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The article suggests additional medical measures to prevent cardiac morbidity and mortality after non-cardiac surgery. Results of a medical survey show that there are patients undergoing non-cardiac surgery suffer perioperative cardiac morbidity that gradually alerts the medical industry to prevent such events. Preventive measures include using nitroglycerin, beta blockade and magnesium.

The article suggests various medical measures to prevent cardiac morbidity and mortality after non-cardiac surgery. Results of a medical survey reveal that there are patients undergoing non-cardiac surgery suffer perioperative cardiac morbidity that gradually alerts the medical industry to prevent such events. Preventive measures include preoperative optimization on the intensive care unit (ICU), inhalation of anesthetics and prevention of too much sympathetic or parasympathetic stimulation.

The article suggests the factors to consider in preventing cardiac morbidity and myocardial ischaemia in ambulatory surgery. Results of a medical survey show that there are patients undergoing non-cardiac surgery who suffer perioperative cardiac morbidity. Preventive measures include optimization of cardiac medication, prophylactic treatment with beta blockers and statins and using aspirin.

In view of the shortcomings of the organisation of the perioperative process that have been ascertained by the Dutch Health Inspectorate (IGZ), the Inspectorate has requested hospitals and care professionals to implement measures to improve this situation. In response to the IGZ's first report, the Dutch Institute for Healthcare Improvement (CBO) has developed the national, multiprofessional guidelines entitled 'Preoperative Trajectory' which were published in January 2010. Implementation of these guidelines should improve communication between professionals and lead to standardization and transparency of the preoperative patient care process, with uniform handovers and clear responsibilities. These guidelines are the first to provide recommendations at process of care level which are intended to increase patient safety and reduce the risk of damage to patients.

The use of medicinal oxygen can be dangerous. The spontaneous combustion of an oxygen cylinder was the cause of a fire in an operating theatre and an emergency medical service. The fire developed after turning on the gas main while the flow supply valve was already open. Not opening the pressure reduction valve while the oxygen flow supply valve is open can prevent this type of fire. Information from the contractor shows that the probability of such an incident is 1 in a million.