Intraoperative Care

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  Subject Areas on Research

  • 3D image guidance assisted identification of colorectal cancer liver metastases not seen on intraoperative ultrasound: results from a prospective trial. 
  • A new method to determine left ventricular pressure-volume loops in the clinical setting. 
  • A phase I/II study of intraoperative radiotherapy in advanced unresectable or recurrent carcinoma of the rectum: a Radiation Therapy Oncology Group (RTOG) study. 
  • A phase I/II trial of 125I methylene blue for one-stage sentinel lymph node biopsy. 
  • A quantitative microscopic approach to predict local recurrence based on in vivo intraoperative imaging of sarcoma tumor margins. 
  • A randomized clinical trial of the effect of intraoperative saline perfusion on postvasectomy azoospermia. 
  • A randomized controlled trial of postoperative nasogastric tube decompression in gynecologic oncology patients undergoing intra-abdominal surgery. 
  • A survey-based study of wrong-level lumbar spine surgery: the scope of the problem and current practices in place to help avoid these errors. 
  • ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. 
  • ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. 
  • Abdominal aortic aneurysms: CT evaluation of renal artery involvement. 
  • Abnormal intraoperative cholangiography. Treatment options and long-term follow-up. 
  • Accelerated partial breast irradiation after conservative surgery for breast cancer. 
  • Accuracy of intraoperative gross examination of surgical margin status in women undergoing partial mastectomy for breast malignancy. 
  • Acute kidney injury and cardiopulmonary bypass: special situation or same old problem? 
  • Adenosine-induced transient asystole for intracranial aneurysm surgery: a retrospective review. 
  • Advances in contrast echocardiography: intraoperative perfusion assessment. 
  • Amnion inversion in the treatment of giant omphalocele. 
  • An evidence-based intraoperative communication tool for emergency general surgery: a pilot study. 
  • Anesthetic management of deep hypothermic circulatory arrest for cerebral aneurysm clipping. 
  • Appendiceal goblet cell carcinomatosis treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. 
  • Applying fault tree analysis to the prevention of wrong-site surgery. 
  • Aprotinin use during cardiac surgery: recent alterations and effects on blood product utilization. 
  • Assessment of left ventricular functional preservation during isolated cardiac valve operations. 
  • Automatic localization of target vertebrae in spine surgery: clinical evaluation of the LevelCheck registration algorithm. 
  • Bandwidth-induced errors in parameters used for automated activation time determination during computerized intraoperative cardiac mapping: theoretical limits. 
  • Bivalirudin during cardiopulmonary bypass in patients with previous or acute heparin-induced thrombocytopenia and heparin antibodies: results of the CHOOSE-ON trial. 
  • Cardiac resynchronization therapy: Part 2--issues during and after device implantation and unresolved questions. 
  • Colon sentinel lymph node mapping: practical surgical applications. 
  • Color Doppler ultrasound and computed tomographic angiography for perforator mapping in DIEP flap breast reconstruction revisited: A cohort study. 
  • Computer-assisted intraoperative mapping of the entire ventricular epicardium in the Wolff-Parkinson-White syndrome. 
  • Computer-based imaging and interventional MRI: applications for neurosurgery. 
  • Confounders versus Mediators: An Important Distinction. 
  • Correlation of diffusion tensor tractography and intraoperative macrostimulation during deep brain stimulation for Parkinson disease. 
  • Cost-based decision analysis of postreduction imaging in the management of mandibular fractures. 
  • Cytologic evaluation of lumpectomy margins in patients with ductal carcinoma in situ: clinical outcome. 
  • Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal carcinomatosis: outcomes from a single tertiary institution. 
  • Diagnosis and management of common bile duct stones in patients with sickle hemoglobinopathies. 
  • ERCP and sphincterotomy in the context of laparoscopic cholecystectomy: academic and community practice patterns and results. 
  • Early experience with fluorescent angiography in free-tissue transfer reconstruction. 
  • Echocardiographic imaging of procedural complications during balloon-expandable transcatheter aortic valve replacement. 
  • Effect of aging on cerebral autoregulation during cardiopulmonary bypass. Association with postoperative cognitive dysfunction. 
  • Effect of equiosmolar solutions of mannitol versus hypertonic saline on intraoperative brain relaxation and electrolyte balance. 
