8 research outputs found
Orthopaedic cardiac considerations in emergency
Orthopaedic patients undergoing emergency orthopaedic surgery should be
referred for cardiac evaluation only when they are symptomatic or when a
specific cardiac intervention is expected to reduce the surgical risk. A
preoperative delay of 24-48 h of emergency orthopaedic operations has
been associated with increased mortality and poor functional status of
the patients. Research in the preoperative setting is almost exclusively
retrospective because randomized studies are difficult to be performed
and pose serious ethical concerns. Moreover, inevitably, guidelines have
a low level of evidence and do not always provide a straightforward
framework for the preoperative care of the patients. This editorial
revisits the most common clinical cardiology dilemmas for emergency
orthopaedic surgery to explore controversies of current recommendations
and elaborate on the role of echocardiography in the perioperative
period in emergency orthopaedic surgery
Orthopaedic cardiac considerations in emergency
Orthopaedic patients undergoing emergency orthopaedic surgery should be referred for cardiac evaluation only when they are symptomatic or when a specific cardiac intervention is expected to reduce the surgical risk. A preoperative delay of 24–48 h of emergency orthopaedic operations has been associated with increased mortality and poor functional status of the patients. Research in the preoperative setting is almost exclusively retrospective because randomized studies are difficult to be performed and pose serious ethical concerns. Moreover, inevitably, guidelines have a low level of evidence and do not always provide a straightforward framework for the preoperative care of the patients. This editorial revisits the most common clinical cardiology dilemmas for emergency orthopaedic surgery to explore controversies of current recommendations and elaborate on the role of echocardiography in the perioperative period in emergency orthopaedic surgery
Enhanced recovery after surgery (ERAS) protocols for total joint replacement surgery
The enhanced recovery after surgery (ERAS) protocols are a comprehensive therapeutic approach that prioritizes the well-being of patients. It encompasses several aspects such as providing sufficient nutritional support, effectively managing pain, ensuring appropriate fluid management and hydration, and promoting early mobilization after surgery. The advent of ERAS theory has led to a shift in focus within modern ERAS protocols. At present, ERAS protocols emphasize perioperative therapeutic strategies employed by surgeons and anesthesiologists, as well as place increased importance on preoperative patient education, interdisciplinary collaboration, and the enhancement of patient satisfaction and clinical outcomes. This editorial highlights the application of ERAS protocols in the current context of total joint replacement surgery
Enhanced recovery after surgery (ERAS) protocols for total joint replacement surgery
The enhanced recovery after surgery (ERAS) protocols are a comprehensive therapeutic approach that prioritizes the well-being of patients. It encompasses several aspects such as providing sufficient nutritional support, effectively managing pain, ensuring appropriate fluid management and hydration, and promoting early mobilization after surgery. The advent of ERAS theory has led to a shift in focus within modern ERAS protocols. At present, ERAS protocols emphasize perioperative therapeutic strategies employed by surgeons and anesthesiologists, as well as place increased importance on preoperative patient education, interdisciplinary collaboration, and the enhancement of patient satisfaction and clinical outcomes. This editorial highlights the application of ERAS protocols in the current context of total joint replacement surgery
The Hippocratic Oath: Analysis and Contemporary Meaning
The Hippocratic oath is traditionally taken by medical school graduates
at the time of their graduation, either in its original form or in a
modern variation. It is considered the earliest expression of medical
ethics, establishing principles of ethics that remain of paramount
significance today. However, it was written in antiquity, whereas
medicine has been constantly evolving. This article reviews, analyzes,
and interprets each section of the oath to determine to what extent it
remains relevant to contemporary medicine