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  1. Anesthetic care in patients undergoing thoracic surgery presents specific challenges that require a multidisciplinary approach to management. There remains a need for standardized, evidence-based, continuously...

    Authors: Federico Piccioni, Andrea Droghetti, Alessandro Bertani, Cecilia Coccia, Antonio Corcione, Angelo Guido Corsico, Roberto Crisci, Carlo Curcio, Carlo Del Naja, Paolo Feltracco, Diego Fontana, Alessandro Gonfiotti, Camillo Lopez, Domenico Massullo, Mario Nosotti, Riccardo Ragazzi…

    Citation: Perioperative Medicine 2020 9:31

    Content type: Consensus

    Published on:

  2. Perioperative goal-directed haemodynamic therapy (GDHT), defined as the administration of fluids with or without inotropes or vasoactive agents against explicit measured goals to augment blood flow, has been e...

    Authors: Ahilanandan Dushianthan, Martin Knight, Peter Russell and Michael PW Grocott

    Citation: Perioperative Medicine 2020 9:30

    Content type: Research

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  3. Small randomized trials of early postoperative oral nutritional supplementation (ONS) suggest various health benefits following colorectal surgery (CRS). However, real-world evidence of the impact of early ONS...

    Authors: David G. A. Williams, Tetsu Ohnuma, Vijay Krishnamoorthy, Karthik Raghunathan, Suela Sulo, Bridget A. Cassady, Refaat Hegazi and Paul E. Wischmeyer

    Citation: Perioperative Medicine 2020 9:29

    Content type: Research

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  4. Individual surgical risk assessment (ISRA) enhances patient care experience and outcomes by informing shared decision-making, strengthening the consent process, and supporting clinical management. Neither the ...

    Authors: Joshua A. Bloomstone, Benjamin T. Houseman, Evora Vicents Sande, Ann Brantley, Jessica Curran, Gerald A. Maccioli, Tania Haddad, James Steinshouer, David Walker and Ramani Moonesinghe

    Citation: Perioperative Medicine 2020 9:28

    Content type: Research

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  5. Multicomponent peri-operative interventions offer to accelerate patient recovery and improve cost-effectiveness. The recent National Institute of Health Research-commissioned evidence synthesis review by Nunns...

    Authors: Michael Nunns, Joseph B. John, John S. McGrath, Liz Shaw, Simon Briscoe, Jo Thompson Coon, Anthony Hemsley, Christopher J. Lovegrove, David Thomas, Michael G. Mythen and Rob Anderson

    Citation: Perioperative Medicine 2020 9:27

    Content type: Editorial

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  6. Hypotension following major abdominal surgery is common, and once hypovolaemia has been optimally treated, is often due to vasodilation which can be treated with vasopressor infusions. There is unpredictabilit...

    Authors: Michèle Bossy, Molly Nyman, Thumuluru Kavitha Madhuri, Anil Tailor, Jayanta Chatterjee, Simon Butler-Manuel, Patricia Ellis, Aarne Feldheiser and Ben Creagh-Brown

    Citation: Perioperative Medicine 2020 9:26

    Content type: Research

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  7. Advances in healthcare delivery have allowed for the increase in the number of ambulatory surgery procedures performed in Canada. Despite these advances, patients return to hospital following discharge. Howeve...

    Authors: Monakshi Sawhney, David H. Goldstein, Xuejiao Wei, Genevieve C. Pare, Louie Wang and Elizabeth G. VanDenKerkhof

    Citation: Perioperative Medicine 2020 9:25

    Content type: Research

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  8. Individuals with obesity frequently present for anaesthesia and surgery. Good communication during the preoperative consultation can optimise the provision of relevant health information and guide improvement ...

    Authors: Anthony Hodsdon, Natalie Anne Smith and David A. Story

    Citation: Perioperative Medicine 2020 9:24

    Content type: Review

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  9. Gastrointestinal cancer surgery continues to be a significant cause of postoperative complications and mortality in high-risk patients. It is crucial to identify these patients. Our study aimed to evaluate the...

