OBJECTIVE To study characteristics and outcomes associated with emergency response team (ERT) activation in postsurgical patients discharged to regular wards after anesthesia. PATIENTS AND METHODS We identified all ERT activations that occurred within 48 hours after surgery from June 1, 2008, through December 31, 2009, in patients discharged from the postanesthesia care unit to regular wards....

background: now the vast majority of breast tumors are treated using breast conservation therapy (bct) method, including lumpectomy and radiotherapy. this study aimed to evaluate the effects of intraoperative frozen section in patients undergoing breast conservation surgery. methods: totally 237 women who included in the category for breast conservative or oncoplastic surgery and post-operative...

purpose : to compare the outcomes of microcoaxial phacoemulsification and conventional phacoemulsification techniques methods : in this prospective comparative clinical study in the negah eye center, 69 eyes of 69 patients with senile cataract of grade 3 to 4 on the lens opacities classification system iii (locsiii) were placed in two groups. thirty nine eyes were assigned to undergo surgery by...

BACKGROUND AND OBJECTIVE Remifentanil is being increasingly used as an analgesic in fast-track surgery, but severe postoperative pain may happen occasionally. In this study, we evaluated the effects of systemic administration of lidocaine on postoperative pain and morphine requirements after propofol-remifentanil-based anaesthesia. METHODS Forty patients undergoing thoracic surgery were rando...

BACKGROUND Handovers during anaesthesia are common, and failures in communication may lead to morbidity and mortality. OBJECTIVES We hypothesised that intraoperative handover training and display of a checklist would improve communication during anaesthesia care transition in the operating room. DESIGN Interventional cohort study. SETTING Single-centre tertiary care university hospital. ...

BACKGROUND Surgeon satisfaction and patient analgesia during the procedure of laparoscopic surgery are important issues. The aim of this work was to study if an intrathecal (IT) Bupivacaine combined with Magnesium sulfate may or may not provide good surgeon satisfaction in addition to improvement of intraoperative and postoperative analgesia. METHODS Sixty female patients were enrolled in thi...

Introduction Acute kidney injury (AKI) is a potentially fatal complication of cardiac surgery. The inability to predict cardiac surgery-associated AKI is a major barrier to prevention and early treatment. Current clinical risk models for the prediction of cardiac surgery-associated AKI are insufficient, particularly in patients with preexisting kidney dysfunction. Methods To identify intraope...

HYPOTHESIS Relatively high morbidity rates remain problematic in hepatic resection for malignant neoplasms. Technological innovations coupled with surgical expertise can ameliorate morbidity and mortality rates. DESIGN Medical records survey. SETTING Tertiary care university hospital. PATIENTS Five hundred one patients underwent liver resection at our hospital from March 1, 1988, through ...

BACKGROUND Patients with significant medical problems requiring major otolaryngology procedures are at high risk for both medical and surgical complications. OBJECTIVE To identify risk factors associated with perioperative complications in medically compromised patients undergoing major otolaryngology procedures. METHODS Ninety-three consecutive patients with significant comorbid medical il...