Multimodal strategies to improve surgical outcome

Surg Clin North Am.

1986 • 8,793 citations

Perioperative Normothermia to Reduce the Incidence of Surgical-Wound Infection and Shorten Hospitalization

1996 • 2,668 citations

Multimodal approach to control postoperative pathophysiology and rehabilitation

1997 • 2,496 citations

Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised

2000 • 2,099 citations

Postoperative Nausea and Vomiting

1992 • 1,742 citations

Effect of Atenolol on Mortality and Cardiovascular Morbidity after Noncardiac Surgery

1996 • 1,732 citations

The Effect of Bisoprolol on Perioperative Mortality and Myocardial Infarction in High-Risk Patients Undergoing Vascular Surgery

1999 • 1,504 citations

Early Enteral Feeding, Compared With Parenteral, Reduces Postoperative Septic Complications The Results of a Meta-Analysis

1992 • 1,384 citations

Perioperative Maintenance of Normothermia Reduces the Incidence of Morbid Cardiac Events

1997 • 1,248 citations

Perioperative Total Parenteral Nutrition in Surgical Patients

1991 • 1,201 citations

Supplemental Perioperative Oxygen to Reduce the Incidence of Surgical-Wound Infection

2000 • 1,150 citations

Epidural Anesthesia and Analgesia

1995 • 1,142 citations

Reduction of Postoperative Pain by Encouragement and Instruction of Patients

1964 • 1,115 citations

The Comparative Effects of Postoperative Analgesic Therapies on Pulmonary Outcome

1998 • 949 citations

Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty

1996 • 934 citations

The Comparative Effects of Postoperative Analgesic Therapies on Pulmonary Outcome

1998 • 828 citations

Quality Improvement Guidelines for the Treatment of Acute Pain and Cancer Pain

1995 • 784 citations

A Clinical Pathway to Accelerate Recovery After Colonic Resection

2000 • 783 citations

Neural Blockade in Clinical Anesthesia and Management of Pain

1981 • 778 citations

Dexamethasone for the Prevention of Postoperative Nausea and Vomiting: A Quantitative Systematic Review

2000 • 767 citations

Effect of Atenolol on Mortality and Cardiovascular Morbidity after Noncardiac Surgery

1997 • 682 citations

Acute pain

1999 • 611 citations

Postoperative ileus: a preventable event

2000 • 591 citations

An Evidence-Based Resource for Pain Relief

1998 • 573 citations

A Meta-Analysis of Selective Versus Routine Nasogastric Decompression After Elective Laparotomy

1995 • 504 citations

Enteral Nutritional Supplementation With Key Nutrients in Patients With Critical Illness and Cancer

1999 • 499 citations

Antimicrobial Prophylaxis for Surgical Wounds

1993 • 488 citations

Preoperative Smoking Habits and Postoperative Pulmonary Complications

1998 • 470 citations

Acute Pain Management

1995 • 433 citations

Preoperative Assessment of Patients with Known or Suspected Coronary Disease

1995 • 432 citations

The Catecholamine, Cortisol, and Hemodynamic Responses to Mild Perioperative Hypothermia

1995 • 428 citations

A Prospective, Randomized Trial of Early Enteral Feeding After Resection of Upper Gastrointestinal Malignancy

1997 • 391 citations

Prevention of Venous Thromboembolism

1998 • 372 citations

Acute Effects of Recombinant Human Interleukin-6 on Endocrine and Central Nervous Sleep Functions in Healthy Men

1998 • 367 citations

Neural Blockade in Clinical Anesthesia and Management of Pain

1981 • 365 citations

Omitting nitrous oxide in general anaesthesia: meta-analysis of intraoperative awareness and postoperative emesis in randomized controlled trials

1996 • 339 citations

Length of stay has minimal impact on the cost of hospital admission1

2000 • 336 citations

Physiology and Complications of Bed Rest

1988 • 330 citations

Early Inpatient Rehabilitation After Elective Hip and Knee Arthroplasty

1998 • 320 citations

Propofol anaesthesia and postoperative nausea and vomiting: quantitative systematic review of randomized controlled studies.

