BACKGROUND During the perioperative period an adequate intravascular volume must be maintained. Current recommendations overestimate perioperative volume requirements. AIM To compare perioperative volume administration using standard monitoring methods or guided by left ventricular filling parameters. MATERIAL AND METHODS Twenty-four patients subjected to colon resection were randomized to ...

the most common cardiovascular surgery in the world and iran as well, is cabg. one of the most important post-operative complication of this operation, that increase morbidity and mortality, is peri-operative mi. incidence of peri-operative mi in cabg operations is between 2.5 to 5.5%. in this study we determined the prevalence and incremental risk factors of peri-operative mi in 300 consequati...

Massive pulmonary embolism (PE), an uncommon event in the perioperative period, is a major challenge to anesthesia management. Massive PE is often associated with an unexpected hemodynamic collapse and severe desaturation without other characteristic changes. It is difficult to make a rapid diagnosis during the perioperative period, especially under general anesthesia. We present a rare case of...

OBJECTIVE To provide an evidence-based focused review of aspirin use in the perioperative period along with an in-depth discussion of the considerations and risks associated with its preoperative withdrawal. BACKGROUND For patients with established cardiovascular disease, taking aspirin is considered a critical therapy. The cessation of aspirin can cause a platelet rebound phenomenon and prot...

The American Society of Echocardiography (ASE), established in 1975, has long encouraged the assessment of quality in the practice of echocardiography. To that end it has published and continues to develop documents establishing guidelines for the practice of echocardiography (1–8). In 1995, the ASE published a series of recommendations specifically for Continuous Quality Improvement (CQI) in e...

The management of patients with coronary artery stents during the perioperative period is one of the most important patient safety issues clinicians confront. Perioperative stent thrombosis is a life-threatening complication for patients with either bare-metal or drug-eluting stents. Noncardiac surgery appears to increase the risk of stent thrombosis, myocardial infarction, and death, particula...

Neurological complications in orthotopic heart transplantation represent a major cause of morbidity and mortality despite successful transplantation. The most frequent perioperative neurological complications are delirium or encephalopathy. In this period cerebrovascular complication ranges between 5-11%. After the perioperative period, the 5-year stroke risk after cardiac transplantation is 4....

Accumulated evidences from clinical trials and updated reviews suggest that the role of acupuncture in perioperative medicine extends beyond the classical scope of anaesthesia and has been underestimated. Perioperative acupuncture reduces not only the consumption of anaesthetics and analgesics, but also anaesthesia-related complications, and protects organs in the perioperative period. These be...

OBJECTIVE To determine the strength of evidence underlying recommendations for use of statins during the perioperative period to reduce the risk of cardiovascular events. DESIGN Systematic review of studies with concurrent control groups. DATA SOURCES Four electronic databases, the references of identified studies, international experts on perioperative medicine, and the authors of the prim...

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...