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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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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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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Futility in acute care surgery: first do no harm.

Melissa Hornor1,2, Uzer Khan3, Michael W Cripps4

  • 1Surgery, Loyola University Chicago, Maywood, Illinois, USA.

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Delivering futile medical care burdens healthcare systems and patients. This review defines potentially ineffective care in acute care surgery and proposes strategies to improve patient outcomes in challenging situations.

Keywords:
acutegeriatricsmultiple trauma

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Area of Science:

  • Medical Interventions
  • Acute Care Surgery

Background:

  • Futile medical care has severe consequences for patients, families, healthcare systems, and providers.
  • Determining the benefit of escalating invasive interventions for critically ill patients, especially in emergencies, is challenging.

Purpose of the Study:

  • Define the problem of potentially ineffective care in acute care surgery.
  • Describe strategies to improve care for patients facing difficult end-of-life decisions.

Main Methods:

  • Literature review focusing on potentially ineffective care in acute care surgery.
  • Analysis of challenges in decision-making for critically ill patients.

Main Results:

  • Ineffective care poses significant burdens.
  • Difficulties exist in assessing treatment benefit for frail or critically ill patients.

Conclusions:

  • Recognizing and addressing potentially ineffective care is crucial in acute care surgery.
  • Developing strategies can enhance patient care and resource allocation.