Univ.-Prof. Dr. Thomas Volk stellt rezente Empfehlungen der European Organisation for Anaesthesia, Intensive Care, Pain and Perioperative Medicine (ESAIC) vor.

Background: Enhanced recovery after surgery (ERAS) is now firmly established as a global surgical quality improvement initiative that results in both clinical improvements and cost benefits to the healthcare system. ERAS guidelines are based on the highest quality evidence available and as such require updating on a regular basis. The ERAS Gynecologic/Oncology guidelines were first published in...

This study examines electronic medical records (EMRs) applied within the hospital environment to monitor, measure, and improve perioperative workflow and patient care documentation. This paper identifies how dynamic technological activities of analysis, evaluation, and synthesis, applied to internal and external organizational data, can highlight complex relationships within integrated hospital...

BACKGROUND The aim of the current meta-analysis was to assess the treatment effect of comprehensive geriatric care in reducing acute perioperative delirium in older patients with hip fractures, compared with the effect of a routine orthopedic treatment protocol. METHODS We conducted a search of multiple databases to identify randomized controlled trials (RCTs) and quasi-RCTs comparing compreh...

Nutritional concern is one of the most important issues to be addressed in the perioperative care given to gastrointestinal patients. Not at least, malnutrition may be detrimental and relate to postoperative morbidity. Perioperative nutritional management, integrated with other modern perioperative care policies, allows the establishment of multimodal strategies with an attempt to optimize the ...

POSITION STATEMENT Perioperative registered nurses (RNs) provide patient-centered care and develop interventions for older adults by taking into consideration the changes associated with aging and by understanding that age alone puts older adults at risk for perioperative complications. Perioperative RNs should • meet the physiological, cognitive, special communication, cultural, psychosocial, ...

Rheumatoid arthritis is an autoimmune disorder that presents in females more often than males, and may affect people belonging to any age group. This disease shows no regional or ethnic preference. Although genetic and environmental causes have been proposed, the definitive cause of immunologic susceptibility, as well as viral and bacterial infectious processes that may cause rheumatoid arthrit...

Delirium is highly prevalent, occurring in 20% of acute hospital inpatients and up to 62% of surgical patients. It is a significant predictor of poor outcomes including mortality and institutionalisation, however it is often viewed as simply a marker of underlying illness and is frequently overlooked in older adults. Although delirium is commonly comorbid with dementia, it represents a more urg...

Since the first successful kidney transplant in 1954, results of these transplants have dramatically improved. Given refinements in surgical techniques and perioperative care, combined with superior immunosuppression, the procedure is now the treatment of choice for patients of all ages with ESRD. Acute rejection no longer represents a significant threat to graft loss, and the newer immunosuppr...