Study finds high rates of preventable, adverse events in perioperative care
Editor's Note Adverse events (AEs) remain widespread in perioperative care, affecting nearly one in three patients and resulting in substantial and often preventable patient harm, according to a retrospective cohort study published November 13 in The BMJ. The study analyzed 1,009 weighted admissions from a sample of 64,121 surgical patients…
Study: Women more likely to die from postoperative complications after high-risk surgery
Editor's Note Female patients undergoing high-risk surgeries are significantly more likely to die from postoperative complications despite experiencing complications at similar rates, according to findings published October 16 in JAMA. Observed in a cohort of 863,305 Medicare beneficiaries, this disparity suggests that clinicians may be less effective at recognizing and…
Study: Improper arm positioning during blood pressure measurements can lead to hypertension overdiagnosis
Editor's Note A recent randomized crossover trial conducted at Johns Hopkins University reveals that improper arm positioning during blood pressure measurements can lead to significant overestimation, potentially contributing to over-diagnosis of hypertension. The findings appeared in Jama Network October 7. The study, which included 133 participants, compared readings in three…
Alternative to mitral valve surgery shows promise, but research criticized
Editor's Note Although data suggest transcatheter edge-to-edge repair (TEER) using the MitraClip device may offer similar outcomes to mitral valve surgery in patients with heart failure and functional mitral regurgitation (FMR), experts have criticized the research, TCT MD reported September 1. Presented at the recent European Society of Cardiology (ESC)…
Study: Uterus transplant associated with high birth rates, but significant risks
Editor's Note Uterus transplants are feasible, but the procedure is associated with considerable risks for both patient and organ donor, according to a study published August 15 in JAMA. Conducted at a large US tertiary care center, the study involved 20 women with absolute uterine-factor infertility—a condition that prevents…
Study: Intraoperative DEX infusions effectively manage diabetes in cardiac surgery patients
Editor's Note Intraoperative infusion of dexmedetomidine (DEX) could help improve glycemic control and reduce insulin requirements in diabetic patients undergoing cardiac surgery, according to a July 25 article in Medical Dialogues. The article focuses on a prospective observational study published in the journal Annals of Cardiac Anesthesia. The study included…
Study: Thrombectomy beneficial in high-risk acute stroke patients with large infarct
Editor's Note Building on previous evidence favoring thrombectomy even in high-risk cases, the prospective randomized LASTE trial finds the surgical procedure could reduce mortality and improve funcational outcomes in patients with acute stroke and large infarct of unrestricted size. Medpage Today reported the news May 8. Originally published in the…
ASA annual meeting highlights top 10 risks of providing anesthesia in ambulatory setting
Editor's Note There are certain patients and clinical situations that may require anesthesiologists to say no to performing surgery in the outpatient/ambulatory setting, Anesthesiology News April 4 reports. At the 2023 annual meeting of the American Society of Anesthesiologists (ASA), BobbieJean Sweitzer, MD, a professor of medical education at the…
Surgeons complete first successful animal-to-human kidney transplant
Editor's Note A 62-year-old man in Weymouth, Massachusetts is reportedly recovering well several days after receiving the first kidney to be transplanted into a living person. As noted in a March 21 report in the Boston Globe, the operation at Massachusetts General Hospital marked a new milestone in the effort…
Researchers test alternative approach to ranking US heart transplant candidates
Editor's Note The current method for identifying heart transplant candidates with the most urgent need might not be the best one. In a study published February 13 in Jama Network, a candidate risk score incorporating the latest clinical, laboratory, and hemodynamic data out-performed the current treatment-based categorical allocation system. …
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