Tag: Surgical risks

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)…

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By: Matt Danford
September 23, 2024
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Bleeding risk should dictate strategy for managing patients on direct oral anticoagulants

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Editor's Note Clinicians managing surgical patients on direct oral anticoagulants (DOACs) should adopt a different approach depending on the procedure, according to research published August 12 in JAMA Network. Used to treat patients with atrial fibrillation and venous thromboembolism, DOACs must be managed effectively to minimize risks of bleeding, researchers…

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By: Matt Danford
August 28, 2024
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Study reveals low rate of unplanned hospital admissions after ambulatory surgery

Editor's Note A recent study, published by Perioperative Medicine on August 13 and conducted at a large US academic tertiary care ambulatory surgery center (ASC), found the incidence of unplanned hospital admissions within 24 hours after a procedure performed at an ASC is “exceptionally” low. The research, which analyzed data…

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By: Tarsilla Moura
August 21, 2024
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Antibiotics gaining acceptance as potential alternative to pediatric appendectomy

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Editor's Note Evidence is mounting for the use of antibiotics as a valid alternative to surgery for acute appendicitis, including in pediatric cases, the Washington Post reported August 17. The article details how this treatment—described as a “dark secret” by one expert testifying to its use in the 1950s, prior…

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By: Matt Danford
August 21, 2024
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Anesthesiologists sound alarm on wildfire smoke, surgical outcomes

Editor's Note The rising frequency of wildfires has anesthesiologists concerned about potential for adverse surgical outcomes to exposed patients, according to an article in the Online First edition of Anesthesiology,  the peer-reviewed journal of the American Society of Anesthesiologists (ASA). As of an August 6 report from ASA, nearly 100…

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By: Matt Danford
August 9, 2024
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Study: Spinal fusion failure more likely for diabetic patients

Editor's Note Lumbar spinal fusion procedures are significantly more likely to fail in individuals with diabetes, according researchers at The University of Toledo. According to a July 9 EurekAlert! report on the study, published in JBMR Plus, diabetic patients are already known to have a higher risk of infection from…

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By: Matt Danford
August 6, 2024
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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…

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By: Matt Danford
July 29, 2024
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Study: Gastric bypass offers cardiovascular benefits regardless of weight loss

Editor's Note Roux-en-Y gastric bypass (RYGB) reduces cardiovascular risk factors independent of calorie restriction and weight loss, according to a recent study published in JAMA Surgery. News-Medical.Net reported on the study July 4. Bariatric surgery, particularly RYGB, is more effective than non-surgical treatments for significant weight reduction and lowering cardiovascular…

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By: Matt Danford
July 15, 2024
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Standardized handoff protocol improves OR communication

Editor's Note Findings published in the Journal of the American College of Surgeons show how a standardized handoff protocol can improve OR communication and reduce the risk of error, Medical Xpress reported on June 19. The study focused specifically on SHRIMPS, a standardized handoff protocol developed by the quality improvement…

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By: Matt Danford
June 28, 2024
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Kidney transplant performed on awake patient

Editor's Note In a first for Northwestern Medicine, surgeons performed a kidney transplant on an awake patient, CBS News reported June 24. John Nicholas, 28, of Chicago, experienced no pain during the May 24 procedure, in which he received an organ from a childhood friend. He was discharged the next…

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By: Matt Danford
June 25, 2024
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