BACKGROUND Enhanced recovery after surgery (ERAS) is a multimodal approach to perioperative care that combines a range of interventions to enable early mobilization and feeding after surgery. We investigated the feasibility, clinical effectiveness, and cost savings of an ERAS program at a major U. S. teaching hospital. METHODS Data were collected from consecutive patients undergoing open or l...

Rev Esp Cardiol. 2009;62(9):1068-81 1069 these patients is complex. The hypoxaemia does not respond to increases in positive end-expiratory pressure (PEEP) which has even been related to the shunt increase.4 Also, patient maladjustment during weaning which involves a manoeuvre similar to that of Valsalva increases the shunt and consequently the hypoxaemia, which hinders extubation.3 In our pati...

Purpose The aim of this study was to evaluate whether the perioperative carcinoembryonic antigen (CEA) ratio could be used as a determinant for adjuvant therapy after curative surgery in stage II colorectal cancer. Methods Data for 119 patients with stage II colorectal cancer who underwent radical surgery between 2010 and 2013 were collected. The perioperative CEA ratio was defined as the pos...

INTRODUCTION The objective of this study was to examine the clinical outcome of single-level lumbar artificial disc replacement (ADR) compared to that of transforaminal lumbar interbody fusion (TLIF) for the treatment of symptomatic degenerative disc disease (DDD) in an Asian population. METHODS This was a retrospective review of 74 patients who had surgery performed for discogenic lower back...

Postoperative infectious complications are independently associated with increased hospital length of stay (LOS) and cost and contribute to significant inpatient morbidity. Many strategies such as avoidance of long periods of preoperative fasting, re-establishment of oral feeding as early as possible after surgery, metabolic control and early mobilization have been used to either prevent or red...

In this paper, we study the matrix period and competition of Toeplitz matrices over a binary Boolean ring B={0,1}. Given subsets S T {1,…,n−1}, an n×n A=Tn〈S;T〉 is defined to have 1 as (i,j)-entry if only j−i∈S or i−j∈T. We show that max⁡S+min⁡T≤n min⁡S+max⁡T≤n, then A has d/d′ where d=gcd⁡(s+t|s∈S,t∈T) d′=gcd⁡(d,min⁡S). Moreover, it shown limit sequence {Am(AT)m}m=1∞ directed sum all ones exce...

BACKGROUND The exact survival rates and markers of survival after postoperative cardiac arrest in children with congenital heart abnormalities are unknown. METHODS In this one-year study, we identified children younger than seven years of age with postoperative cardiac arrest in our pediatric cardiac intensive care unit database. Parameters from perioperative, pre-arrest, and resuscitation pe...

Early oral feeding is the preferred mode of nutrition for surgical patients. Avoidance of any nutritional therapy bears the risk of underfeeding during the postoperative course after major surgery. Considering that malnutrition and underfeeding are risk factors for postoperative complications, early enteral feeding is especially relevant for any surgical patient at nutritional risk, especially ...

OBJECTIVE To study short and long term results after surgical closure of isolated ventricular septal defects (VSDs) from 1976 to 1996, especially in relation to changes in preoperative evaluation during this period. DESIGN Retrospective study. SETTING Tertiary referral centre for paediatric cardiac care. PATIENTS All children under 18 years of age who had corrective surgery for VSD betwee...

OBJECTIVE To evaluate the outcomes after the implementation of a multimodal protocol (ACERTO protocol) with patients undergoing colorectal operations. METHODS Fifty-three patients (37 M and 16 F; 57 [18-82] years old) submitted to various colorectal operations were prospectively studied in two different periods of time: from January 2004 through July 2005 (n=25, conventional group) and from A...