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  1. Despite existing evidence and guidelines advocating for appropriate risk stratification, ambulatory surgery in low-risk patients continues to be accompanied by a battery of routine tests prior to surgery. Usin...

    Authors: Onyi C. Onuoha, Michael B. Hatch, Todd A. Miano and Lee A. Fleisher

    Citation: Perioperative Medicine 2015 4:14

    Content type: Research

    Published on:

  2. The use of cardiac output monitoring to guide intra-venous fluid and inotropic therapies may improve peri-operative outcomes, but uncertainty exists regarding clinical effectiveness and robust cost-effectivene...

    Authors: Zia Sadique, David A. Harrison, Richard Grieve, Kathryn M. Rowan and Rupert M. Pearse

    Citation: Perioperative Medicine 2015 4:13

    Content type: Research

    Published on:

  3. Preventable postsurgical complications are increasingly recognized as a major clinical and economic burden. A recent meta-analysis showed a 17–29 % decrease in postoperative morbidity with goal-directed fluid ...

    Authors: Frederic Michard, William K. Mountford, Michelle R. Krukas, Frank R. Ernst and Sandy L. Fogel

    Citation: Perioperative Medicine 2015 4:11

    Content type: Research

    Published on:

  4. Currently, there is no standardised tool used to capture morbidity following abdominal aortic aneurysm (AAA) repair. The aim of this prospective observational study was to validate the Postoperative Morbidity ...

    Authors: Ben A. Goodman, Alan M. Batterham, Elke Kothmann, Louise Cawthorn, David Yates, Helen Melsom, Karen Kerr and Gerard R. Danjoux

    Citation: Perioperative Medicine 2015 4:10

    Content type: Research

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  5. The European Medicines Agency does not recommend the use of hydroxyethyl starch-based volume replacement solutions in critically ill patients due to an increased risk of renal failure. However, this recommenda...

    Authors: N. Li, S. Statkevicius, B. Asgeirsson and U. Schött

    Citation: Perioperative Medicine 2015 4:9

    Content type: Research

    Published on:

  6. The use of cardiac output monitoring may improve patient outcomes after major surgery. However, little is known about the use of this technology across nations.

    Authors: Tahania Ahmad, Christian M. Beilstein, Cesar Aldecoa, Rui P. Moreno, Zsolt Molnár, Vesna Novak-Jankovic, Christoph K. Hofer, Michael Sander, Andrew Rhodes and Rupert M. Pearse

    Citation: Perioperative Medicine 2015 4:8

    Content type: Research

    Published on:

  7. Perioperative goal-directed fluid therapy (GDFT) may improve outcome after high-risk surgery. Minimal invasive measurement of stroke volume variation (SVV) has been recommended to guide fluid therapy. We inten...

    Authors: Ib Jammer, Mari Tuovila and Atle Ulvik

    Citation: Perioperative Medicine 2015 4:6

    Content type: Research

    Published on:

  8. Appropriately timed patient discharge is essential for optimal patient care and efficient hospital functioning. The post-operative morbidity survey (POMS) is the only validated prospective method of measuring ...

    Authors: Elizabeth Ashby, Claire Matejowsky, Michael G Mythen, Fares S Haddad and Michael PW Grocott

    Citation: Perioperative Medicine 2015 4:5

    Content type: Research

    Published on:

  9. Patient satisfaction is an important metric of health-care quality. Accidental awareness under general anaesthesia (AAGA) is a serious complication of anaesthesia care which may go unrecognised in the immediat...

    Authors: Suneetha Ramani Moonesinghe, Eleanor Mary Kate Walker and Madeline Bell

    Citation: Perioperative Medicine 2015 4:4

    Content type: Research

    Published on:

  10. Perioperative fluid therapy remains a highly debated topic. Its purpose is to maintain or restore effective circulating blood volume during the immediate perioperative period. Maintaining effective circulating...

    Authors: Lais Helena Camacho Navarro, Joshua A Bloomstone, Jose Otavio Costa Auler Jr, Maxime Cannesson, Giorgio Della Rocca, Tong J Gan, Michael Kinsky, Sheldon Magder, Timothy E Miller, Monty Mythen, Azriel Perel, Daniel A Reuter, Michael R Pinsky and George C Kramer

    Citation: Perioperative Medicine 2015 4:3

    Content type: Consensus statement

    Published on:

  11. Several plasma volume expander alternatives exist to enhance intravascular volume status in patients undergoing surgery. The optimal intravascular volume expander in the perioperative setting is currently unkn...

    Authors: Raquel R Bartz, William D White and Tong J Gan

    Citation: Perioperative Medicine 2015 4:2

    Content type: Research

    Published on:

  12. Goal-directed therapy (GDT) utilizes monitoring techniques to help guide clinicians with administering fluids, vasopressors, inotropes, or other treatments to patients in various clinical settings. Multiple st...

