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Surgery General

Predicting Infections After RSA

Oct 20, 2015

The rate of reverse shoulder arthroplasties (RSA) is increasing as its indications are expanding, but various reports suggest that these procedures are associated with a high complication rate. “Res...

Postoperative Cardiac Issues After Arthroplasty

Oct 20, 2015

Cardiac events are major postoperative complications that can occur in patients undergoing total knee arthroplasty and total hip arthroplasty. Some studies have shown that serious cardiac complication...

Conference Highlights: IDWeek 2015

Oct 14, 2015

New research was presented at IDWeek 2015, the combined annual meeting of the Infectious Diseases Society of America, Society for Healthcare Epidemiology of America, HIV Medicine Association, and Pedi...

TAVR Referral & Use: Predicting Mortality

Oct 07, 2015

Patients with severe symptomatic aortic stenosis who go untreated following referrals for transcatheter aortic valve replacement (TAVR) appear to have a 1-year mortality rate of almost 40%, according ...

Surgeon Scorecard Thoroughly Dismantled

Oct 05, 2015

Back in July, an organization called ProPublica released its Surgeon Scorecard, which attempted to give patients a way to compare surgeon performance. While the effort was well-intended, it was cri...

Concussion Season: Why We Need to Do Better

Sep 22, 2015

The NFL season kicked off this month but with it, we return back to concussion season. Most people know of the controversy of the concussion cover-up in the NFL and how pro-players suffer long-term br...

Religious & Spiritual Considerations Infrequently Discussed

Sep 21, 2015

Discussions of religious or spiritual considerations appear to occur infrequently with the surrogate decision makers of ICU patients who have relatively high degrees of religiosity. Study investigator...

Daytime Procedures Following Night Shift Work

Sep 21, 2015

Adverse outcomes of elective daytime surgery appear to be similar, regardless of whether or not surgeons have provided medical services after midnight. The compilation of death, readmission, or compli...

The Vicious Cycle of Ventral Hernia Repair

Sep 21, 2015

Study results suggest that patients with multiple previous hernia repairs appear to be more likely that those with no previous repairs to undergo subsequent reoperations. These patients also tend to h...

Comparing Revascularization Methods

Sep 21, 2015

Hybrid coronary revascularization (HCR)—which combines minimally invasive left internal mammary artery to left anterior descending bypass with PCI of non-left anterior descending vessels—appears t...

Preventing Postoperative Pneumonia

Sep 21, 2015

Pneumonia is a common nosocomial infection that accounts for approximately 2.7% to 3.4% of complications among surgical patients. Nosocomial pneumonia has been linked to high morbidity, mortality, and...

Unprofessional Medical Staff Behavior

Sep 21, 2015

In 2009, the Joint Commission Leadership Standard issued a mandate stating that leaders need to create and maintain a culture of safety and quality throughout hospitals. In 2013, this mandate was upda...

Surgery: Things Left Behind

Sep 18, 2015

I got the call from the radiologist at midday, just as I was about to start my third case in the OR. He called my cellphone directly, unusual for a routine study. “I just looked at Mr. K’s abdo...

Bariatric Surgery & Urinary Incontinence

Sep 09, 2015

American investigators suggest that bariatric surgery appears to substantially reduce urinary incontinence over 3 years among severely obese patients. Weight loss was independently related to urinary ...

Lymph Node Removal & Survival After Gastrectomy

Sep 09, 2015

Study results suggest that the number of lymph nodes removed during gastrectomy for adenocarcinoma appears to have prognostic implications for long-term survival. Among patients with stage IA to IIA d...

Night Shift Work Affects Surgeon’s Biological Rhythm

Sep 09, 2015

Dutch research indicates that working night shifts appears to affect surgeon’s circadian rhythm. Significant differences were observed between the day prior to working the night shift and the day of...

Trends in Preoperative Testing

Sep 08, 2015

Following the release of professional guidance from the American College of Cardiology, the American Heart Association, and the American Society of Anesthesiologists in 2002 on routine preoperative te...

Guidelines: Perioperative Care in Non-Cardiac Surgery

Sep 07, 2015

In 2014, the American College of Cardiology and American Heart Association (ACC/AHA) released an updated guideline on perioperative cardiovascular evaluation and management of patients undergoing non-...

Why Residents Leave Surgery Training

Sep 07, 2015

Over the past decade, surgery residency programs have adopted structural changes to improve attrition rates, such as work-hour restrictions. Despite these changes, resident attrition continues to be p...

Costs of Emergency Vs Elective Surgery

Sep 03, 2015

Study investigators estimate that even a modest reduction in the proportion of emergency procedures performed for three conditions could save nearly $1 billion over 10 years in the United States. Adju...

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