background: we observed the clinical effects of comprehensive nursing intervention pattern in 23g minimally invasive vitreous surgery according to the comprehensive nursing intervention table developed by our hospital, which would supply a basis for its clinical application. methods: in this prospective study, we followed 120 patients undergoing 23g minimally invasive vitreous surgery from xuzh...

proceedings Over the last 20 years improvements in surgical and anesthesiologi-cal techniques have reduced mortality, morbidity and the length of hospital stay. Despite these considerable efforts, a great number of patients still develop perioperative complications. The ERAS (Enhanced Recovery After Surgery) concept aims to apply an evidence-based, standardized perioperative care protocol inste...

BACKGROUND Patients having arthroscopic shoulder surgery frequently experience periods of inadvertent hypothermia. This common perioperative problem has been linked to adverse patient outcomes such as myocardial ischaemia, surgical site infection and coagulopathy. International perioperative guidelines recommend patient warming, using a forced air warming device, and the use of warmed intraoper...

OBJECTIVE The objective was to assess processes of care for patients with diabetes undergoing elective surgery. METHODS A retrospective review of medical records was conducted to determine frequency of perioperative glucose monitoring, changes in glucose control, and treatment of intraoperative hyperglycemia. RESULTS A total of 268 patients underwent 287 elective procedures. Mean age was 67...

BACKGROUND The study was part of the Thai Anesthesia Incidents Study (THAI Study), a multi-centered study conducted by the Royal College of Anesthesiologists of Thailand, aiming to survey anesthetic related complications in Thailand. OBJECTIVE Identify the incidence and factors related to perioperative death in geriatric patients. MATERIAL AND METHOD During a 12 months period (March 1, 2003...

There is increasing interest in evaluating the use of nonpharmacologic interventions such as music to minimize potential adverse effects of anxiety-reducing medications. This study used a quasi-experimental design to evaluate the effects of a perioperative music intervention (provided continuously throughout the preoperative, intraoperative, and postoperative periods) on changes in mean arteria...

BACKGROUND Recent advances in surgical techniques and perioperative management have led to improved surgical outcomes, especially perioperative outcomes. The aim of this study was to review our experience with hepatic resection for hepatocellular carcinoma (HCC) over a ten-year period to determine how to improve long-term surgical outcomes. METHODS From January 1996 to December 2007, 610 pati...

references: 1. miller rd. miller’s anesthesia. 7th ed. philadelphia: churchill livingstone 2010 2758-9. 2. macintyre pe, schug sa, scott da, visser ej, walker sm. apm:se working group of the australian and new zealand college of anaesthetists and faculty of pain medicine. acute pain management: scientific evidence. 3rd ed. melbourne: anzca & fpm 2010 9-12. 3. buvanendran a. chronic postsurgical...

conclusions our new metabolic conditioning supplement, whether given pre- or postoperatively, led to better perioperative glycemic control and decreased postsurgical wound infections in non-diabetic patients. objectives the purpose of this study was to determine the effects of a new conditioning supplement on perioperative metabolic stress and clinical outcomes in non-diabetic patients. patient...

A 70-year-old male patient with myasthenia gravis required coronary artery bypass grafting due to triple-vessel disease. The anesthetic management was performed with general anesthesia using reduced doses of muscle relaxants. He was extubated four hours after surgery and the postoperative course was uneventful. Coronary artery bypass surgery in myasthenic patients can be challenging to anesthes...