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Your search keyword '"Intraoperative Care psychology"' showing total 2 results
Start Over Descriptor "Intraoperative Care psychology" Publisher elsevier
2 results on '"Intraoperative Care psychology"'

1. Awake Craniotomy in a Patient with Previously Diagnosed Post-Traumatic Stress Disorder.

Author

Marenco-Hillembrand L, Suarez-Meade P, Sabsevitz DS, Leone BJ, and Chaichana KL

Subjects
Adult, Anesthesia, General, Brain Mapping methods, Brain Mapping psychology, Brain Neoplasms complications, Craniotomy psychology, Glioma complications, Humans, Intraoperative Care psychology, Male, Neuropsychology, Neurosurgeons, Patient Care Team, Patient Education as Topic, Stress Disorders, Post-Traumatic complications, Brain Neoplasms surgery, Craniotomy methods, Glioma surgery, Intraoperative Care methods, Stress Disorders, Post-Traumatic psychology, Veterans, Wakefulness
Abstract

Background: Awake craniotomy (AC) with brain mapping has been successfully used for the resection of lesions located in or near eloquent areas of the brain. The selection process includes a thorough presurgical evaluation to determine candidates suitable for the procedure. Psychiatric disorders including post-traumatic stress disorder (PTSD) are considered potential contraindications for this type of surgery because these patients may be less cooperative to tolerate AC. Here we present the management of a patient with PTSD who underwent an AC using a multidisciplinary team for removal of a dominant hemisphere low-grade insular glioma with speech, motor, and cognitive mapping., Case Description: A 34-year-old right-handed male military veteran with a previous history of PTSD was scheduled for a left AC for resection of a low-grade insular glioma. He underwent preoperative neurocognitive assessment with a neuropsychologist and clinic visit with a neurosurgeon to characterize his PTSD and potential triggers, explain the procedure in a stepwise fashion, and address any concerns. The intraoperative environment was modified to minimize triggering stimuli, and an asleep-awake-asleep anesthetic protocol was followed. The patient tolerated the procedure well without any postoperative neurologic deficits including cognitive deficits. At 1-month follow-up, he denied any worsening of his PTSD symptoms and recalls the AC as a positive experience., Conclusions: With a multidisciplinary team, adequate preoperative education, detailed clinical interview to identify triggers, and a controlled intraoperative environment, awake surgery can be carried out safely in a patient with PTSD., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Published
2020
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2. Health-related quality of life of breast cancer patients after accelerated partial breast irradiation using intraoperative or external beam radiotherapy technique.

Author

Jacobs DHM, Horeweg N, Straver M, Roeloffzen EMA, Speijer G, Merkus J, van der Sijp J, Mast ME, Fisscher U, Petoukhova AL, Zwanenburg AG, Marijnen CAM, and Koper PCM

Subjects
Aged, Breast Neoplasms psychology, Cross-Sectional Studies, Female, Humans, Intraoperative Care methods, Longitudinal Studies, Mastectomy, Segmental methods, Mastectomy, Segmental psychology, Middle Aged, Postoperative Period, Prospective Studies, Radiotherapy Dosage, Radiotherapy, Adjuvant methods, Treatment Outcome, Breast Neoplasms radiotherapy, Intraoperative Care psychology, Quality of Life, Radiotherapy, Adjuvant psychology
Abstract

Purpose: To compare health-related quality of life (HRQL) in elderly breast cancer patients between two types of Accelerated Partial Breast Irradiation: intraoperative radiotherapy (IORT) and external beam APBI (EB-APBI)., Methods: Between 2011 and 2016 women ≥60 years undergoing breast conserving therapy for early stage breast cancer were included in a prospective multi-centre cohort study. Patients were treated with electron IORT (1 × 23.3 Gy) or photon EB-APBI (10 × 3.85 Gy daily). HRQL was measured by the EORTC-QLQ C30 and BR23 questionnaires before surgery and at several time points until 1 year., Results: HRQoL data was available of 204 IORT and 158 EB-APBI patients. In longitudinal analyses emotional functioning and future perspective were significantly, but not clinically relevantly, worse in IORT-treated patients, and improved significantly during follow-up in both groups. All other aspects of HRQL slightly worsened after treatment and recovered within 3 months with an improvement until 1 year. Cross-sectional analysis showed that postoperatively fatigue and role functioning were significantly worse in IORT patients compared to EB-APBI patients who were not yet irradiated, but the difference was not clinically relevant. At other timepoints there were no significant differences. Multivariable analysis at 1 year identified comorbidity and systemic therapy as risk factors for a worse global health score (GHS)., Conclusions: EB-APBI and IORT were well tolerated. Despite a temporary deterioration after treatment, all HRQL scales recovered within 3 months resulting in no clinically relevant differences until 1 year between groups nor compared to baseline levels., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

Published
2019
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