Patient-reported outcomes unbiased by length of follow-up after lumbar degenerative spine surgery: Do we need 2 years of follow-up?

In modern clinical research, the accepted minimum follow-up for patient-reported outcome measures (PROMs) after lumbar spine surgery is 24 months, particularly after fusion. Recently, this minimum requirement has been called into question.

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Postoperative complications in adult spinal deformity patients with a mental illness undergoing reconstructive thoracic or thoracolumbar spine surgery

: Previous studies have found an association between mental illness and poor outcomes in spine surgery, but little is known about the effects of depression and/or anxiety on the adult spinal deformity population. In addition, most relevant studies exclusively focused on the lumbar spine and had relatively small patient sizes.

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The Impact of Surgical Reduction of High-Grade Lumbosacral Spondylolisthesis on Proximal Femoral Angle and Quality of Life

Backgound Context: Abnormal proximal femoral angle (PFA) was recently found to be associated with deteriorating sagittal balance and quality of life (QoL) in high-grade spondylolisthesis (HGS). However, the influence of PFA on the QoL of patients undergoing surgery remains unknown.Purpose: This study compares the pre- and postoperative measurements of sagittal balance including PFA in patients with lumbosacral HGS after surgery. It also determines if PFA is a radiographic parameter that is associated with QoL in patients undergoing surgery.

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A review on microelectrode recording selection of features for machine learning in deep brain stimulation surgery for Parkinson’s disease

Parkinson's disease (PD) is a progressive, neurodegenerative disease characterized by motor symptoms that include bradykinesia, resting tremor, postural instability, and rigidity leading to significant effects on patient's quality of life. (Brocker et al., 2017; Gulberti et al., 2015). High frequency deep brain stimulation (DBS), to either the globus pallidus internus (GPi) or subthalamic nucleus (STN) (Williams et al., 2014), is an effective surgical treatment for moderate to advanced PD that improves motor symptoms and quality of life (Brocker et al., 2017; Holt and Netoff, 2016; Karamintziou et al., 2016, 2017; Kühn and Volkmann, 2017; Rowland et al., 2017).

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Practicing on the deceased: ‘I get it’

The human body is an ideal training tool, but fire/EMS training protocols and the law must be followed

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Ultrasound-guided quadratus lumborum block in pediatrics: trans-muscular versus intra-muscular approach

Abstract

Purpose

Quadratus lumborum (QL) block has four approaches. However, there is difference between the four approaches regarding efficacy, safety and adverse effects. The primary objective of this study is to compare the analgesic effect between trans-muscular and intra-muscular approaches of the QL block in pediatric patients for elective lower abdominal surgery.

Methods

54 patients aged between 1 and 6 years were enrolled. Patients of both genders were selected. The patients were randomly classified into two groups: Group TQL includes patients (27 patients) in whom bilateral QL block was performed using trans-muscular approach, and Group IQL (27 patients), which underwent bilateral QL block using an intra-muscular approach. The primary outcome measure was the number of patients who require rescue analgesia in the first 24 h. The secondary outcome measures were FLACC score, heart rate, non-invasive blood pressure at 2, 4, 6, 12, and 24 h postoperatively, and postoperative complications (e.g., quadriceps muscle weakness, local hematoma).

Results

In the first 24 h after surgery, 13 patients in the IQL group (48.1%) required rescue analgesia, whereas only five patients in the TQL group (18.5%) required rescue analgesia. The FLACC score was lower in the TQL group than the IQL group at all time intervals up to 24 h postoperatively. In the TQL group, eight patients (29.6%) developed quadriceps weakness; whereas, only one patient (3.7%) in the IQL group developed quadriceps weakness.

Conclusion

TQL is better than IQL in the analgesic efficacy following the pediatric lower laparotomy.

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How a multiple-patient transport vehicle can help you prepare for any disaster

Responding to individual emergencies comes naturally for EMS personnel, but what about mass casualty incidents?

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