P-OGC89 Peri-operative blood use in Upper GI surgery

Peri-operative blood management

Anaemia and allogeneic blood transfusions in surgical patients are associated with poor outcomes. Patient blood management (PBM) has been developed as an evidence-based clinical tool, by which clinicians can optimise anaemia, manage peri-operative bleeding, avoid unnecessary blood transfusion and improve patient outcome. This article aims to highlight the recent updates regarding evidence-based...

Peri-Operative Use of Injectable Rimadyl

Selective Use of Peri-Operative Steroids in Pituitary Tumor Surgery: Escape from Dogma

OBJECTIVE Traditional neurosurgical practice calls for administration of peri-operative stress-dose steroids for sellar-suprasellar masses undergoing operative treatment. This practice is considered critical to prevent peri-operative complications associated with hypoadrenalism, such as hypotension and circulatory collapse. However, stress-dose steroids complicate the management of these patien...

The Use of Robotic in GI Surgery

In the past decade, minimally invasive surgery (MIS) has been proved to be one of the landmark developments in the history of modern surgery. However, its development might be limited by 2dimensional imaging, unstable camera platform, limited (only 4) instruments' degrees of freedom, and poor ergonomics.1,2 As the complexity of MIS advances, the demand for better instrumentation and surgical pl...

Peri-operative blood pressure changes in normotensive and hypertensive patients.

Controversy surrounds the acceptance of hypertension as an independent risk factor for anaesthesia. In an attempt to identify variables that are associated with increased haemodynamic instability during surgery, the blood pressure profiles of 128 patients were analysed. The two variables that contributed most to the instability were pre-operative control of blood pressure and anaesthetic techni...