we report a rare case of acute right coronary artery stenosis developing in a patient undergoing aortic valve replacement. we present a case report with a brief overview of the literature relating to coronary artery occlusion associated with cardiac valve surgery – the theories and treatments are discussed. a 85 year-old female was admitted under the care of the  cardiothoracic team with signs ...

Following the first report describing intraoperative floppy-iris syndrome (IFIS) in 2005, extensive efforts have been made to educate prescribing physicians about the association of IFIS with systemic a1-antagonists such as tamsulosin. In 2005, the U.S. Food and Drug Administration issued a new label warning about this association and Boehringer Ingelheim, manufacturer of Flomax (tamsulosin), i...

Background: Intraoperative awareness is a rare but extremely unfavourable phenomenon affecting 0.1–0.2% of patients who undergo surgery under general anaesthesia. The event exposes patients to stress and its remote, severe outcomes. The aim of the present study was to determine the incidence of intraoperative awareness in patients undergoing general anaesthesia. Methods: The observational quest...

Importance Handing over the care of a patient from one anesthesiologist to another occurs during some surgeries and might increase the risk of adverse outcomes. Objective To assess whether complete handover of intraoperative anesthesia care is associated with higher likelihood of mortality or major complications compared with no handover of care. Design, Setting, and Participants A retrospe...

Aims: We aimed to compare the effects of anesthesia induction on hemodynamic parameters ketamine-midazolam or etomidate-midazolam combinations and coronary artery bypass grafting surgery.
 Material Methods: 40 adult patients undergoing CABG were randomly allocated into two groups for this prospective randomized double-blinded study. Ketamine group (n = 20) Etomidate 20). Intraoperative pos...

OBJECTIVES Reducing variability is integral in quality management. As part of the ongoing Encephaloduroarteriosynangiosis Revascularisation for Symptomatic Intracranial Arterial Stenosis (ERSIAS) trial, we developed a strict anaesthesia protocol to minimise fluctuations in patient parameters affecting cerebral perfusion. We hypothesise that this protocol reduces the intraoperative variability o...

BACKGROUND Inadvertent perioperative hypothermia (IPH) leads to surgical complications and increases length of stay. IPH rates are high with the current standard of care, forced air warming (FAW). Our hypothesis is that a prototype thermal compression device that heats the popliteal fossa and soles of the feet, with lower leg compression, increases perioperative temperatures and reduces IPH com...

The most common agents that are responsible for intraoperative anaphylaxis are muscle relaxants. However, latex accounts for a significant number of these reactions, and the incidence of intraoperative anaphylaxis caused by latex is increasing. It is now probably the second most important cause of intraoperative anaphylaxis. Following muscle relaxants and latex are probably antibiotics and anes...

BACKGROUND Quality of cardiac surgical care may vary between institutions. Mortality is low and large numbers are required to discriminate between hospitals. Measures other than mortality may provide better comparisons. OBJECTIVES To develop and assess the Acute Risk Change for Cardiothoracic Admissions to Intensive Care (ARCTIC) index, a new performance measure for cardiothoracic admissions ...

The Clinical Practice Council of the Society for Vascular Surgery charged a writing committee with the task of updating practice guidelines, initally published in 2003, for surgeons and physicians who are involved in the preoperative, operative, and postoperative care of patients with abdominal aortic aneurysms (AAA). This document provides recommendations for evaluating the patient, including ...