    Authors: Jason B O’Neal and Andrew D Shaw

    Citation: Perioperative Medicine 2015 4:1

    Content type: Editorial

    Published on:

  13. The benefit of the post-anaesthesia care unit (PACU) with respect to an early detection of postoperative complications is beyond dispute. From a patient perspective, prevention and optimal management of pain, ...

    Authors: Michael T Ganter, Stephan Blumenthal, Seraina Dübendorfer, Simone Brunnschweiler, Tim Hofer, Richard Klaghofer, Andreas Zollinger and Christoph K Hofer

    Citation: Perioperative Medicine 2014 3:10

    Content type: Research

    Published on:

  14. In particular surgical conditions, a balanced anesthesia with a high-antinociceptive contribution is required. This may induce cardiovascular impairment and thus compromise tissue oxygenation. In this prospect...

    Authors: Jaap Jan Vos, Marieke Poterman, Laura N Hannivoort, Victor W Renardel De Lavalette, Michel MRF Struys, Thomas WL Scheeren and Alain F Kalmar

    Citation: Perioperative Medicine 2014 3:9

    Content type: Research

    Published on:

  15. Complications increase the costs of care of surgical patients. We studied the Premier database to determine the incidence and direct medical costs related to pulmonary complications and compared it to cardiac ...

    Authors: Lee A Fleisher and Walter T Linde-Zwirble

    Citation: Perioperative Medicine 2014 3:7

    Content type: Research

    Published on:

  16. The numbers of people requiring total arthroplasty is expected to increase substantially over the next two decades. However, increasing costs and new payment models in the USA have created a sustainability gap. A...

    Authors: Darren R Raphael, Maxime Cannesson, Ran Schwarzkopf, Leslie M Garson, Shermeen B Vakharia, Ranjan Gupta and Zeev N Kain

    Citation: Perioperative Medicine 2014 3:6

    Content type: Research

    Published on:

  17. The aim of this study was to survey the relative importance of postoperative recovery targets and perioperative care items, as perceived by a large group of international dedicated professionals.

    Authors: Eirik K Aahlin, Maarten von Meyenfeldt, Cornelius HC Dejong, Olle Ljungqvist, Kenneth C Fearon, Dileep N Lobo, Nicolas Demartines, Arthur Revhaug, Stephen J Wigmore and Kristoffer Lassen

    Citation: Perioperative Medicine 2014 3:5

    Content type: Research

    Published on:

  18. Perioperative enhanced recovery programmes (ERPs), identified as initiatives that improve care and save money, have been adopted by NHS Improvement and are currently being rolled out across many surgical depar...

    Authors: Stephanie Archer, Jane Montague and Anish Bali

    Citation: Perioperative Medicine 2014 3:2

    Content type: Research

    Published on:

  19. When hospitals suffer financial losses when postoperative complications occur, they may have a direct financial incentive to initiate quality improvement programs. The purpose of this research was to determine...

    Authors: David N Flynn, Rebecca M Speck, Najjia N Mahmoud, Guy David and Lee A Fleisher

    Citation: Perioperative Medicine 2014 3:1

    Content type: Research

    Published on:

  20. The aim of this study was to determine if the post-operative serum arterial lactate concentration is associated with mortality, length of hospital stay or complications following hepatic resection.

    Authors: Matthew G Wiggans, Tim Starkie, Golnaz Shahtahmassebi, Tom Woolley, David Birt, Paul Erasmus, Ian Anderson, Matthew J Bowles, Somaiah Aroori and David A Stell

    Citation: Perioperative Medicine 2013 2:21

    Content type: Research

    Published on:

  21. The monitoring of the cardiac output (CO) and other hemodynamic parameters, traditionally performed with the thermodilution method via a pulmonary artery catheter (PAC), is now increasingly done with the aid o...

    Authors: Christos Chamos, Liana Vele, Mark Hamilton and Maurizio Cecconi

    Citation: Perioperative Medicine 2013 2:19

    Content type: Review

    Published on:

  22. Preoperative anaemia and low exertional oxygen uptake are both associated with greater postoperative morbidity and mortality. This study reports the association among haemoglobin concentration ([Hb]), peak oxy...

    Authors: James M Otto, Alasdair F O’Doherty, Philip J Hennis, Jackie A Cooper, Michael PW Grocott, Chris Snowdon, John B Carlisle, Michael Swart, Toby Richards and Hugh E Montgomery

    Citation: Perioperative Medicine 2013 2:18

    Content type: Research

    Published on:

  23. In this narrative review, an overview is given of the pros and cons of various crystalloid fluids used for infusion during initial resuscitation or maintenance phases in adult hospitalized patients. Special em...

