Patient positioning is an integral part of perioperative care and yet it is an area of patient care which can easily be compromised as staff try to accommodate surgeons and work through busy operating lists. Inadequate padding and incorrect positioning can cause serious and long term injury and disability, and can result in litigation against perioperative nurses and ODPs.

The iatrogenic subclavian artery injury is a rare but potentially serious complication of vein cannulation. use endovascular techniques an alternative to surgical repair especially in patients with concomitant diseases whom immediate, large surgery would be associated high risk perioperative complications. This article discusses technical aspects implantation covered stents based on two cases. ...

We present a patient with sickle cell trait who suffered avascular necrosis of the maxilla as a complication of maxillary osteotomy. Understanding the blood supply of the maxilla and how possible patient related, anaesthetic and operative factors affect it, is important in understanding how the vascularity of the maxilla can become compromised in a surgical procedure. The perioperative paramete...

We report two cases of reamer breakage during femoral nailing. This complication is rarely reported, we found only six cases. It is an unexpected perioperative complication experienced by the authors as a stressful or catastrophic situation. In our first case, a flexible reamer was broken at the distal end while reaming the femur. The olivary tip of the guide was helpful to extract it. In the s...

Perioperative neuropathy is a known complication of malpositioning during anaesthesia. Somatosensory evoked potentials are used for detecting such a complication in selected surgeries. Most reports of intraoperative nerve injuries due to malpositioning are limited to injuries to the peripheral nervous system, and there have been no previously reported cases of somatosensory evoked potential mon...

PURPOSE Major cardiovascular complications associated with noncardiac surgery represent a substantial population health problem for which there are no established efficacious and safe prophylactic interventions. Acetyl-salicylic acid (ASA) represents a promising intervention. The objective of this study was to determine surgeons' perioperative usage of ASA, and if they would enroll their patien...

IMPORTANCE Patients who undergo surgery for obstructive sleep apnea (OSA) have acceptable perioperative morbidity that is similar to that seen in other sleep-related surgical procedures. OBJECTIVE To perform the first large-scale evaluation of perioperative management and postoperative complications in patients who undergo transoral robotic surgery (TORS) for OSA. DESIGN, SETTING, AND PARTI...

Background: Brain metastasis (BM), occur more frequently as therapy for primary tumors improve and patients survive longer. Neurosurgeons are hence challenged with perioperative patient management and adequate stratification. This study aimed at identifying additional preoperative stratification parameters impacting patient morbidity and mortality. Methods and findings : A retrospective review ...

STUDY DESIGN A retrospective database review. OBJECTIVE The aim of this study was to compare complication rates following one to two-level lumbar spine surgery in patients with primary hypercoagulable states and coagulopathies. SUMMARY OF BACKGROUND DATA Both hypercoagulable states and coagulopathies are not uncommon conditions that have the potential to significantly alter perioperative pa...

OBJECTIVES To describe our experience, including selection criteria and complication rates, using microvascular free tissue transfer to repair large skull base defects and to determine if complication rate and posttreatment survival justify the use of this technique. DESIGN Retrospective review of clinical cohort. SETTING Tertiary care medical center. PATIENTS A consecutive sample of pati...