Goal-directed therapy (GDT) can be a vague term, meaning different things to different people and, depending on the clinical environment, sometimes even different things to the same person. It can refer to perioperative fluid management, clinicians driving oxygen delivery to supramaximal values, early treatment of sepsis in the emergency department, and even to restriction of perioperative crys...

Surgical attire is intended to protect both patients and perioperative personnel. AORN published the "Recommended practices for surgical attire" to guide perioperative RNs in establishing protocols for selecting, wearing, and laundering surgical attire. Perioperative RNs should work with vendors and managers to ensure appropriate surgical attire is available, model the correct practices for don...

Hyperglycemia, which occurs in the perioperative period during cardiac surgery, has been shown to be associated with increased morbidity and mortality. The management of perioperative hyperglycemia during coronary artery bypass graft surgery and all cardiac surgical procedures has been the focus of intensive study in recent years. This report will paper the pathophysiology responsible for the d...

Preventing infection in the perioperative setting is a critical element of patient and health care worker safety. This article reviews the recommendations in the AORN "Recommended practices for prevention of transmissible infections in the perioperative practice setting." The recommended practices are intended to help perioperative nurses implement standard and transmission-based precautions (i...

Background and Aim: Post-neurosurgical meningitis can lead to severe complications and high mortality rates. The incidence varies in different conditions. The aim of this retrospective study is to determine the risk factors, occurrence, and microbiological spectrum of meningitis in patients with non-emergency craniotomy. Methods and Materials/Patients: The patients who underwent non-emergency ...

In this report of 20 patients with 24 carotid body tumors which is the largest series reported so far from Iran, we have evaluated the various characteristics of this relatively rare tumor in our population and compared our results with that of the literature. Although the prevalence of the tumor is cited to be equal among both sexes, we found a female to male ratio of 2.3 to I, as 14 of o...

Background: Throughout many countries, professional bodies rely on yearly self-assessment of competence for ongoing registration; therefore, nursing competence is pivotal to safe clinical practice. Our aim was to describe and compare perioperative nurses’ perceptions of competence in four countries, while examining the effect of specialist education and years of experience in the operating room...

isolated renal hydatid disease is a rare endemic infestation caused by larval form of echinococcus granulosus . hydatiduria is an uncommon presentation of renal hydatid disease. in 2012 a 34-year-old female referred to razi hospital, rasht, iran with complaints of right flank pain and grape-like material in urine. diagnosis was made by ultrasonography and ct scan. the patient was treated surgic...

UNLABELLED OBJECTIVES & AIM: The purpose of this investigation was to examine children's anxiety across the perioperative setting. BACKGROUND Although several studies have examined preoperative anxiety in children, few researchers have illustrated perioperative anxiety; that is, anxiety in children throughout the pre and postoperative continuum. METHODS Participants were 261 children ages 2...

Many perioperative pain management protocols for cats and dogs are overly complex, some are ineffective, and still others expose patients to unnecessary risk. The purpose of this article is to provide clinicians with a basic understanding of the pathophysiology of perioperative pain and a working knowledge of the principles of effective therapy. First, the concept of multimodal analgesic therap...