Acute
urinary
retention
is
a
known
complication
of
inguinal
hernia
repair.
However,
the
development
severe
agitation
and
delirium
as
result
acute
following
repair
less
commonly
reported.
Here,
we
present
case
40-year-old
male
with
no
relevant
medical
history
who
underwent
open
mesh
for
an
uncomplicated
left-sided
indirect
hernia.
Postoperatively,
patient
became
hypertensive,
delirious,
violent.
He
was
found
to
have
on
bladder
scan.
Urgent
intervention
catheterization
decompression
resulted
in
prompt
resolution
patient's
symptoms.
The
regained
his
senses
did
not
remember
events
that
led
it.
This
highlights
importance
recognizing
managing
prevent
spinal
anesthesia.
Further
research
awareness
are
necessary
better
understand
underlying
neurovisceral
mechanisms
optimize
preventive
strategies.
Postoperative
delirium
(POD)
and
neurocognitive
disorders
(NCDs)
are
common
serious
complications
that
can
occur
after
surgery,
particularly
in
older
adults
those
with
preexisting
cognitive
impairments.
These
conditions
associated
significant
morbidity,
increased
healthcare
costs,
reduced
quality
of
life.
Understanding
the
underlying
mechanisms,
risk
factors,
effective
management
strategies
for
POD
NCDs
is
critical
improving
patient
outcomes
reducing
burden
on
systems.
This
comprehensive
review
aims
to
synthesize
current
knowledge
pathophysiology,
NCDs.
It
explores
neurobiological
molecular
mechanisms
contributing
these
conditions,
identifies
patient-related,
surgical,
environmental
factors
increase
risk,
evaluates
pharmacological
non-pharmacological
approaches
prevention
treatment.
A
thorough
literature
was
conducted
using
recent
studies,
clinical
guidelines,
expert
consensus
provide
a
detailed
overview
presentation,
prevention,
The
pathophysiology
involves
complex
interactions
between
neuroinflammatory
processes,
neurotransmitter
imbalances,
brain
network
disruptions.
Risk
include
advanced
age,
impairment,
type
duration
perioperative
complications.
Management
emphasize
multidisciplinary
approach,
incorporating
preoperative
optimization,
careful
intraoperative
management,
postoperative
interventions.
Pharmacological
treatments,
such
as
antipsychotics,
approaches,
including
modifications
rehabilitation,
play
crucial
roles
management.
multifactorial
impacts
surgical
outcomes.
Effective
requires
understanding
their
implementation
targeted
treatment
strategies.
Future
research
should
focus
personalized
treatment,
further
elucidation
developing
predictive
models
enhance
care
patients
at
Journal of Clinical Nursing,
Год журнала:
2022,
Номер
32(9-10), С. 2128 - 2139
Опубликована: Май 31, 2022
Abstract
Background
Delirium
is
defined
as
a
sudden
onset
of
confusion
due
to
disruption
in
normal
brain
functioning.
Although
it
highly
prevalent
post‐operative
patients,
most
significantly
the
older
adult
population,
limited
information
exists
explaining
why
its
occurs.
Purpose
This
integrative
review
aimed
synthesise
specific
comorbidities
that
can
contribute
development
delirium
cardiac
surgical
patients.
Methods
PRISMA
statement
was
used
report
identification,
selection,
appraisal
and
synthesis
articles
diagram
reports
selection
process.
The
Johns
Hopkins
Evidence‐Based
Practice
Tools
were
guide
literature
review,
critical
analysis,
levelling
evidence
quality
rating.
PubMed,
ProQuest,
CINAHL
plus,
EMBASE,
MEDLINE,
Ovid
Nursing
Collection
Cochrane
databases
searched
from
2015
2020.
Results
initial
search
yielded
1529
articles.
Following
removal
duplicates
screening,
14
included
for
this
review.
following
identified
studies:
Diabetes
mellitus,
atrial
fibrillation,
depression,
impaired
olfaction,
pre‐existing
cerebrovascular
disease,
cardiovascular
insomnia
frailty.
Conclusion
There
strong
indication
among
patients
with
comorbidities.
Relevance
clinical
practice
Awareness
impact
developing
may
help
healthcare
providers
plan
implement
proper
care
management
Journal of Pharmaceutical Health Care and Sciences,
Год журнала:
2023,
Номер
9(1)
Опубликована: Дек. 1, 2023
Suvorexant
and
ramelteon
have
been
presented
as
useful
for
preventing
postoperative
delirium.
Previous
studies
reported
on
the
comparison
with
benzodiazepine
hypnotics
which
known
risk
inducing
delirium,
but
patients
not
taking
any
has
yet.
