Multimodal protocols to optimize perioperative care and to accelerate postoperative recovery include abbreviated pre-and postoperative fasting. The aim of this study was to investigate the pre and postoperative fasting period and the factors that influence it in patients who underwent elective operations. We included patients who underwent surgery of the digestive tract and abdominal wall. Data...

Objective. To study the peculiarities of antibiotics accumulation in appendix vermiformis after various methods their introduction.
 Materials and methods. The investigation was conducted 160 patients, to whom antibiotic introduced by methods: 53 – intramuscularly; 52
 intravenously; 55 lymphotropically. In part patients at 1 h preoperatively, rest 2 h. After performance appendectomy ...

BACKGROUND Several studies have shown in animal models that remote ischemic preconditioning (rIPC) has a neuroprotective effect. However, a randomized controlled trial in human subjects to investigate the neuroprotective effect of rIPC after cardiac surgery has not yet been reported. Therefore, we performed this pilot study to determine whether rIPC reduced the occurrence of postoperative cogni...

BACKGROUND Postoperative nausea and vomiting is a distressing complication of surgery, and 5-HT3 receptor antagonists are often prescribed to prevent it. Ondansetron is the agent typically administered to prevent postoperative nausea and vomiting. Although ramosetron has a longer duration of action than ondansetron, it remains unclear whether ramosetron is the more effective medication. We perf...

background: the need to relieve pain and inflammation after periodontal surgery and the side effects of systemic drugs and advantages of topical drugs, made us to evaluate the effect of diclofenac mouthwash on periodontal postoperative pain.     methods: in this double-blind, randomized clinical trial study 20 quadrants of 10 patients(n=20) aged between 22-54 who also acted as their own control...

A 70-year-old male patient with myasthenia gravis required coronary artery bypass grafting due to triple-vessel disease. The anesthetic management was performed with general anesthesia using reduced doses of muscle relaxants. He was extubated four hours after surgery and the postoperative course was uneventful. Coronary artery bypass surgery in myasthenic patients can be challenging to anesthes...

In seven postoperative patients with normal preoperative pulmonary function tests, we evaluated the oxygen cost of breathing (VO2resp) during continuous positive pressure ventilation (CPAP) and during a 15 cm H2O inspiratory pressure support ventilation (IPSV). For both periods, VO2 resp was estimated as the difference between total oxygen uptake of the period (VO2tot), measured by a mass-spect...

BACKGROUND Blood potassium levels were very important during perioperative management of patients undergoing abdominal surgery. According to various worldwide studies on the causes of hypokalemia and fast-track surgeries, prehospital hypokalemia was ignored. OBJECTIVE The aim of this study to construct a prevention and control system of hypokalemia through proper clinical pathways and investi...

OBJECTIVE To compare the postoperative clinical outcomes of patients undergoing cancer surgery in the Mato Grosso Cancer Hospital before and after implementation of the ACERTO protocol. METHODS We prospectively observed 271 patients during two periods: the first between April and May 2010 (n = 101) comprised patients undergoing conventional conducts (Phase 1) and the second from September to ...

BACKGROUND Bariatric operations have variable range of complications and postoperative benefits. Gastroesophageal reflux is considered potential factor that may result in damage to the esophageal mucosa and this subject is quite controversial in the literature. AIM To evaluate patients who underwent to Roux-en-Y gastrojejunal bypass correlating epidemiologic and endoscopic findings in pre and...