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10.1097/ACO.0000000000000465 http://scihub22266oqcxt.onion/10.1097/ACO.0000000000000465 C5434965!5434965!28323670     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Curr+Opin+Anaesthesiol 2017 ; 30 (3): 399-408 Nephropedia Template TP {{tp|p=28323670|t=2017. Prevention of respiratory complications of the surgical patient: actionable plan for continued process improvement |pdf=|usr=}}{{28323670}} gab.com Text Prevention of respiratory complications of the surgical patient: actionable plan for continued process improvement JO: Curr Opin Anaesthesiol http://www.kidney.de/pget.php?&tw=1&pmid=28323670 #FOAvip Purpose of review: Postoperative respiratory complications (PRCs) increase hospitalization time, 30-day mortality and costs by up to $35?000. These outcomes measures have gained prominence as bundled payments have become more common. Recent findings: Results of recent quantitative effectiveness studies and clinical trials provide a framework that helps develop center-specific treatment guidelines, tailored to minimize the risk of PRCs. The implementation of those protocols should be guided by a local, respected, and visible facilitator who leads proper implementation while inviting center-specific input from surgeons, anesthesiologists, and other perioperative stakeholders. Summary: Preoperatively, patients should be risk-stratified for PRCs to individualize intraoperative choices and postoperative pathways. Laparoscopic compared with open surgery improves respiratory outcomes. High-risk patients should be treated by experienced providers based on locally developed bundle-interventions to optimize intraoperative treatment and ICU bed utilization. Intraoperatively, lung-protective ventilation (procedure-specific positive end-expiratory pressure utilization, and low driving pressure) and moderately restrictive fluid therapy should be used. To achieve surgical relaxation, high-dose neuromuscular blocking agents (and reversal agents) as well as high-dose opioids should be avoided; inhaled anesthetics improve surgical conditions while protecting the lungs. Patients should be extubated in reverse Trendelenburg position. Postoperatively, continuous positive airway pressure helps prevent airway collapse and protocolized, early mobilization improves cognitive and respiratory function. Twit Text FOAVip Prevention of respiratory complications of the surgical patient: actionable plan for continued process improvement ????Curr Opin Anaesthesiol http://www.kidney.de/pget.php?&tw=1&pmid=28323670 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28323670 #FOAvip English Wikipedia <ref>{{Cite pmid|28323670}}</ref> Prevention of respiratory complications of the surgical patient: actionable plan for continued process improvement #MMPMID28323670 Ruscic KJ; Grabitz SD; Rudolph MI; Eikermann M Curr Opin Anaesthesiol 2017[Jun]; 30 (3): 399-408 PMID28323670show ga Purpose of review: Postoperative respiratory complications (PRCs) increase hospitalization time, 30-day mortality and costs by up to $35?000. These outcomes measures have gained prominence as bundled payments have become more common. Recent findings: Results of recent quantitative effectiveness studies and clinical trials provide a framework that helps develop center-specific treatment guidelines, tailored to minimize the risk of PRCs. The implementation of those protocols should be guided by a local, respected, and visible facilitator who leads proper implementation while inviting center-specific input from surgeons, anesthesiologists, and other perioperative stakeholders. Summary: Preoperatively, patients should be risk-stratified for PRCs to individualize intraoperative choices and postoperative pathways. Laparoscopic compared with open surgery improves respiratory outcomes. High-risk patients should be treated by experienced providers based on locally developed bundle-interventions to optimize intraoperative treatment and ICU bed utilization. Intraoperatively, lung-protective ventilation (procedure-specific positive end-expiratory pressure utilization, and low driving pressure) and moderately restrictive fluid therapy should be used. To achieve surgical relaxation, high-dose neuromuscular blocking agents (and reversal agents) as well as high-dose opioids should be avoided; inhaled anesthetics improve surgical conditions while protecting the lungs. Patients should be extubated in reverse Trendelenburg position. Postoperatively, continuous positive airway pressure helps prevent airway collapse and protocolized, early mobilization improves cognitive and respiratory function. äPrevention of respiratory complications of the surgical patient: actio(epmc).pdf DeepDyve Pubget Overpricing