BACKGROUND Results from randomized controlled trials (RCT) concerning cardiac and renal effect of remote ischemic preconditioning(RIPC) in patients with stable coronary artery disease(CAD) are inconsistent. The aim of this study was to explore whether RIPC reduce cardiac and renal events after elective percutaneous coronary intervention (PCI). METHODS AND RESULTS RCTs with data on cardiac or ...

: While traditionally performed through an open approach, the role of minimally invasive technologies has evolved in its application to esophageal resection. Esophagectomy is associated with significant morbidity, which led interest developing esophagectomy (e.g. , laparoscopic/thoracoscopic approaches) address this issue. As a result, approaches for resection evolved, growing body literature d...

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...

The optimal timing of the preanesthesia evaluation varies with the patient's comorbidities. As anesthesiologists assume a broader role in perioperative care, there may be opportunities to provide additional patient management beyond historical routine anesthesia services. This study was thus undertaken to survey our institutional perioperative clinicians regarding their perceptions of patient m...

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 publication of To Err Is Human in the USA and An Organisation with a Memory in the UK more than a decade ago put patient safety firmly on the clinical and policy agenda. To date, however, progress in improving safety and outcomes of hospitalized patients has been slower than the authors of these reports had envisaged. Here, we first review and analyse some of the reasons for the lack of evi...

Unfortunately, all retrospective cohort studies are subject to unmeasured confounders, and research using large datasets collected for non-research purposes, such as in this study, is no different. However, we have performed a rigorous analysis of these data, and our findings are novel, biologically plausible, and clinically relevant; given the rarity of perioperative stroke and MI, it is unlik...

OBJECTIVE To assess the association of perioperative cardiac dysfunction during elective vascular surgery with postoperative outcome. BACKGROUND Patients with normal systolic function can have isolated diastolic dysfunction. Routine preoperative evaluation of left ventricular (LV) function does not include an assessment of diastolic function for risk stratification. We hypothesized that perio...