International Journal of Surgery Protocols最新文献_第8页

Too much or too frail: a review of decision making in colorectal cancer 太多或太弱:结直肠癌的决策回顾

IF 0.9

International Journal of Surgery Protocols Pub Date : 2019-01-01 DOI: 10.1016/j.isjp.2019.03.014

NWRC: North West Research Collaborative, Nick Heywood

引用次数: 0

Optimising pain management protocols following cardiac surgery: A protocol for a national quality improvement study 优化心脏手术后疼痛管理方案:一项国家质量改进研究的方案

IF 0.9

International Journal of Surgery Protocols Pub Date : 2019-01-01 DOI: 10.1016/j.isjp.2018.12.002

S. Jayakumar , M. Borrelli , Z. Milan , G. Kunst , D. Whitaker

{"title":"Optimising pain management protocols following cardiac surgery: A protocol for a national quality improvement study","authors":"S. Jayakumar , M. Borrelli , Z. Milan , G. Kunst , D. Whitaker","doi":"10.1016/j.isjp.2018.12.002","DOIUrl":"10.1016/j.isjp.2018.12.002","url":null,"abstract":"<div><p>Pain following cardiac surgery is a multifaceted phenomenon resulting from a number of mechanisms. High-levels of post-operative pain are associated with cardiovascular and respiratory complications and adequate pain management is crucial for enabling fast recovery. However, adequate pain control is complex, a challenge that stems from a combination of poor reporting of pain, significant variation amongst patients and the side-effects of strong, particularly opioid, analgesics. An initial audit at our hospital demonstrated high-levels of post-operative pain following cardiac surgery and a protocol was therefore devised by the anaesthetic department for cardiac surgical pain management. The protocol stratified patients into high- or low-risk of pain based on the presence of risk factors for pain and utilised a combination of pre-operative one-off dose of gabapentin, intra-operative opioid infusion and post-operative multimodal analgesia with paracetamol, weak and strong opioids. Additionally, patients at high-risk of pain also received patient controlled analgesia. Use of this protocol was associated with improved pain scores on the first three post-operative days. We have devised this study to test for reproducibility of the benefit experienced at our hospital at a larger multicentre level. After acquiring pre-existing post-operative pain management strategies through an initial survey, local study leads will undertake a baseline audit. Local study leads will then lead a 4-week period of protocol implementation. Trusts with official pain management protocols will be given the option to re-circulate their pre-existing protocols. Subsequently, pain scores during post-operative days 1–3 will be re-audited.</p></div>","PeriodicalId":42077,"journal":{"name":"International Journal of Surgery Protocols","volume":"14 ","pages":"Pages 1-8"},"PeriodicalIF":0.9,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.isjp.2018.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37469145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Oesophago-gastric gnastomosis audit 2018 2018年食管胃吻合口审计

IF 0.9

International Journal of Surgery Protocols Pub Date : 2019-01-01 DOI: 10.1016/j.isjp.2019.03.011

WMRC: West Midlands Research Collaborative, Richard Evans

引用次数: 0

MIMIC: A pilot study for a randomised controlled trial of a risk calculator predicting stone clearance in acute ureteric colic MIMIC:一项预测急性输尿管绞痛结石清除风险计算器的随机对照试验的初步研究

IF 0.9

International Journal of Surgery Protocols Pub Date : 2019-01-01 DOI: 10.1016/j.isjp.2019.03.004

BURST: British Urology Researchers in Surgical Training, Kevin Gallagher

引用次数: 0

Management of posterior malleolar ankle fractures 踝关节后踝部骨折的治疗

IF 0.9

International Journal of Surgery Protocols Pub Date : 2019-01-01 DOI: 10.1016/j.isjp.2019.03.006

SYSuRG: South Yorkshire Surgical Research Group, Alex Ward

引用次数: 0

SWARM: South West Anaesthesia Research Matrix Accelerometers for Anaesthesia Research (AFAR); Wearable Movement Sensors to Measure Recovery from Day Case Surgery: a feasibility study from SouthWest Anaesthesia Research Matrix in collaboration with Open Lab at Newcastle University SWARM:用于麻醉研究的西南麻醉研究矩阵加速度计;测量日间手术恢复的可穿戴运动传感器:西南麻醉研究矩阵与纽卡斯尔大学开放实验室合作的可行性研究

IF 0.9

International Journal of Surgery Protocols Pub Date : 2019-01-01 DOI: 10.1016/j.isjp.2019.03.016

Anna Ratcliffe

引用次数: 0

Accuracy of core biopsy in predicting pathologic complete response in the breast in patients with complete/near complete clinical and radiological response (Complete Responders in the Breast – CRBr) – Trial design and conduct 核心活检在预测具有完全/接近完全临床和放射反应的患者的乳腺病理完全缓解(乳腺完全应答者- CRBr)中的准确性-试验设计和实施

IF 0.9

International Journal of Surgery Protocols Pub Date : 2019-01-01 DOI: 10.1016/j.isjp.2019.05.002

