background: we performed this study to evaluate the efficacy of melatonin, clonidine and gabapentin in reducing preoperative anxiety and postoperative pain in patients undergoing laparoscopic cholecystectomy. methods: this study was a randomized clinical trial on patients scheduled for laparoscopic cholecystectomy. a total number of 88 patients were categorized into four groups to receive melat...

A 65-year-old man with heart disease schedules a knee arthroscopy with his orthopedic surgeon. Thirty miles away, a note pops up to notify the hospital's presurgical clinic of the impending surgery. A nurse practitioner pulls up the patient's electronic health record (EHR), where she reviews the patient's history. Comparing the history with the preop screening criteria, she can see the patient ...

Increasing numbers of surgical procedures that were once done in hospitals are now being performed in ambulatory care settings. Provision of quality preoperative education in those settings has become a challenge. This article reports findings from a practice-based study where the nurses in a preoperative preparation center implemented a supplemental, web-based educational program for same-day ...

BACKGROUND Patients undergoing intermediate-risk surgery are typically taken to the ward postoperatively. However, some may develop complications requiring intensive care later. We aimed to evaluate the characteristics of patients undergoing intermediate-risk surgery who required late postoperative admission to the intensive care unit (ICU) and determine the predictors for this. METHODS The s...

511 Sir, What is the surgery? Asked the preanaesthetic checkup (PAC) doctor. Surgery! I don't know-replied Mani (name changed) in a whispered voice which was more like a whim with an element of surprise to it. When did you come to know of Cancer? While mindlessly turning the pages of his file, the doctor (D) asked again. Cancer! Do I have one? This time, the element of surprise overwhelmed the ...

BACKGROUND AND OBJECTIVES Preanesthesia evaluation (PAE) is fundamental in the preparation of a surgical patient. Among its advantages is the reduction of preoperative care costs. Although prior studies had observed this benefit, it is not clear whether it can be taken into consideration among us. The objective of the present study was to compare the costs of preoperative care performed by the ...

BACKGROUND Outpatient preoperative assessment clinics were developed to provide an efficient assessment of surgical patients prior to surgery, and have demonstrated benefits to patients and the health care system. However, the centralization of preoperative assessment clinics may introduce geographical barriers to utilization that are dependent on where a patient lives with respect to the locat...

BACKGROUND Routine preoperative testing is not recommended for patients undergoing cataract surgery, because testing neither decreases adverse events nor improves outcomes. We sought to assess adherence to this guideline, estimate expenditures from potentially unnecessary testing, and identify patient and health care system characteristics associated with potentially unnecessary testing. METH...

BACKGROUND Retrospective studies suggest that preoperative anaemia is associated with poor outcomes after surgery. The objective of this study was to describe mortality rates and patterns of intensive care resource use for patients with anaemia undergoing non-cardiac and non-neurological in-patient surgery. METHODS We performed a secondary analysis of a large prospective study describing peri...