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  1. Content type: Research

    Management of tissue perfusion following cardiac surgery is a challenging task where common clinical parameters do not reflect microcirculatory dysfunction. Heterogeneity in blood flow perfusion and abnormalit...

    Authors: Zühre Uz, Can Ince, Philippe Guerci, Yasin Ince, Renata P. Araujo, Bulent Ergin, Matthias P. Hilty, Thomas M. van Gulik and Bas A. de Mol

    Citation: Perioperative Medicine 2018 7:18

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  2. Content type: Research

    Considerable controversy remains about how much oxygen patients should receive during surgery. The 2016 World Health Organization (WHO) guidelines recommend that intubated patients receive a fractional inspire...

    Authors: Clare M. Morkane, Helen McKenna, Andrew F. Cumpstey, Alex H. Oldman, Michael P. W. Grocott and Daniel S. Martin

    Citation: Perioperative Medicine 2018 7:17

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  3. Content type: Review

    Opioid use has risen dramatically in the past three decades. In the USA, opioid overdose has become a leading cause of unintentional death, surpassing motor vehicle accidents. A patient’s first exposure to opi...

    Authors: Elena J. Koepke, Erin L. Manning, Timothy E. Miller, Arun Ganesh, David G. A. Williams and Michael W. Manning

    Citation: Perioperative Medicine 2018 7:16

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  4. Content type: Research

    Enhanced recovery has been shown to improve patients’ experience after surgery. There are no previous studies comparing patients’ experience between those undergoing laparoscopic and open gynaecological surger...

    Authors: Joanne Lee, Viren Asher, Arun Nair, Victoria White, Catherine Brocklehurst, Martyn Traves and Anish Bali

    Citation: Perioperative Medicine 2018 7:15

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  5. Content type: Research

    Perioperative care has been identified as an area of wide variability in quality, with conflicting models, and involving multiple specialties. In 2014, the Loma Linda University Departments of Anesthesiology a...

    Authors: Gary Stier, Davinder Ramsingh, Ronak Raval, Gary Shih, Bryan Halverson, Briahnna Austin, Joseph Soo, Herbert Ruckle and Robert Martin

    Citation: Perioperative Medicine 2018 7:13

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  6. Content type: Research

    The American College of Surgeons National Surgical Quality Improvement Program (NSQIP®) developed a surgical risk calculator using data from 1.4 million patients and including 1557 unique Current Procedural Te...

    Authors: Sunghye Kim, Rebecca Neiberg, W. Jack Rejeski, Anthony P. Marsh, Stephen B. Kritchevsky, Xiaoyan I. Leng and Leanne Groban

    Citation: Perioperative Medicine 2018 7:12

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  7. Content type: Research

    Both preoperative cardiopulmonary exercise test (CPET)-derived measures of fitness and postoperative C-reactive protein (CRP) concentrations are associated with complications following surgery for colorectal c...

    Authors: Stephen T. McSorley, Campbell S. D. Roxburgh, Paul G. Horgan and Donald C. McMillan

    Citation: Perioperative Medicine 2018 7:11

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  8. Content type: Research

    Surgical patients are sometimes referred for preoperative evaluations by consultants in other medical specialties, although consultations are unnecessary for many patients, particularly for healthy patients un...

    Authors: Stephan R. Thilen, Alex L. Woersching, Anda M. Cornea, Elliott Lowy, Edward M. Weaver and Miriam M. Treggiari

    Citation: Perioperative Medicine 2018 7:9

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  9. Content type: Correction

    After publication of this article (Reeves et al. 2018), it was noticed that two references to the data contained within Figure 5 were incorrect. In the ‘Funding’ section of the ‘Results’, the line that reads, ...

    Authors: T. Reeves, S. Bates, T. Sharp, K. Richardson, S. Bali, J. Plumb, H. Anderson, J. Prentis, M. Swart and D. Z. H. Levett

    Citation: Perioperative Medicine 2018 7:8

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    The original article was published in Perioperative Medicine 2018 7:2

  10. Content type: Research

    Post-operative pulmonary complications (POPC) are common, predictable and associated with increased morbidity and mortality, independent of pre-operative risk. Interventions to reduce the incidence of POPC hav...

    Authors: Sophie V. Griffiths, Daniel H. Conway, Michael Sander, Ib Jammer, Michael P. W. Grocott and Ben C. Creagh-Brown

    Citation: Perioperative Medicine 2018 7:7

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  11. Content type: Research

    As the prevalence of obesity is increasing, the number of patients requiring surgical intervention for obesity-related illness is also rising. The aim of this pilot study was to explore predictors of short-ter...

