1. Practice advisory for perioperative visual loss associated with spine surgery: An updated report by the American Society of Anesthesiologists Task Force on Perioperative Visual Loss. ANESTHESIOLOGY 2012; 116:274 – 85 2. Marik PE, Baram M, Vahid B: Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest 2008; 134:172–...

The perioperative management of patients suffering from extensive superior vena cava (SVC) thrombus complicated by SVC syndrome presents unique challenges. The anesthesiologist needs to be prepared for possible thrombus dislodgement resulting in pulmonary embolism and also has to assess the need for fluid resuscitation given the dangers of massive intravenous fluid application via the upper ext...

BACKGROUND Perioperative blood transfusion carries numerous potential risks concerning the transmission of infective diseases and immunodepression that can facilitate the occurrence of postoperative infectious complications. Explanation of connections between perioperative blood transfusion and postoperative septic complication worldwide is not well documented. Many studies have described a cor...

Fluid and electrolyte homeostasis is a highly evolved mechanism, designed to conserve sodium and water in periods of illness. The advent of intravenous fluid therapy has challenged this system to operate in an opposite manner and excrete perioperatively administered sodium and water. Excessive fluid generates oedema and is associated with organ dysfunction and even death. Numerous fluid types h...

BACKGROUND Fluid excess may place patients undergoing surgery at risk for various complications. Hypertonic saline (HS) maintains intravascular volume with less intravenous fluid than isotonic salt (IS) solutions, but may increase serum sodium. OBJECTIVES To determine the benefits and harms of HS versus IS solutions administered to patients undergoing surgery. SEARCH STRATEGY We searched th...

BACKGROUND Procedures for perioperative infection prophylaxis in elective colon cancer surgery consist of preoperative mechanical preparation, chemical preparation with oral antibiotic administration, perioperative intravenous antibiotic administration, and others. However, the optimal combination of these procedures and drugs and their durations of administration have not yet been established....

Evidence for optimal perioperative care in colorectal surgery is abundant. By avoiding fasting, intravenous fluid overload, and activation of the neuroendocrine stress response, postoperative catabolism is reduced and recovery enhanced. The specific measures that can be used routinely include no bowel preparation, epidural anaesthesia/analgesia continued for one to two days postoperatively, no ...

Objective Retrospective studies and a meta-analysis were performed to evaluate the safety and effectiveness of the perioperative administration of recombinant human brain natriuretic peptide (rhBNP) during cardiac surgery under extracorporeal circulation. Methods Computerized literature searches were performed in Medline, Embase, The Cochrane Library, CNKI, CBM, and WANFANG to find randomized...

Abstract Objectives To assess plasma and tissue pharmacokinetics of cefazolin metronidazole in obese patients undergoing bariatric surgery non-obese intra-abdominal surgery. Patients methods Fifteen 15 received an IV short infusion 2 g 0.5 for perioperative prophylaxis. Plasma microdialysate from subcutaneous were sampled until 8 h after dosing. Drug concentrations determined by HPLC-UV. Pharma...