FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2972432661> ?p ?o ?g. }

• W2972432661 endingPage "46" @default.
• W2972432661 startingPage "45" @default.
• W2972432661 abstract "Introduction: Pediatric craniofacial surgery carried out in tertiary care centres by dedicated teams of surgeons, anaesthetists and nursing staff is associated with a high level of safety with exceptionally low (< 1%) rates of mortality. However, the majority of life-threatening events occurring in patients undergoing major craniomaxillofacial procedures occur in the operating room. The aim of this study was to review the incidence and outcomes following catastrophic and critical events during surgery and review the role of the nursing team. Methods: Over a 10-year period at a tertiary care pediatric centre specializing in pediatric craniofacial surgery with 2 senior surgeons, catastrophic and critical intra-operative events as defined by alerting the alarm button eliciting a code event and team approach to patient management were reviewed. Details of these cases and outcomes were tabulated. The importance of the nursing role was assessed. Results: From January 2009 to January 2019, 4055 procedures were carried out by the 2 senior pediatric craniofacial surgeons with 1109 cases considered to be major craniofacial (intracranial, intra-extracranial or major facial osteotomies). In this time period, 12 events (0.01% of major craniofacial procedures) were recorded: 5 venous air embolisms, 2 profound cardiovagal reflex responses with cardiac standstill, 1 anaphylaxis and 4 major bleeding episodes that required aggressive resuscitation. All patients survived. Surgery was curtailed in 3 cases. Nursing response to intra-operative codes was critical to the outcomes. Awareness and experience of the procedure, communication strategies, initiation of massive transfusion protocols, documentation, protection of sterile resources and tissue, post-event debriefing and discussion at M&M rounds are all crucial roles for nursing involvement in these events. Further case details and a protocol will be presented. Conclusion: The importance of experience and dedicated teams in the management of catastrophic and critical intra-operative events during major pediatric craniofacial procedures cannot be over-stated. Despite operating in a tertiary care pediatric centre with senior experienced surgeons, these events can occur and successful outcomes are dependent on experience, communication and team approach to maintain an excellent safety record. The importance of the nursing team will be emphasized." @default.
• W2972432661 created "2019-09-19" @default.
• W2972432661 creator A5024224673 @default.
• W2972432661 creator A5036856228 @default.
• W2972432661 creator A5044782842 @default.
• W2972432661 creator A5045653017 @default.
• W2972432661 creator A5082870006 @default.
• W2972432661 creator A5085683944 @default.
• W2972432661 date "2019-08-01" @default.
• W2972432661 modified "2023-09-25" @default.
• W2972432661 title "S4A-07 SESSION 4A" @default.
• W2972432661 doi "https://doi.org/10.1097/01.gox.0000582988.90050.aa" @default.
• W2972432661 hasPublicationYear "2019" @default.
• W2972432661 type Work @default.
• W2972432661 sameAs 2972432661 @default.
• W2972432661 citedByCount "0" @default.
• W2972432661 crossrefType "journal-article" @default.
• W2972432661 hasAuthorship W2972432661A5024224673 @default.
• W2972432661 hasAuthorship W2972432661A5036856228 @default.
• W2972432661 hasAuthorship W2972432661A5044782842 @default.
• W2972432661 hasAuthorship W2972432661A5045653017 @default.
• W2972432661 hasAuthorship W2972432661A5082870006 @default.
• W2972432661 hasAuthorship W2972432661A5085683944 @default.
• W2972432661 hasBestOaLocation W29724326611 @default.
• W2972432661 hasConcept C118552586 @default.
• W2972432661 hasConcept C127413603 @default.
• W2972432661 hasConcept C141071460 @default.
• W2972432661 hasConcept C202695956 @default.
• W2972432661 hasConcept C2778043341 @default.
• W2972432661 hasConcept C2781245598 @default.
• W2972432661 hasConcept C2909164965 @default.
• W2972432661 hasConcept C31174226 @default.
• W2972432661 hasConcept C509550671 @default.
• W2972432661 hasConcept C545542383 @default.
• W2972432661 hasConcept C71924100 @default.
• W2972432661 hasConcept C77595967 @default.
• W2972432661 hasConceptScore W2972432661C118552586 @default.
• W2972432661 hasConceptScore W2972432661C127413603 @default.
• W2972432661 hasConceptScore W2972432661C141071460 @default.
• W2972432661 hasConceptScore W2972432661C202695956 @default.
• W2972432661 hasConceptScore W2972432661C2778043341 @default.
• W2972432661 hasConceptScore W2972432661C2781245598 @default.
• W2972432661 hasConceptScore W2972432661C2909164965 @default.
• W2972432661 hasConceptScore W2972432661C31174226 @default.
• W2972432661 hasConceptScore W2972432661C509550671 @default.
• W2972432661 hasConceptScore W2972432661C545542383 @default.
• W2972432661 hasConceptScore W2972432661C71924100 @default.
• W2972432661 hasConceptScore W2972432661C77595967 @default.
• W2972432661 hasIssue "8S-2" @default.
• W2972432661 hasLocation W29724326611 @default.
• W2972432661 hasLocation W29724326612 @default.
• W2972432661 hasOpenAccess W2972432661 @default.
• W2972432661 hasPrimaryLocation W29724326611 @default.
• W2972432661 hasRelatedWork W2094511820 @default.
• W2972432661 hasRelatedWork W2159653556 @default.
• W2972432661 hasRelatedWork W2226498311 @default.
• W2972432661 hasRelatedWork W2325915960 @default.
• W2972432661 hasRelatedWork W2433905763 @default.
• W2972432661 hasRelatedWork W2809220216 @default.
• W2972432661 hasRelatedWork W2906249857 @default.
• W2972432661 hasRelatedWork W2913730279 @default.
• W2972432661 hasRelatedWork W3030745229 @default.
• W2972432661 hasRelatedWork W3124498859 @default.
• W2972432661 hasVolume "7" @default.
• W2972432661 isParatext "false" @default.
• W2972432661 isRetracted "false" @default.
• W2972432661 magId "2972432661" @default.
• W2972432661 workType "article" @default.