A PERIOPERATIVE STROKE is one which occurs intraoperatively or in the several days following an operation. It occurs in 0.3% of general surgical patients, in about 1% of patients undergoing peripheral vascular reconstruction (PVR), and in 1-5% of patients undergoing coronary artery bypass grafting (CABG). An aggressive approach to the detection, evaluation and treatment of asymptomatic cervical...

A PERIOPERATIVE STROKE is one which occurs intraoperatively or in the several days following an operation. It occurs in 0.3% of general surgical patients, in about 1% of patients undergoing peripheral vascular reconstruction (PVR), and in 1-5% of patients undergoing coronary artery bypass grafting (CABG). An aggressive approach to the detection, evaluation and treatment of asymptomatic cervical...

THIS QUALITATIVE STUDY used a purposive sample of perioperative nurses age 50 or older to describe the experience of being an older perioperative nurse. Three themes were identified from data analysis: growing old in the OR, inter-personal and organizational concerns, and worries about the future. THESE OLDER PERIOPERATIVE NURSES still are challenged and energized by being in the OR, although t...

Cerebrovascular complications, such as stroke, are a common source of morbidity and mortality after cardiac surgery. Although the cause of postoperative stroke is multifactorial, significant carotid stenosis is a positive predictor. Carotid and cardiac surgical procedures are often combined to reduce the risk of stroke; however, this may actually increase adverse events, including stroke. This ...

BACKGROUND The interaction between CD40 on antigen-presenting cells and CD40L on T cells is critical in allograft rejection. CD154 blockade suppresses allograft rejection, but the role of this pathway in allograft vasculopathy remains obscure. METHODS AND RESULTS A vascularized murine heterotopic cardiac transplant model was used to test whether perioperative CD154 blockade suppresses allogra...

Susana Vacas1* and Mervyn Maze2 1Department of Anesthesia and Perioperative Medicine, University of California Los Angeles, USA 2Department of Anesthesia and Perioperative Care, University of California San Francisco, USA *Corresponding author: Susana Vacas, Department of Anesthesia and Perioperative Medicine, University of California Los Angeles, 757 Westwood Plaza, Suite 3325, Los Angeles, CA...

1. Discuss common areas of concern that relate to perioperative best practices when managing the can’t-intubate, can’t-oxygenate scenario. 2. Discuss best practices that could enhance safety during crisis management of a failed airway. 3. Describe implementation of evidence-based practice in relation to perioperative nursing care for difficult or failed airway crisis in the perioperative setting.

Perioperative nursing is very much a multidimensional area of practice that has evolved as models perioperative patient care, surgery, anaesthetics and their complexity, techniques equipment have evolved. Within the broad there are numerous roles. However, they do not all necessarily identify being under singular ‘perioperative’ umbrella this largely due to how roles Thus question: exclusive, i...

BACKGROUND In health care, most preventable adverse events occur in the operating room. Surgical safety checklists have become a standard of care for safe operating room practice, but there is conflicting evidence for the effectiveness of checklists to improve perioperative outcomes in some populations. Our objective was to determine whether surgical safety checklists are associated with a redu...

STUDY OBJECTIVES To evaluate measurements of myoglobin in the diagnosis of perioperative myocardial tissue damage in aortocoronary bypass surgery. A new immunoturbidimetric myoglobin assay, which yields quantitative concentrations of myoglobin within approximately 1 min, was used. DESIGN Prospective clinical study. PATIENTS Thirty-two patients scheduled for elective aortocoronary bypass sur...