Enhanced Recovery for Colorectal Surgery
Fig. 6.1 Original ERAS Elements described for colorectal surgery. From Fearon KCH et al. Clinical Nutrition 2005 Whilst some the aspects can be challenged or, updated, figure one which is…
The Transition of Acute Postoperative Pain to Acute Persistent Pain to Chronic Pain: Assessing and Managing the Risks
Type of surgery Incidence of chronic postoperative pain (estimated) (%) Coronary artery bypass surgery 30–50 Amputation of an extremity 30–50 Thoracotomy 30–40 Breast surgery 20–30 Bone and joint surgery 20…
Can Perioperative Interventions During Cancer Surgery Affect Recurrence or Metastasis?
© Springer International Publishing Switzerland 2016Karen Stuart-Smith (ed.)Perioperative Medicine – Current Controversies10.1007/978-3-319-28821-5_14 14. Can Perioperative Interventions During Cancer Surgery Affect Recurrence or Metastasis? Dalia Abdelrahman1, 2 and Donal J. Buggy1, 2 (1) Department of Anaesthesia, Mater University…
Fluid Therapy in Trauma
MS Generic name Commercial products 0.7 Hetastarch Hespan®, Plasmasteril®, Hextend® 0.6 Hexastarch Elohes® 0.5 Pentastarch HAES-Steril®, Pentaspan®, Hemohes® 0.4 Tetrastarch Voluven®, Venofundin®, Tetraspan® There has been considerable criticism of HES…
Hemostatic Resuscitation for Perioperative Bleeding
© Springer International Publishing Switzerland 2016Karen Stuart-Smith (ed.)Perioperative Medicine – Current Controversies10.1007/978-3-319-28821-5_11 11. Hemostatic Resuscitation for Perioperative Bleeding Philip C. Spinella1, 2 , Heather F. Pidcoke2 and Andrew P. Cap2 (1) Division of Critical Care, Department of Pediatrics, Washington University in…
Postoperative Pulmonary Complications
These authors also developed a multifactorial risk factor index for predicting postoperative respiratory failure. Postoperative respiratory failure occurred in <0.01 % of low -risk patients (who had a combined risk…
Perioperative Management of Non-diabetic Patients with Hyperglycaemia (Stress-Induced Hyperglycaemia)
Patients n Diagnostic criteria Prevalence (%) Shi et al. [3] Pancreatic surgery 65 Fasting blood glucose ≥126 mg/dl (7 mmol/l) Or Random blood glucose ≥200 mg/dl (11.1 mmol/l) 63…
Perioperative Management of the Diabetic Patient
Type of oral antidiabetic and non-insulin injectable therapy Day before surgery Day of surgery Patient for AM surgery Patient for PM surgery Acarbose No dose change Omit morning dose Give…
Perioperative Beta-Blockade, the Pros and Cons. The Story of Beta-Blockade and Cardiac Protection
2009 ACCF/AHA guideline recommendations 2009 ESC/ESA guideline recommendations Class I Beta blockers should be continued in patients undergoing surgery who are receiving beta-blockers for treatment of conditions with ACCF/AHA Class…
Defining Postoperative Quality of Recovery
Fig. 5.1 Recovery as a continuous variable. X = individual patient change score, which is a measure of individual patient recovery as a continuous variable derived from summation of multiple domains Defining…
