A5038801368- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Enhanced Recovery After Surgery
- Airway Management and Intubation Techniques
- Anesthesia and Sedative Agents
- Hemodynamic Monitoring and Therapy
- Pain Management and Opioid Use
- Nausea and vomiting management
- Tracheal and airway disorders
- Colorectal Cancer Treatments and Studies
- Hepatocellular Carcinoma Treatment and Prognosis
- Nutrition and Health in Aging
- Spine and Intervertebral Disc Pathology
- Colorectal Cancer Surgical Treatments
- Cancer, Stress, Anesthesia, and Immune Response
- Appendicitis Diagnosis and Management
- Medical History and Innovations
- Cholangiocarcinoma and Gallbladder Cancer Studies
- COVID-19 and healthcare impacts
- Magnesium in Health and Disease
- Opioid Use Disorder Treatment
- Minimally Invasive Surgical Techniques
- Intraperitoneal and Appendiceal Malignancies
- Pediatric Pain Management Techniques
- Renal function and acid-base balance
University of Surrey
2011-2024
Royal Surrey NHS Foundation Trust
2020-2024
Royal Surrey County Hospital
2013-2023
Chelsea and Westminster Hospital
1992-2021
Guildford Hospital
2003-2019
Oregon Health & Science University
2019
Derriford Hospital
2010
Imperial College London
2010
University Hospital of Wales
2010
Salford Royal NHS Foundation Trust
2010
Abstract Background Enhanced recovery after surgery (ERAS) programs are multimodal care pathways designed to minimize the physiological and psychological impact of for patients. Increased compliance with ERAS guidelines is associated improved patient outcomes across surgical types. As have proliferated, an unintentional effect has been significant variation in how ERAS‐related studies reported literature. Methods To improve quality reporting, ® USA Society launched effort create instrument...
Summary This international multidisciplinary consensus statement was developed to provide balanced guidance on the safe peri‐operative use of opioids in adults. An panel healthcare professionals evaluated literature relating postoperative opioid‐related harm, including persistent opioid use; opioid‐induced ventilatory impairment; non‐medical diversion and dependence; driving under influence prescription opioids. Recommended strategies reduce harm include pre‐operative assessment risk an...
Enhanced recovery after surgery (ERAS) pathways have been shown to considerably reduce complications, length of stay and costs most surgical procedures by standardised application best evidence-based perioperative care. The aim was elaborate dedicated recommendations for cytoreductive (CRS) ± hyperthermic intraperitoneal chemotherapy (HIPEC) in a two-part series guidelines based on expert consensus. present part II the highlights postoperative management special considerations.The core group...
Despite the introduction of evidence-based recommendations for postoperative pain management (POPM), consensus is that control remains suboptimal. Barriers to achieving patient-satisfactory analgesia include deficient knowledge regarding POPM among staff, lack instructions, insufficient assessments and sub-optimal treatment. Effective monitoring essential enable policy makers healthcare providers improve quality care. Quality indicators (QIs) are quantitative measures clinical practice can...
Summary Serious neurological lesions such as vertebral canal haematoma are rare after obstetric regional analgesia/anaesthesia, but early detection may be crucial to avoid permanent damage. This hampered by the variable and sometimes prolonged recovery following ‘normal’ neuraxial block, that an underlying lesion easily missed. These guidelines make recommendations for monitoring of from escalation should delayed or new symptoms develop, with aim preventing serious morbidity.
Nine patients with soft tissue tumours of the lower limb not amenable to treatment other than by isolated perfusion or amputation underwent hyperthermic at level superficial femoral vessels, using a combination recombinant tumour necrosis factor (TNF) alpha and melphalan. In seven tumours, sloughing was apparent within 48 h perfusion. All experienced complete response. There were no systemic side-effects associated use TNF-alpha although local side-effects, particularly oedema, pronounced....
( Am J Obstet Gynecol . 2018;219:533–544) This is the second document in a series of 3 focused on Enhanced Recovery After Surgery (ERAS) care program, specifically regards to cesarean delivery (CD) and its intraoperative care. ERAS has both clinical benefits (decreased length stay, complications, readmissions) decreased cost special report period beginning 30 60 minutes before start procedure (decision operate) ending at hospital discharge. The CD program provides audit feedback cycles for...
The effects of thoracic epidural analgesia started after cardiopulmonary bypass were studied on the subsequent adrenergic, cardiovascular and respiratory responses. Sixteen cardiac surgical patients received either a standardised general anaesthetic (control group) or (epidural group). catheter was sited before surgery heparinisation. Following discontinuation bypass, in group given 15 ml bupivacaine 0.5% down followed by an infusion 0.375% at 5–8 ml.h −1 surgery. control intravenous...