1997 • 295 citations

Supplemental Oxygen Reduces the Incidence of Postoperative Nausea and Vomiting

1999 • 293 citations

A randomised controlled trial evaluating the use of enteral nutritional supplements postoperatively in malnourished surgical patients

2000 • 292 citations

Effects of Immediate Postoperative Enteral Nutrition on Body Composition, Muscle Function, and Wound Healing

1991 • 285 citations

Metoclopramide in the prevention of postoperative nausea and vomiting: a quantitative systematic review of randomized, placebo-controlled studies

1999 • 282 citations

Oxygen as an Antibiotic

1984 • 279 citations

Use of Paravertebral Block Anesthesia in the Surgical Management of Breast Cancer

1998 • 279 citations

Randomised trial of safety and efficacy of immediate postoperative enteral feeding in patients undergoing gastrointestinal resection

1996 • 275 citations

Preoperative alcoholism and postoperative morbidity

1999 • 272 citations

A rational approach to the control of postoperative nausea and vomiting: evidence from systematic reviews. Part I. Efficacy and harm of antiemetic interventions, and methodological issues

2001 • 272 citations

Effect of preoperative abstinence on poor postoperative outcome in alcohol misusers: randomised controlled trial

1999 • 270 citations

A qualitative systematic review of incisional local anaesthesia for postoperative pain relief after abdominal operations

1998 • 269 citations

Guidelines for Clinical Care: Anti-infective Agents for Intra-abdominal Infection

1992 • 267 citations

Aggressive Warming Reduces Blood Loss During Hip Arthroplasty

2000 • 266 citations

Multimodal Approach to Control Postoperative Pathophysiology and Rehabilitation

1998 • 265 citations

Efficacy, dose-response, and adverse effects of droperidol for prevention of postoperative nausea and vomiting

2000 • 256 citations

Intrathecal and Epidural Anesthesia and Analgesia for Cardiac Surgery

2005 • 253 citations

Comprehensive nutritional status in patients with long-standing Crohn disease currently in remission

1998 • 248 citations

Epidural Anesthesia and Gastrointestinal Motility

1998 • 238 citations

Colon and Rectal Anastomoses Do Not Require Routine Drainage

1999 • 236 citations

Postoperative sleep disturbances: mechanisms and clinical implications

1996 • 231 citations

Perioperative Maintenance of Normothermia Reduces the Incidence of Morbid Cardiac Events

1997 • 228 citations

Postoperative hemodynamic and thermoregulatory consequences of intraoperative core hypothermia

1995 • 226 citations

Requirement for bowel preparation in colorectal surgery

1994 • 225 citations

EARLY FEEDING AFTER ELECTIVE OPEN COLORECTAL RESECTIONS: A PROSPECTIVE RANDOMIZED TRIAL

1998 • 220 citations

Grains or Veins: Is Enteral Nutrition Really Better Than Parenteral Nutrition? A Look at the Evidence

1998 • 211 citations

Outpatient laparoscopic cholecystectomy

1997 • 205 citations

Current Understanding of Patients’ Attitudes Toward and Preparation for Anesthesia

1996 • 202 citations

Neuraxial block and low-molecular-weight heparin: Balancing perioperative analgesia and thromboprophylaxis

1998 • 202 citations

ACUTE PAIN CONTROL AND ACCELERATED POSTOPERATIVE SURGICAL RECOVERY

1999 • 198 citations

Three Thousand One Hundred Seventy-Five Primary Inguinal Hernia Repairs: Advantages of Ambulatory Open Mesh Repair Using Local Anesthesia

1998 • 192 citations

Late postoperative nocturnal episodic hypoxaemia and associated sleep pattern

1994 • 191 citations

Preoperative education for total hip and knee replacement patients

1998 • 190 citations

Rapid rehabilitation in elderly patients after laparoscopic colonic resection

2000 • 188 citations

Postoperative opioid analgesia: Time for a reconsideration?

1996 • 187 citations

Patient satisfaction with outpatient hysteroscopy versus day case hysteroscopy: randomised controlled trial

2000 • 183 citations

Ondansetron is no More Effective than Supplemental Intraoperative Oxygen for Prevention of Postoperative Nausea and Vomiting

2001 • 181 citations

Multi-Regional Local Anesthetic Infiltration During Laparoscopic Cholecystectomy in Patients Receiving Prophylactic Multi-Modal Analgesia: A Randomized, Double-Blinded, Placebo-Controlled Study

1999 • 178 citations

Closed wound drainage in total hip or total knee replacement. A prospective, randomized study.

