OBJECTIVE To evaluate the implementation and effectiveness of an internet-based perioperative care programme for patients following gynaecological surgery for benign disease. DESIGN Stepped-wedge cluster randomised controlled trial. SETTING Secondary care, nine hospitals in the Netherlands, 2011-2014. PARTICIPANTS 433 employed women aged 18-65 years scheduled for hysterectomy and/or lapar...

Recently, the ERBP (European Renal Best Practice) guideline on kidney donor and recipient evaluation and perioperative care has been published and disseminated to the international nephrology community. This guideline aims at providing evidence-based recommendations on the evaluation of the kidney transplant candidate. They evaluate the immunologic workup of kidney donors and recipients, they r...

• Objective: To assess nurses’ opinions of a hospitalistorthopedic team (HOT) model of perioperative care. • Design: Paper survey distributed quarterly as a portion of a larger randomized controlled trial. • Setting: Rochester Methodist Hospital (Mayo Clinic), an academic, primarily elective surgical hospital in

Background: The use of large doses opioids perioperatively has been found to be associated with early recurrence in patients undergoing surgery for primary cancer. This study aimed describe the opioid free anesthesia cancer patients.
 Case presentation: A 72-year-old man a diagnosis papillary adenocarcinoma thyroid underwent total thyroidectomy and dextra functional neck dissection. result...

Objective High caseload is considered one of the most important factors for good outcomes after high-risk surgeries such as oesophagectomy. However, many Australian centres perform low volumes of oesophagectomies due to demographics. The aim of the present study was to audit outcome after oesophagectomy in an Australian low-volume centre over a period of 13 years and to discuss potential contri...

PURPOSE To evaluate post-cataract-surgery endophthalmitis rates in relation to changing practice patterns in antibiotic administration. SETTING Kaiser Permanente, Diablo Service Area, California. DESIGN Ecological time-trend study. METHODS During 2007 through 2011, 3 time periods were identified based on increasing adoption of intracameral injections after phacoemulsification cataract sur...

BACKGROUND Several plasma volume expander alternatives exist to enhance intravascular volume status in patients undergoing surgery. The optimal intravascular volume expander in the perioperative setting is currently unknown. Low molecular weight hetastarch, Voluven® (130/0.4), may have a better safety profile than high molecular weight hetastarch, Hextend® (450/0.7). We examined the clinical an...