the most common cardiovascular surgery in the world and iran as well, is cabg. one of the most important post-operative complication of this operation, that increase morbidity and mortality, is peri-operative mi. incidence of peri-operative mi in cabg operations is between 2.5 to 5.5%. in this study we determined the prevalence and incremental risk factors of peri-operative mi in 300 consequati...

introduction: tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. methods of pain control such as use of non-steroidal anti-inflammatory drugs (nsaids), narcotics, and local anesthetics have been used, but each have their own particular side effects. in this study we investigated the effect of ketamine on post...

Background: There is a high demand for shoulder/elbow experience among hand-fellowship trainees due to theperception that this exposure will improve their professional “marketability” in a subspecialty they perceive as havinghigher compensation.Methods: Using Medicare data, we investigated the most common surgeries from these fields and determinedwhich have the highest c...

BACKGROUND In 2013, we developed the Operative Entrustability Assessment (OEA) to facilitate evaluation and documentation of resident operative skills. This web-based tool provides real-time, transparent feedback to residents on operative performance. This study evaluated the construct validity of the OEA, assessing its association with operative time. METHODS We used simple and multiple line...

Introduction: Various hemostatic and analgesic agents and techniques have been used to reduce intraoperative and postoperative hemorrhage and pain in tonsillectomy.Aims and objective; The current study aimed to compare the effect of using adrenaline plus tramadol and normal saline in maintaining hemostasis and control of pain in cold dissection tonsillectomy.   Materials and Methods: This pros...

ovariectomy (ove) is a routine surgical procedure for neutering in small animal practice. laparoscopy is a new surgical technique which contains advantages such as less trauma, smaller incision and excellent visualization than traditional open surgery. the present study was conducted to examine the feasibility and safety of laparoscopic procedure through two portal comparing with the convention...

 Background: The most expensive variable in the operating room (OR) is time. Lean Process Management is being used in the medical field to improve efficiency in the OR. Streamlining individual processes within the OR is crucial to a comprehensive time saving and cost-cutting health care strategy. At our institution, one hour of OR time costs approximately $500, exclusive of supply and personnel...