This article explores approaches to the perioperative care of pregnant women. Considerations such as the anatomical and physiological changes that occur during pregnancy are addressed, as well as adaptations to perioperative care made necessary by these changes. The potential limitations, constraints and difficulties faced when planning and implementing care are discussed. Social, psychological...

Children are not just 'small adults'. They have specific physical, psychological and social requirements that must be identified and addressed to optimise their well-being in the perioperative period. The healthcare practitioner should be trained to understand the needs of the paediatric patient in hospital, including the ever increasing need to take into account cultural differences. Hospital ...

For decades warfarin has been the oral anticoagulant of choice. However, in recent years there has been a significant shift towards the use of NOACs. Unlike most other medications, such as warfarin [1] and anti-hyperglycaemic agents [2], the protocol for perioperative cessation of NOACs remains unclear. The aim of this review is to summarise a growing body of evidence surrounding the perioperat...

Direct oral anticoagulants (DOACs) have been licensed worldwide for several years for various indications. Each year, 10-15% of patients on oral anticoagulants will undergo an invasive procedure and expert groups have issued several guidelines on perioperative management in such situations. The perioperative guidelines have undergone numerous updates as clinical experience of emergency manageme...

Many patients undergo non-invasive testing for the detection of coronary artery disease before non-cardiac surgery. This is despite the low predictive value of positive tests in this population and the lack of any evidence of benefit of coronary revascularisation before non-cardiac surgical procedures. Further, this strategy often triggers a clinical cascade exposing the patient to progressivel...

conclusions with a thorough preoperative assessment incorporating focused echocardiography, anaesthetists are in the unique position to enhance their role as perioperative physicians and influence short and long term outcomes of their patients. context patients with undifferentiated systolic murmurs present commonly during the perioperative period. traditional bedside assessment and auscultatio...

3.1 Aim of preoperative evaluation To obtain pertinent information about the patient's medical history and physical and mental Conditions, in order to determine which tests and consultations are needed. Guided by patient choices and the risk factors uncovered by the medical history, to choose the care plans to be followed. To obtain informed consent. To educate the patient about anesthesia, per...

Platelets play pivotal roles in hemostasis as well as pathological arterial thrombosis. The combination of aspirin and a P2Y12 inhibitor has become the mainstay therapy in the ageing population with cardiovascular conditions, particularly during and after percutaneous coronary intervention. A number of novel P2Y12 inhibitors has become available in the recent years, and they markedly vary in ph...

objective: to investigate the decrease in hemoglobin concentration and hematocrit during elective surgery. methods: this was a prospective study being performed in nemazee hospital of shiraz university of medical sciences. we included a total of 50 american society of anesthesiology (asa) i and ii patients undergoing elective minor surgeries. perioperative fluid administration was performed for...

In the study of holistic perspectives in perioperative care the following article focuses on the care required for paediatric patients through the perioperative period. This incorporates an understanding of the anatomical, physiological and pharmacological differences from adult practice, acknowledging the most important principles of patient safety. The planning, implementation, equipment adap...