BACKGROUND Perioperative respiratory complications after adenotonsillectomy (T&A) are common and have been described to occur more frequently in children below 3 years of age, those with cranio-facial abnormalities, Down syndrome, obstructive sleep apnea, morbid obesity, and failure to thrive. AIMS To investigate the association between awake vs deep tracheal extubation and perioperative resp...

Implementation of anaesthesia begins with a preoperative assessment of the surgical patient and development of an anaesthetic plan. Preparation of the patient includes the preoperative assessment, review of preoperative tests, optimisation of medical conditions, adequate preoperative fasting, appropriate premedication, and the explanation of anaesthetic risk to patients. The goals of preoperati...

3.1 Aim of preoperative evaluation To obtain pertinent information about the patient's medical history and physical and mental Conditions, in order to determine which tests and consultations are needed. Guided by patient choices and the risk factors uncovered by the medical history, to choose the care plans to be followed. To obtain informed consent. To educate the patient about anesthesia, per...

Postoperative ileus negatively impacts patient outcomes and healthcare utilization, increasing both postoperative length of stay and health care costs. In efforts to optimize perioperative care, efforts have been placed into developing tools to minimize postoperative ileus. Alvimopan (Entereg®) was developed to meet this need. Alvimopan has permitted accelerated return of bowel function after a...

BACKGROUND A clinical pathway (CP) can standardize and improve perioperative care for a number of interventions. In hepatic surgery, however, pertinent evidence is very limited. This study was conducted to implement a CP for hepatocellular carcinoma (HCC) patients undergoing hepatectomy, and to evaluate its effects on hospital costs, length of hospital stay (LOHS) and early clinical outcomes. ...

Primary care physicians (internal medicine and family practice) are often asked to evaluate patients before surgery and prepare them for the procedure. The goal of our study was to examine primary care and anesthesiology resident physicians' knowledge of preoperative evaluation and preparation as well as perioperative changes during anesthesia and surgery. To this end, a questionnaire was sent ...

Every perioperative department could benefit from having an information system that facilitates managerial function and improves efficiency in the OR. The Patient Advancement Monitoring System-Surgical implemented in a hospital in Taipei, Taiwan, is one such a system that uses radio-frequency identification technology for tracking perioperative care of patients along workflow checkpoints. This ...

Background: Every year, 200 million people worldwide have major non-cardiac surgery (NCS), and 10 experience a significant cardiac problem during the first 30 days following NCS. Perioperative cardiovascular complications (PCCs), are extremely since they contribute to at least one-third of perioperative mortality, lengthen hospital stays, raise medical expenses.

Hyperglycemia is a common finding in surgical patients during the perioperative period. Factors contributing to poor glycemic control include counterregulatory hormones, hepatic insulin resistance, decreased insulin-stimulated glucose uptake, use of dextrose-containing intravenous fluids, and enteral and parenteral nutrition. Hyperglycemia in the perioperative period is associated with increase...

Patients with neuromuscular disorders undergoing general anesthesia present a special set of respiratory problems for perioperative management. While there are disease-specific concerns, there are many common themes in the respiratory management of patients with neuromuscular disorders. These problems are discussed in this review. Such common perioperative concerns include upper airway obstruct...