    Authors: Annemieke Smorenberg, Can Ince and AB Johan Groeneveld

    Citation: Perioperative Medicine 2013 2:17

    Content type: Review

    Published on:

    The Erratum to this article has been published in Perioperative Medicine 2014 3:3

  24. As a result of the increasing prevalence of obesity in the UK, anesthetists are increasingly encountering overweight and obese patients in routine practice. There is currently a paucity of evidence to guide be...

    Authors: Mark C Bellamy and Michael P Margarson

    Citation: Perioperative Medicine 2013 2:12

    Content type: Consensus statement

    Published on:

  25. In 2009, the NHS evidence adoption center and National Institute for Health and Care Excellence (NICE) published a review of the use of endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAAs)....

    Authors: Stephen J Goodyear, Heng Yow, Mahmud Saedon, Joanna Shakespeare, Christopher E Hill, Duncan Watson, Colette Marshall, Asif Mahmood, Daniel Higman and Christopher HE Imray

    Citation: Perioperative Medicine 2013 2:10

    Content type: Research

    Published on:

  26. The assessment and maintenance of perioperative blood volume is important because fluid therapy is a routine part of intraoperative care. In the past, patients undergoing major surgery were given large amounts...

    Authors: Takehiko Iijima, Birgitte Brandstrup, Peter Rodhe, Audrius Andrijauskas and Christer H Svensen

    Citation: Perioperative Medicine 2013 2:9

    Content type: Review

    Published on:

  27. Whether inflammatory responses to surgery are comparably activated during total intravenous anesthesia (TIVA) and during volatile anesthesia remains unclear. We thus compared the perioperative effects of TIVA ...

    Authors: Daniela C Ionescu, Simona Claudia D Margarit, Adina Norica I Hadade, Teodora N Mocan, Nicolae A Miron and Daniel I Sessler

    Citation: Perioperative Medicine 2013 2:8

    Content type: Research

    Published on:

  28. Sidestream dark field (SDF) imaging has been used to demonstrate microcirculatory abnormalities in a variety of critical illnesses. The microcirculation is also affected by advancing age and chronic comorbidit...

    Authors: Toby Reynolds, Amanda Vivian-Smith, Shaman Jhanji and Rupert M Pearse

    Citation: Perioperative Medicine 2013 2:7

    Content type: Research

    Published on:

  29. High-risk, noncardiac surgery represents only 12.5% of surgical procedures, but 83.3% of deaths. The postanaesthetic care unit (PACU) addresses the need for an improved level of care for these patients by prov...

    Authors: Joanna C Simpson and S Ramani Moonesinghe

    Citation: Perioperative Medicine 2013 2:5

    Content type: Review

    Published on:

  30. Cardiopulmonary exercise testing (CPET) has become well established in the preoperative assessment of patients presenting for major surgery in the United Kingdom. There is evidence supporting its use in risk-s...

    Authors: Sam Huddart, Emily L Young, Rebecca-Lea Smith, Peter JE Holt and Pradeep K Prabhu

    Citation: Perioperative Medicine 2013 2:4

    Content type: Research

    Published on:

  31. Hypotension is common in the early postoperative stages after abdominothoracic esophagectomy for esophageal cancer. We examined the ability of stroke volume variation (SVV), pulse pressure variation (PPV), cen...

    Authors: Hironori Ishihara, Eiji Hashiba, Hirobumi Okawa, Junichi Saito, Toshinori Kasai and Toshihito Tsubo

    Citation: Perioperative Medicine 2013 2:3

    Content type: Research

    Published on:

  32. Measurement of outcomes after major abdominal surgery has traditionally focused on mortality, however the low incidence in elective surgery makes this measure a poor comparator. The Postoperative Morbidity Sur...

    Authors: Simon J Davies, James Francis, Jonathan Dilley, R Jonathan T Wilson, Simon J Howell and Victoria Allgar

    Citation: Perioperative Medicine 2013 2:1

    Content type: Research

    Published on:

  33. Acute kidney injury (AKI) is a serious complication in the perioperative period, and is consistently associated with increased rates of mortality and morbidity. Two major consensus definitions have been develo...

    Authors: Stacey Calvert and Andrew Shaw

    Citation: Perioperative Medicine 2012 1:6

    Content type: Review

    Published on:

  34. The Surgical Care Improvement Project (SCIP) is a quality improvement initiative focused on reducing surgical complications. Reporting SCIP performance measures helps determine whether hospitals receive the fu...

    Authors: Rebecca M Speck, Mark D Neuman, Andrew R Bond and Lee A Fleisher

    Citation: Perioperative Medicine 2012 1:5

    Content type: Research

    Published on:

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