BACKGROUND The perioperative management of dabigatran in clinical practice is heterogeneous. We performed this study to evaluate the safety of perioperative management of dabigatran using a specified protocol. METHODS AND RESULTS Patients treated with dabigatran and planned for an invasive procedure were eligible for inclusion. The timing of the last dose of dabigatran before the procedure wa...

BACKGROUND The best surgical technique for large liver hydatid cysts (LHCs) has not yet been agreed on. Objectives. The objective of this study was to examine the role of perioperative endoscopic retrograde cholangiopancreatography (ERCP) and biliary drainage in patients with large LHCs. MetHODS: A 20-year retrospective study of patients with LHCs treated surgically at the University Clinical C...

Fig. 1: Left coronary angiogram in Right Anterior Oblique view with caudal tilt showing thrombus inside the Left Anterior Descending ( LAD) stent at diagonal origin .Note the haziness marked by arrow , indicating a filling defect inside the stent . LCX= Left circumflex , LMCA= Left Main Coronary Artery ,OM = Obtuse Marginal. Fig. 2: Post thrombosuction left coronary angiogram in the same view s...

Perioperative hypothermia is a common and serious complication of anesthesia and surgery and is associated with many adverse perioperative outcomes. It prolongs the duration of action of inhaled and intravenous anesthetics as well as the duration of action of neuromuscular drugs. Mild core hypothermia increases thermal discomfort, and is associated with delayed post anaesthetic recovery. Mild h...

ANESTHETIZED patients who undergo surgical procedures may develop ulnar neuropathy. 1-6 Although the mechanism of ulnar neuropathy in the perioperative setting is often unclear, improper positioning or padding of the upper extremity during surgery is sometimes implicated’,’; however, there is little direct evidence to implicate improper intraoperative care as a cause of perioperative ulnar neur...

Progressive supranuclear palsy (PSP) is one of the rare diseases. PSP is characterized by oculomotor dysfunction, postural instability, akinesia, dysarthria, and dysphagia. The major cause of death in patients with PSP is aspiration pneumonia. Considering these complications, spinal anesthesia is useful in patients with PSP. However, the potential harmful effects of spinal anesthesia including ...

Perioperative hypothermia is a common and serious complication of anesthesia and surgery. Core body temperature, which is normally regulated to within a few tenths of a degree centigrade, can fall by as much as 6 degrees C during anesthesia. The combination of anesthetic-induced impairment of thermoregulatory control and exposure to a cool operating room environment causes most surgical patient...

BACKGROUND Shivering is a frequent complication following surgery and anaesthesia. A large variety of studies have been reported that nefopam may be efficacious for the prevention and treatment of perioperative shivering. Regrettably, there is still no conclusion of the efficacy and safety of nefopam for the prevention of perioperative shivering. The aim of this analysis is to evaluate the effi...

As the recently developed medical treatments for asymptomatic cervical carotid artery stenosis (ACCAS) have shown excellent stroke prevention, carotid endarterectomy (CEA) should be carried out for more selected patients and with lower complication rates and better long-term outcomes. We have performed CEA for Japanese ACCAS patients with a uniform surgical technique and strict perioperative ma...

background: dialysis patients frequently have coronary artery disease but are regarded as high risk patients for coronary artery bypass grafting (cabg). methods: between february 2002 and september 2006, seventeen dialysis-dependent patients underwent isolated cabg at our center. cabg was performed under cardiopulmonary bypass (cpb) for all the patients. all cases had been maintained on hemodia...