BACKGROUND The surgeon's individual performance is a key component of total quality management (TQM) in cardiac surgery. Early mortality as well as postoperative complications can be stratified in order to develop a surgeon performance index (SPI). MATERIAL AND METHODS In three consecutive annual periods (3703 patients) data of board-certified cardiac surgeons were compared. Risk-adjustment o...

OBJECTIVE To (1) report long-term outcome after laser assisted modified Forssell's procedure; (2) describe the prevalence of postoperative complications; and (3) identify risk factors associated with outcome. STUDY DESIGN Retrospective case series. ANIMALS Horses (n = 119). METHODS Medical records (1994-2012) of horses that had laser assisted modified Forssell's procedure were reviewed. S...

OBJECTIVE Study the prevalence of protein depletion and determine the effect of protein depletion on postoperative complications. MATERIAL AND METHOD A retrospective study was performed in 255 Thai elderly patients who had been admitted to Siriraj Hospital because of a fracture of the hip. The level of albumin was the parameter used to determine the degree of protein depletion. The effects of...

During the latest years, a number of studies have confirmed the benefits of perioperative haemodynamic optimisation on surgical mortality and postoperative complication rate. This process requires the use of advanced haemodynamic monitoring with the purpose of guiding therapies to reach predefined goals. This review aim to present recent evidence on perioperative goal directed therapy (GDT), wi...