A5054946582- Thyroid and Parathyroid Surgery
- Parathyroid Disorders and Treatments
- Thyroid Cancer Diagnosis and Treatment
- Central Venous Catheters and Hemodialysis
- Clinical Nutrition and Gastroenterology
- Abdominal Surgery and Complications
- Nutrition and Health in Aging
- Genetic Syndromes and Imprinting
- Cardiac, Anesthesia and Surgical Outcomes
- Antibiotics Pharmacokinetics and Efficacy
- Electrolyte and hormonal disorders
- Dialysis and Renal Disease Management
- Head and Neck Anomalies
- Renal function and acid-base balance
- Airway Management and Intubation Techniques
- Medical Imaging and Pathology Studies
- Streptococcal Infections and Treatments
- Voice and Speech Disorders
- Diet and metabolism studies
- Appendicitis Diagnosis and Management
- Surgical site infection prevention
- Bacterial Identification and Susceptibility Testing
- Neuroendocrine Tumor Research Advances
- Infective Endocarditis Diagnosis and Management
- Vascular Procedures and Complications
Hospital Del Mar
2013-2024
Universitat Autònoma de Barcelona
2010-2024
Parc de Salut
2013-2017
Hospital Universitari de Vic
1996-2015
Hospital Universitario de La Princesa
2015
Hospital Universitario de Fuenlabrada
2012
Universidad Rey Juan Carlos
2012
Jagiellonian University
2010-2011
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas
2010
Massachusetts Eye and Ear Infirmary
2010
Our purpose was to study prospectively the causes, routes of infection, and frequency catheter-related sepsis in patients on total parenteral nutrition. From January 1981 1984, cultures 135 subclavian catheters from adult were done by quantitative semiquantitative methods. Twenty (14.8%) had sepsis. Fourteen episodes (70%) stemmed an colonized hub. Skin infection (Staphylococcus aureus, 2 cases), nutrition mixture contamination (Enterobacter cloacae, hematogenous seeding catheter tip...
Hypoparathyroidism (HypoPT) is a rare (orphan) endocrine disease with low calcium and inappropriately (insufficient) circulating parathyroid hormone levels, most often in adults secondary to thyroid surgery. Standard treatment activated vitamin D analogues supplementation not replacement of the lacking hormone, as other hormonal deficiency states. The purpose this guideline provide clinicians guidance on monitoring chronic HypoPT who do have end-stage renal disease. We intend draft practical...
Parathyroid failure is the most common complication after total thyroidectomy but factors involved are not completely understood. Accidental parathyroidectomy and parathyroid autotransplantation resulting in fewer than four glands remaining situ, intensity of medical treatment postoperative hypocalcaemia may have relevant roles. The aim this study was to determine relationship between number situ thyroidectomy.Consecutive patients undergoing first-time were studied prospectively, recording...
Abstract Background Although the variables that influence development of post-thyroidectomy hypocalcaemia are now better understood, risk factors and long-term outcome persistent hypoparathyroidism (HPP) poorly defined. A retrospective review a prospective protocol for management was performed. Methods Patients with serum calcium level below 8 mg/dl (2 mmol/l) 24 h after total thyroidectomy were prescribed oral or without calcitriol followed at least 1 year. Protracted HPP defined as an...
A prospective study was carried out to determine the pathogenesis of coagulase negative staphylococci catheter‐related sepsis during parenteral nutrition. Forty‐three catheters were cultured by semiquantitative and quantitative methods. The skin around puncture site at time catheter removal three segments apart: hub, proximal subcutaneous segment, tip. Skin cultures (89%) or yielded different from those recovered in and/or blood. Seventeen source sepsis. In 15 cases an infected hub...
In previous studies the contamination of catheter hub was found to be a common portal entry for bacteria causing catheter‐related sepsis. Since manipulations during tubing changes may increase risk contamination, prospective trial conducted find out effects frequency replacements on colonization and sepsis rates. The results were compared with those obtained an outbreak coagulase negative staphylococci septicemia. Fifty‐two patients randomly allocated into two groups. Group A (n = 20) had...
To assess the prevalence of surgical site infection (SSI) after elective operations for colon and rectal cancer application evidence-based preventive measures to identify risk factors SSI.Prospective, observational, multicenter.Tertiary community public hospitals in Catalonia, Spain.Consecutive patients undergoing resections during a 9-month period.The SSI within 30 days SSI.Data from 611 were documented: 383 underwent 228 cancer. Surgical was observed 89 (23.2%) (superficial, 12.8%; deep,...
The prevalence of enterococcal isolation and factors associated with postoperative infection remain ill defined.A prospective longitudinal observational study was conducted consecutive patients a first episode intra-abdominal positive microbiological culture who did or not develop septic complication involving enterococci. initial determined for each focus infection. Postoperative infections were related to whether appropriate (piperacillin--tazobactam), suboptimal (carbapenems)...
Abstract Background Transient recurrent laryngeal nerve palsy affects to 5–10 per cent of patients after extracapsular thyroidectomy. This prospective study assessed the impact surgical injury and extralaryngeal branching inferior (ILN) on vocal cord dysfunction (VCD). Methods Total thyroidectomy or lobectomy was performed in 188 patients, with 302 ILNs at risk. The anatomy ILN degree nerve, based Laryngeal Nerve Injury Score (LNIS), were recorded. Fibreoptic laryngoscopy a mean(s.d.)...
Abstract Background Staged thyroidectomy has been recommended when loss of the signal from intraoperative nerve monitoring is observed after first-side dissection recurrent laryngeal nerve. There no high-quality evidence supporting this recommendation. In addition, it not clear whether predicts postoperative vocal cord paralysis. Methods This was a prospective observational study consecutive adult patients undergoing neuromonitored total for either malignancy or multinodular goitre. The...
Background Catheter hub contamination is being increasingly recognized as a source of catheter-related sepsis. The authors have investigated the efficacy new design in preventing endoluminal catheter and sepsis arising at hub. Methods Adult surgical intensive care patients requiring subclavian for least 1 week were randomly assigned to receive catheters with standard connectors (control group, n = 73) or equipped model (new 78). Skin, tip, cultures performed time was withdrawn because...
A series is presented of 83 patients surgically explored for massive bowel infarction. Old men with previous heart disease and symptoms peripheral atherosclerosis were primarily affected. Clinical presenting features abdominal pain (100 per cent), peritonitis (57 shock (34 cent) hypothermia (26 cent). third-space syndrome metabolic acidosis uraemia was the most common physiological derangement. Age only factor that appeared to have influenced surgeon's decision perform resection (71 years in...
<h3>Hypothesis</h3> Complications associated with thyroidectomy for intrathoracic goiters have been underestimated because of the lack a precise definition high-risk patients. <h3>Design</h3> Retrospective multicenter multinational review medical records and radiographic images patients who underwent reaching carina tracheae. Demographic, clinical, operative, anatomical, pathological data were recorded. <h3>Results</h3> There 35 (mean ± SE age, 63 11 years) included in study. In 4 patients,...