BACKGROUND In 1996, an integrated plan of care was implemented to improve quality of care for patients undergoing elective carotid endarterectomy. Goals were to reduce length of stay, costs, number of preoperative and intensive care unit admissions, and use of diagnostic procedures yet maintain good outcomes. OBJECTIVES To determine whether use of the integrated plan of care met the goals. ...

OBJECTIVE To determine the association between the preoperative administration of statins and postoperative delirium in a prospective cohort of patients undergoing cardiac surgery. METHODS All adult patients who were admitted to the intensive care unit following cardiac surgery between January and June 2011 were included. Delirium was screened during the postoperative period using the Confusi...

297 No perfect operating room (OR) exists and many, if not most, surgeons have complained about their workplace at one time or another. But just imagine if you had complete control over the design of your operating room and could fashion it as you pleased. What would you change? Where would you begin? Certainly, many surgical sales-persons would like to sell their product, but would that produc...

Preoperative care includes a clinical examination before invasive or non-invasive interventions for anaesthesia/analgesia and is the responsibility of the anaesthesiologists. Methemoglobinemia should be considered, as well as cardiac, pulmonary, and peripheral circulatory disorders in patients with central cyanosis and low oxygen saturation despite treatment with sufficient oxygen during anaest...

Ageing of populataion world wide has significant contribution as one of the major risk factor for neurodegenerative disorders. The patients with neurodegenerative as well as other neuological diseases presented the population with possible great need either of small or big surgical intervention. There are several important issues in patients with neurological diseases: the nature, disease durat...

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 ...

PURPOSE OF REVIEW Improving patient outcomes from major urological surgery requires not only advancement in surgical technique and technology, but also the practice of patient-centered, multidisciplinary, and integrated medical care of these patients from the moment of contemplation of surgery until full recovery. This review examines the evidence for recent developments in preoperative assessm...

OBJECTIVES The aim of this study was to develop nursing practice guidelines and algorithms for the pre- and postoperative care of gastric cancer patients. METHODS The guidelines and algorithms were developed based on a literature review and subject-matter experts' knowledge. The usefulness and applicability of the developed guidelines and algorithms were evaluated by the expert group. RESUL...

STUDY DESIGN A cost-effectiveness analysis conducted alongside a randomized clinical trial. OBJECTIVE To assess the cost-effectiveness of a preoperative cognitive-behavioral therapy (CBT) intervention compared to usual care for patients undergoing lumbar spinal fusion surgery (LSF). SUMMARY OF BACKGROUND DATA The clinical effectiveness of a preoperative CBT intervention for patients undergo...