  • Effect of phenylephrine and ephedrine bolus treatment on cerebral oxygenation in anaesthetized patients. 
  • Effects of cardiopulmonary bypass on eicosanoid metabolism during pediatric cardiovascular surgery. 
  • Effects of dose ranging of adenosine infusion on electrocardiographic findings during and after general anesthesia. 
  • Effects of intraoperative irradiation and intraoperative hyperthermia on canine sciatic nerve: neurologic and electrophysiologic study. 
  • Electronic reminders for intraoperative antibiotic re-dosing. 
  • Evaluation of changes in skeletal muscle blood flow in the dog with contrast ultrasonography. 
  • Evaluation of intracranial cysts by intraoperative MR. 
  • Exposure to topical apraclonidine in children with glaucoma. 
  • False-positive posterior myocardial infarct criteria during left anterior descending coronary angioplasty. 
  • Feasibility of flap reconstruction in conjunction with intraoperative radiation therapy for advanced and recurrent head and neck cancer. 
  • For patients with predicted low risk for choledocholithiasis undergoing laparoscopic cholecystectomy, selective intraoperative cholangiography and postoperative endoscopic retrograde cholangiopancreatography is an effective strategy to limit unnecessary procedures. 
  • Functional Tricuspid Regurgitation in Mitral Valve Disease. 
  • Goal-Directed Fluid Therapy Using Stroke Volume Variation for Resuscitation after Low Central Venous Pressure-Assisted Liver Resection: A Randomized Clinical Trial. 
  • Guidelines for the performance of a comprehensive intraoperative epiaortic ultrasonographic examination: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists; endorsed by the Society of Thoracic Surgeons. 
  • Hazards in operative management of patients with systemic mastocytosis. 
  • Heparin resistance after intraoperative platelet-rich plasma harvesting. 
  • High dose rate intraoperative radiotherapy for recurrent cervical cancer and nodal disease. 
  • High kVp vs. low kVp for T-tube and operative cholangiography. 
  • Identification of Severe Mitral Stenosis Using Real-Time Three-Dimensional Transesophageal Echocardiography During an Left Ventricular Assist Device Insertion. 
  • Identifying stunned myocardium during cardiac surgery: the role of myocardial contrast echocardiography. 
  • Impact of Intraoperative Steroids on Postoperative Infection Rates and Length of Hospital Stay: A Study of 1200 Spine Surgery Patients. 
  • Impact of sentinel lymph node biopsy on immediate breast reconstruction after mastectomy. 
  • Improved surgical approach to left atrial appendage aneurysm. 
  • Infectious complications after cardiac surgery: lack of association with fresh frozen plasma or platelet transfusions. 
  • Initial experience with factor-Xa inhibition in percutaneous coronary intervention: the XaNADU-PCI Pilot. 
  • Intra-operative MR guidance during trans-sphenoidal pituitary resection: preliminary results. 
  • Intraoperative Administration of 4-Factor Prothrombin Complex Concentrate Reduces Blood Requirements in Cardiac Transplantation. 
  • Intraoperative Evaluation of Paravalvular Regurgitation by Transesophageal Echocardiography. 
  • Intraoperative Glycemic Control to Prevent Delirium after Cardiac Surgery: Steering a Course between Scylla and Charybdis. 
  • Intraoperative High-Frequency Jet Ventilation Is Equivalent to Conventional Ventilation During Patent Ductus Arteriosus Ligation. 
  • Intraoperative Magnesium Administration Does Not Reduce Postoperative Atrial Fibrillation After Cardiac Surgery. 
  • Intraoperative US versus intraoperative MR imaging for guidance during intracranial neurosurgery. 
  • Intraoperative angiography using laser-assisted indocyanine green imaging to map perfusion of forehead flaps. 
  • Intraoperative assessment of left ventricular heterogeneity. 
  • Intraoperative blood salvage: a mathematical perspective. 
  • Intraoperative dynamic MRI: localization of sites of brain tumor recurrence after high-dose radiotherapy. 
  • Intraoperative electron beam radiation therapy for primary locally advanced rectal and rectosigmoid carcinoma. 
  • Intraoperative evaluation of sentinel lymph nodes for metastatic melanoma by imprint cytology. 
