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286 Uppsatser om Cardiac surgery - Sida 3 av 20
Rehabilitering med eller utan simning av korsbandsopererade hundar
This study examines what effect swimming has on the rehabilitation, compared with only
resting after a cranial cruciate ligament surgery. It consists of a literature study, an inquiry
study and a visit to a rehabilitation centre.
The inquiry study shows that ten weeks after a cranial cruciate ligament repair, the
lameness has disappeared in a greater number of dogs among those that undergo
swimming as physiotherapy compared with those that do not swim. Literature shows that
swimming has a positive effect on the result after surgery. The thigh circumference
increases faster, the limb function improves more and the range of motion gets larger.
Dogs should therefore be recommended swimming as rehabilitation after surgery for a
rupture of the cranial cruciate ligament..
Talet hos femåriga barn med läpp-käk-gomspalt: En jämförelse mellan internationellt adopterade barn och svenskfödda barn
This retrospective study aimed to examine differences at age fivebetween twenty-six internationally adopted and twenty-six Swedish-bornchildren with cleft lip and palate regarding age of surgery, speech andintervention. Correlation between age of surgery and speechvariables andgender differences was examined. Blind assessment of audio recordedsentence repetition or naming of words was performed by two speechpathologists. Soft palate was closed significantly later for the study groupthan the control group. Age at closure of hard palate did not differ.
Risk för dehydrering och svält preoperativt. : En kartläggning av preoperativa fasteperioden hos patienter med kroniskt subduralhematom
ABSTRACT The purpose of this medical record research was to study 30 patients with chronic subdural hematoma on a neurosurgical clinic, mapping documented nutritional status, preoperative fasting and hydration and energy supply before surgery. In addition peroperative administration of fluid and vasoactive drugs, as well as postoperative complications and length of hospital stay were studied. The mean age of the patients was 71 years. Nutritional status was evaluated in 12 patients, out of these seven were judged to be at risk for under nutrition. Fifteen patients had surgery day 1 (total fasting time on average m 11 h), eleven had surgery day 2(29 h), three had surgery day 3 (35 h).
Vakna lokalbedövade patienters upplevelser
Patients who undergo surgery receive general anaesthesia or any form of conduction anaesthesia during the operation. For most people it is strange, unexpected and for many something completely new to be a patient and undergo surgery. Awake conduction anaesthetic patients? experiences from the intraoperative period were little studied. The purpose of this study was to examine awake conduction anaesthesia patients? experiences.
Utvärdering av den information och utbildning patienter som nyligen genomgått en stomioperation får från stomiterapeut
The study aimed to evaluate the information and training the stoma therapist at Uppsala University Hospital has given to patients who have recently undergone stoma surgery. The study was a descriptive cross-sectional study using qualitative and quantitative design. A total of 22 patients who completely or partially took care of their stomas and recently had undergone stoma surgery participated by answering a questionnaire. At discharge most of them experienced they were relatively well-informed but they wanted more information. Before the revisit they weren?t especially safe or comfortable.
When and what determines the death of an animal? A study investigating the heart activity during slaughter of farm animals
Slaughter of animals should consist of two steps in order to be considered humane. The first step of the slaughter process is stunning, with the purpose of inducing unconsciousness and insensibility in the animal. The second step is exsanguination, which causes bleeding and eventually death. What death really means in these situations has been discussed intensively, but still no agreed definition has been accepted. Nonetheless, it is conceded that animals are declared dead when consciousness is irreversibly lost, and absence of respiration and blood circulation are observed.
Förekomst av arteriell insufficiens : och samband till postoperativa sårinfektioner i de nedre extremiteternabland patienter som opererats med Coronary Artery Bypass Graft
The purpose of this study was to investigate the presence of arterial insufficiency in patients undergoing CABG surgery and whether arterial insufficiency is a risk factor for postoperative wound infections in the harvesting leg. Patients who had CABG surgery were enrolled consecutively. A total of 144 patients participated in the study. During their hospital stay demographic data was recorded, as well as pre-, intra-, and postoperative tests and risk factors. The patients answered a questionnaire regarding postoperative wound infections 30 days after surgery patients answered a questionnaire regarding infections.
Vakna lokalbedövade patienters upplevelser
Patients who undergo surgery receive general anaesthesia or any form of
conduction anaesthesia during the operation. For most people it is strange,
unexpected and for many something completely new to be a patient and undergo
surgery. Awake conduction anaesthetic patients? experiences from the
intraoperative period were little studied. The purpose of this study was to
examine awake conduction anaesthesia patients? experiences.
