Tag: surgery
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
Transfusion in Critical Care – UK Regional Audit of Current Practice
A consistent message within critical care publications has been that a restrictive transfusion strategy is non-inferior, and possibly superior, to a liberal strategy for stable, non-bleeding critically ill patients. Translation... read more
Assessing Postoperative Pulmonary Complications After Noncardiothoracic Surgery
In this multicenter study in 1202 American Society of Anesthesiologists physical status 3 patients undergoing noncardiothoracic surgery requiring 2 hours or more of general anesthesia with mechanical ventilation, at least... read more
Rude Surgeons Likely to Make Mistakes
A new study finds surgeons with a history of patient complaints about their personalities or attitude are more likely to make mistakes in the operating room. Researchers compared surgical outcomes with patient reports of... read more
Carotid Stenting Technology Has More Appeal
Ten-year follow-up from the CREST trial and 5-year follow-up from the ACT I study, presented at least year's International Stroke Conference, showed that carotid artery stenting (CAS) holds up well over the long term... read more
CHS using virtual critical care for heart patients
It just might be the future of medicine. Using cameras, microphones and medical sensors, heart surgeons and cardiologists inside the Sanger Heart & Vascular Institute at Carolinas HealthCare System are treating patients... read more
Biopsy first: Lessons learned from CALGB 140503
In a carefully monitored cohort of patients with suspected small NSCLC <2 cm, a substantial number are misdiagnosed (benign nodules) or understaged. These patients may not have benefited from a thoracic surgical procedure.... read more
Sepsis Algorithm a Deadly Marker
An attempt by a Phoenix, AZ, hospital to develop a marker for deadly sepsis instead found that the algorithm identified patients at an increased risk of dying. Increasingly, algorithms govern daily life, playing an important... read more
First deep brain stimulation surgery on stroke patient
Cleveland Clinic performed the nation's first deep brain stimulation surgery on a stroke patient. This is part of an ongoing clinical trial that’s evaluating whether DBS can improve movement after a stroke. Only 10... read more
Waging War Against CABSIs
Catheter-associated bloodstream infections (CABSIs) are on the decline, according to the 2016 National and State Healthcare-Associated Infections Progress Report. The report, published by the CDC, showed that between 2008... read more
New Warning for Anesthetic Use in Children and Pregnant Women
The FDA issued a warning that repeated or lengthy use of general anesthetics and sedatives during surgeries or procedures in children aged <3 years or in pregnant women during their 3rd trimester may affect the development... read more