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Recent Advances in the Postoperative Care
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Recent Advances in the Postoperative Care

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Anesthesiology".

Deadline for manuscript submissions: closed (15 July 2021) | Viewed by 2422

Special Issue Editors

Prof. Dr. Matthias Gruenewald

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Guest Editor
Department of Anaesthesiology and Intensive Care Medicine, Ev. Amalie Sieveking Hospital, 22359 Hamburg, Germany
Interests: perioperative care; patient safety; haemodynamics; goal directed therapy; monitoring nociception
Dr. Clement Gakuba

E-Mail Website
Guest Editor
Department of Anesthesiology and Critical Care Medicine, Caen University Hospital, Avenue de la cote de Nacre, Caen, France
Interests: critical care medicine; intensive care medicine; anesthesiology; ICU; Stroke; ICH; intracranial hemorrhages
Dr. Franck Verdonk

E-Mail Website
Guest Editor
1. Department of Anaesthesiology and Intensive Care, Hôpital Saint-Antoine, Assistance Publique-Hôpitaux de Paris, Paris, France
2. Department of Anaesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA
Interests: anesthesiology (postoperative cognitive disorders, delirium, depression); intensive care (sepsis associated encephalopathy); neuroscience (microglia, cell culture, cell imaging, cognition testing, mice); immunology (translational research, CyTOF)

Special Issue Information

Dear Colleagues,

The postoperative care of our patients represents a continuous challenge in daily clinical practice. Patients in most surgical fields are continuously getting older and have multiple comorbidities. Nevertheless, they should recover from the surgical procedure safely, painlessly, quickly, and more and more importantly, cost-effectively. We all can definitely all participate in realizing these goals. The Journal of Clinical Medicine thankfully decided to take up this important topic as a Special Issue for 2021.

We are now looking forward to your submission of interesting manuscripts regarding the latest innovative therapies, ERAS, monitoring and equipment, acute pain therapy, anesthesia, regional anesthesia, intensive care medicine, pharmacology, and modern organizational concepts. The submitted work may come from any surgical discipline, intensive care medicine, anesthesiology, as well as other topics. The submissions should mainly be original work, but systematic reviews and meta-analyses are being accepted. Please use the chance to intensively discuss your new findings in reflection of the current standard of care and describe how these findings can be used to improve postoperative care of our patients in the future. We gratefully look forward to receiving your submissions. 

Prof. Dr. Matthias Gruenewald
Dr. Franck Verdonk
Dr. Clement Gakuba
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • postoperative care
  • acute pain therapy
  • anesthesia
  • critical care
  • enhanced recovery after surgery
  • pharmacology

Published Papers (1 paper)

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Research

10 pages, 943 KiB  
Article
Ability of Carotid Corrected Flow Time to Predict Fluid Responsiveness in Patients Mechanically Ventilated Using Low Tidal Volume after Surgery
by Seungho Jung, Jeongmin Kim, Sungwon Na, Won Seok Nam and Do-Hyeong Kim
J. Clin. Med. 2021, 10(12), 2676; https://doi.org/10.3390/jcm10122676 - 17 Jun 2021
Cited by 11 | Viewed by 2046
Abstract
Predicting fluid responsiveness in patients under mechanical ventilation with low tidal volume (VT) is challenging. This study evaluated the ability of carotid corrected flow time (FTc) assessed by ultrasound for predicting the fluid responsiveness during low VT ventilation. Patients under postoperative mechanical ventilation [...] Read more.
Predicting fluid responsiveness in patients under mechanical ventilation with low tidal volume (VT) is challenging. This study evaluated the ability of carotid corrected flow time (FTc) assessed by ultrasound for predicting the fluid responsiveness during low VT ventilation. Patients under postoperative mechanical ventilation and clinically diagnosed with hypovolemia were enrolled. Carotid FTc and pulse pressure variation (PPV) were measured at VT of 6 and 10 mL/kg predicted body weight (PBW). FTc was calculated using both Bazett’s (FTcB) and Wodey’s (FTcW) formulas. Fluid responsiveness was defined as a ≥15% increase in the stroke volume index assessed by FloTrac/Vigileo monitor after administration of 8 mL/kg of balanced crystalloid. Among 36 patients, 16 (44.4%) were fluid responders. The areas under the receiver operating characteristic curves (AUROCs) for the FTcB at VT of 6 and 10 mL/kg PBW were 0.897 (95% confidence interval [95% CI]: 0.750–0.973) and 0.895 (95% CI: 0.748–0.972), respectively. The AUROCs for the FTcW at VT of 6 and 10 mL/kg PBW were 0.875 (95% CI: 0.722–0.961) and 0.891 (95% CI: 0.744–0.970), respectively. However, PPV at VT of 6 mL/kg PBW (AUROC: 0.714, 95% CI: 0.539–0.852) showed significantly lower accuracy than that of PPV at VT of 10 mL/kg PBW (AUROC: 0.867, 95% CI: 0.712–0.957; p = 0.034). Carotid FTc can predict fluid responsiveness better than PPV during low VT ventilation. However, further studies using automated continuous monitoring system are needed before its clinical use. Full article
(This article belongs to the Special Issue Recent Advances in the Postoperative Care)
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