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  1. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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

  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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

  21. Content type: Meeting abstracts

    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

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    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

  22. Content type: Research

    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

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  23. Content type: Research

    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

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  24. Content type: Research

    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

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  25. Content type: Research

    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

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  26. Content type: Commentary

    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

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  27. Content type: Research

    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

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  28. Content type: Research

    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

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  29. Content type: Research

    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

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  30. Content type: Research

    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

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  31. Content type: Research

    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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  32. Content type: Research

    Oral antiseptics reduce nosocomial infections and ventilator-associated pneumonia in critically ill medical and surgical patients intubated for prolonged periods. However, the role of oral antiseptics given be...

    Authors: Philip Spreadborough, Sarah Lort, Sandro Pasquali, Matthew Popplewell, Andrew Owen, Irene Kreis, Olga Tucker and Ravinder S Vohra

    Citation: Perioperative Medicine 2016 5:6

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  33. Content type: Research

    Explicit consideration of anticipated regret is not part of the standard shared decision-making protocols. This pilot study aimed to compare decisions about a hypothetical surgery for breast cancer and examine...

    Authors: Rebecca M. Speck, Mark D. Neuman, Kimberly S. Resnick, Barbara A. Mellers and Lee A. Fleisher

    Citation: Perioperative Medicine 2016 5:5

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  34. Content type: Editorial

    International experience and evidence-based practices have shown that reduction in variability through use of protocolized perioperative care improves surgical outcomes and reduces costs to patients and health...

    Authors: Ruchir Gupta and Roy Soto

    Citation: Perioperative Medicine 2016 5:4

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    The Erratum to this article has been published in Perioperative Medicine 2016 5:9

  35. Content type: Research

    A major restructuring of perioperative care delivery is required to reduce cost while improving patient outcomes. In a test implementation of this notion, we developed and implemented a perioperative consult s...

    Authors: Matthew D. McEvoy, Jonathan P. Wanderer, Adam B. King, Timothy M. Geiger, Vikram Tiwari, Maxim Terekhov, Jesse M. Ehrenfeld, William R. Furman, Lorri A. Lee and Warren S. Sandberg

    Citation: Perioperative Medicine 2016 5:3

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  36. Content type: Opinion

    The advancement of perioperative medicine is leading to greater diversity in development of pre-surgical interventions, implemented to reduce patient surgical risk and enhance post-surgical recovery. Of these ...

    Authors: Matthew Weston, Kathryn L Weston, James M. Prentis and Chris P Snowden

    Citation: Perioperative Medicine 2016 5:2

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  37. Content type: Research

    Excessive or inadequate intravenous fluid given in the perioperative period can affect outcomes. A number of guidelines exist but these can conflict with the entrenched practice, evidence base and prescriber k...

    Authors: Benjamin Harris, Christian Schopflin, Clare Khaghani and Mark Edwards

    Citation: Perioperative Medicine 2015 4:15

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  38. Content type: Research

    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

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  39. Content type: Research

    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

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