OBJECTIVES The prevalence of diabetes mellitus is increasing. Previous work has shown that suboptimal glycaemic control is associated with poor perioperative outcomes with increased rates of postoperative morbidity and mortality in several surgical specialities. Recently published UK guidelines have laid out the standards of perioperative care for patients with diabetes. Because an increasing n...

OBJECTIVE To investigate the efficacy and safety of alvimopan, 12 mg, administered orally 30 to 90 minutes preoperatively and twice daily postoperatively in conjunction with a standardized accelerated postoperative care pathway for managing postoperative ileus after bowel resection. DESIGN, SETTING, AND PATIENTS This multicenter, randomized, placebo-controlled, double-blind, phase 3 trial enr...

Many of injured children will require surgical treatment with involvement of the anesthesiologist. The anesthesia providers may have to take care of pediatric patients on following occasions: 1- Initial stabilization in the emergency department 2- Providing sedation and monitoring for imaging 3- Preoperative management of emergent surgical procedures such as laparotomy or craniotomy 4- Manageme...

This study aimed to determine the level of satisfaction surgical staff nurses and clients on nursing management postoperative complications rendered by in different hospitals Iriga City. specifically personal professional attributes terms age, gender, educational attainment, seminars or training, years experience area; with care for preventing along care, early ambulation, adequate nutrition, s...

This review provides an overview of the clinical issue of poorly controlled postoperative pain and therapeutic approaches that may help to address this common unresolved health-care challenge. Postoperative pain is not adequately managed in greater than 80% of patients in the US, although rates vary depending on such factors as type of surgery performed, analgesic/anesthetic intervention used, ...

INTRODUCTION The optimal pharmacologic and critical care–specific management during the necessary phase of postoperative intubation following complex airway surgery remains challenging. Authors have described the use of various sedation agents following a number of reconstructive surgeries including laryngotracheal reconstruction, laryngeal cleft repair, and supraglottoplasty. In reference to l...

The author provides an overview of the various postoperative therapeutic regimens for surgical patients recovering from anesthesia. Because anesthesia care begins preoperatively and continues well into the postoperative period, a thorough understanding of the altered pulmonary physiology caused by anesthesia, narcotics and surgery, as well as the appropriate implementation of postoperative resp...

INTRODUCTION The Life Support for Trauma and Transport (LSTAT trade mark ) is a self-contained, stretcher-based miniature intensive care unit designed by the United States Army to provide care for critically injured patients during transport and in remote settings where resources are limited. The LSTAT contains conventional medical equipment that has been integrated into one platform and reduce...

BACKGROUND Following major lung resection, patients have routinely been monitored in the intensive care unit (ICU). Recently, however, patients are increasingly being placed in a general thoracic ward (GTW). We investigated the safety and efficacy of the GTW care after lobectomy for lung cancer. MATERIALS AND METHODS 316 patients who had undergone lobectomy for lung cancer were reviewed. Thes...

Detailed Evidence for Patient Safety Indicators Decubitus Ulcer........................................................................................2 Failure to Rescue.....................................................................................5 Selected Infections Due to Medical Care.......................................................7 Postoperative Respiratory Failure..............