Eagle KA, Rihal CS, Mickel MC, Holmes DR, Foster ED, Gersh BJ. Cardiac risk of noncardiac surgery: influence of coronary disease and type of surgery in 3368 operations. CASS Investigators and University of Michigan Heart Care Program. Coronary Artery Surgery Study. Circulation. 1997;96:1882–...
The responsibility of individual clinicians All clinicians who work in the operating room should be educated on guidelines for civil operating room behaviour. The Johns Hopkins Civility Project and the Ontario Medical Association’s Physician Health Program/Physician Workplace Support Program have developed...
High-risk, noncardiac surgery represents only 12.5% of surgical procedures, but 83.3% of deaths. The postanaesthetic care unit (PACU) addresses the need for an improved level of care for these patients by providing postoperative high-dependency or intens
to promote postoperative bowel function in a double-blinded RCT in abdominal hysterectomy [160] and in reports from a well-established enhanced recovery program in colonic resection [1,161]. Another randomised trial in liver resection showed that oral magnesium enhanced the return of bowel function ...
Preliminary results assessing the effect of ERAS on patients undergoing colorectal surgery have clearly demonstrated overall improvement in general clinical outcomes. Achieving these improved outcomes requires the successful initiation of a structured institutional ERAS program, but also requires ensuring that ...