Cirrhosis with refractory ascites was considered a contraindication to laparoscopic surgery,1 until recently. However, current literature has shown the efficacy and safety of various laparoscopic procedures in the diagnosis and management of surgical conditions in cirrhotic patients. The incidence of ventral hernias in cirrhotic patients with tense ascites is high. It is well known that open he...

Near-death experience (NDE) is a complex subjective experience, which may include affective elements such as a sense of peacefulness, paranormal components such as a sensation of floating out of the body, and a perception of being in a dark tunnel and seeing a brilliant light. It is usually reported to occur in association with a wide range of life-threatening situations, as for instance, cardi...

BACKGROUND Structured preoperative assessment has been reported to improve operating room efficiency as measured by metrics such as day of surgery cancellations (DOSCs). However, not all patients require comprehensive assessment; routine full assessments can result in unnecessary duplication of tests and investigations. Selective nurse screening under the supervision of anesthesiology may provi...

BACKGROUND Postoperative delirium (POD) is a common complication in the elderly. This retrospective study investigated the effect of intraoperative hemodynamics on the incidence of POD in elderly patients after major surgery to explore ways to reduce the incidence of POD. MATERIAL/METHODS Based on the incidence of POD, elderly patients (81±6 y) were assigned to a POD (n=137) or non-POD group ...

BACKGROUND Measuring change is fundamental to evaluations, health services research and quality management. To date, the Gold-Standard is the prospective assessment of pre- to postoperative change. However, this is not always possible (e.g. in emergencies). Instead a retrospective approach to the measurement of change is one alternative of potential validity. In this study, the Gold-Standard 'c...

The Cardiac Arrest in Elective Neurosurgery, is complex and different from other types, as it’s influenced by the patient’s position, surgical procedure, equipment used to fix skull;
 we report a case of patient admitted for lumbar spine surgery prone position who presented an intraoperative cardiac arrest.
 chest compressions can be started immediately patients; some studies confirme...

BACKGROUND Nearly 20,000 patients per year in the UK receive total knee arthroplasty (TKA). One of the problems faced by the health services of many developed countries is the length of time patients spend waiting for elective treatment. We therefore report the results of a study in which the Salisbury Priority Scoring System (SPSS) was used by both the surgeon and their patients to ascertain w...

STUDY DESIGN Retrospective, case-control. OBJECTIVE Evaluate the utility of preoperative autologous blood donation (PABD) for surgical treatment of adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA Recent data have highlighted overuse of PABD in elective surgery; however, PABD is a major blood conservation strategy for AIS surgery. METHODS Medical records of 123 patients t...

BACKGROUND AND OBJECTIVES Laryngoscopy and intubation can cause hemodynamic response. Various medications may be employed to control that response. In this study, we aimed to compare the effects of dexmedetomidine, fentanyl and esmolol on hemodynamic response. METHOD Ninety elective surgery patients who needed endotracheal intubation who were in American Society of Anesthesiology I-II group a...