    Authors: Antero Fernandes, Jéssica Rodrigues, Luís Antunes, Patrícia Lages, Carla Salomé Santos, Daniel Moreira-Gonçalves, Rafael S. Costa, Joaquim Abreu Sousa, Mário Dinis-Ribeiro and Lúcio Lara Santos

    Citation: Perioperative Medicine 2020 9:23

    Content type: Research

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  10. An elevated cardiac troponin level after noncardiac surgery is associated with both morbidity and mortality. Guidelines suggest routine troponin monitoring in high-risk patients. We implemented a dedicated ane...

    Authors: Annemarie Akkermans, Lisette M. Vernooij, Wilton A. van Klei and Judith A. van Waes

    Citation: Perioperative Medicine 2020 9:22

    Content type: Research

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  11. Evidence-based perioperative analgesia is an important tactic for reducing patient exposure to opioids in the perioperative period and potentially preventing new persistent opioid use.

    Authors: Ankit Sarin, Elizabeth Lancaster, Lee-lynn Chen, Sima Porten, Lee-may Chen, Jeanette Lager and Elizabeth Wick

    Citation: Perioperative Medicine 2020 9:21

    Content type: Research

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  12. Multiple tools exist estimating perioperative risk. With an ageing surgical demographic, frailty is becoming an increasingly important concept in perioperative medicine due to its association with adverse post...

    Authors: Simon J. G. Richards, Pippa M. Jerram, Christian Brett, Michelle Falloon and Frank A. Frizelle

    Citation: Perioperative Medicine 2020 9:20

    Content type: Research

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  13. Post-operative pain management should ideally be optimized to ensure patient’s mobilization and ability to partake in effective pulmonary exercises for patient’s early recovery. Opioids have traditionally been...

    Authors: Sushan Gupta, Avani Mohta and Vijaya Gottumukkala

    Citation: Perioperative Medicine 2020 9:16

    Content type: Commentary

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  14. Intravenous iron is increasingly used prior to surgery for colorectal cancer (CRC) to correct iron deficiency anaemia and reduce blood transfusion. Its utility in functional iron deficiency (FID) or anaemia of...

    Authors: Stephen T. McSorley, John H. Anderson, Thomas Whittle, Campbell S. Roxburgh, Paul G. Horgan, Donald C. McMillan and Colin W. Steele

    Citation: Perioperative Medicine 2020 9:17

    Content type: Research

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  15. The use of preoperative cardiopulmonary exercise testing (CPET) to evaluate the risk of adverse perioperative outcomes is increasingly prevalent. CPET-derived information enables personalised perioperative car...

    Authors: G. Thomas, M. A. West, M. Browning, G. Minto, M. Swart, K. Richardson, L. McGarrity, S. Jack, M. P. W. Grocott and D. Z. H. Levett

    Citation: Perioperative Medicine 2020 9:18

    Content type: Research

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  16. An amendment to this paper has been published and can be accessed via the original article.

    Authors: Jean-Francois Bonnet, Eleanor Buggy, Barbara Cusack, Aislinn Sherwin, Tom Wall, Maria Fitzgibbon and Donal J. Buggy

    Citation: Perioperative Medicine 2020 9:19

    Content type: Correction

    Published on:

    The original article was published in Perioperative Medicine 2020 9:9

  17. Several studies show that the enhanced recovery after surgery (ERAS) program reduces complications postoperatively and leads to faster recovery and shorter hospital stays. However, little is known about patien...

    Authors: Berith Wennström, Anna Johansson, Sabina Kalabic, Anna-Lena E-son Loft, Stefan Skullman and Ingrid Bergh

    Citation: Perioperative Medicine 2020 9:15

    Content type: Research

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  18. Pre-operative optimisation ‘pre-hab’ is a growing area in peri-operative medicine. This is usually undertaken with the aim of reducing post-operative complications. In the case of early-stage lung cancer, surg...

