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  1. 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
  2. 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
  3. 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

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

  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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

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

  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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
  26. 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
  27. 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
  28. 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

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

  29. A1 Effects of enhanced recovery pathways on renal function

    Authors: Charles R. Horres, Mohamed A. Adam, Zhifei Sun, Julie K. Thacker, Timothy J. Miller, Stuart A. Grant, Jeffrey Huang, Kirstie McPherson, Sanjiv Patel, Su Cheen Ng, Denise Veelo, Bart Geerts, Monty Mythen, Su Cheen Ng, Mark Foulger, Tim Collins…
    Citation: Perioperative Medicine 2016 5(Suppl 1):21

    This article is part of a Supplement: Volume 5 Supplement 1

    The Erratum to this article has been published in Perioperative Medicine 2016 5:25

  30. Several studies have described hypercoagulability in neurosurgery with craniotomy for brain tumor resection. In this study, hydroxyethyl starch (HES) 130/0.42 was used for hemodynamic stabilization and initial...

    Authors: Caroline Ulfsdotter Nilsson, Karin Strandberg, Martin Engström and Peter Reinstrup
    Citation: Perioperative Medicine 2016 5:20
  31. Postoperative pulmonary complications in orthopedic surgery patients have been associated with worse clinical outcomes. Identifying patients with respiratory risk factors requiring enhanced monitoring and mana...

    Authors: Roman Melamed, Lori L. Boland, James P. Normington, Rebecca M. Prenevost, Lindsay Y. Hur, Leslie F. Maynard, Molly A. McNaughton, Tyler G. Kinzy, Adnan Masood, Mehdi Dastrange and Joseph A. Huguelet
    Citation: Perioperative Medicine 2016 5:19
  32. Preoperative assessment of functional capacity is necessary to direct decisions regarding cardiac evaluation and may help identify patients at high risk for perioperative complications. Patient self-triage reg...

    Authors: John Whittemore Stokes, Jonathan Porter Wanderer and Matthew David McEvoy
    Citation: Perioperative Medicine 2016 5:18
  33. Despite numerous interventions promulgated by the Surgical Care Improve Project (SCIP) and other organizations, surgical site infection (SSI) continues to be a significant medical problem. DFA-02 is a novel bi...

    Authors: Elliott Bennett-Guerrero, Harold S. Minkowitz, Alvaro M. Segura-Vasi, Jorge E. Marcet, Jennifer A. White, G Ralph Corey and Kent S. Allenby
    Citation: Perioperative Medicine 2016 5:17
  34. Surgical ambition is rising, with the Royal College of Surgeons reporting an increase in the number of procedures by a million over the past decade (Royal College of Surgeons. Surgery and the NHS in Numbers. A...

    Authors: Ramai Santhirapala and Ramani Moonesinghe
    Citation: Perioperative Medicine 2016 5:16
  35. Fluid resuscitation is a cornerstone of intensive care treatment, yet there is a lack of agreement on how various types of fluids should be used in critically ill patients with different disease states. Theref...

    Authors: Timothy E. Miller, Martin Bunke, Paul Nisbet and Charles S. Brudney
    Citation: Perioperative Medicine 2016 5:15
  36. Pre-operative antibody levels have been shown to be inversely related to development of post-operative complications. Staphylococcal infection is a major source of morbidity following surgery.

    Authors: Sarka Moravcova, Bonnie Kyle, Hilary Shanahan, Savvas Giannaris, Andrew Smith and Colin Hamilton-Davies
    Citation: Perioperative Medicine 2016 5:13
  37. Anaesthesia is frequently complicated by intraoperative hypotension (IOH) in the elderly, and this is associated with adverse outcome. The definition of IOH is controversial, and although management guidelines...

    Authors: Alex Wickham, David Highton and Daniel Martin
    Citation: Perioperative Medicine 2016 5:12
  38. In-hospital falls may result in serious clinical adverse consequences, but the effects of anesthesia in the occurrence of postoperative falls are still undetermined. Anesthesia may theoretically cause postoper...

    Authors: Chen-Fuh Lam, Shiu-Ying Hsieh, Jen-Hung Wang, Hui-Shan Pan, Xiu-Zhu Liu, Yu-Ching Ho and Tsung-Ying Chen
    Citation: Perioperative Medicine 2016 5:11
  39. Postoperative pulmonary complications (PPC) are an under-reported but major cause of perioperative morbidity and mortality. The aim of this prospective, contemporary, multicentre cohort study of unselected pat...

    Authors: Kamlesh Patel, Fatemeh Hadian, Aysha Ali, Graham Broadley, Kate Evans, Claire Horder, Marianne Johnstone, Fiona Langlands, Jake Matthews, Prithish Narayan, Priya Rallon, Charlotte Roberts, Sonali Shah and Ravinder Vohra
    Citation: Perioperative Medicine 2016 5:10

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