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

Ratio-based Transfusion and Non-trauma Patients

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

Visual Abstracts, A New Strategy for Creating Journal Articles

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

Association of Ratio-Based Massive Transfusion With Survival Among Patients Without Trauma

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

Using an App to Speed Surgical Recovery

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

Stapled versus hand-sewn

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

The Sick Bowel Obstruction Patient

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

A Primer on the Perils of Intravenous Fluids – Part 2

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

Transfusion in Critical Care – UK Regional Audit of Current Practice

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

Assessing Postoperative Pulmonary Complications After Noncardiothoracic Surgery

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

Rude Surgeons Likely to Make Mistakes

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

Carotid Stenting Technology Has More Appeal

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

CHS using virtual critical care for heart patients

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

Biopsy first: Lessons learned from CALGB 140503

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

Sepsis Algorithm a Deadly Marker

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

First deep brain stimulation surgery on stroke patient

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

Waging War Against CABSIs

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

New Warning for Anesthetic Use in Children and Pregnant Women