By November 2013, a progress review entitled Enhanced Recovery Care Pathway reported successful national implementation in four main types of elective surgery, colorectal, gynecological, orthopedic, and urology. Thousands more surgeries were being performed in 170,000 fewer bed days. Target lengths of stay had been achieved, readmission rates had not increased, and both quality and patient sati...

INTRODUCTION Preoperative evaluation of a patient is the fundamental component of anaesthetic practice. Inadequate documentation and record keeping on the preoperative evaluation form (PEF) can be a major obstacle to attaining good practice and improving patient outcomes following operative procedures. AIM The aim of the study was to conduct an audit to assess the quality of the preoperative ...

introduction: adequate pain control is an important consideration in the post-surgical management of patients. local nerve blockade added to general anesthesia can provide excellent pain control during and after most nasal surgical procedures. the aim of this study was to determine the combined effect of local anesthetic drugs with corticosteroids in nasal surgery. materials and methods: in thi...

chylothorax in adult occurs most commonly in the wake of cardiac and thoracic procedures. injuries to the  common thoracic duct in the thorax or its branches in the mediastinum, injuries to the thymus tissues, dissection of the superior vena cava or ascending aorta, dissection of the aortic arch, disruption of the accessory lymphatics in the left or right thorax, and increased pressure in the s...

primary cardiac sarcomas are rare clinical entities with an incidence rate of 0.0001% in collected autopsy series and are regarded as very aggressive tumors. we herein describe a 21-year-old woman presenting with syncope, dyspnea, and abdominal distention. she suffered from massive ascites, plural effusion, and liver congestion demonstrated by abdominal sonography and chest x-ray. transthoracic...

there are many techniques for reconstruction after total pharyngolaryngoesophagectomy. the use of a transposed stomach to restore gastrointestinal continuity, and this combined cervical and abdominal approach for pharyngolaryngoesophagectomy and gastric pull up has become one of the most popular. this retrospective study is a review of 50 consecutive iranian patients who underwent pharyngolaryn...

conclusions by using the normal angle kappa determined in this study, pseudodeviations can be identified more precisely in those who might undergo keratorefractive surgery. results a total of 977 healthy participants who aged 18 to 45 years were included consecutively. the study population consisted of 614 females and 363 males. the average angle kappa was 5.00º ± 1.36º at 240.21º ± 97.17º in m...

OBJECTIVE To determine the value of routine pre-operative investigations in children scheduled to undergo routine minor elective surgical procedures under general anesthesia. METHODS We conducted a retrospective chart review of 342 children who presented for elective minor surgical procedures in the Division of Pediatric Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia from Janu...

IntroductionBlood orders for surgical patients make up a considerable portion of total blood requests but the majority doesn’t lead to transfusion. Routine crossmatching and reserving all surgeries can be reduced by establishing Maximum Surgical Blood Ordering Schedule [MSBOS]. We have analyzed utilization in Base Hospital Puttalam formulated an MSBOS with this study. Material methodsA 2145 fro...