Introduction . Bladder cancer dominates among global health problems. Radical cystectomy is the recognized standard of care for muscle-invasive bladder with bilateral pelvic lymphadenectomy as a mandatory step in surgical procedure. The concept sentinel lymph nodes, acting barrier to spread malignant process, can be beneficial terms reducing extent lymphadenectomy. Intraoperative imaging using ...

Patients are required to obtain preoperative screening 30 days before elective surgery with an emphasis on testing and tools identify patients at risk for perioperative, intraoperative, postoperative complications. Surgical complications being reported in who have recently consumed cannabis surgery. As use becomes more prevalent both medicinal recreational reasons, the lack of evidence-based gu...

When developing a nursing plan of care, a perioperative nurse identifies nursing diagnoses during the preoperative patient assessment. The ability to identify age-specific outcomes (ie, infant/child, adolescent, adult, elderly adult) in addition to those that are universally applicable is a major responsibility of the perioperative RN. Having an individualized plan of care is one of the best wa...

Severe sepsis, a syndrome characterized by systemic inflammation and acute organ dysfunction in response to infection, is a major healthcare problem affecting all age groups throughout the world. Anaesthetists play a central role in the multidisciplinary management of patients with severe sepsis from their initial deterioration at ward level, transfer to the diagnostic imaging suite, and intrao...

Background Craniotomy is a relatively common surgical procedure with a high incidence of postoperative pain. Development of standardized pain management and enhanced recovery after surgery (ERAS) protocols are necessary and crucial to optimize outcomes and patient satisfaction and reduce health care costs. Methods This work is based upon a literature search of published manuscripts (between 1...

DESIGN Inhaled iloprost was known to alleviate ischemic-reperfusion lung injury. We investigated whether intraoperative inhaled iloprost can prevent the development of primary graft dysfunction after lung transplantation. Data for a consecutive series of patients who underwent lung transplantation with extracorporeal membrane oxygenation were retrieved. By propensity score matching, 2 comparabl...

OBJECTIVES To evaluate the effect of the intraoperative use of hydroxyethyl starch on the need for blood products in the perioperative period of oncologic surgery. The secondary end-points included the need for other blood products, the clotting profile, the intensive care unit mortality and length of stay. METHODS Retrospective observational analysis in a tertiary oncologic ICU in Brazil inc...

INTRODUCTION The use of the laparoscopic approach in colorectal surgery (LCS) is the subject of active debate. Studies demonstrating its safety and feasibility in tertiary care centres are now available. The aim of this study was to examine the results of LCS performed in a community hospital setting. METHODS We prospectively studied 100 patients who underwent an LCS at the North Bay District...