Perceptuell bedömning av tal före och efter svalglambåplastik hos patienter med velofarynxinsufficiens
Velopharyngeal insufficiency may affect resonance, articulation and thus how speech is perceived by other listeners. Velopharyngeal insufficiency is frequently found in the cleft palate population due to structural abnormalities of the palate. The pharyngeal flap is the most commonly used operation designed to improve velopharyngeal function. The aim of the present study was to compare speech before and after pharyngeal flap surgery by perceptual evaluation regarding nasality, articulation and deviant speech. The study includes preoperative and postoperative speech samples of 28 patients who underwent pharyngeal flap surgery at the University Hospital in Linköping between 2002 and 2007.
Typ av demens relaterad till övriga sjukdomar och tidigare genomgången anestesi/kirurgi : En retrospektiv pilotstudie
This retrospective study reviews and investigates type of dementia, related to co morbidity, symptoms of dementia, previus anaesthesia/surgery, intraoperative events and postoperative cognitive symptoms. The patient co morbidity was compared to occurrence in an age-matched population of 1095 individuals. Fifty-two patients with different types of dementia participated. Data was collected from patient journals.Compared to population, heredity for dementia, heart insufficiency, hypertension, depression and B12- deficiency was more frequent in the patients. B12- deficiency was common in vascular dementias and "burn-out syndrome" in early-onset AD.
Barns upplevelse av dagkirurgi : Från ovisshet till lättnad med nyvunnen erfarenhet
Background: An increasing number of operations on children are performed as day surgery and this experience of health care may affect future hospital stays. The aim of this qualitative study was to describe children´s experiences in connection with day surgery. Method: Ten children aged six to fifteen who had gone through general anesthesia at examinations or surgery were interviewed and the content was analyzed by systematic text condensation. Result: The core category ?From uncertainty to relief with newly acquired experience? could summarize the result of this interview study.
Beskrivning av patienters postoperativa vårdförlopp tre dagar efter kolorektalkirurgi enligt ERAS vårdprogram
AbstractThe purpose of this study was to describe the post-operative care during the three first days for patients who have undergone colorectal surgery according to ERAS care programs with a focus on the variables nutrition, elimination, activity, type of analgesia and the number of hospital days documented in the patient record and patient log books. ERAS means "Early Recovery After Surgery" and the purpose of the health care program is to accelerate recovery after colorectal surgery. The study had a descriptive design and a quantitative approach, in which 51 patient records were included. Log books and patient records were reviewed postoperatively. According to the log books estimated most of the patients, who had documented, that they ate and drank very good or good.
Manuell arytmitolkning och defibrillering prehospitalt för att minska avbrott i bröstkompressioner
Abstract Background Todays guidelines for advanced CPR emphasize chest compressions with good quality and early defibrillation. Prehospital CPR performed by ambulance crew, an automated external defibrillator (AED) is used. The AED analyzes the heart rhythm and the performer is following the advice to chock the heart or not, given by the AED. During on-going CPR there are sequences when no chest compression is performed known as hands-off time. Hands-off time includes the time for the AED to analyze the heart rhythm and the time when advice is given to the crew.
Larynxmask eller endotrachealtub prehospitalt ? styrkor och svagheter : Litteraturstudie
ABSTRACTBackgroundWhen faced with an unexpected cardiac arrest the ambulance nurse is in responsible for taking advanced actions to create a clear airway. Two accepted methods for this is endotracheal intubation and application of laryngeal mask.AimThe purpose of this study was to examine the use of endotracheal intubation compared to application of the laryngeal mask in unexpected cardiac arrest.MethodLiterature study with quantitative approach. A systematic search of 21 articles comparing the laryngeal mask with the endotracheal intubation has been made using Pub-Med and CINAHL. A quality review according to Forsberg and Wengström has been made.ResultsLaryngeal mask had a higher rate of successful applications compared with endotracheal intubation. Time for applying the laryngeal mask was shorter in seven out of ten of the studied articles.
Förekomst av meticillinresistenta Staphylococcus spp. på kirurgiskt behandlade hundar
Surgical site infections are a recurrent problem in veterinary medicine. A 2-5 % infection rate in clean surgery has been reported. During the last years the increase in methicillin resistant staphylococci has also taken its toll on veterinary medicine, demanding a stricter hygiene and antibiotic regime. The 2008 outbreak of methicillin resistant Staphylococcus aureus (MRSA) at the University animal hospital, Swedish University of Agriculture indicated that that the MRSA problem was now a real, possibly zoonotic problem.Since the first dog, in Sweden, was diagnosed as a carrier of methicillin resistant Staphylococcus pseudintermedius (MRSP) in a study in 2006, the infection rate by this bacterium has increased. In 2009 (January 1st - December 2nd) the National Veterinary Institute (SVA) has identified 58 samples as MRSP positive.