Manuel Coheña Jiménez

Proposal of a Surgical Security Checklist in Podiatric Surgery

The authors propose a surgical security check-list adapted to the podiatric surgery. This check-list is based on the Surgical Security Checklist proposed by the World Health Organization. The proposed document contains 18 items divided into two groups: those which are checked before the surgery and those which must be verified after it, before the patient leaves the operating room. The checklist is characterized as being an easy-to- use tool, it requires a short time and permits to systematically increase the patient safety. The authors think that the result is a checklist that is easy to fill and that improves the patient safety in the podiatric surgery .

Propranolol plus placebo versus propranolol plus isosorbide-5-mononitrate in the prevention of a first variceal bleed: a doubleblind RCT

artery complications was 5.3% in sirolimus-treated patients compared with 8.3% in historic controls (P 1⁄4 NS). The prevalence of obesity and OKT3 administration was significantly lower in sirolimus-treated patients. Multivariate analysis failed to show an association between sirolimus therapy and hepatic artery or wound complications. The prevalence of wound and hepatic artery complications is not different in liver transplant recipients administered sirolimus as part of a primary immunosuppressive regimen compared with historic controls.