A series of short articles on key topics in perioperative medicine, published in the British Journal of Hospital Medicine
POM in a Nutshell
21
Intraoperative hypotension and perioperative outcomes
Dr Charlotte Crossland, Department of Anaesthetics, Brighton & Sussex University Hospitals Trust, Brighton, UK
01 Dec 2020
Intraoperative hypotension is associated with adverse outcomes. Although a causal relationship is yet to be fully established, proactive management of vulnerable patients and use of bispectral index monitoring is recommended to avoid deep anaesthesia.
21
Preoperative education: making every contact count
Imogen Fecher-Jones, Perioperative Medicine Team, University Hospital Southampton, Southampton, UK
01 Feb 2020
Patient education is an important part of obtaining informed consent, but can also be used to educate patients about how to prepare for surgery and help them take responsibility for their own health to reduce their risk of perioperative complications.
20
Perioperative care of the pregnant patient for non-obstetric surgery
Dr Alisha Allana and Dr Nadeam Mujtaba, Departments of Anaesthetics, Queen Alexandra Hospital, Portsmouth, and University Hospital Southampton, Southampton, UK
01 October 2020
Surgery during pregnancy poses clinical and ethical challenges. Although the patient
is the priority, fetal wellbeing needs to be considered, while physiological, anatomical
and pharmacological changes within the parturient must be accounted for.
19
Regional anaesthesia and perioperative medicine
Dr Emma Pack, Dr Sanjoy Saha, Department of Anaesthetics, Royal Free Hospital, London UK
01 August 2020
Regional anaesthesia is effective at reducing pain and opioid consumption during the early
postoperative period. This increases patient satisfaction and reduces many of the negative
psychological and physiological sequelae associated with surgical stress.
18
Postoperative nausea and vomiting
Dr Jonathan Barnes, Department of Anaesthesia, Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust, Bristol, UK
01 June 2020
Nausea and vomiting after surgery is common and can be both unpleasant and lead to an array of other adverse patient effects. Identification of high-risk patients and targeted prophylaxis can reduce its incidence and associated complications.