Hasil Pencarian  ::  Simpan CSV :: Kembali

"Latar Belakang: Pemberian cairan intravena perioperatif, yang meliputi cairan prabedah dan cairan intrabedah, adalah salah satu persiapan pembedahan pada pasien anak. Akan tetapi, pemberian cairan intravena memiliki potensi menyebabkan gangguan dalam parameter-parameter laboratorium, seperti natrium darah, glukosa darah, hemoglobin, dan hematokrit. Penelitian ini bertujuan untuk mengetahui efek pemberian berbagai jenis cairan perioperatif terhadap kadar natrium darah, glukosa darah, hemoglobin, dan hematokrit.Metode: Penelitian ini merupakan studi kohort prospektif. Subjek penelitian adalah pasien anak dengan usia kurang dari 5 tahun yang akan menjalani pembedahan kolorektal elektif dengan anestesia umum. Cairan prabedah diberikan diberikan oleh sejawat Ilmu Kesehatan Anak, sementara pemberian cairan intrabedah ditentukan oleh anestesiologis yang melakukan prosedur anestesia. Data laboratorium (hemoglobin, hematokrit, kadar glukosa darah, dan kadar natrium) diambil pada saat admisi, sebelum insisi, dan setelah pembedahan selesai.Hasil: Penelitian ini melibatkan 33 subjek penelitian. Terdapat penurunan hemoglobin, hematokrit, dan kadar natrium darah serta peningkatan kadar glukosa darah yang signifikan (p <0,001) setelah pemberian cairan prabedah menggunakan larutan hipotonik dengan glukosa. Sementara itu, tidak terdapat perbedaan yang signifikan pada kadar hemoglobin, hematokrit, dan kadar glukosa darah setelah pemberian cairan intrabedah menggunakan larutan isotonik (p >0,05). Terdapat peningkatan kadar natrium darah yang signifikan setelah pemberian cairan intrabedah (p = 0,024).Kesimpulan: Pemberian berbagai cairan perioperatif memengaruhi kadar natrium, glukosa, hemoglobin dan hematokrit pasien anak yang menjalani pembedahan kolorektal dengan anestesia umum.

---

Background: Perioperative intravenous fluid administration, which includes preoperative fluids and intraoperative fluids, is one of the surgical preparations in surgical pediatric patients. However, intravenous fluid administration has the potential to cause disturbances in laboratory parameters, such as blood sodium, blood glucose, hemoglobin, and hematocrit. This study aims to determine the effect of various types of perioperative fluids on blood sodium, blood glucose, hemoglobin, and hematocrit levels.

Methods: This is a prospective cohort study. The research subjects were pediatric patients aged less than 5 years who were going to undergo elective colorectal surgeries under general anesthesia. Preoperative fluids were administered by pediatricians, while intraoperative fluid administration was determined by the anesthesiologist performing the anesthetic procedure. Laboratory data (hemoglobin, hematocrit, blood glucose level, and sodium level) were collected at the time of admission, before incision, and after surgery was completed.

Results: This study involved 33 research subjects. There was a significant decrease in hemoglobin, hematocrit, and blood sodium levels, as well as a significant increase in blood glucose levels (p < 0.001) after administration of preoperative fluids using hypotonic solutions with glucose. Meanwhile, there was no significant difference in hemoglobin, hematocrit, and blood glucose levels after administration of intraoperative fluids using isotonic solutions (p > 0.05). There was a significant increase in blood sodium levels after intraoperative fluid administration (p = 0.024).

Conclusions: Perioperative administration of various fluids affects sodium, glucose, hemoglobin and hematocrit levels in pediatric patients undergoing colorectal surgery under general anaesthesia."

"Manual of fast track recovery for colorectal surgery provides a broad overview on enhanced recovery, with expert opinions from leaders in the field regarding elements of enhanced recovery care that are generic and specific to colorectal surgery. This book covers the patient journey through such a programme, commencing with optimisation of the patient’s condition, patient education and conditioning of their expectations. Manual of fast track recovery for colorectal surgery investigates the metabolic response to surgery, anaesthetic contributions and optimal fluid management, after surgery. It also details examples of enhanced recovery pathways and practical tips on post-operative pain control, feeding, mobilisation and criteria for discharge."

"The volume is authored by a colorectal surgeon with long-standing clinical and scientific experience and is devoted to the management of complications following surgery of the anorectum and the pelvic floor. It is aimed not only at general surgeons, perineologists and, of course, proctologists, but also at gastroenterologists, endoscopists, radiologists and physiotherapists, i.e. those who may be involved in both diagnosis and cure whenever an adverse event, either unpredictable or potentially preventable, causes an intra- or postoperative, early or late, mild or life-threatening complication. Severe bleeding, dehiscence, perforation, anorectal stricture, fecal incontinence, and even caval vein thrombosis, fatal Fournier gangrene and pneumomediastinum may occur after anal surgery. The incidence, pathogenesis prevention and treatment of such events are discussed in detail in 10 chapters with 30 tables, 200 illustrations and more than 1000 references. Both conventional procedures and recent innovations are reported. “Unforgettable clinical cases (complications with litigation)” and “Tips and Tricks” are sections increasing the appeal of this book. The approach is “evidence-based” and holistic, focusing on anorectal problems while taking into consideration whole body-mental unity—showing, for example, that a non-healing perineal wound may be due to hypo-pituitarism, and failure after a re-intervention may be related to psychological distress."

"Colpiscono circa 170 mila italiani, con un trend in forte ascesa. Si chiamano Malattia di Crohn e colite ulcerosa: malattie autoimmuni, ovvero causate da un errore del sistema immunitario che si scatena contro se stesso. Perché? Come fermare questa furia distruttiva? Sono stati fatti grandi passi avanti ma molto resta ancora da scoprire e molte sono le questioni controverse: dalle cause della malattia ai metodi di diagnosi più tempestiva, alle terapie. Le malattie autoimmuni dell'intestino colpiscono in giovane età, tra i 15 e i 45 anni, hanno un impatto molto negativo sulla qualità della vita di chi si ammala e pongono questioni di primissimo piano: come si convive con una diagnosi di questo tipo, qual è il migliore accesso alle cure, quali le disposizioni di legge che facilitano la vita dei malati. Questo libro vuole raccontare la vita e la battaglia quotidiana delle persone colpite da queste malattie, le scelte che devono fare e gli ostacoli che si trovano ad affrontare, dal punto di vista di uno dei massimi esperti mondiali della materia, Silvio Danese, e da quello di un giovane paziente, Marco Greco, che ha trasformato la sua lotta quotidiana in una battaglia condotta a nome di tutti i malati. Gettando luce su uno dei più straordinari misteri della medicina moderna, le malattie autoimmuni, questo volume affronta senza omissioni il grande tema sanitario dell’Italia di oggi, la cronicità, la condizione sociale e medica di milioni di persone costrette a convivere con la malattia per decenni."

"Contemporary coloproctology covers colorectal surgery, as practiced today, in an easily accessible format with emphasis on bringing key facts rapidly into focus. It is ideal reading both for the medical trainee and the practicing colorectal surgeon. As well as a succinct presentation of the current colorectal knowledge base, each chapter contains practical advice and pearls of wisdom from established practicing clinicians. A unique feature of the format is the identification of key references and questions and scenarios that present real life decisions in colorectal surgery."