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Perioperative Medicine: Managing for Outcome Mark F. Newman, Lee A. Fleisher, Mitchell P. Fink
Publisher: Saunders

To determine whether spinal or epidural anesthesia produces better outcomes than general anesthesia, researchers from Weil Medical College of Cornell University, New York, utilized data collected from approximately 400 U.S. Patients who underwent primary hip or knee Data From Anesthesia Information Management Systems Help Reduce Costs and Improve Patient Safety. A 77-year-old man with a history of chronic obstructive pulmonary disease (COPD) was admitted with a left hip fracture to the orthopedic surgery service, which has internal medicine hospitalists comanage its patients. Acute hypertensive episodes (AHE) are defined as severe spikes in blood pressure that may result in end-organ damage. Unfortunately, the optimal strategy to manage blood sugar in diabetic patients undergoing surgery is still up for debate, and this study establishes that increased vigilance through perioperative monitoring provides clinicians an is imperative to ensuring the safety of diabetic patients during surgery,” said study author Jesse M. Recognized authorities in anesthesiology and surgical critical care present you with today's best management approaches for achieving optimal perioperative outcomes. Twenty-three of 25 patients had a minithora- Despite these limited results, medical management has been the cornerstone of treatment. We analyzed preoperative diagnostic technique, degree of pulmonary resection, and postoperative morbidity and mortality to determine whether surgery is a viable treatment option in this subset of patients. Tologic malignancies who underwent pulmonary resec- tion between 2000 and 2007. Institution: Department of Anesthesiology, The Ohio State University School of Medicine .. Ehrenfeld, M.D., M.P.H., Department of Anesthesiology and Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tenn. Was the first large randomized controlled trial evaluating the efficacy of clevidipine compared to other anti-hypertensive agents (sodium nitroprusside, nitroglycerin, and nicardipine) for the management of perioperative hypertension (Singla et al., 2008).