    Authors: David Andrew Gilhooly, Michelle Cole and Suneetha Ramani Moonesinghe

    Citation: Perioperative Medicine 2018 7:6

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  12. Content type: Correction

    After publication of this article (Scott et al., 2017), it was noticed that the HTML version contained technical errors regarding the collaborator information of the Perioperative Quality Initiative (POQI) I W...

    Authors: Michael J. Scott, Matthew D. McEvoy, Debra B. Gordon, Stuart A. Grant, Julie K. M. Thacker, Christopher L. Wu, Tong J. Gan, Monty G. Mythen, Andrew D. Shaw and Timothy E. Miller

    Citation: Perioperative Medicine 2018 7:4

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    The original article was published in Perioperative Medicine 2017 6:7

  13. Content type: Correction

    After publication of this article (Thiele et al., 2016 ), it was noticed that the HTML version contained errors with the collaborator group, the Perioperative Quality Initiative (POQI) I Workgroup, preventing ...

    Authors: Robert H. Thiele, Karthik Raghunathan, C. S. Brudney, Dileep N. Lobo, Daniel Martin, Anthony Senagore, Maxime Cannesson, Tong Joo Gan, Michael Monty G. Mythen, Andrew D. Shaw and Timothy E. Miller

    Citation: Perioperative Medicine 2018 7:5

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    The original article was published in Perioperative Medicine 2016 5:24

  14. Content type: Research

    Airway management is a core clinical skill in anaesthesia. Pre-oxygenation prior to induction of anaesthesia is a standard practice to prevent desaturation. Apnoeic oxygenation in adults is effective and prolo...

    Authors: Lafi Olayan, Abdulaleem Alatassi, Jaimin Patel and Sherran Milton

    Citation: Perioperative Medicine 2018 7:3

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  15. Content type: Research

    Cardiopulmonary exercise testing (CPET) is an exercise stress test with concomitant expired gas analysis that provides an objective, non-invasive measure of functional capacity under stress. CPET-derived varia...

    Authors: T. Reeves, S. Bates, T. Sharp, K. Richardson, S. Bali, J. Plumb, H. Anderson, J. Prentis, M. Swart and D. Z. H. Levett

    Citation: Perioperative Medicine 2018 7:2

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    The Correction to this article has been published in Perioperative Medicine 2018 7:8

  16. Content type: Research

    The ASA physical classification score has a major impact on the observed/expected (O/E) mortality ratio in the NSQIP General Vascular Mortality Model. The difference in predicted mortality is greatest between ...

    Authors: Alex Helkin, Sumeet V. Jain, Angelika Gruessner, Maureen Fleming, Leslie Kohman, Michael Costanza and Robert N. Cooney

    Citation: Perioperative Medicine 2017 6:23

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  17. Content type: Research

    Little is known about the economic impact of emergency laparotomy (EL) surgery in healthcare systems around the world. The aim of this systematic review is to describe the primary resource utilisation, healthc...

    Authors: Sohail Bampoe, Peter M. Odor, S. Ramani Moonesinghe and Matthew Dickinson

    Citation: Perioperative Medicine 2017 6:21

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  18. Content type: Research

    Risk prediction techniques commonly used in liver surgery include the American Society of Anesthesiologists (ASA) grading, Charlson Comorbidity Index (CCI) and cardiopulmonary exercise tests (CPET). This study...

    Authors: S. Ulyett, G. Shahtahmassebi, S. Aroori, M. J. Bowles, C. D. Briggs, M. G. Wiggans, G. Minto and D. A. Stell

    Citation: Perioperative Medicine 2017 6:22

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  19. Content type: Research

    Successful breastfeeding is a goal set forth by the World Health Organization to improve neonatal care. Increasingly, patients express the desire to breastfeed, and clinicians should facilitate successful brea...

    Authors: Ramon Abola, Jamie Romeiser, Suman Grewal, Sabeen Rizwan, Rishimani Adsumelli, Ellen Steinberg and Elliott Bennett-Guerrero

    Citation: Perioperative Medicine 2017 6:18

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  20. Content type: Research

    Airway management remains one of the most important responsibilities of anesthesiologists. Prediction of difficult airway allows time for proper selection of equipment, technique, and personnel experienced in ...

    Authors: Erin Payne, Jacqueline Ragheb, Elizabeth S. Jewell, Betsy P. Huang, Angela M. Bailey, Laura M. Fritsch and Milo Engoren

    Citation: Perioperative Medicine 2017 6:20

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  21. Content type: Research

    There is substantial variation in the practice of preoperative medical evaluation (PME) and limited evidence for its benefit, which raises concerns about overuse. Surgeons have a unique role in this multidisci...

