Restricting perioperative fluid for abdominal surgery patients does not reduce complications: The RELIEF trialJune 19, 2018
Among patients at increased risk for complications undergoing abdominal surgery, those randomized to perioperative fluid restriction did not have increased disability-free survival at one year compared to patients who received liberal perioperative fluid management.
Associated with increased risk of composite end point of acute rejection, allograft failure
Surgeries by age 9 associated with higher long-term risks of respiratory, infectious, allergic diseases
Long-term mortality elevated even for mild defects; overall survival improved over time
Findings based on comparison to general anesthesia for knee and hip arthroplasty
Oral medication, botulinum toxin type A injections, and endoscopic decompression surgery were all compared in the treatment of patients with frontal secondary headaches due to STN and SON configuration.
Many patients reported unsafe storage and failure to dispose of opioids at one- and 6-month follow-up
The use of high doses of opioids — particularly long-acting opioids — during surgery may increase the risk for 30-day readmission.
Post-op pain strongly linked to number of classes of non-opioid analgesics used, remifentanil use
Aside from age, other high mortality factors included left ventricular dysfunction, atrial fibrillation, COPD, and diabetes.
Better glycemic control, weight reduction with surgical treatment for youths with T2D, severe obesityMarch 22, 2018
For adolescents with type 2 diabetes and severe obesity, surgical therapy facilitates glycemic control and weight reduction better than medical therapy.
Patients diagnosed with PFO prior to noncardiac surgery have an elevated ischemic stroke risk.
The addition of HIPEC resulted in longer recurrence-free and overall survival among patients with ovarian cancer.
Preoperative risk factors were greater in African-American children compared with white children.
Nonuniversity-based residency-trained surgeons and university-based residency-trained surgeons have distinct practice patterns.
MEV aortic valve replacement is noninferior to SEV aortic valve replacement in high-risk patients with aortic stenosis.
The FDA has cleared the Senhance System, which allows surgeons to control robotic arms for gynecologic and colorectal procedures.
Fewer patients treated by female surgeons died, were readmitted to the hospital, or had complications within 30 days of surgery.
Among patients undergoing microvascular reconstruction of the head and neck, increased anesthesia duration is associated with higher rates of complications.
A 20-year study found that patients with early-stage prostate cancer who have surgery to remove their tumor do not live longer than those who receive no treatment.
Researchers developed a protocol to demonstrate the efficacy of rivaroxaban in lowering the risk of venous thromboembolism among orthopedic joint surgery patients.
Updated guidelines for safely sedating pediatric patients have been released by the AAP and AAPD.
Women with Crohn disease who use oral contraceptives for more than 1 year have an increased risk of surgery.
Patients with coronary artery disease who were previously not considered candidates for CABG may benefit from the surgery.
After a fall on an outstretched hand, wrist injuries are common, but ligament tears should also be considered in adults.
A patient with a history of a carcionid tumor on their appendix did not return to a physician for follow up.
After adult cardiac surgery, patients are less likely to be readmitted to the hospital if they receive house calls from PAs.
About 5% of medication administrations during the perioperative period include errors or adverse drug events.
Basal insulin, with or without nutritional correction, is the best approach to manage blood glucose in noncritically ill surgical patients.
Changes in alcohol metabolism, substituting substances for food, and hormone changes may increase the risk for suicide after bariatric surgery.