Scenarios wanted! Please add your favorites! [Click on "Easy Edit", above]
Information about each scenario can include, but need not be limited to:
- the case
- the PICO'd question
- type of question/preferred study design
- suggested search strategies
- teaching tips
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PICO Chart
| In elderly patients with liver mass, should Heparin be ordered post-operatively to address PE concerns?
|
Patient, Problem, or Population:
| 81 y.o. patient with liver mass (suspected hepatocellular adenoma) – liver resection
|
Intervention:
| Increased heparin post-operatively
|
Comparison:
| No heparin post-op
|
Outcome(s):
| - Increased chance of survival
- Decreased morbidity/mortality
- Decreased incidence of PE post-operatively
- Decreased use of HC resources
- Increased patient satisfaction
|
PICO Chart
| In elderly patients with liver mass, is Danaparoid more effective than Heparin in addressing PE concerns?
|
Patient, Problem, or Population:
| 81 y.o. patient with liver mass (suspected hepatocellular adenoma) – liver resection
|
Intervention:
| Danaparoid
|
Comparison:
| Heparin
|
Outcome(s):
| - Effectiveness?
- Decreased incidence of PE post-op
- Decreased morbidity/mortality
- Decreased use of HC resources
- Increased chance of survival
|
PICO Chart
| Laparoscopic versus Open surgery in Patient with cirrhosis and acute appendicitis
|
Patient, Problem, or Population:
| 58 y.o. male with alcoholic cirrhosis, portal hypertension, and acute appendicitis
|
Intervention:
| Laparoscopic surgery
|
Comparison:
| Open surgery
|
Outcome(s):
| - Increased chance of survival
- Decreased morbidity/mortality
- Increased patient satisfaction
- Decreased adverse effects
|
PICO Chart
| Bile duct injury during laparoscopic cholecystectomy
|
Patient, Problem, or Population:
| Patient with gallstones
|
Intervention:
| Laparoscopic cholecystectomy
|
Comparison:
|
|
Outcome(s):
| Etiology/Causation/Harm: -Injuries to the bile duct
|
PICO Chart
| Lysis of Adhesions in small bowel obstruction
|
Patient, Problem, or Population:
| Patient with small bowel obstruction
|
Intervention:
| Lysis of adhesions
|
Comparison:
| No lysis
|
Outcome(s):
| Effectiveness? Prognosis? Quality of Life?
|
PICO Chart
| CT vs MRI in colorectal cancer – diagnostic accuracy
|
Patient, Problem, or Population:
| Patient with colorectal cancer
|
Intervention:
| CT scan
|
Comparison:
| MRI
|
Outcome(s):
| Effectiveness – which provides diagnostic accuracy? Diagnosis?
|
PICO Chart
| CT vs Transrectal Ultrasound – diagnostic accuracy
|
Patient, Problem, or Population:
| Patient with colorectal cancer
|
Intervention:
| CT scan
|
Comparison:
| Transrectal Ultrasound
|
Outcome(s):
| Effectiveness – which provides greater diagnostic accuracy? Diagnosis?
|
PICO Chart
| Role of peritoneal lavage in GI surgery (esp appendicitis)
|
Patient, Problem, or Population:
| Patient with appendicitis
|
Intervention:
| Peritoneal lavage
|
Comparison:
| No peritoneal lavage
|
Outcome(s):
| Effectiveness? Prognosis?
|
PICO Chart
| Dehiscence – which closures work best?
|
Patient, Problem, or Population:
| Patient with dehiscence
|
Intervention:
| Hand sewing/sutures
|
Comparison:
| Staples
|
Outcome(s):
| Effectiveness? Prognosis? Etiology/causation/harm? Quality of life?
|
PICO Chart
| Is there a role for palliative surgery in GI Cancers?
|
Patient, Problem, or Population:
| Patient with stage IV – V GI cancer
|
Intervention:
| Palliative surgery
|
Comparison:
| No surgery
|
Outcome(s):
| Quality of Life? Effectiveness? Prognosis?
|
PICO Chart
| Role of staging laparoscopy in GI Cancers
|
Patient, Problem, or Population:
| Patient with GI cancer
|
Intervention:
| Staging laparoscopy
|
Comparison:
| No staging laparoscopy or routine pathology staging
|
Outcome(s):
| Effectiveness? Prognosis? Etiology/causation/harm? Quality of life?
|
