Melatonin, a new addition to the armamentarium of anesthesiologist, has some unique properties that are highly desirable in routine peri-operative care. Available clinical data show that preoperative melatonin is as effective as benzodiazepines in reducing preoperative anxiety with minimal action on psychomotor performance and sleep wake cycle. It may be considered as a safe and effective alter...

The optimal timing of the preanesthesia evaluation varies with the patient's comorbidities. As anesthesiologists assume a broader role in perioperative care, there may be opportunities to provide additional patient management beyond historical routine anesthesia services. This study was thus undertaken to survey our institutional perioperative clinicians regarding their perceptions of patient m...

The purpose of this chapter is to provide the anesthesiologist with a focused review of the information needed to rationally approach the preoperative evaluation of the neurosurgical patient. The anesthesia preoperative assessment is a neuromedical evaluation of the patient's current condition integrated with the anesthesiologist's knowledge of the potential clinical and operative events that m...

Objective Total laryngectomy (TL) is a high-cost procedure with patients at risk for significant postoperative health care use. Face-to-face preoperative counseling provided by speech-language pathologists is a relatively inexpensive intervention that may improve care quality and decrease costs. We evaluated if preoperative counseling for patients undergoing TL was associated with differences i...

Příspěvek shrnuje aktuální teoretické poznatky v oblasti zkrácené retní a jazykové uzdičky s důrazem na novorozenecký kojenecký věk. První část příspěvku se zaměřuje kojení, druhá vymezuje spojitosti ankyloglosie artikulace. Součástí článku je případová studie dítěte, kterému poskytována předoperační logopedická péče od 18. měsíce věku. V případov...

Patients are required to obtain preoperative screening 30 days before elective surgery with an emphasis on testing and tools identify patients at risk for perioperative, intraoperative, postoperative complications. Surgical complications being reported in who have recently consumed cannabis surgery. As use becomes more prevalent both medicinal recreational reasons, the lack of evidence-based gu...