Crimson Publishers-Surgical Medicine Open Access Journal

Enhanced Recovery in Colorectal Surgery: Are we Going Forward or Backward? by Shantata J Kudchadkar and Jayesh Sagar* in  Crimson Publishers: Open access journal of surgery impact factor Enhanced Recovery (ERAS) in Colorectal Surgery is a relatively novel concept in patient care. It involves a multidisciplinary team approach (surgeons, anesthetists, ERAS nurse, nutritionist, physiotherapist, pain team, hospital administration and patient motivation) comprising of certain key aspects in the pre, intra and post-operative settings. The whole objective of ERAS pathway is to reduce the physiological trauma to the patient and optimize organ functions, thus leading to reduced pain, post-operative complications, faster patient recovery, improvement in overall outcome, shorter hospital stays and thus, accounting for decreased health-care costs. However, there is still a need for more patient-specific, better designed large-scale, multi-centre randomized trials to study l...

Pre-Operative IV Iron Infusion for Vascular Patients: Need for More Evidence (Case Series) by Bryce Renwick* in  Crimson Publishers: Open access journal of surgery impact factor  Pre-operative anaemia is present in approximately 30% of patients undergoing noncardiac surgery [1]. The presence of pre-operative anaemia is the strongest predictor of perioperative blood transfusion and is an independent risk factor for post-operative morbidity and mortality [2]. It is well known that Red Blood Cells (RBC) transfusion can increase the surgical length of stay, increase mortality in surgical patients, and expose patients to the risk of circulatory overload, acute lung injury, and immunosuppression [3-5]. Sufficient data exist to support intravenous iron as efficacious and safe. Intravenous iron should be used as front-line therapy in patients who do not respond to oral iron or are not able to tolerate it, or if surgery is planned for <6 weeks after the diagnosis of i...