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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Related Experiment Video

Updated: Jan 3, 2026

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
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Frailty in the perioperative setting.

Jugdeep K Dhesi1, Nicholas P Lees2, Judith Sl Partridge3

  • 1Guy's and St Thomas' NHS Foundation Trust, London, UK, honorary reader, Faculty of Life Sciences and Medicine, King's College London, London, UK and honorary associate professor, Division of Surgery & Interventional Science, University College London, London, UK jugdeep.dhesi@gstt.nhs.uk.

Clinical Medicine (London, England)
|November 17, 2019
PubMed
Summary

Frailty syndrome, a decline in physiological reserve, predicts poor surgical outcomes. Early identification and intervention in frail surgical patients can improve care and outcomes.

Keywords:
Perioperative medicinecomprehensive geriatric assessment and optimisation (CGA)frailtyolder surgical patientspostoperative complications

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Area of Science:

  • Gerontology
  • Surgical Outcomes
  • Geriatric Medicine

Background:

  • Frailty syndrome is a decline in physiological reserve, increasing vulnerability to stressors.
  • Frailty independently predicts adverse outcomes in surgical patients across various settings.
  • While not exclusive to older adults, frailty is increasingly prevalent in the aging surgical population.

Purpose of the Study:

  • To highlight the significance of frailty in surgical patients.
  • To emphasize the importance of early identification and intervention.
  • To advocate for pragmatic approaches in assessing and managing frailty.

Main Methods:

  • Review of existing literature on frailty in surgery.
  • Discussion of the role of frailty screening tools.
  • Exploration of management strategies for frail surgical patients.

Main Results:

  • Frailty is a significant predictor of adverse postoperative outcomes.
  • Early identification allows for risk assessment and pathway adaptation.
  • Comprehensive geriatric assessment and multicomponent interventions are key.

Conclusions:

  • Early identification of frailty in surgical patients is crucial.
  • A pragmatic approach to screening and management is recommended.
  • Collaborative, multicomponent interventions can modify frailty and optimize surgical pathways.