Laparoscopic surgery is a transition technology that marked the beginning of the information age revolution for surgery. Telepresence surgery, robotics, tele-education, and telementoring are the next step in the revolution. Using computer-aided systems such as robotics and image-guided surgery, the next generation of surgical systems will be more sophisticated and will permit surgeons to perfor...

BACKGROUND As reimbursements and hospital/physician performance become ever more reliant on Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) and other quality metrics, physicians are increasingly incentivized to improve patient satisfaction. METHODS A faculty and resident team at the University of California, San Francisco (UCSF) Department of Neurological Surgery de...

INTRODUCTION Patients and their families are understandably anxious about the risk of complications and unfamiliar experiences following cardiac surgery. Providing information about postoperative care in the intensive care unit (ICU) to patients and families may lead to lower anxiety levels, and increased satisfaction with healthcare. The objectives of this study are to evaluate the effectivene...

objective: many studies have shown that the level of postoperative distress and anxiety in children is associated with the amount of anxiety during the pre operative period. in this study, we compared the effect of pre-operational attending in a playroom and using play activities on the level of anxiety increment after surgery in an intervention and a control group of iranian children. method: ...

Intervention Patients were allocated to local warming (n=141), systemic warming (n=139), or standard treatment (n=141). All patients were given standard preoperative care. In addition, patients in the local warming group received > 30 minutes of preoperative warming to the planned wound area using a non-contact radiant heat dressing, whereas patients in the systemic warming group received > 30 ...

Background: Preoperative education is part of the informed consent process and should enable patients to make an decision. Aim this study was gain a more detailed insight in perceptions experiences young adults undergoing bariatric surgery. Methods: Fifty-five adults, aged 18–25 years, who underwent surgery, were invited participate semistructured interview. The interview covered three main top...

OBJECTIVE To evaluate the ability of patients to recall information provided during a preoperative visit. DESIGN Qualitative study. SETTING Regional hospital, Hong Kong. PATIENTS Sixty patients scheduled for elective surgery under general anaesthesia or central neuro-axial block. MAIN OUTCOME MEASURES Satisfactory recall of preoperative information, defined as the ability to remember at...

OBJECTIVE Investigations of Appropriate Use Criteria (AUC) education have shown a mixed effect on changing provider behaviour. At our facility, rarely appropriate myocardial perfusion imaging (MPI) differs by specialty; awareness of AUC is low. Our objective is to investigate if specialty-specific, multimodality education could reduce rarely appropriate MPI. METHODS We designed education focu...