Following reviews on the available evidence of the value of routine pre-operative testing in healthy or asymptomatic adults, the National Institute for Health and Care Excellence (NICE) produced guidance on the subject. [1] It covers tests that are often carried out when a patient is scheduled for elective surgery. They may be performed by a variety of health professionals, in different setting...

INTRODUCTION Paragangliomas (PG) are rare tumors derived from chromaffin cells that are located outside the adrenal gland and are capable of producing catecholamines. The treatment is based on a surgical resection, and there is controversy regarding the usefulness of previously carrying out an embolization and what is the most adequate surgical approach. CLINICAL CASE We will present a 17-yea...

Annual patient attendances at a pre-operative assessment department increased by 24.8% from 5659 in 2009, to 7062 in 2012. The unit was staffed by administrative staff, nurses, and health care assistants (HCA). Medical review was accessed via on call medical staff, or notes were sent to anaesthetists for further review. With rising demand, patient waits increased. The average lead time for a pa...

OBJECTIVES To determine the predictors of post-operative renal function following adult cardiac surgery, and to assess the influence of this on late survival. METHODS Prospectively collected data were analysed on 8032 patients who underwent coronary artery bypass grafting, valve surgery or combined procedures from 1 January 1998 until 31 December 2008, who did not require preoperative renal r...

objective: many studies have shown that the level of postoperative distress and anxiety in children is associated with the amount of anxiety during the pre operative period. in this study, we compared the effect of pre-operational attending in a playroom and using play activities on the level of anxiety increment after surgery in an intervention and a control group of iranian children. method: ...