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

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

  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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
  26. 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
  27. 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
  28. 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
  29. 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
  30. 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
  31. 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
  32. 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
  33. 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

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

  34. 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
  35. 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

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