• Objective: To assess nurses’ opinions of a hospitalistorthopedic team (HOT) model of perioperative care. • Design: Paper survey distributed quarterly as a portion of a larger randomized controlled trial. • Setting: Rochester Methodist Hospital (Mayo Clinic), an academic, primarily elective surgical hospital in

opium is a derivative of opium poppy; the species of plant which its extract is used for preparing opium. opium abuse is considered under drug dependency classification of psychiatric diseases and opium abusers have a number of major challenges before, during and after anesthesia for surgical operations (i.e. the perioperative period). this article reviews these clinical challenges during the p...

Bodily injury and stress associated with surgical interventions increase glucose levels not only in individuals diagnosed with diabetes mellitus but also in patients without a preoperative diagnosis of diabetes. Whatever the cause, hyperglycemia is becoming an increasingly important indicator of perioperative patient outcomes. An elevated blood glucose level affects the body's defense systems a...

Purpose The aim of this study was to evaluate whether the perioperative carcinoembryonic antigen (CEA) ratio could be used as a determinant for adjuvant therapy after curative surgery in stage II colorectal cancer. Methods Data for 119 patients with stage II colorectal cancer who underwent radical surgery between 2010 and 2013 were collected. The perioperative CEA ratio was defined as the pos...

Perioperative blood transfusions are common in total hip arthroplasty because of preoperative anemia and perioperative blood loss. Perioperative anemia and the need for allogeneic blood transfusion are related with increased morbidity. To reduce perioperative allogeneic blood transfusion, keeping the preoperative hemoglobin level above 12.0 g/dL is important in orthopedic patients. By using the...

Editor’s key points † Diabetes mellitus and other disorders of blood glucose regulation are common in perioperative patients. † The optimal management of perioperative dysglycaemia has been shown to improve perioperative outcomes. † Guidelines and recommendations aid in the diagnosis and management of perioperative abnormalities in glucose homeostasis. Summary. The prevalence of type 2 diabetes...

background: in this study, the early effects of percutaneous nephrolithotomy (pcnl) on glomerular filtration rate (gfr) was assessed in different postoperative times and likewise, we determined the correlation of different variables with significant postoperative gfr drop  after pcnl. m aterials and methods: patient records of 486 cases that had undergone pcnl from january 2010 to october 2011 ...

Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative cardiovascular events than optimal medical management. Patients likely to benefit from perioperative beta blockade...

BACKGROUND Ischemic optic neuropathy is the most common cause of perioperative vision loss. The authors sought to determine its incidence and identify risk factors that may contribute to perioperative ischemic optic neuropathy associated with nonophthalmologic surgical procedures at their institution. METHODS Seventeen patients who experienced perioperative ischemic optic neuropathy were incl...

This is the second of 2 articles evaluating cardiac events in patients undergoing noncardiac surgery. Unrecognized myocardial infarctions (MIs) are common, and up to 50% of perioperative MIs may go unrecognized if physicians rely only on clinical signs or symptoms. In this article, we summarize the evidence regarding monitoring strategies for perioperative MI in patients undergoing noncardiac s...