Perioperative blood transfusions are common in total hip arthroplasty because of preoperative anemia and perioperative blood loss. Perioperative anemia and the need for allogeneic blood transfusion are related with increased morbidity. To reduce perioperative allogeneic blood transfusion, keeping the preoperative hemoglobin level above 12.0 g/dL is important in orthopedic patients. By using the...

The management of patients on psychoactive medications in the perioperative period is largely based on the individual clinician’s experience. Despite 10% of the UK population having some form of mental health condition, there is surprisingly little by way of guidelines for the perioperative management of patients who may be on medications with significant anaesthetic implications. Challenges fo...

PURPOSE To investigate the learning curve for robot-assisted laparoscopic radical prostatectomy (RALP) for pathologic T2 disease, we examined differences in perioperative outcomes according to time period. MATERIALS AND METHODS Between July 2005 and June 2008, a total of 307 consecutive patients underwent RALP for prostate cancer and 205 patients had pathologic T2 disease. Patients were group...

PURPOSE To describe the rapid perioperative optimization and control of blood pressure in a young patient who presented with pheochromocytoma. He was non-compliant with phenoxybenzamine but insisted on early surgery. He was scheduled for laparoscopic resection of the tumour. CLINICAL FEATURES This 32-yr-old man presented with uncontrolled hypertension for a few years for which he was treated ...

Anaemia is common in patients with cardiac disease and also in those undergoing cardiac surgery. There is increasing evidence that preoperative anaemia is associated with increased patient morbidity and mortality following surgery. We performed a systematic literature review to assess the impact of anaemia and intravenous (IV) iron supplementation on outcomes in cardiac surgery. Sixteen studies...

Antiphospholipid syndrome (APLS) is a rare syndrome mainly characterized by several hyper-coagulable complications and therefore, implicated in the operated cardiac surgery patient. APLS comprises clinical features such as arterial or venous thromboses, valve disease, coronary artery disease, intracardiac thrombus formation, pulmonary hypertension and dilated cardiomyopathy. The most commonly a...

Editor’s key points † Diabetes mellitus and other disorders of blood glucose regulation are common in perioperative patients. † The optimal management of perioperative dysglycaemia has been shown to improve perioperative outcomes. † Guidelines and recommendations aid in the diagnosis and management of perioperative abnormalities in glucose homeostasis. Summary. The prevalence of type 2 diabetes...

background: in this study, the early effects of percutaneous nephrolithotomy (pcnl) on glomerular filtration rate (gfr) was assessed in different postoperative times and likewise, we determined the correlation of different variables with significant postoperative gfr drop  after pcnl. m aterials and methods: patient records of 486 cases that had undergone pcnl from january 2010 to october 2011 ...

Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative cardiovascular events than optimal medical management. Patients likely to benefit from perioperative beta blockade...