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Perioperative Medicine

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  1. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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