Neurosurgery trial: Early evacuation improves long-term hemorrhage outcomes
Editor's Note Medical management care with evacuation surgery could yield better 180-day outcomes than without in patents treated within 24 hours for acute intracerebral hemorrhage, according to study results covered in an April 10 MedPage Today report. The ENRICH (Early MiNimally-invasive Removal of IntraCerebral Hemorrhage (ICH)) trial is a multicenter,…
Study: 10% of deaths after PCI preventable
Editor's Note New data show 10% of deaths from percutaneous coronary intervention (PCI), a common and minimally invasive procedure to unclog arteries, are preventable. The study appeared in PLOS ONE on March 27. PCI is one of the most common surgical procedures. More than 500,000 Americans undergo the procedure each…
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…
Laparoscopic cholecystectomy could benefit patients with normal ejection fraction
Editor's Note Patients with biliary symptoms can benefit from laparoscopic cholecystectomy even with a normal ejection fraction (greater than 35%), according to a study published November 30 in the American Journal of Surgery. Although previous data have shown the surgery to improve biliary symptoms (such as abdominal pain) in patients…
Study makes case against preoperative urine culture for most surgical procedures
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…
Swifty’s singing keeps brain surgery on track
Editor's Note Staying awake during brain surgery to sing Taylor Swift songs helped ensure the best possible outcome for Selena Campione, a 36-year-old teacher from Stanhope, New Jersey who recently had a tumor removed at Jersey Shore University Medical Center. As detailed in a March 21 report from People, neurooncologist…
Safe postop patient recovery: A day in the PACU leader role
Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…
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…
Lack of primary care physicians tied to emergency surgeries
Editor's Note Research shows that Americans who live in areas with a limited number of primary care doctors and nurse practitioners are at a greater risk for emergency surgeries and complications. The findings were published March 4 in the journal Health Affairs. For the study, researchers looked at Medicare patient…
Physician shortages boost likelihood of emergency surgery, complications
Editor's Note Health complications and hospital readmissions are more likely for Medicare patients living in areas with primary care shortages. The findings, from a cross-sectional retrospective cohort study of data from 2015 to 2019, were published March 4 in Health Affairs. Specifically, the study showed that patients in areas with…
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