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Surgery General

Procalcitonin & Antibiotic Decisions

May 08, 2012

The advent of antibiotic therapy has led to dramatic reductions in mortality and morbidity due to bacterial infections and sepsis. The overuse of antibiotics to treat infections, however, may expose p...

ACC.12 Highlights for Surgeons

May 08, 2012

New research was recently presented at ACC.12, the annual scientific meeting of the American College of Cardiology, from March 24-27 in Chicago. The features below highlight just some of the studies t...

Treating Degenerated Bioprosthetic Heart Valves

May 08, 2012

Valve-in-valve transcatheter aortic valve implantation (viv-TAVI) in patients with degenerated, surgically implanted bioprosthetic heart valves appears to achieve high technical success rates, accordi...

Avoiding PAVR Complications in Select Patients

May 08, 2012

A Canadian study has found that vascular and bleeding complications following percutaneous aortic valve replacement (PAVR) appear to be markedly reduced with careful patient selection, advanced interv...

Surgical Ablation System Approved for AF

May 08, 2012

The FDA has approved a surgical ablation system (Synergy, AtriCure) for the treatment of atrial fibrillation (AF). It is indicated for use in patients with persistent and long-standing persistent AF d...

Use of PCI & DES in Older Patients

May 08, 2012

Results of a large national study of older patients undergoing PCI suggests that those aged 85 or older appear most likely to decline use of drug-eluting stents (DES). However, the investigation showe...

Multivessel PCI: Coming to a Consensus

May 01, 2012

When PCI is used to treat multivessel coronary artery disease (CAD), single-vessel or multivessel interventions can be performed in one or more stages. About half of all patients with CAD have blockag...

Bariatric Surgery for Diabetes: Significant Benefits Observed

Apr 24, 2012

In the United States, more than 90% of 25.8 million adults with diabetes have type 2 disease, according to the CDC. More than 1.9 million cases were diagnosed in 2010 alone among adults aged 20 and ol...

Improving Cardiac Catheterization

Apr 24, 2012

More than 1 million cardiac catheterizations are per­formed in the United States annually, and most of these procedures are performed via the femoral arter­ies through the groin. With transfemoral c...

Examining TAVI With & Without PCI

Apr 24, 2012

A small German investigation has found that preprocedural PCI in patients undergoing transcatheter aortic valve implantation (TAVI) appears to be both feasible and safe. When compared with isolated TA...

Advance Directives in High-Risk Surgery

Apr 24, 2012

According to a national survey of vascular, neurologic, and cardiothoracic surgeons, almost half (48%) appear to not routinely discuss advanced directives prior to surgery. All respondents of the surv...

Preoperative Aspirin & Cardiac Surgery Outcomes

Apr 24, 2012

Preoperative aspirin therapy appears to be associated with a significantly lower risk of major cardiocerebral complications and renal failure, according to results from a large study of patients under...

Comparing Transfusion Strategies in High-Risk Hip Surgery

Apr 24, 2012

Using a liberal transfusion strategy following hip fracture surgery in elderly patients with high cardiovascular risks appears to result in similar outcomes to those using a more restrictive transfusi...

Post-Acute Care for Medicare Beneficiaries

Apr 16, 2012

The quality of care coordination is important to the United States healthcare system as hospital readmission rates are being further scrutinized. When hospital readmission rates are high, it is often ...

Information Technology as Communication

Apr 12, 2012

Much of health information technology (IT) focuses on patient documentation, compliance, and coding. While this is clearly a valuable service, there is still much more that can be garnered from health...

Conference Coverage: American Academy of Orthopaedic Surgeons 2012

Apr 05, 2012

The 2012 annual meeting of the American Academy of Orthopaedic Surgeons was held from February 7-11 in San Francisco. The features below highlight just some of the studies that emerged from the meetin...

An Emerging Surgical Strategy for Acute Appendicitis

Mar 27, 2012

Appendectomy is one of the more common surgical procedures that is performed throughout the United States each year despite decreasing in annual incidence. Open and laparoscopic appendectomy procedure...

Incivility in Surgery

Mar 27, 2012

Hospitals and medical centers are increasingly beginning to appreciate that disruptive behavior in the operating room (OR) is a problem deserving of serious attention. The costs associated with incivi...

Heart Failure Complicates Infective Endocarditis

Mar 26, 2012

An international study suggests that in patients with infective endocarditis complicated by heart failure (HF), the severity of HF appears to be strongly associated with surgical therapy and subsequen...

Drug-Eluting Stent System Gains FDA Approval

Mar 26, 2012

A next-generation drug-eluting stent system (PROMUS Element Plus Platinum Chromium Stent System, Boston Scientific) has received FDA approval for use in patients with coronary artery disease. The devi...

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