Therefore,
we
assessed
incidence
rates
delirium
comparing
cancer
who
received
preoperative
combined
administration
suvorexant
those
hypnotics.Among
110
underwent
surgeries
at
Division
of
Hepato-Biliary-Pancreatic
Surgery
Shizuoka
Cancer
Center
between
April
1,
2017
June
30,
2020,
50
from
7
days
prior
to
their
60
did
take
including
were
classified.
They
retrospectively
observed
during
onward
compare
cumulative
delirium.The
rate
in
combined-administration
group
was
14.0%
(7/50),
while
that
no-hypnotic
36.7%
(22/60),
proved
former
significantly
low
(OR:
0.28,
95%CI:
0.11-0.73,
P
=
0.009).The
present
study
suggests
preventive
starting
period
can
be
effective
lowering
delirium.Retrospectively
registered.
Introduction
Delirium
is
an
acute
and
fluctuating
decline
in
attention
cognition
caused
by
reversible
neural
disruption.
Post-operative
delirium
(POD)
may
happen
10
minutes
after
anesthesia
administration
up
to
discharge.
POD
has
been
associated
with
increased
days
of
mechanical
ventilation,
patients'
functional
decline,
prolonged
intensive
care
unit
(ICU)
stay,
hospital
length
which
can
lead
nosocomial
complications,
further
investigations,
treatment
costs.
In
this
study,
we
aim
determine
the
prevalence
identify
demographic
or
surgical
variables
POD.
Materials
methods
This
retrospective
cross-sectional
study
was
conducted
at
National
Guard
Health
Affairs
Hospital
(NGHA),
a
teaching
tertiary
center
Riyadh,
Kingdom
Saudi
Arabia.
The
included
all
patients
older
than
65
who
developed
from
January
2017
2023
control
group
same
time
window.
data
were
analyzed
using
custom
Python
code.
Results
108
patients,
72
whom
male
patients.
General
most
used
compared
other
techniques
(79.630%).
Patients
hypertension
(HTN)
diabetes
mellitus
(DM)
each
account
for
75
cases.
Elective
surgeries
86.111%
Our
analysis
showed
significant
association
between
advanced
age,
gender,
DM,
HTN,
congestive
heart
failure
(CHF),
chronic
kidney
disease
(CKD).
Conclusion
With
our
hope
aid
process
better
understanding
help
healthcare
providers
high-risk
implement
preventative
measures,
enhance
patient
safety
satisfaction.
Postoperative
altered
mental
status
(AMS)
is
a
prevalent
and
complex
issue
that
poses
significant
diagnostic
challenge
in
the
clinical
setting.
Clinical
presentation
consists
of
cognitive
disturbances
can
range
from
mild
confusion
to
coma.
Given
complexity
variability
AMS,
each
patient
requires
careful
thorough
evaluation
identify
underlying
cause.
Thus,
we
present
case
57-year-old
male
with
confirmed
left
knee
septic
arthritis,
whose
admission
was
complicated
by
AMS
following
several
incision
drainage
procedures.
We
highlight
importance
considering
broad
differential
diagnosis
when
evaluating
postoperative
including
electrolyte
systemic
conditions.
The
also
discusses
early
recognition,
interdisciplinary
collaboration,
comprehensive
strategy.
By
adopting
collaborative
approach,
healthcare
providers
optimize
outcomes
minimize
complications
cases.
patient's
ultimately
attributed
combination
metabolic
disturbances,
drug-related
factors,
His
severe
psychiatric
symptoms
were
successfully
managed
targeted
pharmacologic
interventions.
Journal of Neuroanaesthesiology and Critical Care,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 4, 2024
Abstract
Frailty
is
a
multidimensional
geriatric
syndrome
characterized
by
decreased
physiological
reserve,
making
patients
more
vulnerable
to
stressors,
such
as
surgery
and
anesthesia.
In
neuroanesthesia,
frailty
particularly
relevant
due
the
high-risk
nature
of
neurosurgical
procedures
potential
for
significant
perioperative
stress.
Although
there
are
several
studies
on
implications
in
spine
surgery,
lacunae
knowledge
understanding
risk
assessment
cranial
cohort
patients.
A
systemic
review
process
with
qualitative
data
analysis
available
literature
was
used
extract
this
review.
By
identifying,
acknowledging,
addressing
gaps
our
frailty,
specifically
cohort,
developing
neuroanesthesia-specific
index,
along
establishing
best
practice
strategy
guidelines
institutional
protocols,
neuroanesthesiologists
will
enhance
optimize
outcomes.
Özgür Yayınları eBooks,
Год журнала:
2023,
Номер
unknown
Опубликована: Июнь 23, 2023
Kanıta
dayalı
hemşirelik
uygulamaları
(Translasyonel
Hemşirelik)
ülkemizde
ve
dünyada
üzerinde
durulan
önemli
bir
araştırma
alanı
olarak
görülmektedir.
