Role of Multimodal Monitoring (MMM) in the Perioperative Period: Improving Outcomes in High Risk Surgical Patients

Sep 22, 2016 by in ANESTHESIA Comments Off on Role of Multimodal Monitoring (MMM) in the Perioperative Period: Improving Outcomes in High Risk Surgical Patients

(1) King’s College Hospital NHS Foundation Trust, King’s Health Partners, Denmark Hill, London, SE5 9RS, UK   Abstract The early 1980s saw radical advances in perioperative monitoring. In a relatively…

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The Acute Pain Team

Sep 22, 2016 by in ANESTHESIA Comments Off on The Acute Pain Team

Preparing patients for surgery  Chronic pain patients  Patients on maintenance with methadone/buprenorphine  Patients with history of substance abuse  Patients with established biopsychosocial risk factors  Genetic risk factors for postoperative pain…

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Prehabilitation

Sep 22, 2016 by in ANESTHESIA Comments Off on Prehabilitation

Fig. 2.1 Excerpt from patient information leaflet on exercise prior to surgery. Patients are encouraged to exercise between levels 3–7 2.2.2.4 General Recommendations Sedentary individuals should be identified well in…

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Enhanced Recovery for Colorectal Surgery

Sep 22, 2016 by in ANESTHESIA Comments Off on Enhanced Recovery for Colorectal Surgery

Fig. 6.1 Original ERAS Elements described for colorectal surgery. From Fearon KCH et al. Clinical Nutrition 2005 Whilst some the aspects can be challenged or, updated, figure one which is…

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The Transition of Acute Postoperative Pain to Acute Persistent Pain to Chronic Pain: Assessing and Managing the Risks

Sep 22, 2016 by in ANESTHESIA Comments Off on The Transition of Acute Postoperative Pain to Acute Persistent Pain to Chronic Pain: Assessing and Managing the Risks

Type of surgery Incidence of chronic postoperative pain (estimated) (%) Coronary artery bypass surgery 30–50 Amputation of an extremity 30–50 Thoracotomy 30–40 Breast surgery 20–30 Bone and joint surgery 20…

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