Peri-operative nutrition

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The value of peri-operative nutrition in the sick patient.

In summary, therefore, the provision of TPN to malnourished patients in the pre-operative period reduces the incidence of post-operative complications, but does not affect post-operative mortality. It is likely that the provision of nutrition by the enteral route is as effective as that by the parenteral route, and may have the extra benefit of resulting in a reduction in infectious complicatio...

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Peri-operative physiotherapy

Postoperative pulmonary complications (PPC) are a major cause of morbidity, mortality, prolonged hospital stay, and increased cost of care. Physiotherapy (PT) programs in post-surgical and critical area patients are aimed to reduce the risks of PPC due to long-term bed-rest, to improve the patient's quality of life and residual function, and to avoid new hospitalizations. At this purpose, PT pr...

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Peri-operative steroid supplementation.

‘The need for patients on long-term steroid treatment to increase their dose of glucocorticoids when under stress is a principle that rests in one of the most tranquil corners of medical dogma’ [1]. Two case reports published in the early 1950s described cardiovascular collapse and death in young patients undergoing routine orthopaedic surgery. A 34-year-old man died after the withdrawal of ste...

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Peri-Operative Hearing Impairment

Peri-operative hearing impairment is a poorly reported morbidity following any type of anaesthesia. We report a case where the patient developed temporary hearing impairment after a gynaecological surgery. This recovered in a couple of week time. The causes of such hearing impairment in various types of anaesthesia are discussed.

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Peri-operative blood management

Anaemia and allogeneic blood transfusions in surgical patients are associated with poor outcomes. Patient blood management (PBM) has been developed as an evidence-based clinical tool, by which clinicians can optimise anaemia, manage peri-operative bleeding, avoid unnecessary blood transfusion and improve patient outcome. This article aims to highlight the recent updates regarding evidence-based...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2015

ISSN: 0003-2409

DOI: 10.1111/anae.13310