Son
yıllarda
alanında
yapılan
sayısının
arttığı
fakat
sonuçlarının
klinik
uygulamalarda
kullanımının
henüz
istenilen
seviyede
olmadığı
Dolayısıyla
klinisyen,
araştırmacı,
akademisyen
yönetici
hemşirelerin
birlikte
hareket
ederek
araştırmaların
planlanması,
uygulanması,
sonuçların
değerlendirilerek
uygulamalara
aktarılması
önem
arz
etmektedir.
Kliniklerde
gerekli
yapılarak,
değerlendirilip
tüm
ekibin
bilgilendirilmesi
için
yol
haritası
oluşturulması
gerekmektedir.
Ayrıca
kanıta
uygulama
yaygınlaşmasında;
hemşirelikte
lisans,
yüksek
doktora
aşamalarında
öğrencilere
yapılması
nasıl
kullanacaklarının
anlatılması
etkili
faktördür.
Hemşirelerin
koordineli
şekilde
yapıp
aktarabilmeleri
lisans
dönemlerinden
başlayarak
yöntemlerinin
hemşirelere
öğretilmesi
engellerini
ölçüde
azaltacaktır.
Bu
nedenle,
uygulamaların
kullanımı
uygulamaya
yönelik
engellere
dikkat
çekmek
amacıyla
bu
yazı
ele
alınmıştır.
Özgür Yayınları eBooks,
Год журнала:
2023,
Номер
unknown
Опубликована: Июнь 23, 2023
Beslenme,
vücudun
sağlığı
yeniden
kazanmak
ve
korumak
için
besinleri
kullandığı
bir
süreçtir.
Canlılığın
hücresel
faaliyetlerin
sürdürülmesi,
büyüme
gelişmenin
sağlanması
besinlerin
organizma
tarafından
vücuda
alınması
kullanılması
gerekir.
Beslenmenin
amacı,
bireyin
gerekli
besin
maddelerini
yaşına,
cinsiyetine
fizyolojik
ortamına
göre
yeterli
düzeyde
almasıdır.
Tüm
gruplarından
organizmanın
ihtiyacı
kadar
dengeli
beslenmeyi
oluşturur.
Yeterli
beslenme
olumlu
etkilerken,
yetersiz
dengesiz
yanlış
alışkanlıkları
olumsuz
etkiler.
Çeşitli
hastalıkların
oluşumuna
alt
yapı
hazırlar.
Ayrıca
bazı
hastalıklara
uygulanan
yöntemleri
de
tedavisinde
fayda
sağlamaktadır.
Bireylerin
sağlık
düzeyi,
ekonomik
durumu,
alışkanlıkları,
seçimleri,
psikososyal
kültürel
yapıları
Beslenmeyi
etkileyen
en
önemli
faktörlerden
biri,
veya
toplumun
eğitimi
almış
olması
öğrendiği
bilgileri
hayatına
aktarabilmesidir.
Özgür Yayınları eBooks,
Год журнала:
2023,
Номер
unknown
Опубликована: Июнь 23, 2023
Yanıklar,
cildi
koruyan
epidermis
ve
dermis
tabakalarının
parçalarının
elektrik,
mekanik
sürtünme,
donma,
uzun
süre
güneşe
maruz
kalma,
radyasyon,
alev,
kimyasallar,
yüksek
ısı
sıcak
maddelere
kalmasından
kaynaklanır.
Deri
altı,
kas
kemik
sistemlerinin
farklı
derinlik
genişliklerde
hasar
gördüğü
durumlarda
önemli
bir
sağlık
sorunudur.
Yanık
yaralanması
ile
başvuran
hastaların
kısmı
ayaktan
tedavi
edilirken,
yanık
ünitesinde
yatarak
edilmesi
gereken
hasta
grubu
için
ciddi
bazen
karmaşık
takip,
bakım
süreci
gerekmektedir.
Yanıklar
yaşamı
tehdit
edebilen
yaralanmalardır
sakatlığa
neden
olabilmesi
açısından
önemlidir.
Akut
tedavilerindeki
gelişmeler
modern
ünitelerinin
kurulması
sayesinde
son
yıllarda
mortalite
azalmıştır.
vakalarında
tanı,
ilk
müdahale,
takip
deneyimli
ekipler
tarafından
yapılmalıdır.
Hayatı
eden
yanıklarda
hızlı
yerinde
müdahale
canlandırma
çoğu
zaman
hayat
kurtarıcıdır.
dönemden
sonra
izlenecek
planı,
sonraki
dönemdeki
iyileşme
süresini,
morbidite
oranlarını
ölçüde
etkiler.
Bu
nedenle
vakalarının,
alanında
uzmanlaşmış,
etiyolojik
faktöre
hastanın
kliniğine
göre
algoritması
olan
tedavisi
gerekli
donanıma
sahip
merkezlerde
derece
