
A standard 200 ml carton of commercially available apple juice was offered to
each participant. The volume and time of the juice consumed was documented,
along with relevant demographic data. Inhalational induction of anaesthesia proceeded a minimum of two hours later, and a venous glucose concentration
was measured.
Results: The prevalence of biochemical hypoglycaemia was statistically
significantly reduced in the intervention group (p = 0.0163), eliminating the effect
of prolonged preoperative fasting.
Conclusion: The consumption of clear apple juice on the morning of surgery is a
safe, inexpensive, effective way to reduce the prevalence of hypoglycaemia in
children presenting for elective surgery.
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Knee function after ACL rupture and reconstruction effects of neuromuscular trainingHartigan, Erin. January 2009 (has links)
Thesis (Ph.D.)--University of Delaware, 2009. / Principal faculty advisor: Lynn Snyder-Mackler, Dept. of Physical Therapy. Includes bibliographical references.
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Evidence-based interventions to reduce parental peri-operativeanxietyChan, Pak-yan, 陳柏茵 January 2010 (has links)
published_or_final_version / Nursing Studies / Master / Master of Nursing
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An evidence-based patient education intervention to reduce pre-procedural anxietyYu, Tin-men., 余天敏. January 2010 (has links)
published_or_final_version / Nursing Studies / Master / Master of Nursing
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A systematic review of the effectiveness of preoperative education to reduce preoperative anxiety among adults undergoing cardiac surgeriesLee, Quinnie., 李君怡. January 2011 (has links)
published_or_final_version / Public Health / Master / Master of Public Health
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Evidence-based guidelines for chlorhexidine gluconate in preoperative skin preparation to reduce surgical site infection in patients undergoing general surgeryLai, Shuk-tin, 黎淑鈿 January 2013 (has links)
Surgical site infection not only brings morbidity and mortality to patients, but it also bring substantial financial burden to the hospital and the healthcare system. To minimize the clinical consequences of surgical site infection, it is crucial that all appropriate measures for reduction of surgical site infection should be implemented. Since patient’s skin is a potential source of pathogens, normal skin flora is a common cause of surgical site infections. Preoperative skin disinfection of the surgical site with an antiseptic agent is an effective method to remove the soil and transient organisms from the skin. Currently, there are different skin antiseptics available and the most commonly used agents are povidone iodine and chlorhexidine gluconate. Although povidone iodine has a long-standing recommendation and it is widely used in various surgical procedures, it has several limitations. On the other hand, there is an increasing interest of the use of chlorhexidine in indwelling catheter placement and care, surgical hand scrubbing, as well as wound dressing.
In view of this, there is a potential of replacing povidone iodine by chlorhexidine as preoperative skin antiseptic agent. As there is no existing guideline supportingthis innovative movement, this dissertation aimed to review the currently available evidence on preoperative skin preparation and to develop an evidence-based guideline of using chlorhexidine in preoperative skin preparation for reducing surgical site infection in patients undergoing general surgery.
Five randomized controlled studies were identified from MEDLINE, CINAHL and PUBMED and evaluated by a critical appraisal tool, the Scottish Intercollegiate Guidelines Network. All studies reported that preoperative skin preparation with chlorhexidine is more effective than the use of povidone iodine in reducing surgical site infection. An evidence-based guideline is developed according to the guideline development process from the Scottish Intercollegiate Guideline Network. Patient characteristics, local clinical setting, organizational infrastructure and staff competency is congruent with the proposed innovation. The new protocol not only can minimize the risk of postoperative surgical site infection but also save costs. The cost-benefit analysis showed that the new protocol can help to save $675,552 to $1,097,772 (HK dollars) in six-month period after implementation.
To facilitate a more comprehensive plan in actual implementation of the proposed guideline, stakeholders at administrative, managerial, and operational levels would be invited to take part in the 12-week pilot test. Surgical site infection, staff satisfaction and compliance, as well as cost and benefit ratio of the guideline would be measured in the evaluation plan. The refined guidelines would then be implemented for one year. The effectiveness of the guideline would be determined by reduction in postoperative surgical site infection, increase in staff knowledge and satisfaction, and the overall expenditure. / published_or_final_version / Nursing Studies / Master / Master of Nursing
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The effects of warming me[t]hods on patient's self-report of thermal comfort and anxi[e]ty levelsBaird, Mary K. January 2009 (has links)
Thesis (M.S.)--Ball State University, 2009. / Title from PDF t.p. (viewed on July 12, 2010). Research paper (M.S.), 3 hrs. Includes bibliographical references (p. 59-62).
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Hong Kong nurses' perception and values on preoperative teaching for ambulatory surgical patients /Tse, Kar-yee. January 2006 (has links)
Thesis (M. Nurs.)--University of Hong Kong, 2006.
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