    Authors: William M. Ricketts, Karen Bollard, Emma Streets, Kristi Hutton, Catherine Hornby and Kelvin Lau

    Citation: Perioperative Medicine 2020 9:14

    Content type: Case Study

    Published on:

  19. Despite the importance of predicting adverse postoperative outcomes, functional performance status as a proxy for frailty has not been systematically evaluated in emergency abdominal surgery. Our aim was to ev...

    Authors: Mirjana Cihoric, Line Toft Tengberg, Nicolai Bang Foss, Ismail Gögenur, Mai-Britt Tolstrup and Morten Bay-Nielsen

    Citation: Perioperative Medicine 2020 9:13

    Content type: Research

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  20. Optimal fluid therapy in the perioperative and critical care settings depends on understanding the underlying cardiovascular physiology and individualizing assessment of the dynamic patient state.

    Authors: Greg S. Martin, David A. Kaufman, Paul E. Marik, Nathan I. Shapiro, Denny Z. H. Levett, John Whittle, David B. MacLeod, Desiree Chappell, Jonathan Lacey, Tom Woodcock, Kay Mitchell, Manu L. N. G. Malbrain, Tom M. Woodcock, Daniel Martin, Chris H. E. Imray, Michael W. Manning…

    Citation: Perioperative Medicine 2020 9:12

    Content type: Consensus

    Published on:

  21. Emergency airway management may be required at any hospital location. Remote site management is associated with increased airway morbidity and mortality. Poor planning and interrupted workflow are significant ...

    Authors: Barry M. Schyma, Andrew E. Wood, Saranga Sothisrihari and Paul Swinton

    Citation: Perioperative Medicine 2020 9:11

    Content type: Research

    Published on:

  22. This paper explores elective surgery patients’ and family members’ needs during the perioperative period, in a specialized hospital in Saudi Arabia. Needs are influenced by context and could differ from a sett...

    Authors: Wid Alsabban, Ahmed Alhadithi, Faisal Salem Alhumaidi, Abdullah Mutlaq Al Khudhair, Saeed Altheeb and Ahmed Saad Badri

    Citation: Perioperative Medicine 2020 9:10

    Content type: Research

    Published on:

  23. Postoperative morbidity occurs in 10–15% of patients undergoing major noncardiac surgery. Predicting patients at higher risk of morbidity may help to optimize perioperative prevention. Preoperative haemodynami...

    Authors: Jean-Francois Bonnet, Eleanor Buggy, Barbara Cusack, Aislinn Sherwin, Tom Wall, Maria Fitzgibbon and Donal J. Buggy

    Citation: Perioperative Medicine 2020 9:9

    Content type: Research

    Published on:

    The Correction to this article has been published in Perioperative Medicine 2020 9:19

  24. Patients undergoing open abdominopelvic procedures for malignancy are at high risk of postoperative venous thromboembolism (VTE). This risk can be mitigated with prophylaxis; however, optimum duration in this ...

    Authors: B. Heijkoop, S. Nadi, D. Spernat and G. Kiroff

    Citation: Perioperative Medicine 2020 9:7

    Content type: Research

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  25. While specific practices for perioperative care of older adults have been recommended, little is known regarding adherence by US physician anesthesiologists to such practices. To address this gap in knowledge,...

    Authors: Stacie Deiner, Lee A. Fleisher, Jacqueline M. Leung, Carol Peden, Thomas Miller and Mark D. Neuman

    Citation: Perioperative Medicine 2020 9:6

    Content type: Research

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  26. Natriuretic peptides (NP) are strongly associated with perioperative cardiovascular events. However, in patients with raised NP, it remains unknown whether treatment to reduce NP levels prior to surgery result...

    Authors: Christella S. Alphonsus, Pooveshnie Govender, Reitze N. Rodseth and Bruce M. Biccard

    Citation: Perioperative Medicine 2020 9:5

    Content type: Review

    Published on:

  27. Evidence strongly supports improved outcomes following surgery when patients are more physically active, have better dietary intake, or are generally fitter prior to surgery. Having an operation is a major lif...

