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The Australian and New Zealand Intensive Care Society Adult Patient Database prospectively records data on patients cared for in 90% of Australian and 50% of New Zealand ICUs.
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Synopsis: Two years after vaginal surgery for prolapse and stress urinary incontinence, uterosacral ligament suspension and sacrospinous ligament fixation had similar outcomes. Perioperative pelvic floor muscle training did not improve urinary symptoms or prolapse symptoms.
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Ovarian cancer causes approximately 14,000 deaths in the United States each year, making it the most common cause of gynecologic cancer death and the fifth leading cause of cancer death in women after lung, breast, colorectal, and pancreatic cancer.
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Synopsis: A study using data from the California State Prenatal Screening Program has indicated a strong relationship between abnormal first and second trimester analyte values, as well as maternal characteristics, with placental abruption. This has stimulated a discussion of the possible benefit of retaining this type of biochemistry screening for prediction of other pregnancy complications.
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Synopsis: After a province-wide educational campaign advocating salpingectomy at the time of benign gynecologic surgery for ovarian cancer risk reduction, the incidence of salpingectomy rose sharply in British Columbia. This was associated with a modest increase in operative time but no increase in overall surgical morbidity.
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Pain defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage1 is a common symptom experienced by critically ill patients.
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Gershengorn and colleagues used prospectively collected data from the Project IMPACT database (a nationwide, voluntary, proprietary database for assessing performance of U.S. ICUs with respect to patient outcomes and numerous other variables) to examine the question of whether the use of arterial catheters (ACs) in critically ill, mechanically ventilated patients was associated with improved survival or other documentable benefits.
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Delirium, or acute brain dysfunction, is a syndrome that affects many patients in the intensive care unit (ICU). A number of modifiable and non-modifiable risk factors contribute to the development of delirium, such as illness severity, receipt of benzodiazepine medications, and metabolic alterations.
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