Family Supplemented Patient Monitoring After Surgery (SMARTER): A Pilot Stepped-Wedge Cluster-Randomised Trial

Medicine, Obstetrics and Gynecology, Nursing, Anesthesiology,
postoperative monitoring   family involvement   stepped-wedge trial   Africa   surgical mortality   patient safety   task sharing  

Academic Background In Africa, postoperative mortality is twice that of high-income countries, with most deaths occurring on hospital wards after patients develop postoperative complications. The primary reason for this is inadequate postoperative monitoring, leading to delayed recognition and intervention when patients deteriorate. In Africa, heal...

Development and Validation of Metrics for Assessment of Ultrasound-Guided Fascial Block Skills

Medicine, Anesthesiology,
fascial block   ultrasound-guided   lumbar surgery   regional anaesthesia   skill assessment   Delphi method   cadaver model  

Development and Validation of Metrics for Assessment of Ultrasound-Guided Fascial Block Skills Academic Background Postoperative pain following lumbar spine surgery is a significant clinical issue that can persist for weeks, impacting patient recovery and quality of life. Traditional analgesic methods, including multimodal analgesia (such as strong...

Implementation of the TALK Clinical Self-Debriefing Tool in Operating Theatres: A Single-Centre Interventional Study

Medicine, Nursing, Anesthesiology,
clinical debriefing   continuous improvement   operating theatre   patient safety   safety culture   WHO surgical safety checklist  

Implementation of the TALK Clinical Self-Debriefing Tool in Operating Theatres: A Single-Centre Interventional Study Academic Background The operating theatre is a complex and high-risk environment where teams need to adhere to safety behaviors to ensure optimal patient outcomes. Clinical debriefing is a recognized element of safe practice in the o...

Use of Coagulation Factor Concentrates and Blood Transfusion in Cardiac Surgery: A Retrospective Cohort Study of Adults with Hereditary and Acquired Bleeding Disorders

Medicine, Anesthesiology, Hematology, Cardiovascular System,
bleeding disorder   cardiac surgery   coagulation factor concentrate   healthcare cost   perioperative bleeding   perioperative complications   transfusion  

Use of Coagulation Factor Concentrates and Blood Transfusion in Cardiac Surgery: A Retrospective Cohort Study of Adults with Hereditary and Acquired Bleeding Disorders Academic Background Cardiac surgery is one of the high-risk procedures, especially for patients with bleeding disorders, as it significantly increases the risk of perioperative bleed...

Programmed Intermittent Bolus versus Continuous Infusion for Catheter-Based Erector Spinae Plane Block on Quality of Recovery in Thoracoscopic Surgery: A Single-Centre Randomised Controlled Trial

Medicine, Anesthesiology,
erector spinae plane block   thoracoscopic surgery   programmed intermittent bolus   continuous infusion   postoperative recovery   regional anaesthesia   randomised controlled trial  

Background In recent years, Video-Assisted Thoracoscopic Surgery (VATS) has gained increasing popularity as a minimally invasive technique in thoracic surgery. Compared to traditional thoracotomy, VATS offers advantages such as reduced postoperative pain, shorter recovery times, decreased hospital stays, and better preservation of pulmonary functio...

Comparative Efficacy of Balanced Crystalloids versus 0.9% Saline on Delayed Graft Function and Perioperative Outcomes in Kidney Transplantation: A Meta-Analysis of Randomised Controlled Trials

Medicine, Anesthesiology, Nephrology,
balanced crystalloid   0.9% saline   delayed graft function   kidney transplantation   perioperative outcomes   meta-analysis   randomised controlled trials  

Comparative Efficacy of Balanced Crystalloids versus 0.9% Saline on Delayed Graft Function and Perioperative Outcomes in Kidney Transplantation: A Meta-Analysis of Randomised Controlled Trials Academic Background Kidney transplantation is an effective treatment for end-stage renal disease (ESRD), but delayed graft function (DGF) post-transplantatio...