Tag: adverse outcomes

FDA Class 1 recall renews concern about historically problematic heart pumps

The US Food & Drug Administration (FDA) announced a Class 1 recall on Monday for Abbott/Thoratec Corp.’s HeartMate II and HeartMate 3 Left Ventricular Assist System (LVAS) due due to biological material buildup obstructing the devices. According to an April 16 CBS News report, surgeons first noticed problems with the…

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By: Matt Danford
April 17, 2024
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Urologists advocate for resources to help surgeons prepare for, cope with adverse events

Editor's Note Adverse events are a ubiquitous, inevitable consequence of surgical practice, and more must be done to support surgeons before and after they occur. This is the central message of a video published March 27 by Urology Times, in which British urologist Kevin Turner, MA DM FRCS, of Royal…

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By: Matt Danford
April 8, 2024
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Study makes case against preoperative urine culture for most surgical procedures

JAMA (healthcare publication) Network logo

Editor's Note Findings published March 4 in Jama Network show that preoperative urine culture is a low-value intervention for most surgical patients and should be de-implemented. Despite guidelines to the contrary from Infectious Diseases Society of America and the American College of Physicians, preoperative urine testing and antibiotic treatment persists…

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By: Matt Danford
March 25, 2024
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Study: Postoperative delirium less likely with ephedrine than phenylephrine

Editor's Note Using phenylephrine as an intraoperative vasopressor could lead to higher risk of postoperative delirium compared to ephedrine, according to findings published in the April issue of Anesthesiology. Posted online last September, these findings confirm researchers’ original hypothesis. “The treatment of intraoperative hypotension with phenylephrine may impair cerebral perfusion…

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By: Matt Danford
March 20, 2024
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Flexible sticker device detects postoperative gastrointestinal leaks

Editor's Note A medical device developed by researchers at Northwestern University and Washington University School of Medicine could enable clinicians to monitor the health of a patient’s organs following surgery. The findings appeared in the journal Science on March 7.  Patients who undergo gastrointestinal surgeries—including pancreatic surgery—can develop anastomotic leaks…

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By: Brita Belli
March 8, 2024
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Study: Hospital privatization reduces care quality

Editor's Note Quality of care drops when hospitals move from public to private ownership, according to review published in the March issue of the Lancet Public Health. The meta-analysis uses evidence from 13 longitudinal studies across the United States, Canada, Croatia, England, Germany, Italy, South Korea, and Sweden. Researchers evaluated…

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By: Brita Belli
March 4, 2024
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Study: Postop emergency appendectomy complications more likely for Black children

Editor's Note In a recent study, black children undergoing emergency appendectomy had a four times greater risk of postoperative complications than white children, independent of socioeconomic status or type of appendicitis. Anaesthesia, the journal of the Association of Anaesthetists, published the findings February 22. Researchers note that this is the…

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By: Matt Danford
February 26, 2024
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Thyroid hormone replacement boosts risk of abdominal surgery complications

Editor's Note:  Preoperative thyroid hormone replacement independently predicts operative morbidity and length of stay following major abdominal surgery, according to a January 23 report in the American Journal of Surgery. To determine the association between preoperative thyroid hormone replacement and complications following major abdominal surgery, researchers performed a retrospective case…

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By: Matt Danford
January 30, 2024
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Metabolic conditions increase risk of kidney graft function deterioration

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Editor's Note: A recent study reveals individuals with obesity or metabolic disorder could have a higher risk of experiencing graft function deterioration (GFD), while individuals with metabolically healthy overweight or obesity (MHO) had an elevated risk. Results were published December 27 in JAMA Network Open. The cohort study examined 1260 adult…

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By: Matt Danford
January 19, 2024
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AI model trained to identify patients’ social circumstances

Editor's Note:  Large language models trained to extract patients’ social determinants of health (SDoH) from clinician notes could help to identify patients who need additional support and resources. The findings, from investigators at Mass General Brigham, appeared in the Nature journal Digital Medicine on January 11.  Housing circumstances, employment, access…

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By: Brita Belli
January 11, 2024
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