Ensuring optimal readiness for surgery using a preoperative checklist has been shown to reduce perioperative morbidity and mortality in both elective and urgent surgeries. We recently introduced hemodynamic optimization as part of our preoperative preparedness strategy for cardiothoracic surgery. Here we describe the case of a patient with severe mitral regurgitation and suboptimal hemodynamics...

Celiac artery aneurysms (CAA) are uncommon. Most are asymptomatic, but up to 20 per cent will present as surgical emergencies. We present a case of an asymptomatic CAA discovered in a 56-year-old male during evaluation for nephrolithiasis. Only rough estimates of the prevalence of CAA are available, ranging between 0.005 per cent and 0.05 per cent. There appears to be a slight male predominance...

OBJECTIVE To document outcomes after urgent carotid surgery in patients with crescendo transient ischaemic attacks (CTIAs) and stroke-in-evolution (SIE). METHODS A systematic review of the English-language literature using the MEDLINE and EMBASE databases "was undertaken from January 1984 through December 2007". Studies reporting the data after surgery for CTIAs and SIE were identified and st...

background and purpose: preoperative fast is the essential part of preoperative care for those patients who are candidates for elective surgery. fast prolongation results in side effects such as: sweating, irritability, decrease in blood sugar and restlessness. despite the noticeable changes in fasting guidelines and their application in many countries, it seems that in iran, these rules are no...

INTRODUCTION Availability of timely access to ambulatory care for semi-urgent medical concerns in rural and suburban locales is unknown. Further distance to an emergency department (ED) may require rural clinics to serve as surrogate EDs in their region, and make it more likely for these clinics to offer timely appointments. We determined the availability of urgent (within 48 hours) access to a...

OBJECTIVE To create a means by which we can examine and understand the interrelations among the fundamental elements of hospital inpatient care (patients, beds, theatre time, and staff). DESIGN Predictive study of resource utilisation based on a computerised clinical information system of five years' audit data from a surgical management system. SETTING One surgical firm (of one consultant,...

Retrospective, single-center review between January 2010 and June 2020. We included 134 patients (93 male) with symptomatic ipsilateral carotid stenosis ischemic brain lesions assessed by diffusion-weighted magnetic resonance imaging (DW-MRI) RAPID processing underwent endarterectomy (CEA). Patients who CEA within 48 hours of symptoms suffered a significantly higher rate postoperative stroke (e...