PURPOSE This study described physical and psychosocial limitations associated with adult brachial plexus injuries (BPI) and patients' expectations of BPI surgery. METHODS During in-person interviews, preoperative patients were asked about expectations of surgery and preoperative and postoperative patients were asked about limitations due to BPI. Postoperative patients also rated improvement i...

Background: Patients undergoing surgery are at risk of developing complications related to surgery and anesthesia amidst heightened anxiety. The key roles played by perioperative nurses in surgery, mandate them to conduct preoperative patient assessment to identify and mitigate potential complications and to plan and deliver quality perioperative care. However, paucity of literature evidencing ...

A surgical site infection (SSI) is an unintended and oftentimes preventable consequence of surgery. There is a significant amount of literature related to preventing SSIs, and it is up to practitioners in each care setting to review the evidence and work together to implement SSI prevention measures, such as nasal decolonization, antibiotic prophylaxis, preoperative showers, preoperative oxygen...

Background Preoperative chemoradiotherapy (CRT) has been widely adopted as the standard of care for locally advanced rectal cancer in most western countries. However there has been a general exclusion of the elderly patients from neoadjuvant trials often due to concerns over their tolerance of surgery and/or (chemo)radiotherapy. Our aim was to compare the compliance to preoperative CRT of recta...

BACKGROUND Routine preoperative testing is ineffective and costly. We explored reasons for the continued use of unnecessary preoperative tests and approaches to limit such testing. METHODS We interviewed 23 physicians and nurse administrators involved in preoperative decision-making in our local health care environment. We conducted interviews using a semi-structured format and analyzed the d...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1471 nephrologists and the increasing number of patients with kidney disease, portions of this care may be shifted to the family physician in the future. Preoperative management of patients with chronic kidney disease can be challenging. A number of factors, including preoperative assessment, fluid and electrolyte issues, bleeding, and dialysis issues,...

Purpose Laparoscopic Cholecystectomy (LC) is common practice in treatment of symptomatic gall stones. LC is often associated with preoperative anxiety and stress which may negatively impact postoperative pain perception and recovery from surgery. The aim of the present study was to investigate whether a “non-pharmacological” intervention with guided imagery can reduce preoperative anxiety, post...

• Objective: To assess outcomes of patients referred to an internal medicine preoperative assessment program for evaluation preceding noncardiac surgery. • Design: Prospective cohort study. • Patients and setting: The study cohort was a convenience sample of patients undergoing major noncardiac surgery at an academic tertiary care medical center who were referred to the IMPACT (Internal Medicin...

Abstract Background The progressive ageing of the population, prevalence chronic diseases, such as cardiovascular diseases and heart disease with surgical indication, have a significant expression, either curative objective or to increase quality life. Waiting for surgery is often period anxiety fear. Preoperative waiting time can be used better prepare these patients surgery. Purpose purpose t...