Prior to the day of surgery,preanesthetic preparation of pediatric patients involves the appropriate choice of laboratory tests that will influence anesthetic management, the assignment of a preoperative fasting interval, and a focused history and physical exam that may influence anesthetic management (although this may occur on the day of surgery). On the day of surgery, the history and physic...

the aim of this study was to evaluate the morbidity and mortality in patients with operable stage ii and iii rectal cancers within one or two months after surgery, who has been treated pre-operatively with short course radiotherapy. twenty-eight patients with rectal adenocarcinoma, consecutively referred to the cancer institute of imam khomeini hospital from march 2009 to march 2010, were selec...

background: we performed this study to evaluate the efficacy of melatonin, clonidine and gabapentin in reducing preoperative anxiety and postoperative pain in patients undergoing laparoscopic cholecystectomy. methods: this study was a randomized clinical trial on patients scheduled for laparoscopic cholecystectomy. a total number of 88 patients were categorized into four groups to receive melat...

BACKGROUND A strategy of limited preoperative fasting, with carbohydrate (CHO) loading and intraoperative infusion of omega-3 polyunsaturated fatty acids (ω-3 PUFA), has seldom been tried in cardiovascular surgery. Brief fasting, followed by CHO intake 2 h before anesthesia, may improve recovery from CABG procedures and lower perioperative vasoactive drug requirements. Infusion of ω-3 PUFA may ...

BACKGROUND The safety of 2-h preoperative clear liquid fasts has not been established for overweight/obese pediatric day surgical patients. Healthy children and obese adults who fasted 2 h have small residual gastric fluid volumes (GFVs), which are thought to reflect low pulmonary aspiration risk. We sought to measure the prevalence of overweight/obesity in our day surgery population. We hypoth...

Prolonged preoperative fasting times for children scheduled general anesthesia and surgery continue to be reported despite a plethora of recent studies suggesting that clear fluids can shortened without increasing the risk pulmonary aspiration. The aim this narrative review was summarize knowledge about known benefits potential consequences prolonged in pediatric discuss difficult implementatio...

Background: Preoperative fasting of clear fluids is recommended to reduce the incidence of pulmonary aspiration under anesthesia but non-compliance may cause aspiration or an inconvenient delay in surgery. Safe reduction of fasting time below the current standard of 2 hours has been reported but has not been demonstrated clinically. The aim of this study was to determine if reducing the fast of...

in the 1980’s, medium-chain acyl-coa dehydrogenase deficiency (mcadd) was first described in the literature as three children who presented with coma, hypoglycemia, hyperammonemia, and fatty liver while fasting. these symptoms while similar to reye’s syndrome, were found to be due to an inability to metabolize medium chain fatty acids during fasting periods. fatty acids are utilized by the body...

BACKGROUND C-peptide (Cp) serves as a surrogate of pancreatic beta-cell reserve. This study evaluates the clinical significance of basal Cp as a predictor of type 2 diabetes (T2D) remission after bariatric surgery (BS). RESEARCH DESIGN AND METHODS Retrospective study of 22 patients with BMI > 35 kg/m² and T2D who underwent BS. Evaluation of anthropometric and glucose metabolism parameters bef...