LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 30

Search options

  1. Article ; Online: The BUSCOPAN study: a randomized-controlled non-inferiority trial of a continuous butylscopolamine infusion versus placebo in patients with a renal colic not responding to oral non-steroidal anti-inflammatory drugs.

    Weltings, S / Buddingh, K T / van Diepen, D C / Pelger, R C M / Putter, H / Rad, M / Schout, B M A / Roshani, H

    World journal of urology

    2020  Volume 39, Issue 7, Page(s) 2747–2752

    Abstract: Purpose: To investigate whether placebo is non-inferior to continuous infusion of butylscopolamine in patients with renal colic.: Methods: We conducted a placebo-controlled, multicenter, double-blind randomized clinical trial (RCT) including 128 ... ...

    Abstract Purpose: To investigate whether placebo is non-inferior to continuous infusion of butylscopolamine in patients with renal colic.
    Methods: We conducted a placebo-controlled, multicenter, double-blind randomized clinical trial (RCT) including 128 patients with renal colic (confirmed by ultrasound or CT-scan). Patients were randomized to receive either continuous IV butylscopolamine 100 mg/24 h or placebo (saline). Primary outcome is the amount of opioid escape medication used, measured in doses administered. Secondary outcomes are pain measured on a Numeric Rating Scale (NRS), side effects, and time of drug administration. Non-inferiority was assessed using linear regression with robust standard errors, with non-inferiority limit set at 0.5 units of escape medication.
    Results: Median number of doses of escape medication was one in both groups. The number of extra doses in the placebo group compared with the butylscopolamine group was 0.05, with a 95% robust confidence interval (CI) of 0.38-0.47. Upper limit of the CI remained below the non-inferiority limit of 0.5 (p = 0.04). No differences in secondary endpoints were seen between the groups.
    Conclusion: Placebo is non-inferior to continuous IV butylscopolamine for pain relief in patients with renal colic. Based on this study and previous evidence, there is no role for continuous butylscopolamine IV in the treatment of renal colic. Trial NL7819.
    MeSH term(s) Adult ; Anti-Inflammatory Agents, Non-Steroidal/therapeutic use ; Butylscopolammonium Bromide/administration & dosage ; Double-Blind Method ; Female ; Humans ; Infusions, Intravenous ; Male ; Middle Aged ; Muscarinic Antagonists/administration & dosage ; Renal Colic/drug therapy ; Treatment Failure
    Chemical Substances Anti-Inflammatory Agents, Non-Steroidal ; Muscarinic Antagonists ; Butylscopolammonium Bromide (2Z3E1OF81V)
    Language English
    Publishing date 2020-09-19
    Publishing country Germany
    Document type Equivalence Trial ; Journal Article ; Multicenter Study ; Randomized Controlled Trial
    ZDB-ID 380333-8
    ISSN 1433-8726 ; 0724-4983
    ISSN (online) 1433-8726
    ISSN 0724-4983
    DOI 10.1007/s00345-020-03460-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: The critical view of safety and routine intraoperative cholangiography complement each other as safety measures during cholecystectomy.

    Buddingh, K Tim / Nieuwenhuijs, Vincent B

    Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

    2011  Volume 15, Issue 6, Page(s) 1069–70; author reply 1071

    MeSH term(s) Biliary Tract Diseases/diagnostic imaging ; Cholangiography/methods ; Cholecystectomy, Laparoscopic/methods ; Female ; Humans ; Intraoperative Complications/prevention & control ; Male ; Safety Management/methods
    Language English
    Publishing date 2011-03-05
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 2012365-6
    ISSN 1873-4626 ; 1934-3213 ; 1091-255X
    ISSN (online) 1873-4626 ; 1934-3213
    ISSN 1091-255X
    DOI 10.1007/s11605-011-1413-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: Abdominal Compartment Syndrome and Intra-abdominal Ischemia in Patients with Severe Acute Pancreatitis.

    Smit, M / Buddingh, K T / Bosma, B / Nieuwenhuijs, V B / Hofker, H S / Zijlstra, J G

    World journal of surgery

    2016  Volume 40, Issue 6, Page(s) 1454–1461

    Abstract: Introduction: Severe acute pancreatitis may be complicated by intra-abdominal hypertension (IAH), abdominal compartment syndrome (ACS), and intestinal ischemia. The aim of this retrospective study is to describe the incidence, treatment, and outcome of ... ...

