Surgery

Updated guidelines for safe sedation of pediatric patients

Updated guidelines for safe sedation of pediatric patients

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Updated guidelines for safely sedating pediatric patients have been released by the AAP and AAPD.

Oral contraceptives increase surgery risk for women with Crohn disease

Oral contraceptives increase surgery risk for women with Crohn disease

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Women with Crohn disease who use oral contraceptives for more than 1 year have an increased risk of surgery.

Coronary bypass surgery reduces mortality for patients with heart failure

Coronary bypass surgery reduces mortality for patients with heart failure

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Patients with coronary artery disease who were previously not considered candidates for CABG may benefit from the surgery.

Wrist pain after a fall: a simple fracture?

Wrist pain after a fall: a simple fracture?

After a fall on an outstretched hand, wrist injuries are common, but ligament tears should also be considered in adults.

Carcinoid appendix


Carcinoid appendix


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A patient with a history of a carcionid tumor on their appendix did not return to a physician for follow up.

House calls from PAs reduce hospital readmissions after cardiac surgery

House calls from PAs reduce hospital readmissions after cardiac surgery

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After adult cardiac surgery, patients are less likely to be readmitted to the hospital if they receive house calls from PAs.

Medication errors, adverse drug reactions occur in half of surgeries

Medication errors, adverse drug reactions occur in half of surgeries

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About 5% of medication administrations during the perioperative period include errors or adverse drug events.

Basal insulin for surgical diabetic patients

Basal insulin for surgical diabetic patients

Basal insulin, with or without nutritional correction, is the best approach to manage blood glucose in noncritically ill surgical patients.

Patients may have increased suicide risk after bariatric surgery

Patients may have increased suicide risk after bariatric surgery

Changes in alcohol metabolism, substituting substances for food, and hormone changes may increase the risk for suicide after bariatric surgery.

A perioperative approach
 for pediatric asthma


A perioperative approach
 for pediatric asthma


Pediatrics patients with asthma who have to undergo surgery are at risk for complications.

Continuity of care improves survival after major surgery

Continuity of care improves survival after major surgery

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After major surgery, returning to the same hospital for any complications increases survival.

Antibiotics may be alternative 
to appendectomy in some patients

Antibiotics may be alternative 
to appendectomy in some patients

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Patients with uncomplicated appendicitis may be treated with antibiotics instead of surgery.

Defamation award results from operating room misconduct

Defamation award results from operating room misconduct

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Clinicians in the operating room were sued for defamation after insulting a patient while he was under anesthesia.

Nurse-practitioner led preoperative care reduced surgery cancellation

Nurse-practitioner led preoperative care reduced surgery cancellation

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Offering preoperative testing and evaluations in one convenient location can significantly reduce surgical cancellation rates.

When type 1 diabetes complicates surgery

When type 1 diabetes complicates surgery

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The patient, aged 69 years, had a 43-year history of type 1 diabetes and was scheduled to undergo a chest wall resection.

Report: Avoid cesarean delivery when possible

Report: Avoid cesarean delivery when possible

Cesarean delivery linked to more complications and lower chances of vaginal delivery for subsequent births.

Are sterile gloves necessary for minor procedures?

Are sterile gloves necessary for minor procedures?

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The use of non-sterile gloves for minor procedures may haver a lower rate of infection compared with sterilized gloves.

Raplixa approved to help control surgical bleeding

Raplixa approved to help control surgical bleeding

Spray-dried fibrin sealant promotes clotting when other methods are "ineffective or impractical."

Transplant, steroids, and diabetes: Inpatient and outpatient management

Transplant, steroids, and diabetes: Inpatient and outpatient management

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A patient, aged 60 years, was admitted to the hospital to undergo renal transplant therapy. He had a history of type 2 diabetes for 15 years.

Nurse phone follow-up decreases post-surgery complications

Nurse phone follow-up decreases post-surgery complications

Educational intervention improves patient outcomes after discharge from hospital.

Transitioning a patient with a complex insulin regimen from hospital to home

Transitioning a patient with a complex insulin regimen from hospital to home

When creating outpatient diabetes management plan, the patient's inpatient medication regimen should be considered but not necessarily replicated.

Less common bariatric procedure better for weight loss

Less common bariatric procedure better for weight loss

But 'duodenal switch' procedure also linked to more complications.

Type 2 diabetes management in a post-bariatric surgery patient

Type 2 diabetes management in a post-bariatric surgery patient

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A patient, aged 57 years, was admitted to the hospital to undergo gastric bypass surgery. He had a history of type 2 diabetes for ten years.

Advice for helping your patients manage pain after surgery

Advice for helping your patients manage pain after surgery

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With these tips, a clinician can prepare a patient undergoing surgery control post-operative pain.

Postoperative pain control unsafe at any speed

Postoperative pain control unsafe at any speed

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Health-care providers need to focus on how to help patients undergoing major surgery effectively manage their pain.

Surgeon's 'cognitive bias' responsible for deadly medical error

Surgeon's 'cognitive bias' responsible for deadly medical error

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After a surgeon administered a dye that resulted in the death of a patient, cognitive bias was found to be the cause of the deadly hospital error.

Cesarean risk higher with low-delivery-volume obstetricians

Cesarean risk higher with low-delivery-volume obstetricians

The odds of cesarean delivery were two-fold higher for patients whose obstetricians performed fewer than 60 deliveries per year.

Tissue adhesive: how to avoid sticky situations

Tissue adhesive: how to avoid sticky situations

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Topical lidocaine with epinephrine, working in teams, and avoiding lid margins can help you glue like a pro.

Post-cardiac-surgery stroke predictors identified

Post-cardiac-surgery stroke predictors identified

Most patients undergoing cardiac surgery have conditions such as hypertension, diabetes and atrial fibrillation.

PCP visits reduce surgical readmission rates

PCP visits reduce surgical readmission rates

Readmission risk was significantly reduced with early PCP follow-up among patients who underwent high risk surgery.

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