Tag: surgery
We're Bad at Death. Can We Talk?
Despite growing recognition that more care isn't necessarily better care, particularly at the end of life, many Americans still receive an enormous dose of medicine in their final days. On average, patients make 29 visits... read more
Obese Have Less Respiratory Insufficiency Than Nonobese During Endoscopy
Obese patients showed less respiratory insufficiency (RI) than their nonobese counterparts during endoscopic surgery, according to a new study. The result was counterintuitive. Because of their higher rates of obstructive... read more
Toolkit To Improve Safety in Ambulatory Surgery Centers
The Toolkit To Improve Safety in Ambulatory Surgery Centers helps ambulatory surgery centers (ASCs) make care safer for their patients. ASCs can use the toolkit to apply the proven principles and methods of AHRQ's Comprehensive... read more
Happy 100th Anniversary to the RSNA
This week the Radiological Society of North America, a.k.a. RSNA, is holding its annual meeting in Chicago. RSNA is an international society of radiologists, medical physicists and other medical professionals with more than... read more
Jimmy Kimmel Reveals Details of His Son’s Birth & Heart Disease
Jimmy and his wife Molly welcomed their second child together, William "Billy" Kimmel. At three days old, Billy had successful open heart surgery at Children's Hospital Los Angeles and is now home with his family.... read more
Michael Lewis’ The Undoing Project: How do ER surgeons avoid dumb, deadly mistakes? Ask their doctor
In an excerpt from his new book Michael Lewis examines a Toronto doctor who helps trauma surgeons avoid errors in judgment when life and death are on the line. Doctors tended to see only what they were trained to see: That... read more
Micro-Hospitals Provide Health Care Closer to Home
Small-scale inpatient facilities, known in the industry as micro-hospitals, are popping up across the country to offer medical care in underserved communities and provide provide a local alternative to the potentially long... read more
Use of Patient-Generated Wound Data to Improve Postdischarge SSI Monitoring
The use of mobile health (mHealth) to convey patient-generated health data (PGHD) offers new enhancements and challenges to the provision of surgical care. The Mobile Post-Operative Wound Evaluator (mPOWEr) is a patient-centered... read more
The effect of day of the week on short- and long-term mortality for emergency general surgery
The effect of day of the week on outcome after surgery is the subject of debate. The aim was to determine whether day of the week of emergency general surgery alters short- and long-term mortality. Dr Mike Gillies and... read more
Comparison of Alveolar Recruitment Strategies for Preventing Postoperative Pulmonary Complications
This randomized clinical trial compares the effects of adding an intensive vs moderate alveolar recruitment strategy to protective ventilation on the number and severity of pulmonary complications following cardiac surgery.... read more
Intraoperative Oxidative Stress Associated With Postoperative Delirium
Intraoperative oxidative stress is associated with postoperative delirium in ICU patients after cardiac surgery, a study has found. Researchers from Vanderbilt University Medical Center, in Nashville, Tenn., came to this... read more
The Sick and the Dead: Evidence-Based Trauma Resuscitation
The science of trauma resuscitation has undergone a fairly massive evolution in the past decade. This talk was our attempt to summarize the best-of-the-best in trauma literature from the past several years, and package it... read more
Implementation of a Clinical Documentation Improvement Curriculum Improves Quality Metrics
Clinical documentation improvement/ICD-10 training in an academic surgery department is an effective method to improve documentation rates, increase the hospital estimated reimbursement based on more accurate CD, and provide... read more
The Toll of Death and Disability From Traumatic Injury in the United States
This viewpoint describes the lack of funding for trauma research as a possible cause of increasing mortality rates from traumatic injury. In a seminal 1966 report, the National Research Council (NRC) declared that unintentional... read more
Ratio-based Transfusion and Non-trauma Patients
Researchers at Massachusetts General Hospital (MGH) urge caution in adopting ratio-based transfusion - a practice previously studied only in patients with severe traumatic injuries - in non-trauma patients. Their study published... read more
Visual Abstracts, A New Strategy for Creating Journal Articles
You might be interested in this initiative arising out of surgery, and primarily developed by Andrew M. Ibrahim MD, MSc of the University of Michigan. Dr. Ibrahim is a Clinical Lecturer in Surgery here and a Robert Wood Johnson... read more
Association of Ratio-Based Massive Transfusion With Survival Among Patients Without Trauma
Association Between Ratio of Fresh Frozen Plasma to Red Blood Cells During Massive Transfusion and Survival Among Patients Without Traumatic Injury. This study reports on the use and benefits of ratio-based blood product... read more
Using an App to Speed Surgical Recovery
To help patients recover faster from surgery, Rush University Medical Center recently has begun providing patients with a computer app that prompts, monitors, and encourages activities that promote healing. Called SeamlessMD,... read more
Stapled versus hand-sewn
Stapled versus hand-sewn: A prospective emergency surgery study. An American Association for the Surgery of Trauma multi-institutional study. Data from the trauma patient population suggests handsewn (HS) anastomoses are... read more
The Sick Bowel Obstruction Patient
A 68-year-old female presents to the ED with abdominal pain, bloating, and nausea which she states began this morning upon wakening about 3 hours prior to arrival. She appears moderately uncomfortable and pale. She is urgently... read more
A Primer on the Perils of Intravenous Fluids – Part 2
Critically-ill patients all likely have endothelial dysfunction to some degree. resuscitationThis perturbation in microvascular physiology may be underpinned by abnormal glycocalyx structure and function. Sepsis, trauma,... read more
