Children with co-existing pulmonary disease have a wide range of clinical manifestations with significant implications for anaesthetists. Although there are a number of pulmonary diseases in children, this review focuses on two of the most common pulmonary disorders, asthma and bronchopulmonary dysplasia (BPD). These diseases share the physiology of bronchoconstriction and variably decreased fl...

OBJECTIVES To evaluate the cost-effectiveness and cost-utility of an internet-based perioperative care programme compared with usual care for gynaecological patients. DESIGN Economic evaluation from a societal perspective alongside a stepped-wedge cluster-randomised controlled trial with 12 months of follow-up. SETTING Secondary care, nine hospitals in the Netherlands, 2011-2014. PARTICIP...

BACKGROUND A clinical pathway (CP) can standardize and improve perioperative care for a number of interventions. In hepatic surgery, however, pertinent evidence is very limited. This study was conducted to implement a CP for hepatocellular carcinoma (HCC) patients undergoing hepatectomy, and to evaluate its effects on hospital costs, length of hospital stay (LOHS) and early clinical outcomes. ...

T. T. Dong1, J. Mellin-Olsen2 and A. W. Gelb3,* 1 Department of Anesthesia and Perioperative Care, University of California San Francisco, 513 Parnassus Avenue, Room S436, San Francisco, CA 94143, USA, 2 Department of Anaesthesiology and Intensive CareMedicine, BaerumHospital, PO Box 83, Oslo N-1309 RUD, Norway, and 3 Department of Anesthesia and Perioperative Care, University of California, Sa...

Purpose Perioperative symptoms such as pain and anxiety are common in spite of standard of care. Such symptoms are associated with a negative surgery experience, and moreover, are correlated with increased perioperative morbidity. The aims of this study were to evaluate whether acupuncture as an add-on to standard of care improves these symptoms. In addition, we assessed whether outcomes are co...

In June 2010, the European Board of Anaesthesiology (EBA) of the European Union of Medical Specialists (UEMS) and the European Society of Anaesthesiology (ESA) signed the Helsinki Declaration for Patient Safety in Anaesthesiology at the Euroanaesthesia meeting in Helsinki. The document had been jointly prepared by these two principal anaesthesiology organisations in Europe who pledged to improv...

BACKGROUND This study aimed to reveal nurses' experiences and perceptions of turnover in Australian hospitals and identify strategies to improve retention, performance and job satisfaction. Nursing turnover is a serious issue that can compromise patient safety, increase health care costs and impact on staff morale. A qualitative design was used to analyze responses from 362 nurses collected fro...

The advancements in surgical technique and perioperative care have significantly improved the survival of children with single ventricle (SV) congenital heart disease (CHD) over the past decade. The population who have undergone the Fontan operation are growing into adulthood and facing many unique challenges. Past research has focused on functional and neurodevelopmental outcomes with inferenc...

Problem identification Patients undergoing invasive procedures are highly vulnerable to adverse outcomes. From 2012 2013, 5.5 per cent of all inpatient admissions reported an event. Perioperative nurses play important role in providing safe patient care and acting as the advocate. This review literature aims examine effects perioperative staffing safety. Three common themes that impact safety q...

ANESTHETIZED patients who undergo surgical procedures may develop ulnar neuropathy. 1-6 Although the mechanism of ulnar neuropathy in the perioperative setting is often unclear, improper positioning or padding of the upper extremity during surgery is sometimes implicated’,’; however, there is little direct evidence to implicate improper intraoperative care as a cause of perioperative ulnar neur...