  • Intraoperative fluid management and complications following pancreatectomy. 
  • Intraoperative fluid management during orthotopic liver transplantation. 
  • Intraoperative fluorescein angioscopy in subretinal surgery. 
  • Intraoperative imprint cytology for evaluation of sentinel lymph nodes from Merkel cell carcinoma. 
  • Intraoperative ketorolac and eye pain after viteoretinal surgery: a prospective, randomized, placebo-controlled study. 
  • Intraoperative ketorolac and eye pain after vitreoretinal surgery: a prospective, randomized, placebo-controlled study. 
  • Intraoperative magnesium administration does not improve neurocognitive function after cardiac surgery. 
  • Intraoperative pathologic examination in the era of molecular testing for differentiated thyroid cancer. 
  • Intraoperative pelvic brachytherapy for treatment of locally advanced or recurrent colorectal cancer. 
  • Intraoperative perfusion contrast echocardiography. Initial experience during coronary artery bypass grafting. 
  • Intraoperative perfusion techniques can accurately predict mastectomy skin flap necrosis in breast reconstruction: results of a prospective trial. 
  • Intraoperative probes and imaging probes. 
  • Intraoperative pulmonary artery stenting: an alternative technique for the management of pulmonary artery stenosis. 
  • Intraoperative radiation therapy for Wilms' tumor in situ or ex vivo. 
  • Intraoperative radiation therapy for locally advanced recurrent rectal or rectosigmoid cancer. 
  • Intraoperative radiation therapy for locally advanced recurrent rectal or rectosigmoid cancer. 
  • Intraoperative radio-lympho-scintigraphy improves sentinel lymph node identification for patients with melanoma. 
  • Intraoperative radiotherapy for gastrointestinal malignancies: contemporary outcomes with multimodality therapy. 
  • Intraoperative sonography for the evaluation and management of renal tumors: experience with 100 patients. 
  • Intraoperative transesophageal color flow mapping: initial experience. 
  • Intraoperative transesophageal echocardiography diagnosis of residual tumor fragment after surgical removal of renal cell carcinoma. 
  • Intraoperative use of packed red blood cell transfusion and mortality in patients undergoing abdominal or thoracoabdominal aortic aneurysm surgery. 
  • Invited Commentary. 
  • Invited commentary. 
  • Laparoscopic cholecystectomy in young patients with sickle hemoglobinopathies. 
  • Laparoscopic irrigation using a prewarmed pressurized system. 
  • Left hepatic trisectionectomy for hepatobiliary malignancy: results and an appraisal of its current role. 
  • Limb tourniquets and central temperature in anesthetized children. 
  • Liposomal Bupivacaine Versus Continuous Popliteal Sciatic Nerve Block in Total Ankle Arthroplasty. 
  • Long-term outcomes of intraoperative pulmonary artery stent placement for congenital heart disease. 
  • Lung-protective ventilation for the surgical patient: international expert panel-based consensus recommendations. 
  • Major vascular resection as part of pancreaticoduodenectomy for cancer: radiologic, intraoperative, and pathologic analysis. 
  • Malnutrition in liver transplant patients: preoperative subjective global assessment is predictive of outcome after liver transplantation. 
  • Measurement of myocardial perfusion by contrast echocardiography: application in the operating room. 
  • Measurement of vascular input impedance in infrainguinal vein grafts. 
  • Monitoring respiratory function. 
  • Multimodal prophylaxis for THA with mechanical compression. 
  • National Benchmarks for Proportions of Patients Receiving Blood Transfusions During Pediatric and Congenital Heart Surgery: An Analysis of the STS Congenital Heart Surgery Database. 
  • Nephron-sparing approach to bilateral Wilms' tumor: in situ or ex vivo surgery and radiation therapy. 
  • Neuroprotection is associated with beta-adrenergic receptor antagonists during cardiac surgery: evidence from 2,575 patients. 
  • New concepts in orthopaedic thromboprophylaxis. 
  • Objective, real-time, intraoperative assessment of renal perfusion using infrared imaging. 
  • Optimal surgical care for adolescent idiopathic scoliosis: an international consensus. 
  • Organ-specific radiation dose rates and effective dose rates during percutaneous nephrolithotomy. 
  • Patients with DNR orders in the operating room: surgery, resuscitation, and outcomes. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. 