    Authors: Anna Robinson, Robert Slight, Andrew Husband and Sarah Slight

    Citation: Perioperative Medicine 2020 9:2

    Content type: Commentary

    Published on:

  28. Waardenburg-Shah syndrome is a rare autosomal recessive [AR] inherited disorder characterized by the presence of Hirschsprung’s disease with a high likelihood of aganglionic megacolon, due to which the mortali...

    Authors: Taimoor Ashraf Khan, C. Aqeel Safdar, Shehryar Zameer and Arshad Khushdil

    Citation: Perioperative Medicine 2020 9:4

    Content type: Case Study

    Published on:

  29. In 2014, the Royal College of Anaesthetists (RCoA) launched the Perioperative Medicine Programme to facilitate the delivery of best preoperative, intraoperative and postoperative care through implementation of...

    Authors: J. S. L. Partridge, A. Rogerson, A. L. Joughin, D. Walker, J. Simon, M. Swart and J. K. Dhesi

    Citation: Perioperative Medicine 2020 9:3

    Content type: Research

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  30. Closed loop total intravenous anesthesia is a technique in which the patient’s hemodynamic and anesthetic depth variables are monitored, and based on this information, a computer controls the infusion rate of ...

    Authors: Claudia Castellanos Peñaranda, Fabián D. Casas Arroyave, Francisco J. Gómez, Paola A. Pinzón Corredor, Juan M. Fernández, Marcela Velez Botero, Juan D. Bohórquez Bedoya and Carlos Marulanda Toro

    Citation: Perioperative Medicine 2020 9:1

    Content type: Research

    Published on:

  31. The increasing availability of cannabis for both recreational and medicinal purposes means that anaesthetists will encounter an increasing number of patients taking cannabis-based medications. The existing evi...

    Authors: Patrick Tapley and Suzanne Kellett

    Citation: Perioperative Medicine 2019 8:19

    Content type: Review

    Published on:

  32. Focused cardiac ultrasound (FoCUS)—a simplified, qualitative version of echocardiography—is a well-established tool in the armamentarium of critical care and emergency medicine. This review explores the extent...

    Authors: Tara Lenk, John Whittle, Timothy E. Miller, David G. A. Williams and Yuriy S. Bronshteyn

    Citation: Perioperative Medicine 2019 8:16

    Content type: Review

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  33. While mainly larger hospitals have introduced routine anti-Xa assays for rivaroxaban (RXA), these are not readily available to smaller hospitals often relying on routine coagulation tests such as prothrombin t...

    Authors: Alexander Kaserer, Andreas Schedler, Burkhardt Seifert, Donat R. Spahn, Jan-Dirk Studt and Philipp Stein

    Citation: Perioperative Medicine 2019 8:15

    Content type: Research

    Published on:

  34. Exercise is recommended in patients with cardiac failure. In the perioperative patient, exercise is also gaining popularity as a form of prehabilitation. In this meta-analysis, we examine if exercise is able t...

    Authors: Christella S. Alphonsus, Pooveshni Govender, Reitze N. Rodseth and Bruce M. Biccard

    Citation: Perioperative Medicine 2019 8:14

    Content type: Review

    Published on:

  35. The safety of intraoperative administration of hydroxyethyl starch (HES) has been debated. We hypothesized that intraoperative use of HES is associated with postoperative acute kidney injury (AKI) following ca...

    Authors: Wataru Matsunaga, Masamitsu Sanui, Yusuke Sasabuchi, Yasuma Kobayashi, Asuka Kitajima, Fumitaka Yanase, Yutaka Takisawa and Alan Kawarai Lefor

    Citation: Perioperative Medicine 2019 8:13

    Content type: Research

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  36. Following publication of the original article (Machowska et al. 2019), the authors provided new footnotes for Table 1 and Table 2. The complete tables and updated footnotes are supplied below.

