A pneumatic tourniquet is often used during ankle fracture surgery to reduce bleeding and enhance the visibility of the surgical field. Tourniquet use causes both mechanical and ischemic pain. The ...main purpose of this study was to evaluate the effect of tourniquet time on postoperative opioid consumption after ankle fracture surgery.
We retrospectively reviewed the files of 586 adult patients with surgically treated ankle fractures during the years 2014-2016. We evaluated post hoc the effect of tourniquet time on postoperative opioid consumption during the first 24 h after surgery. The patients were divided into quartiles by the tourniquet time (4-43 min; 44-58 min; 59-82 min; and ≥83 min). Multivariable linear regression analysis was used to evaluate the results.
Tourniquets were used in 486 patients. The use of a tourniquet was associated with an increase in the total postoperative opioid consumption by 5.1 mg (95 % CI 1.6-8.5; p=0.004) during the first 24 postoperative hours. The tourniquet time over 83 min was associated with an increase in the mean postoperative oxycodone consumption by 5.4 mg (95 % CI 1.2 to 9.7; p=0.012) compared to patients with tourniquet time of 4-43 min.
The use of a tourniquet and prolonged tourniquet time were associated with higher postoperative opioid consumption during the 24 h postoperative follow-up after surgical ankle fracture fixation. The need for ethical approval and informed consent was waived by the Institutional Review Board of Northern Ostrobothnia Health District because of the retrospective nature of the study.
In contemporary media discourses, researchers may be perceived to communicate something they do not intend to, such as coldness or irrelevance. However, researchers are facing new responsibilities ...concerning how popular formats used to present science will impact science’s cultural authority (Bucchi, 2017). Currently, there is limited research on the microlevel practices of digital science communication involving researchers as actors. Therefore, this qualitative study explores how digital academic discourse practices develop, using the tweeting and blogging of researchers involved in a multidisciplinary renewable energy research project as a case. The results of a thematic analysis of interviews with researchers (n = 17) suggests that the researchers’ perceptions form a scale ranging from traditional to progressively adjusted practices, which are labelled ‘informing,’ ‘anchoring,’ ‘luring,’ and ‘maneuvering.’ These imply an attempt to diminish the gap between science and the public. The interviewees acknowledge that scientific facts may not be interesting and that they need captivating means that are common in the use of new media, such as buzzwords and clickbait. It appears that trials and experimentation with hybrid genres helped the researchers to distinguish the contours of digital academic discourses. The implications support suggestions to broaden the trajectories of expertise and communication, including issues of culture and identity, trust, and the relevance of science. It is argued that scientists’ embrace of new media channels will refine some articulations of the mediatization processes, and these findings support recent suggestions that mediatization could also be conceptualized as a strategic resource.
In the changing science communication landscape, researchers may govern their public science-society relations through the social media connections at their fingertips. However, digital media ...outreach may create challenges for researchers and cause changes in the communication professionals' role. The aim of this qualitative interview study was to enhance understanding of the challenges in the rarely explored organizational collaboration between researchers and communication professionals. The results identify ambiguous duties and responsibilities, as well as blurring boundaries of occupational roles and coordination challenges in content production.
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