N. Hariharan , T.S. Rao , S. Rajappa , C.C.K. Naidu , K.V.V.N. Raju , V. Koppula , S. Murthy , S. Kodandapani

{"title":"Accuracy of core biopsy in predicting pathologic complete response in the breast in patients with complete/near complete clinical and radiological response (Complete Responders in the Breast – CRBr) – Trial design and conduct","authors":"N. Hariharan , T.S. Rao , S. Rajappa , C.C.K. Naidu , K.V.V.N. Raju , V. Koppula , S. Murthy , S. Kodandapani","doi":"10.1016/j.isjp.2019.05.002","DOIUrl":"10.1016/j.isjp.2019.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p>With the advent of taxanes and targeted agents in neoadjuvant chemotherapy (NACT) for breast cancer, the rates of pathologic complete response (pCR) have been steadily increasing. One of the roles of surgery in these women is to serve as a biopsy to confirm or negate a pCR.</p></div><div><h3>Design</h3><p>This is a prospective validation study. All newly diagnosed non-metastatic breast cancers, of any luminal subtype, planned for neoadjuvant chemotherapy (NACT) with a titanium clip placed in the tumor, will be screened. Eligible patients who have a complete/near complete response to NACT as seen on a mammogram and ultrasound of the breast, will undergo multiple core biopsies of the tumor bed under ultrasound guidance as an outpatient procedure. A minimum of four core biopsy specimens will be mandatory. An MRI will also be done for these patients for documentation and analysis. The core biopsy will be compared to the final histopathology report after definitive surgery.</p></div><div><h3>Objectives</h3><p>The objective is to study the false negative rate and accuracy of ultrasound guided core biopsies of the tumor bed in predicting pCR. Additionally, the correlation of pCR in the breast with axillary response and the incremental benefit of an MRI in predicting pCR will be evaluated.</p></div><div><h3>Discussion</h3><p>The concept of using image guided core biopsies to predict pCR could be useful in designing future studies aimed at avoiding redundant surgery in women with a complete response to NACT. This study is registered with Clinical Trials Registry of India (CTRI/2018/01/011122).</p></div>","PeriodicalId":42077,"journal":{"name":"International Journal of Surgery Protocols","volume":"16 ","pages":"Pages 5-8"},"PeriodicalIF":0.9,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.isjp.2019.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37508947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

IDENTIFY The Investigation and DEtection of urological Neoplasia in paTIents reFerred with suspected urinary tract cancer: A multicentre analYsis 鉴别疑似尿路癌患者泌尿系统肿瘤的调查和检测:一项多中心分析

IF 0.9

International Journal of Surgery Protocols Pub Date : 2019-01-01 DOI: 10.1016/j.isjp.2019.03.013

BURST: British Urology Researchers in Surgical Training, Sinan Khadhouri

引用次数: 0

National Multicentre Randomised Trial of Superficial Wound Drain on Surgical Site Infection in high Body Mass Index (BMI) Kidney Transplants Recipients 高体重指数(BMI)肾移植受者手术部位感染浅表伤口引流的国家多中心随机试验

IF 0.9

International Journal of Surgery Protocols Pub Date : 2019-01-01 DOI: 10.1016/j.isjp.2019.03.018

Carrel Club Transplant Research Collaborative, James Hunter

引用次数: 0

Protocol for creation of a risk scoring system for acute type A aortic dissection surgery 急性a型主动脉夹层手术风险评分系统的建立方案

IF 0.9

International Journal of Surgery Protocols Pub Date : 2019-01-01 DOI: 10.1016/j.isjp.2019.02.004

Ming Gong , Zining Wu , Shijun Xu , Xinliang Guan , Haiyang Li , Xiaolong Wang , Hongjia Zhang

{"title":"Protocol for creation of a risk scoring system for acute type A aortic dissection surgery","authors":"Ming Gong , Zining Wu , Shijun Xu , Xinliang Guan , Haiyang Li , Xiaolong Wang , Hongjia Zhang","doi":"10.1016/j.isjp.2019.02.004","DOIUrl":"10.1016/j.isjp.2019.02.004","url":null,"abstract":"<div><p>Stanford type A aortic dissection is a kind of cardiovascular disease which seriously threatens human life and health. It has the characteristics of rapid onset, rapid progress and high mortality. Surgical treatment is a recognized treatment for type A aortic dissection. There are many disputed places in the actual clinical work about the timing, prognosis and methods of the operation. This study aims to establish an early mortality risk scoring system for acute Stanford A aortic dissection surgery patients.</p></div><div><h3>Methods and analysis</h3><p>The structured data of patients with acute type A aortic dissection were collected. The primary outcome is death during hospitalization. Secondary outcomes will include re-operation and related complications. A risk scoring system of patients with acute type A aortic dissection undergoing surgical treatment will be established. Prospective data will be used to validate the risk stratification ability and accuracy of the model in operative risk prediction.</p></div>","PeriodicalId":42077,"journal":{"name":"International Journal of Surgery Protocols","volume":"14 ","pages":"Pages 19-23"},"PeriodicalIF":0.9,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.isjp.2019.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37469144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2