Surgery/Specialties
No difference in quality between preop telemedicine, in-person visits
Editor's Note This study from Vanderbilt University Medical Center, Nashville, Tennessee, finds no difference in quality of shared decision making in surgical patients having preoperative in-person vs telemedicine visits. Of 387 patients who were scheduled for surgery between May 2021 and June 2022, 301 had in-person visits and 86 had…
Physician happiness down since COVID-19 pandemic
Editor's Note Medscape’s 2023 Physician Lifestyle and Happiness Report finds that physician happiness fell during the COVID-19 pandemic and is not rebounding easily, the January 20 Becker’s Hospital Review reports. The survey findings include: 59% of physicians say they are “somewhat” or “very happy,” down from 84% before COVID-19. The…
Inequities in cancer treatments after COVID-19 infection
Editor's Note This study led by researchers at Columbia University Irving Medical Center, New York City, finds that race, ethnicity, and area-level social determinants of health (SDOH) were associated with delayed or discontinued cancer treatments and longer delays to restart drug-based therapies after COVID-19 infections. The analysis included data on…
Pediatric patients benefit from calming, quiet OR environment
Takeaways • Children are not small adults. Greater attention should be paid to their fears and anxiety, and equipment and medication should be tailored to meet their needs. • All staff should have Pediatric Advanced Life Support (PALS) certification. • ASCs can use toys and games as distractions to ease…
ASA updates preop fasting guidelines
Editor's Note The American Society of Anesthesiologists (ASA) has updated its 2017 guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. The new 2023 guidance focuses on topics not addressed in the previous guideline, including ingestion of carbohydrate-containing clear liquids with or…
AAMC reports increase in diversity for 2022
Editor's Note Medical schools saw more diversity among their students in 2022, according to the Association of American Medical Colleges (AAMC), reports January 12 HealthLeaders Media. Comparing the 2020-2021 and 2022-2023 academic years, the number of Black, Hispanic, and female students increased. AAMC released the breakdown of this data: The…
ERAS patients are prescribed fewer postdischarge opioids
Editor's Note This study by researchers at the Massachusetts General Hospital, Boston, finds that patients participating in an Enhanced Recovery after Surgery (ERAS) program were prescribed significantly fewer opioids at discharge, compared to patients before ERAS was instituted. A total of 3,983 patients were included (1,929 pre-ERAS and 2,054 post-ERAS).…
New ACS guideline helps trauma centers screen patients for mental health, substance misuse
Editor's Note On January 10, the American College of Surgeons (ACS) reported on a new best practice guideline released to help healthcare professionals screen trauma patients for mental health disorders and substance misuse. Because alcohol and substance misuse problems are prevalent and increasing in trauma patients, this guideline is an…
Risk of MI, stroke, mortality in gastric bypass patients
Editor's Note In this study, Swedish researchers, find that gastric bypass was associated with a decreased risk of myocardial infarction (MI), but not ischemic stroke within 10 years of surgery, and it reduced mortality during the first 3 years after surgery but not thereafter. Study participants were divided into obese…
FDA issues warning letters to endoscope manufacturer
Editor's Note The Food and Drug Administration (FDA) on January 10 announced that it had recently issued two warning letters to Olympus Medical Systems Corporation and one of its subsidiaries, Aizu Olympus Co, Ltd, after facility inspections. The letters addressed violations related to medical device reporting (MDR) requirements and quality…
Free Daily News
- Study: ERAS protocol reduces opioid use after cardiac surgery
- Study: Prehabilitation reduces surgical complications, speeds recovery
- Commentary: Studies show how surgeon decisions follow the money
- Proposed HIPAA updates would improve cybersecurity, increase costs for healthcare providers
- Study: EMR data can enhance hand hygiene compliance, infection prevention
- Study: Machine learning model improves perioperative pain assessment
- Call for improved suicide risk screening in ASCs aims to strengthen safety protocols
- Study: Perioperative pregabalin reduces risk of kidney decline compared to gabapentin
- Medical school diversity declines after Supreme Court ruling
- Surgeons risk losing ground as transcatheter tricuspid valve interventions rise