1994 • 177 citations

A quantitative systematic review of ondansetron in treatment of established postoperative nausea and vomiting

1997 • 171 citations

Epidural Anesthesia and Gastrointestinal Motility

1998 • 166 citations

Laparoscopic Cholecystectomy: Day-Care Versus Clinical Observation

1998 • 166 citations

The Metabolic Management of the Critically Ill

1977 • 164 citations

A rational approach to the control of postoperative nausea and vomiting: evidence from systematic reviews. Part II. Recommendations for prevention and treatment, and research agenda

2001 • 158 citations

Postoperative fatigue

1993 • 157 citations

The Metabolic Management of the Critically Ill

1977 • 152 citations

ANALGESIC AGENTS FOR THE POSTOPERATIVE PERIOD

1999 • 149 citations

Prophylactic Abdominal Drainage After Elective Colonic Resection and Suprapromontory Anastomosis<subtitle>A Multicenter Study Controlled by Randomization</subtitle>

1998 • 148 citations

Surgical Stress Response: Does Endoscopic Surgery Confer an Advantage?

1999 • 148 citations

Multi-Regional Local Anesthetic Infiltration During Laparoscopic Cholecystectomy in Patients Receiving Prophylactic Multi-Modal Analgesia: A Randomized, Double-Blinded, Placebo-Controlled Study

1999 • 148 citations

Postoperative drainage of knee arthroplasty is not necessary: A randomized study of 90 patients

1998 • 143 citations

Current guidelines for antibiotic prophylaxis of surgical wounds.

1998 • 143 citations

Dietary intake and biochemical indices of nutritional status in an elderly population, with estimates of the precision of the 7-d food record

1991 • 140 citations

Fortnightly review: Treating acute pain in hospital

1997 • 139 citations

Optimal duration of urinary drainage after rectal resection: A randomized controlled trial

1999 • 138 citations

Balanced Analgesia

1999 • 136 citations

Anaesthetic management of patients with diabetes mellitus

2000 • 132 citations

Effects of preinduction and intraoperative warming during major laparotomy

1998 • 131 citations

Recent Advances in Venous Thromboembolic Prophylaxis During and After Total Hip Replacement

2000 • 128 citations

Preoperative Pulmonary Evaluation

1988 • 116 citations

Randomised controlled trial of effects of early discharge after surgery for breast cancer

1998 • 115 citations

Intrathecal and Epidural Anesthesia and Analgesia for Cardiac Surgery

1997 • 115 citations

A Randomized Study Comparing Retroperitoneal Drainage with No Drainage after Lymphadenectomy in Gynecologic Malignancies

1997 • 114 citations

EFFECT OF PEROPERATIVE NORMOTHERMIA ON POSTOPERATIVE PROTEIN METABOLISM IN ELDERLY PATIENTS UNDERGOING HIP ARTHROPLASTY

1989 • 113 citations

Drainage Versus Nondrainage in Simultaneous Bilateral Total Knee Arthroplasties

1998 • 111 citations

Assessing and Modifying the Risk of Postoperative Pulmonary Complications

1999 • 110 citations

Is urinary drainage necessary during continuous epidural analgesia after colonic resection?

2000 • 110 citations

One-Day Admission for Lung Lobectomy: An Incidental Result of a Clinical Pathway

1998 • 110 citations

Neuraxial anesthesia and analgesia in the presence of standard heparin

1998 • 108 citations

Factors Affecting Early Postoperative Feeding Following Elective Open Colon Resection

1999 • 108 citations

Preoperative oral carbohydrates and postoperative insulinresistance

1999 • 104 citations

Quality of life, health care utilization, and costs among women undergoing hysterectomy in a managed-care setting

1998 • 104 citations

Physiology, stress, and malnutrition : functional correlates, nutritional intervention

1997 • 101 citations

Laparoscopic Donor Nephrectomy With a 23-Hour Stay

2000 • 100 citations

Infrarenal aortic surgery with a 3-day hospital stay: A report on success with a clinical pathway