    Abstract Introduction: Severe acute pancreatitis may be complicated by intra-abdominal hypertension (IAH), abdominal compartment syndrome (ACS), and intestinal ischemia. The aim of this retrospective study is to describe the incidence, treatment, and outcome of patients with severe acute pancreatitis and ACS, in particular the occurrence of intestinal ischemia.
    Methods: The medical records of all patients admitted with severe acute pancreatitis admitted to the ICU of a tertiary referral center were reviewed. The criteria proposed by the World Society of the Abdominal Compartment Syndrome (WSACS) were used to determine whether patients had IAH or ACS.
    Results: Fifty-nine patients with severe acute pancreatitis were identified. Intra-abdominal pressure (IAP) measurements were performed in 29 patients (49.2 %). IAH was present in all patients (29/29). ACS developed in 13/29 (44.8 %) patients. Ten patients with ACS underwent decompressive laparotomy. A large proportion of patients with ACS had intra-abdominal ischemia upon laparotomy: 8/13 (61.5 %). Mortality was high in both the ACS group and the IAH group.
    Conclusion: This study confirms that ACS is common in severe acute pancreatitis. Intra-abdominal ischemia occurs in a large proportion of patients with ACS. Swift surgical intervention may be indicated when conservative measures fail in patients with ACS. National and international guidelines need to be updated so that routine IAP measurements become standard of care for patients with severe acute pancreatitis in the ICU.
    MeSH term(s) Aged ; Decompression, Surgical ; Female ; Humans ; Intestines/blood supply ; Intra-Abdominal Hypertension/etiology ; Intra-Abdominal Hypertension/surgery ; Ischemia/etiology ; Laparotomy ; Male ; Middle Aged ; Pancreatitis/complications ; Retrospective Studies
    Language English
    Publishing date 2016-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-015-3388-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article ; Online: Constipation and nonspecific abdominal pain in teenage girls referred for emergency surgical consultation.

    Buddingh, K Tim / Wieselmann, Eva / Heineman, Erik / Broens, Paul M A

    Journal of pediatric gastroenterology and nutrition

    2012  Volume 54, Issue 5, Page(s) 672–676

    Abstract: Objective: The aim of this study was to describe the discharge diagnoses of children receiving surgical consultation for acute abdominal pain according to age and sex.: Methods: Retrospective chart review.: Results: Nine hundred forty-one children ...

    Abstract Objective: The aim of this study was to describe the discharge diagnoses of children receiving surgical consultation for acute abdominal pain according to age and sex.
    Methods: Retrospective chart review.
    Results: Nine hundred forty-one children were included. Appendicitis was confirmed in 31% of young boys (<12 years), 42% of teenage boys (≥12 years), 38% of young girls, and only 18% of teenage girls. A large number of teenage girls were diagnosed as having constipation and nonspecific abdominal pain. Gynecological diagnoses were relatively rare (9% of teenage girls). Teenage girls often required multiple visits to the emergency department. In addition, they frequently received consultation from other medical specialists: 30% versus 20% of young girls and 12% of boys. Teenage girls had the highest rate of (retrospectively) unnecessary surgery: 36% versus 10% of young girls (P < 0.01) and 11% of boys (P < 0.01).
    Conclusions: Most children receiving surgical consultation for acute abdominal pain do not have diseases requiring surgery. In teenage girls, especially, the proportion with appendicitis is low. Constipation and nonspecific abdominal pain are the main discharge diagnoses in this group. Physicians should have a high index of suspicion of constipation when examining teenage girls with acute abdominal pain.
    MeSH term(s) Abdominal Pain/diagnosis ; Abdominal Pain/epidemiology ; Abdominal Pain/surgery ; Acute Disease ; Adolescent ; Appendicitis/diagnosis ; Appendicitis/epidemiology ; Appendicitis/surgery ; Child ; Child, Preschool ; Constipation/diagnosis ; Constipation/epidemiology ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Incidence ; Male ; Referral and Consultation ; Retrospective Studies ; Unnecessary Procedures/statistics & numerical data
    Language English
    Publishing date 2012-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603201-1
    ISSN 1536-4801 ; 0277-2116
    ISSN (online) 1536-4801
    ISSN 0277-2116
    DOI 10.1097/MPG.0b013e31823c253c
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: Pie sharing in complex clinical collaborations: a piece of cake?

    Buddingh, K T / van Dam, G M / Crane, L M A

    BMJ (Clinical research ed.)

    2010  Volume 341, Page(s) c6641

    MeSH term(s) Interprofessional Relations ; Resource Allocation
    Language English
    Publishing date 2010-12-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.c6641
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Lower rate of major bile duct injury and increased intraoperative management of common bile duct stones after implementation of routine intraoperative cholangiography.

