Intraoperative Infusion of Dexmedetomidine for Prevention of Postoperative Delirium and Cognitive Dysfunction in Elderly Patients

Intraoperative Infusion of Dexmedetomidine for Prevention of Postoperative Delirium and Cognitive Dysfunction in Elderly Patients

Intraoperative infusion of dexmedetomidine for prevention of postoperative delirium and cognitive dysfunction in elderly patients undergoing major elective non-cardiac surgery. Postoperative delirium occurs in 10% to 60%... read more

Association Between US Hospital Teaching Status and Mortality

Association Between US Hospital Teaching Status and Mortality

In an observational study of approximately 21 million hospitalizations of Medicare beneficiaries, adjusted 30-day mortality rates were significantly lower at 250 major teaching hospitals compared with 894 minor teaching and... read more

Diagnostic Value of Procalcitonin on Early Postoperative Infection After Pediatric Cardiac Surgery

Diagnostic Value of Procalcitonin on Early Postoperative Infection After Pediatric Cardiac Surgery

Procalcitonin was more accurate than C-reactive protein and WBC to predict early postoperative infection, but the diagnostic properties of procalcitonin could not be observed during the first 3 postoperative days due to the... read more

Enhanced Recovery After Surgery Program Implementation

Enhanced Recovery After Surgery Program Implementation

In this pre-post difference-in-differences study of 15 849 surgical patients at 20 medical centers in Northern California, implementation of a multifaceted enhanced recovery program was associated with a one-third reduction... read more

We're Bad at Death. Can We Talk?

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 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

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

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 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

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

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

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 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

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