Belly fat predicts adverse outcomes after emergency surgery
Editor's Note A patient’s waist measurement can predict the risk of complications and death after emergency general surgery, finds this study presented October 26 at the American College of Surgeons Clinical Congress 2017 in San Diego. Included in the study were 608 emergency general surgery patients who had preoperative CT…
PSH model reduces deaths, ED visits in elderly hip fracture patients
Editor's Note Elderly hip fracture patients were less likely to die or return to the emergency department (ED) after discharge if they received care under the Perioperative Surgical Home (PSH) model of care, finds this study presented October 21 at the Anesthesiology 2017 annual meeting in Boston. PSH patients also…
RTI Surgical announces 3D-printed cervical interbody device
Editor's Note RTI Surgical (Alachua, Florida) on October 25 launched its Fortilink-C interbody fusion system with Tetrafuse 3D technology, the October 26 Becker’s Spine Review reports. Tetrafuse 3D technology combines titanium, allograft bone, and PEEK all in one device. The 3D-printed, polymer-based, cervical interbody device incorporates micro, macro, and nano-rough…
Total joint patients using fewer opioids to manage postop pain
Editor's Note Opioid use in total hip and knee patients decreased by one-third between 2006 and 2014, which reflects success in the use of a multimodal approach (ie, opioids plus additional pain management methods, such as peripheral nerve blocks and acetaminophen) to pain management, finds this study presented October 21…
Nonoperative treatment of appendicitis linked to higher death rate
Editor's Note Twice as many patients with appendicitis are being treated without surgery compared to 20 years ago; however, nonoperative management is associated with a higher death rate, finds this study presented October 26 at the American College of Surgeons Clinical Congress 2017 in San Diego. A total of 477,680…
Manufacturers optimistic about repeal of medical device tax
Editor's Note On October 24, 179 House members (including 43 Democrats) signed a letter to Speaker Paul Ryan (R-Wis) calling for repeal of the medical device tax, the October 25 issue of The Hill reports. The medical device tax, which was included in the Affordable Care Act to help pay…
Study: Cloth skull caps more effective than bouffant disposable caps in preventing airborne contamination
Editor's Note Surgeon’s cloth skull caps that expose small amounts of the ears and hair are not inferior to bouffant disposable hats that cover those features, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego and published online October 26 in…
Study: Acetaminophen helps reduce postop shivering
Editor's Note Administering acetaminophen (Tylenol) during surgery may help reduce the incidence of postoperative shivering, finds a study presented October 21 at the Anesthesiology 2017 annual meeting in Boston. A total of 37 patients scheduled for gynecologic surgery were randomly assigned to receive IV acetaminophen or a placebo after general…
AHA study: Regulatory overload is unsustainable
Editor's Note A study from the American Hospital Association (AHA) finds that the regulatory burden faced by healthcare providers is substantial and unsustainable, the October 25 AHA News Now reports. Hospitals, health systems, and post-acute care providers spend nearly $39 billion annually on administrative activities to comply with federal…
Most hip fractures occur in warm months, indoors
Editor's Note Most elderly hip fractures occur during warm months, and a greater number happen indoors rather than out, finds this study presented October 23 at the Anesthesiology 2017 annual meeting in Boston. In this analysis of 544 hip fracture patients treated at The Hospital of Central Connecticut from 2013…
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