    Buddingh, K Tim / Weersma, Rinse K / Savenije, Rolf A J / van Dam, Gooitzen M / Nieuwenhuijs, Vincent B

    Journal of the American College of Surgeons

    2011  Volume 213, Issue 2, Page(s) 267–274

    Abstract: Background: Our university medical center is the only center in The Netherlands that has adopted a policy of routine intraoperative cholangiography (IOC) during cholecystectomy. This study aimed to describe the rate of bile duct injury (BDI) and ... ...

    Abstract Background: Our university medical center is the only center in The Netherlands that has adopted a policy of routine intraoperative cholangiography (IOC) during cholecystectomy. This study aimed to describe the rate of bile duct injury (BDI) and management of common bile duct (CBD) stones before and after implementation of a routine IOC policy.
    Study design: Medical records were reviewed of all patients undergoing cholecystectomy in the 3 years before implementation of routine IOC and 3 years after. Dissection with the goal to achieve the critical view of safety was the standard operative technique during the entire study period.
    Results: Four hundred and twenty-one patients underwent cholecystectomy with selective IOC and 435 patients with routine IOC. Groups were similar in age, sex, comorbidity, indication for surgery, and surgical approach. IOC was attempted in 5.9% in the selective IOC group and 59.8% in the routine IOC group (p < 0.001). The rate of major BDI was 1.9% in the selective IOC group and 0% in the routine IOC group (p = 0.004). The injuries consisted of 5 type B and 3 type D injuries, according to the Amsterdam classification. The rate of minor BDI did not differ substantially among the groups. More CBD stones were detected in the routine IOC group (4.8% versus 1.0%; p = 0.001) and they were managed intraoperatively more frequently (2.8% versus 0.7%; p = 0.023). There was a trend toward fewer preoperative and postoperative ERCPs and other interventions for CBD stones (19.1% versus 24.2%; p = 0.067).
    Conclusions: Implementation of routine IOC policy was followed by fewer major BDIs and higher rates of intraoperative CBD stone management.
    MeSH term(s) Adult ; Bile Ducts/injuries ; Cholangiography ; Cholecystectomy ; Cholecystectomy, Laparoscopic ; Cholecystolithiasis/surgery ; Female ; Gallstones/diagnosis ; Gallstones/surgery ; Humans ; Intraoperative Care ; Intraoperative Complications/prevention & control ; Intraoperative Complications/therapy ; Male ; Middle Aged
    Language English
    Publishing date 2011-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1181115-8
    ISSN 1879-1190 ; 1072-7515
    ISSN (online) 1879-1190
    ISSN 1072-7515
    DOI 10.1016/j.jamcollsurg.2011.03.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: A 28-year-old man with air in the mediastinal space after a car accident.

    Brakman, Martijn / Buddingh, K Tim / Smit, Marije / Struys, Michel M R F / Zijlstra, Jan G / van Meurs, Matijs

    Anesthesiology

    2012  Volume 117, Issue 4, Page(s) 878

    MeSH term(s) Accidents, Traffic ; Adult ; Bronchoscopy ; Electrocardiography ; Hemodynamics/physiology ; Humans ; Male ; Mediastinal Emphysema/etiology ; Thoracic Injuries/therapy ; Wounds, Nonpenetrating/therapy
    Language English
    Publishing date 2012-10
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 269-0
    ISSN 1528-1175 ; 0003-3022
    ISSN (online) 1528-1175
    ISSN 0003-3022
    DOI 10.1097/ALN.0b013e318250bb3c
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Intraoperatieve beeldvorming met fluorescentie.

    Swijnenburg, Rutger-Jan / Crane, Lucia M A / Buddingh, K Tim / van de Velde, Cornelis J H / Vahrmeijer, Alexander L / van Dam, Gooitzen M

    Nederlands tijdschrift voor geneeskunde

    2012  Volume 156, Issue 11, Page(s) A4316

    Abstract: Intraoperative imaging using fluorescence is an experimental technique by which specific tissue structures can be visualised. A preoperatively administered optical contrast agent with fluorescence properties is detected during the operation using a light- ...