    Authors: Kevin R. Riggs, Zackary D. Berger, Martin A. Makary, Eric B. Bass and Geetanjali Chander

    Citation: Perioperative Medicine 2017 6:16

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  22. Content type: Research

    Epidural anaesthesia and analgesia are indicated for oesophageal surgery. A rare but serious complication is spinal haematoma, which can occur on insertion, manipulation or withdrawal of catheters. Evidence an...

    Authors: Owain Thomas, Emanuel Lybeck, Per Flisberg and Ulf Schött

    Citation: Perioperative Medicine 2017 6:14

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  23. Content type: Research

    While enhanced recovery protocols (ERPs) reduce physiologic stress and improve outcomes in general, their effects on postoperative renal function have not been directly studied.

    Authors: Charles R. Horres, Mohamed A. Adam, Zhifei Sun, Julie K. Thacker, Richard E. Moon, Timothy E. Miller and Stuart A. Grant

    Citation: Perioperative Medicine 2017 6:13

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  24. Content type: Research

    In 2014, this group published an investigation of surgical patients from 2012 who had substantial rates of postoperative hypoxemia (POH) and perioperative pulmonary aspiration (POPA). Therefore, we investigate...

    Authors: C. Michael Dunham, Barbara M. Hileman, Amy E. Hutchinson, Tamara Antonaccio, Elisha A. Chance, Gregory S. Huang, Gregory Szmaj, Kristen Calabro, Cynthia Bishop and Tyson T. Schrickel

    Citation: Perioperative Medicine 2017 6:10

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  25. Content type: Research

    The burden of HIV/AIDS in Sub-Saharan Africa has presented unusual and challenging acute surgical problems across all specialties. Thoraco-abdominal surgery cuts through muscle and thereby disrupts the normal ...

    Authors: Cathrine Tadyanemhandu, Rufaro Mukombachoto, Clement Nhunzvi, Farayi Kaseke, Vasco Chikwasha, Samson Chengetanai and Shamila Manie

    Citation: Perioperative Medicine 2017 6:11

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  26. Content type: Opinion

    The case for radical pathway re-design before surgery is in part driven by healthcare system pressures which are in turn the result of continuously rising demand in the face of tightly constrained resources. S...

    Authors: Michael P. W. Grocott, James O. M. Plumb, Mark Edwards, Imogen Fecher-Jones and Denny Z. H. Levett

    Citation: Perioperative Medicine 2017 6:9

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  27. Content type: Consensus

    Within an enhanced recovery pathway (ERP), the approach to treating pain should be multifaceted and the goal should be to deliver “optimal analgesia”, which we define in this paper as a technique that optimize...

    Authors: Michael J. Scott, Matthew D. McEvoy, Debra B. Gordon, Stuart A. Grant, Julie K. M. Thacker, Christopher L. Wu, Tong J. Gan, Monty G. Mythen, Andrew D. Shaw and Timothy E. Miller

    Citation: Perioperative Medicine 2017 6:7

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    The Correction to this article has been published in Perioperative Medicine 2018 7:4

  28. Content type: Consensus

    Within an enhanced recovery pathway (ERP), the approach to treating pain should be multifaceted and the goal should be to deliver “optimal analgesia,” which we define in this paper as a technique that optimize...

    Authors: Matthew D. McEvoy, Michael J. Scott, Debra B. Gordon, Stuart A. Grant, Julie K. M. Thacker, Christopher L. Wu, Tong J. Gan, Monty G. Mythen, Andrew D. Shaw and Timothy E. Miller

    Citation: Perioperative Medicine 2017 6:8

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  29. Content type: Consensus statement

    This article sets out a framework for measurement of quality of care relevant to enhanced recovery pathways (ERPs) in elective colorectal surgery. The proposed framework is based on established measurement sys...

    Authors: S. Ramani Moonesinghe, Michael P. W. Grocott, Elliott Bennett-Guerrero, Roberto Bergamaschi, Vijaya Gottumukkala, Thomas J. Hopkins, Stuart McCluskey, Tong J. Gan, Michael Monty G. Mythen, Andrew D. Shaw and Timothy E. Miller

    Citation: Perioperative Medicine 2017 6:6

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  30. Content type: Consensus statement

    More than 30% of the world’s population are anemic with serious medical and economic consequences. Red blood cell transfusion is the mainstay to correct anemia, but it is also one of the top five overused proc...

    Authors: Patrick Meybohm, Bernd Froessler, Lawrence T. Goodnough, Andrew A. Klein, Manuel Muñoz, Michael F. Murphy, Toby Richards, Aryeh Shander, Donat R. Spahn and Kai Zacharowski

    Citation: Perioperative Medicine 2017 6:5

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  31. Content type: Consensus

    Colorectal surgery (CRS) patients are an at-risk population who are particularly vulnerable to postoperative infectious complications. Infectious complications range from minor infections including simple cyst...