    Authors: Anna Machowska, Jonatan Sparrentoft, Shyam Kumar Dhakaita, Cecilia StålsbyLundborg and Megha Sharma

    Citation: Perioperative Medicine 2019 8:12

    Content type: Correction

    Published on:

    The original article was published in Perioperative Medicine 2019 8:10

  37. The topic of patient satisfaction has gained increasing importance over the past decade. Due to the impact of patient satisfaction on health care quality, understanding factors that predict satisfaction is vit...

    Authors: Lily N. Trinh, Michelle A. Fortier and Zeev N. Kain

    Citation: Perioperative Medicine 2019 8:11

    Content type: Review

    Published on:

  38. Single-dose perioperative antibiotic prophylaxis (PAP) is recommended for clean, non-infectious surgeries to prevent surgical site infections. However, the common practice of unindicated use and prolonged use ...

    Authors: Anna Machowska, Jonatan Sparrentoft, Shyam Kumar Dhakaita, Cecilia StålsbyLundborg and Megha Sharma

    Citation: Perioperative Medicine 2019 8:10

    Content type: Research

    Published on:

    The Correction to this article has been published in Perioperative Medicine 2019 8:12

  39. Enhanced recovery after surgery (ERAS) pathways aim to standardize and integrate perioperative care, incorporating the best available evidence-based practice throughout the perioperative period targeted at att...

    Authors: W. Jonathan Dunkman, Michael W. Manning, John Whittle, John Hunting, Edward N. Rampersaud, Brant A. Inman, Julie K. Thacker and Timothy E. Miller

    Citation: Perioperative Medicine 2019 8:9

    Content type: Research

    Published on:

  40. Hip fracture is a procedure with high mortality and complication rates, and there exists a group especially at risk of these outcomes identified by their Nottingham Hip Fracture Score (NHFS). Meta-analysis sug...

    Authors: S. J. Davies, D. R. Yates, R. J. T. Wilson, Z. Murphy, A. Gibson, V. Allgar and T. Collyer

    Citation: Perioperative Medicine 2019 8:8

    Content type: Research

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  41. The impact of patient ethnicity on healthcare delivery is well documented. In this study of children who had undergone open abdominal or pelvic surgery for tumor resection, we sought to compare the use of epid...

    Authors: Pascal Owusu-Agyemang, Juan P. Cata, Ravish Kapoor, Antoinette Van Meter, Acsa M. Zavala, Uduak U. Williams, January Y. Tsai, Lei Feng and Andrea Hayes-Jordan

    Citation: Perioperative Medicine 2019 8:6

    Content type: Research

    Published on:

  42. Preoperative anxiety correlates positively with the amount of postoperative pain, analgesic use, and length of hospital stay. The purpose of this study was to investigate the effect of virtual reality technolo...

    Authors: Fateme Dehghan, Rostam Jalali and Hasan Bashiri

    Citation: Perioperative Medicine 2019 8:5

    Content type: Research

    Published on:

  43. There is a paucity of literature regarding the implementation of enhanced recovery after surgery (ERAS) protocols for open lumbar spine fusions. We implemented an ERAS program for 1–2-level lumbar spine fusion...

    Authors: Justin Smith, Stephen Probst, Colleen Calandra, Raphael Davis, Kentaro Sugimoto, Lizhou Nie, Tong J. Gan and Elliott Bennett-Guerrero

    Citation: Perioperative Medicine 2019 8:4

    Content type: Research

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  44. The aim of healthcare services is to provide a high quality of care. One way to ensure that this aim has been fulfilled is to assess patients’ satisfaction with their care. Although satisfaction is a complex c...

    Authors: Maria Jaensson, Karuna Dahlberg and Ulrica Nilsson

    Citation: Perioperative Medicine 2019 8:3

    Content type: Review

    Published on:

  45. Growing evidence suggests that intravenous lidocaine as a component of multimodal analgesia improves recovery after major colorectal surgery. There is little published data regarding ideal dosing and target pl...

    Authors: E. Greenwood, S. Nimmo, H. Paterson, N. Homer and I. Foo

    Citation: Perioperative Medicine 2019 8:1

    Content type: Research

    Published on:

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