    Title translation Intraoperative imaging using fluorescence.
    Abstract Intraoperative imaging using fluorescence is an experimental technique by which specific tissue structures can be visualised. A preoperatively administered optical contrast agent with fluorescence properties is detected during the operation using a light-sensitive camera system. Using this technique, vital anatomical structures such as blood vessels, bile ducts and ureters are rendered visible to the surgeon. The technique can also serve as a detection method for sentinel lymph nodes. Furthermore, tumour-specific fluorescent tracers are being developed to delineate tumours from surrounding tissue. The aim of this is to increase the number of radical cancer operations and reduce iatrogenic tissue damage. Currently, clinical studies are being conducted to investigate the value and feasibility of this technique for different surgical specialties.
    MeSH term(s) Contrast Media/administration & dosage ; Diagnostic Imaging/instrumentation ; Diagnostic Imaging/methods ; Fluorescent Dyes/administration & dosage ; Humans ; Intraoperative Period ; Lymph Nodes/pathology ; Lymph Nodes/surgery ; Monitoring, Intraoperative ; Neoplasms/pathology ; Neoplasms/surgery
    Chemical Substances Contrast Media ; Fluorescent Dyes
    Language Dutch
    Publishing date 2012
    Publishing country Netherlands
    Document type English Abstract ; Journal Article
    ZDB-ID 82073-8
    ISSN 1876-8784 ; 0028-2162
    ISSN (online) 1876-8784
    ISSN 0028-2162
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Large neonatal thoracoabdominal aneurysm: case report and review of the literature.

    Buddingh, K Tim / Zeebregts, Clark J / Tilanus, Martijn E C / Roofthooft, Marc T R / Broens, Paul M A

    Journal of pediatric surgery

    2008  Volume 43, Issue 7, Page(s) 1361–1364

    Abstract: We present a neonate with a large saccular aneurysm of the thoracoabdominal aorta, extending from the intrathoracic aorta to the left common iliac artery. No underlying cause could be identified. Despite an early diagnosis, the aneurysm was deemed ... ...

    Abstract We present a neonate with a large saccular aneurysm of the thoracoabdominal aorta, extending from the intrathoracic aorta to the left common iliac artery. No underlying cause could be identified. Despite an early diagnosis, the aneurysm was deemed inoperable because of the lengthy involvement and the frail aspect of all visceral arteries. A review of the literature on congenital abdominal aortic aneurysm in infants was conducted. Eleven cases of live-born infants with a congenital abdominal aortic aneurysm have previously been published. None of them involved as large a part of the thoracic and abdominal aorta as the case presented here.
    MeSH term(s) Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery ; Humans ; Infant, Newborn ; Male ; Tomography, X-Ray Computed
    Language English
    Publishing date 2008-07
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2008.02.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: Safety measures during cholecystectomy: results of a nationwide survey.

    Buddingh, K T / Hofker, H S / ten Cate Hoedemaker, H O / van Dam, G M / Ploeg, R J / Nieuwenhuijs, V B

    World journal of surgery

    2011  Volume 35, Issue 6, Page(s) 1235–41; discussion 1242–3

    Abstract: Background: This study aimed to identify safety measures practiced by Dutch surgeons during laparoscopic cholecystectomy.: Method: An electronic questionnaire was sent to all members of the Dutch Society of Surgery with a registered e-mail address.!## ...

    Abstract Background: This study aimed to identify safety measures practiced by Dutch surgeons during laparoscopic cholecystectomy.
    Method: An electronic questionnaire was sent to all members of the Dutch Society of Surgery with a registered e-mail address.
    Results: The response rate was 40.4% and 453 responses were analyzed. The distribution of the respondents with regard to type of hospital was similar to that in the general population of Dutch surgeons. The critical view of safety (CVS) technique is used by 97.6% of the surgeons. It is documented by 92.6%, mostly in the operation report (80.0%), but often augmented by photography (42.7%) or video (30.2%). If the CVS is not obtained, 50.9% of surgeons convert to the open approach, 39.1% continue laparoscopically, and 10.0% perform additional imaging studies. Of Dutch surgeons, 53.2% never perform intraoperative cholangiography (IOC), 41.3% perform it incidentally, and only 2.6% perform it routinely. A total of 105 bile duct injuries (BDIs) were reported in 14,387 cholecystectomies (0.73%). The self-reported major BDI rate (involving the common bile duct) was 0.13%, but these figures need to be confirmed in other studies.
    Conclusion: The CVS approach in laparoscopic cholecystectomy is embraced by virtually all Dutch surgeons. The course of action when CVS is not obtained varies. IOC seems to be an endangered skill as over half the Dutch surgeons never perform it and the rest perform it only incidentally.
    MeSH term(s) Cholangiography/methods ; Cholecystectomy, Laparoscopic/adverse effects ; Cholecystectomy, Laparoscopic/methods ; Clinical Competence ; Common Bile Duct/injuries ; Cross-Sectional Studies ; Female ; Humans ; Intraoperative Complications/diagnosis ; Intraoperative Complications/epidemiology ; Male ; Monitoring, Intraoperative/methods ; Netherlands ; Practice Patterns, Physicians' ; Risk Assessment ; Safety Management ; Surveys and Questionnaires ; Treatment Outcome
    Language English
    Publishing date 2011-03-29
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-011-1061-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top