Stroke is the most significant perioperative risk for patients undergoing carotid endarterectomy (CEA). Patients are accepting a greatly increased short-term risk of stroke in return for a reduced risk over the subsequent years. The causes of perioperative stroke are multiple and include emboli, technical problems such as intimal flap, intraoperative cerebral ischaemia during clamping, and post...

OBJECTIVES To determine optimal perioperative antithrombotic management for patients with cardiac diseases undergoing joint replacement surgeries. DATA SOURCES MEDLINE and PubMed database search up to January 2013. STUDY SELECTION Those dealing with perioperative antithrombotic management of patients undergoing orthopaedic operations, especially joint replacement, and also those undergoing ...

INTRODUCTION Perioperative myocardial infarction adversely affects the prognosis of patients undergoing coronary artery bypass graft and its diagnosis was hampered by numerous difficulties, because the pathophysiology is different from the traditional instability atherosclerotic and the clinical difficulty to be characterized. OBJECTIVE To identify the frequency of perioperative myocardial in...

Background: In elderly patients with femoral neck fracture, functional recovery is affected largely by preoperative underlying diseases and postoperative complications. The present study was designed to analyze the relationship between preoperative underlying diseases and perioperative complications of surgery for proximal femur fracture. Methods: The study involved 86 patients aged 75 years or...

BACKGROUND AND OBJECTIVES Cardiac dysrhythmias are relatively common in the perioperative period and should be adequately diagnosed and treated by the anesthesiologist whenever indicated. The objective of this article was to review the most relevant aspects of cardiac dysrhythmias, as well as establishing the cause-effect relationship between drugs used in the perioperative period and dysrhythm...

BACKGROUND The perioperative management of anticoagulation in patients who are having implantation of a pacemaker or implantable cardioverter defibrillator (ICD) is a common clinical problem in which best clinical practise is not established. METHODS We performed a systematic review of the literature to assess the safety (pocket hematoma risk) and efficacy (thromboembolism risk) of different ...

BACKGROUND Recent studies on perioperative fluid administration in patients undergoing major abdominal surgery have suggested that increased fluid loads are associated with worse perioperative outcomes. However, results of retrospective analyses of the relationship between intraoperative fluid (IOF) administration and perioperative outcomes in patients undergoing pancreaticoduodenectomy (PD) ar...

OBJECTIVE To determine the incidence and causes of perioperative complications in patients who undergo microvascular free flap procedures for reconstruction of the head and neck. SETTING Academic tertiary care medical center. PATIENTS AND METHODS A total of 400 consecutive microvascular free flap procedures were performed for reconstruction of the head and neck, with 95% of the defects aris...

Blood coagulation is the process that results in the formation of a blood clot to stop bleeding from a damaged blood vessel. Various pharmacologic agents can affect the coagulation process. The American College of Chest Physicians' evidence-based practice guidelines for perioperative management of antithrombotic therapy provide guidance for anticoagulant or antiplatelet therapy and bridge thera...

OBJECTIVES To describe a consensus review of optimal perioperative care in colorectal surgery and to provide consensus recommendations for each item of an evidence-based protocol for optimal perioperative care. DATA SOURCES For every item of the perioperative treatment pathway, available English-language literature has been examined. STUDY SELECTION Particular attention was paid to meta-ana...