1999 • 100 citations

Neuraxial Anesthesia and Analgesia in the Presence of Standard Heparin

1998 • 94 citations

Postherniorrhaphy Pain

1997 • 87 citations

Droperidol and 5‐HT₃‐receptor antagonists, alone or in combination, for prophylaxis of postoperative nausea and vomiting

2000 • 86 citations

Postoperative Suction Drainage of the Axilla: for How Long? Prospective Randomised Trial

1999 • 83 citations

Day-case laparoscopic fundoplication for gastro-oesophageal reflux disease

2000 • 81 citations

Mild hypothermia does not increase blood loss during total hip arthroplasty

1999 • 80 citations

Short Convalescence after Inguinal Herniorrhaphy with Standardised Recommendations: Duration and Reasons for Delayed Return to Work

1999 • 72 citations

Drainage following radical hysterectomy and pelvic lymphadenectomy: Dogma or need?

1995 • 71 citations

The feasibility, safety and cost of infiltration anaesthesia for hernia repair

1998 • 70 citations

Gut mucosal nutritional support--enteral nutrition as primary therapy after multiple system trauma.

1994 • 70 citations

Trends and Outcomes of Outpatient Mastectomy in Elderly Women

1998 • 69 citations

Prophylactic Antibiotics in Surgery

1993 • 68 citations

Drainage after thyroid surgery: a prospective randomized study

1999 • 68 citations

Do clinical pathways for major vascular surgery improve outcomes and reduce cost?

1997 • 67 citations

The Effect of Bisoprolol on Perioperative Mortality and Myocardial Infarction in High-Risk Patients Undergoing Vascular Surgery

2000 • 64 citations

Suction drainage of the axilla: A prospective randomized trial

1988 • 64 citations

Combined field block and i.p. instillation of ropivacaine for pain management after laparoscopic sterilization

1999 • 64 citations

Is Urinary Drainage Necessary During Continuous Epidural Analgesia After Colonic Resection?

2000 • 63 citations

Minicholecystectomy

1999 • 63 citations

Are one-day admissions for carotid endarterectomy feasible?

1995 • 59 citations

OUTPATIENT ADRENALECTOMY

2000 • 57 citations

Using outcome data and patient satisfaction surveys to develop policies regarding minimum length of hospitalization after radical prostatectomy

2000 • 52 citations

Variations in medical attitudes to postoperative recovery period

1995 • 51 citations

Smoking Decreases Alveolar Macrophage Function during Anesthesia and Surgery

2000 • 51 citations

Early removal of drains and discharge of breast cancer surgery patients: a controlled prospective clinical trial.

1995 • 50 citations

The effect of posture on late postoperative oxygenation

1996 • 47 citations

Randomization to nutritional intervention at home did not improve postoperative function, fatigue or well-being

1997 • 46 citations

Perioperative nutrition: parenteral versus enteral

1998 • 46 citations

Effect of Oxygen Treatment on Heart Rate after Abdominal Surgery

1999 • 38 citations

Feasibility and Safety of 1-Day Postoperative Hospitalization for Carotid Endarterectomy

1996 • 37 citations

Combined epidural-spinal opioid-free anaesthesia and analgesia for hysterectomy

1999 • 33 citations

Establishing outpatient cholecystectomy as a hospital routine.

1997 • 32 citations

Randomization to nutritional intervention at home did not improve postoperative function, fatigue or well-being

1997 • 30 citations

Efficacy of nutritional pharmacology in surgical patients

1998 • 23 citations

The use and outcomes of outpatient mastectomy in Florida

2000 • 22 citations

[Metoclopramide in the prevention of postoperative nausea and vomiting].

1983 • 17 citations

A SURVEY OF SOME PHYSIOLOGICAL RESPONSES OF DOMESTIC ANIMALS DURING THE IMMEDIATE POSTSURGICAL PERIOD

1958 • 10 citations

Perioperative nutrition

2000 • 6 citations

[Late postoperative hypoxemia].

1991 • 5 citations

Randomized controlled trial of effects of early discharge after surgery for breast cancer

1999 • 5 citations

Effect of Oxygen Treatment on Heart Rate After Abdominal Surgery

2000 • 3 citations

Deleted Work

1955 • 0 citations