Background Cardiopulmonary exercise testing (CPET) is an exercise stress test with concomitant expired gas analysis that provides an objective, non-invasive measure of functional capacity under stress. CPET-derived variables predict postoperative morbidity and mortality after major abdominal and thoracic surgery. Two previous surveys have reported increasing utilisation of CPET preoperatively i...

opium is a derivative of opium poppy; the species of plant which its extract is used for preparing opium. opium abuse is considered under drug dependency classification of psychiatric diseases and opium abusers have a number of major challenges before, during and after anesthesia for surgical operations (i.e. the perioperative period). this article reviews these clinical challenges during the p...

BACKGROUND A major restructuring of perioperative care delivery is required to reduce cost while improving patient outcomes. In a test implementation of this notion, we developed and implemented a perioperative consult service (PCS) for colorectal surgery patients. METHODS A 6-month planning process was undertaken to engage key stakeholders from surgery, nursing, and anesthesia in a healthcar...

Postoperative cognitive dysfunction (POCD) is a mild form of perioperative ischemic brain injury, which emerges as memory decline, decreased attention, and decreased concentration during several months, or even years, after surgery. Here we present results of our three neuropsychological studies, which overall included 145 patients after on-pump operations. We found that the auditory memory spa...

Bodily injury and stress associated with surgical interventions increase glucose levels not only in individuals diagnosed with diabetes mellitus but also in patients without a preoperative diagnosis of diabetes. Whatever the cause, hyperglycemia is becoming an increasingly important indicator of perioperative patient outcomes. An elevated blood glucose level affects the body's defense systems a...

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...

Perioperative blood transfusions are common in total hip arthroplasty because of preoperative anemia and perioperative blood loss. Perioperative anemia and the need for allogeneic blood transfusion are related with increased morbidity. To reduce perioperative allogeneic blood transfusion, keeping the preoperative hemoglobin level above 12.0 g/dL is important in orthopedic patients. By using the...

Volume 4 • Issue 1 • 1000271 J Anesth Clin Res ISSN:2155-6148 JACR an open access journal As cost control becomes an increasingly large determinant of medical practice, preoperative testing may become an avenue for perioperative cost management. Studies suggest that without guidance, surgical teams routinely order excessive or incorrect tests for their patients preoperatively. In a 1997 study, ...