  • Performance metrics of an optical spectral imaging system for intra-operative assessment of breast tumor margins. 
  • Perioperative Antibiotic Prophylaxis in Total Joint Arthroplasty: A Single Dose Is as Effective as Multiple Doses. 
  • Perioperative external pneumatic calf compression as thromboembolism prophylaxis in gynecologic oncology: report of a randomized controlled trial. 
  • Perioperative fever and outcome in surgical patients with aneurysmal subarachnoid hemorrhage. 
  • Perioperative fluid and hemodynamic management within an enhanced recovery pathway. 
  • Perioperative hypothermia (33 degrees C) does not increase the occurrence of cardiovascular events in patients undergoing cerebral aneurysm surgery: findings from the Intraoperative Hypothermia for Aneurysm Surgery Trial. 
  • Perioperative hypothermia: use and therapeutic implications. 
  • Perioperative management of the multiorgan donor. 
  • Perioperative outcomes and management in midface advancement surgery: a multicenter observational descriptive study from the Pediatric Craniofacial Collaborative Group. 
  • Persistent contrast enhancement several months after laparoscopic cryoablation of the small renal mass may not indicate recurrent tumor. 
  • Pharmacologic preservation of the hemostatic system during cardiac surgery. 
  • Pharmacology and clinical applications of human recombinant antithrombin. 
  • Physiologic correlates of intraoperative blood transfusion among patients undergoing major gastrointestinal operations. 
  • Poor performance of lead V5 in single- and dual-channel ST-segment monitoring during coronary occlusion. 
  • Postoperative sleep disturbance: influences of opioids and pain in humans. 
  • Predicting perioperative cardiac risk. 
  • Preoperative chemoradiation, pancreaticoduodenectomy, and intraoperative radiation therapy for adenocarcinoma of the pancreatic head. 
  • Preoperative irradiation for tethered rectal carcinoma. 
  • Prevention of symptomatic pulmonary embolism in patients undergoing total hip or knee arthroplasty. 
  • Prophylactic value of preincision intra-aortic balloon pump: analysis of a statewide experience. 
  • Pulmonary vein Doppler echocardiography after left atrial operation. 
  • Quantitative ST-segment recovery following angiographically successful angioplasty: a useful warning of early complications. 
  • Quantitative spectral reflectance imaging device for intraoperative breast tumor margin assessment. 
  • Radiation therapy of sarcomas of the soft tissues. 
  • Radiolucent Triangle as a Positioning Tool to Simplify Prone Ankle Fracture Surgery. 
  • Rapid safe central venous access in children and adults undergoing open cardiac operations. 
  • Real-time 3-d intracranial ultrasound with an endoscopic matrix array transducer. 
  • Recognition of reversible and irreversible myocardial injury by technetium pyrophosphate extraction kinetics. 
  • Reexamining traditional intraoperative fluid administration: evolving views in the age of goal-directed therapy. 
  • Reply: To PMID 23265340. 
  • Report of neoaortic valve replacement in a ten-year-old girl after an arterial switch procedure for transposition. 
  • Response to letter regarding article, "Intraoperative magnesium administration does not improve neurocognitive function after cardiac surgery". 
  • Retrograde-delivered cardioplegia is not distributed equally to the right ventricular free wall and septum. 
  • Right and left ventricular performance during and after abdominal aortic aneurysm repair. 
  • Robot-assisted ureterolysis, retroperitoneal biopsy, and omental wrap: pilot series for the treatment of idiopathic retroperitoneal fibrosis. 
  • Routine use of intraoperative epicardial echocardiography and Doppler color flow imaging to guide and evaluate repair of congenital heart lesions. A prospective study. 
  • Safety of perioperative minidose heparin in patients undergoing brain tumor surgery: a prospective, randomized, double-blind study. 
  • Saphenous Nerve Block From Within the Knee Is Feasible for TKA: MRI and Cadaveric Study. 
  • Silent myocardial ischemia in patients undergoing peripheral vascular surgery: incidence and association with perioperative cardiac morbidity and mortality. 
  • Small bowel obstruction in a patient with Peutz-Jeghers syndrome: the role of intraoperative endoscopy. 
  • Stapled renal vein with in situ tumor thrombus: a useful intraoperative maneuver to facilitate radical nephrectomy and inferior vena cava thrombectomy. 