    Authors: Stefan D. Holubar, Traci Hedrick, Ruchir Gupta, John Kellum, Mark Hamilton, Tong J. Gan, Monty G. Mythen, Andrew D. Shaw and Timothy E. Miller

    Citation: Perioperative Medicine 2017 6:4

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  32. Content type: Research

    The aim of this pilot study was to measure changes in physical activity level (PAL) variables, as well as sleep duration and efficiency in people with locally advanced rectal cancer (1) before and after neoadj...

    Authors: Lisa Loughney, Malcolm A. West, Borislav D. Dimitrov, Graham J. Kemp, Michael PW. Grocott and Sandy Jack

    Citation: Perioperative Medicine 2017 6:3

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  33. Content type: Research

    Pre-operative anaemia is associated with mortality and red blood cell (RBC) transfusion requirement after cardiac surgery. However, the effect on post-operative total morbidity burden (TMB) is unknown. We expl...

    Authors: Julie Sanders, Jackie A. Cooper, Daniel Farrar, Simon Braithwaite, Updeshbir Sandhu, Michael G. Mythen and Hugh E. Montgomery

    Citation: Perioperative Medicine 2017 6:1

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  34. Content type: Research

    Several randomized controlled trials (RCTs) have demonstrated that intraoperative goal-directed fluid therapy (GDFT) can decrease postsurgical complications in patients undergoing major abdominal surgery. Howe...

    Authors: Marit Habicher, Felix Balzer, Viktor Mezger, Jennifer Niclas, Michael Müller, Carsten Perka, Michael Krämer and Michael Sander

    Citation: Perioperative Medicine 2016 5:31

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  35. Content type: Review

    Sarcopenia, or loss of skeletal muscle mass and quality, has been studied as part of aging and adverse health outcomes in elderly patients but has only recently been evaluated as a separate condition in cancer...

    Authors: Kimberly L. Mei, John A. Batsis, Jeannine B. Mills and Stefan D. Holubar

    Citation: Perioperative Medicine 2016 5:30

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  36. Content type: Research

    In this study, we examined the association between American Society of Anesthesiologists Physical Status (ASA PS) designation and 48-h mortality for both elective and emergent procedures in a large contemporar...

    Authors: Thomas J. Hopkins, Karthik Raghunathan, Atilio Barbeito, Mary Cooter, Mark Stafford-Smith, Rebecca Schroeder, Katherine Grichnik, Richard Gilbert and Solomon Aronson

    Citation: Perioperative Medicine 2016 5:29

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  37. Content type: Research

    The risk of spinal haematoma in patients receiving epidural catheters is estimated using routine coagulation tests, but guidelines are inconsistent in their recommendations on what to do when results indicate ...

    Authors: Owain Thomas, Hampus Rein, Karin Strandberg and Ulf Schött

    Citation: Perioperative Medicine 2016 5:28

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  38. Content type: Research

    Efforts to mitigate costs while improving surgical care quality have received much scrutiny. This includes the challenging issue of readmission subsequent to hospital discharge. Initiatives attempting to precl...

    Authors: Navid Alem, Joseph Rinehart, Brian Lee, Doug Merrill, Safa Sobhanie, Kyle Ahn, Ran Schwarzkopf, Maxime Cannesson and Zeev Kain

    Citation: Perioperative Medicine 2016 5:27

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  39. Content type: Editorial

    The 1st POQI Consensus Conference occurred in Durham, NC, on March 4–5, 2016, and was supported by the American Society of Enhanced Recovery (ASER) and Evidence-Based Perioperative Medicine (EBPOM). The confer...

    Authors: Timothy E. Miller, Andrew D. Shaw, Michael G. Mythen and Tong J Gan

    Citation: Perioperative Medicine 2016 5:26

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  40. Content type: Consensus statement

    Enhanced recovery may be viewed as a comprehensive approach to improving meaningful outcomes in patients undergoing major surgery. Evidence to support enhanced recovery pathways (ERPs) is strong in patients un...

    Authors: Robert H. Thiele, Karthik Raghunathan, C. S. Brudney, Dileep N. Lobo, Daniel Martin, Anthony Senagore, Maxime Cannesson, Tong Joo Gan, Michael Monty G. Mythen, Andrew D. Shaw and Timothy E. Miller

    Citation: Perioperative Medicine 2016 5:24

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    The Correction to this article has been published in Perioperative Medicine 2018 7:5

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