Articles

Anaerobic threshold, is it a magic number to determine fitness for surgery?

The use of cardiopulmonary exercise testing (CPET) to evaluate cardiac and respiratory function was pioneered as part of preoperative assessment in the mid 1990s. Surgical procedures have changed since then. T...

Authors: Paul Older

Measuring outcomes after major abdominal surgery during hospitalization: reliability and validity of the Postoperative Morbidity Survey

Measurement of outcomes after major abdominal surgery has traditionally focused on mortality, however the low incidence in elective surgery makes this measure a poor comparator. The Postoperative Morbidity Sur...

Authors: Simon J Davies, James Francis, Jonathan Dilley, R Jonathan T Wilson, Simon J Howell and Victoria Allgar

Protocol-directed insulin infusion sliding scales improve perioperative hyperglycaemia in critical care

Perioperative hyperglycaemia is associated with poor outcomes in patients undergoing cardiac surgery. Frequent postoperative hyperglycaemia in cardiac surgery patients has led to the initiation of an insulin i...

Authors: Man Lin Hui, Arun Kumar and Gary G Adams

Perioperative acute kidney injury

Acute kidney injury (AKI) is a serious complication in the perioperative period, and is consistently associated with increased rates of mortality and morbidity. Two major consensus definitions have been develo...

Authors: Stacey Calvert and Andrew Shaw

Strategies to promote reporting of Surgical Care Improvement Project (SCIP) measures: a pilot survey of anesthesia department leaders

The Surgical Care Improvement Project (SCIP) is a quality improvement initiative focused on reducing surgical complications. Reporting SCIP performance measures helps determine whether hospitals receive the fu...

Authors: Rebecca M Speck, Mark D Neuman, Andrew R Bond and Lee A Fleisher

Analgesic efficacy of continuous femoral nerve block commenced prior to operative fixation of fractured neck of femur

Peripheral nerve blocks are effective in treating acute pain, thereby minimizing the requirement for opiate analgesics. Fractured neck of femur (FNF) is a common, painful injury. The provision of effective ana...

Authors: Szilard Szucs, Gabriella Iohom, Brian O’Donnell, Pavol Sajgalik, Ishtiaq Ahmad, Nazar Salah and George Shorten

The cost-effectiveness of an outpatient anesthesia consultation clinic before surgery: a matched Hong Kong cohort study

Outpatient anesthesia clinics are well established in North America, Europe and Australia, but few economic evaluations have been published. The Perioperative Systems in Hong Kong are best described as a hybri...

Authors: Anna Lee, Po Tong Chui, Chun Hung Chiu, Tony Gin and Anthony MH Ho

Perioperative fluid management: Consensus statement from the enhanced recovery partnership

Authors: Monty G Mythen, Michael Swart, Nigel Acheson, Robin Crawford, Kerri Jones, Martin Kuper, John S McGrath and Alan Horgan

Welcome to Perioperative Medicine

Authors: Mark Hamilton and Monty G Mythen