  • Steroids in rhinoplasty. 
  • Systolic venous waves cause spurious signs of arterial hemoglobin desaturation. 
  • Tailoring Adjuvant Radiation Therapy by Intraoperative Imaging to Detect Residual Cancer. 
  • Temperatures achieved in human and canine neocortex during intraoperative passive or active focal cooling. 
  • Temporal trends and current practice patterns for intraoperative ventilation at U.S. academic medical centers: a retrospective study. 
  • The Perioperative Management of Ascending Aortic Dissection. 
  • The application of indocyanine green fluorescence angiography in plastic surgery. 
  • The association of lowest hematocrit during cardiopulmonary bypass with acute renal injury after coronary artery bypass surgery. 
  • The effect of cryoablation on the histologic interpretation of intraoperative biopsy of small clear cell renal carcinoma and renal oncocytoma. 
  • The effect of furosemide on intravascular volume status and electrolytes in patients receiving mannitol: an intraoperative safety analysis. 
  • The impact of intravenous fluid administration on complication rates in bowel surgery within an enhanced recovery protocol: a randomized controlled trial. 
  • The improvement of dry eye after cataract surgery by intraoperative using ophthalmic viscosurgical devices on the surface of cornea: The results of a consort-compliant randomized controlled trial. 
  • The prevalence and outcomes of transradial percutaneous coronary intervention for ST-segment elevation myocardial infarction: analysis from the National Cardiovascular Data Registry (2007 to 2011). 
  • The role of intraoperative radiation therapy in patients with pancreatic cancer. 
  • The surgical treatment of atrial fibrillation. II. Intraoperative electrophysiologic mapping and description of the electrophysiologic basis of atrial flutter and atrial fibrillation. 
  • The use of pancreatic ductoscopy in the operative management of benign and malignant pancreatic disorders. 
  • Trabeculectomy in pseudophakic patients: postoperative 5-fluorouracil versus intraoperative mitomycin C antiproliferative therapy. 
  • Transplantation of high panel-reactive antibody left ventricular assist device patients without crossmatch using on-bypass pheresis and alemtuzumab. 
  • Update on combined-modality treatment options for pancreatic cancer. 
  • Updated European Heart Rhythm Association practical guide on the use of non-vitamin-K antagonist anticoagulants in patients with non-valvular atrial fibrillation: Executive summary. 
  • Use of an inferior epigastic arterial catheter in a patient with difficult vascular access. 
  • Use of sentinel lymph node biopsy for melanoma of the head and neck. 
  • Value of intraoperative pleural lavage in staging non-small cell lung cancer. 
  • Venous Sinus Stenting in the Management of Patients with Intracranial Hypertension Manifesting with Skull Base Cerebrospinal Fluid Leaks. 
  • Vertical rectus muscle transposition with intraoperative botulinum injection for treatment of chronic sixth nerve palsy. 
  • [A new enriched balanced irrigation solution for intraocular surgery (experimental study)]. 
  • [Anatomical correction of transposition of the great arteries in 7 newborn infants]. 
  • [Spontaneous spinal cord herniation]. 
  • epsilon-Aminocaproic acid plasma levels during cardiopulmonary bypass. 
  • pH-stat cooling improves cerebral metabolic recovery after circulatory arrest in a piglet model of aortopulmonary collaterals. 
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  Keywords of People

  • Alexander, John Hunter Peel, Professor of Medicine, Medicine, Cardiology
  • Allori, Alexander C, Assistant Professor of Surgery, Surgery, Plastic, Maxillofacial, and Oral Surgery
  • Berger, Miles, Associate Professor of Anesthesiology, Duke Science & Society
  • Laskowitz, Daniel Todd, Professor of Neurology, Duke Innovation & Entrepreneurship
  • Milano, Carmelo Alessio, Professor of Surgery, Surgery, Cardiovascular and Thoracic Surgery
  • Preminger, Glenn Michael, James F. Glenn, M.D. Distinguished Professor of Urology, Surgery
  • Swaminathan, Madhav, Professor of Anesthesiology, Anesthesiology, Cardiothoracic
  • Warner, David Samuel, Distinguished Distinguished Professor of Anesthesiology, in the School of Medicine, Neurobiology