Most anesthesiologists will experience the perioperative death of a patient or a major perioperative catastrophe in the course of their careers. Anesthesia training, however, does not prepare individuals to handle the aftermath of such a stressful event. Multiple surveys have shown that the death of a patient has a major emotional impact on up to 75% of health care providers involved, regardles...

INTRODUCTION Bariatric surgery effectively induces long-term weight loss in Western populations. However, its effectiveness in Asians remains to be confirmed objectively. The Korean Society for Metabolic and Bariatric Surgery proposes the first prospective cohort study on Koreans undergoing bariatric surgery. METHODS AND ANALYSIS The Korean OBEsity Surgical treatment Study (KOBESS) is a prosp...

BACKGROUND Measuring patient satisfaction after anaesthesia care is complex. The existing patient satisfaction questionnaires are limited and omit aspects of patient satisfaction, such as professional competence, information provision, service, and staff-patient relationship. The aim of our study was to develop a valid and reliable self-reported multidimensional questionnaire assessing patient ...

Despite a decline in mortality in pediatric anesthesia during the last two decades, publications still highlight the high incidence of perioperative morbidity that could definitely be decreased in the presence of a thorough preoperative assessment and preparation. Although the majority of children undergoing anesthesia is healthy, it is crucial to detect any underlying risk factor that may lead...

BACKGROUND Quality improvement (QI) methods are widely used in surgery in an effort to improve care, often using techniques such as Plan-Do-Study-Act cycles to implement specific interventions. Explicit definition of both the QI method and quality intervention is necessary to enable the accurate replication of effective interventions in practice, facilitate cumulative learning, reduce research ...

Main results In 259 patients, preoperative assessment was judged as “underassessment possibly affecting perioperative management.” The number of such assessments did not differ for nurses and house officers (table). House officers ordered almost twice as many unnecessary tests as nurses (table). Nursing assessments were judged to be no worse overall than house officer assessments (test for non-...

Implementation of anaesthesia begins with a preoperative assessment of the surgical patient and development of an anaesthetic plan. Preparation of the patient includes the preoperative assessment, review of preoperative tests, optimisation of medical conditions, adequate preoperative fasting, appropriate premedication, and the explanation of anaesthetic risk to patients. The goals of preoperati...

It is standard practice in many institutions to routinely perform preoperative and postoperative haemoglobin level testing in association with hip joint arthroplasty procedures. It is our observation, however, that blood transfusion after uncomplicated primary hip arthroplasty in healthy patients is uncommon and that the decision to proceed with blood transfusion is typically made on clinical g...