Hung Truong, Di Qi, Adam Ryason, Amy M Sullivan, Jaime Cudmore, Samuel Alfred, Stephanie B Jones, Jose M Parra, Suvranu De, Daniel B Jones
BACKGROUND: Operating room (OR) fires are rare but devastating events requiring immediate and effective response. Virtual Reality (VR) simulation training can provide a safe environment for practice of skills in such highly stressful situation. This study assessed interprofessional participants' ability to respond to VR-simulated OR fire scenarios, attitudes, numbers of attempt of the VR simulation do participants need to successfully respond to OR fires and does prior experience, confidence level, or professional role predict the number of attempts needed to demonstrate safety and pass the simulation...
July 15, 2021: Surgical Endoscopy
Samuel Weprin, Fabio Crocerossa, Dielle Meyer, Kaitlyn Maddra, David Valancy, Reginald Osardu, Hae Sung Kang, Robert H Moore, Umberto Carbonara, Fernando J Kim, Riccardo Autorino
BACKGROUND: A retained surgical item (RSI) is defined as a never-event and can have drastic consequences on patient, provider, and hospital. However, despite increased efforts, RSI events remain the number one sentinel event each year. Hard foreign bodies (e.g. surgical sharps) have experienced a relative increase in total RSI events over the past decade. Despite this, there is a lack of literature directed towards this category of RSI event. Here we provide a systematic review that focuses on hard RSIs and their unique challenges, impact, and strategies for prevention and management...
July 12, 2021: Patient Safety in Surgery
Madeleine McKenzie, Duncan Nickerson, Chad G Ball
No abstract text is available yet for this article.
June 9, 2021: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Sebastien Preau, Dominique Vodovar, Boris Jung, Steve Lancel, Lara Zafrani, Aurelien Flatres, Mehdi Oualha, Guillaume Voiriot, Youenn Jouan, Jeremie Joffre, Fabrice Huel, Nicolas De Prost, Stein Silva, Eric Azabou, Peter Radermacher
BACKGROUND: Growing evidence associates organ dysfunction(s) with impaired metabolism in sepsis. Recent research has increased our understanding of the role of substrate utilization and mitochondrial dysfunction in the pathophysiology of sepsis-related organ dysfunction. The purpose of this review is to present this evidence as a coherent whole and to highlight future research directions. MAIN TEXT: Sepsis is characterized by systemic and organ-specific changes in metabolism...
July 3, 2021: Annals of Intensive Care
Pascal Probst, Felix J Hüttner, Ömer Meydan, Mohammed Abu Hilal, Mustapha Adham, Savio G Barreto, Marc G Besselink, Olivier R Busch, Maximillian Bockhorn, Marco Del Chiaro, Kevin Conlon, Carlos Fernandez-Del Castillo, Helmut Friess, Giuseppe Kito Fusai, Luca Gianotti, Thilo Hackert, Christopher Halloran, Jakob Izbicki, Eva Kalkum, Dezső Kelemen, Hannes G Kenngott, Rüdiger Kretschmer, Vincent Landré, Keith D Lillemoe, Yi Miao, Giovanni Marchegiani, André Mihaljevic, Dejan Radenkovich, Roberto Salvia, Marta Sandini, Alejandro Serrablo, Shailesh Shrikhande, Parul J Shukla, Ajith K Siriwardena, Oliver Strobel, Faik G Uzunoglu, Charles Vollmer, Jürgen Weitz, Christopher L Wolfgang, Alessandro Zerbi, Claudio Bassi, Christos Dervenis, John Neoptolemos, Markus W Büchler, Markus K Diener
BACKGROUND: Pancreatic surgery is associated with considerable morbidity and, consequently, offers a large and complex field for research. To prioritize relevant future scientific projects, it is of utmost importance to identify existing evidence and uncover research gaps. Thus, the aim of this project was to create a systematic and living Evidence Map of Pancreatic Surgery. METHODS: PubMed, the Cochrane Central Register of Controlled Trials, and Web of Science were systematically searched for all randomized controlled trials and systematic reviews on pancreatic surgery...
June 26, 2021: Surgery
S Rao, M G Guren, K Khan, G Brown, A G Renehan, S E Steigen, E Deutsch, E Martinelli, D Arnold
No abstract text is available yet for this article.
June 22, 2021: Annals of Oncology: Official Journal of the European Society for Medical Oncology
Andres Laserna, Daniel A Rubinger, Julian E Barahona-Correa, Noah Wright, Mark R Williams, Julie A Wyrobek, Linda Hasman, Stewart J Lustik, Michael P Eaton, Laurent G Glance
BACKGROUND: Although there are thousands of published recommendations in anesthesiology clinical practice guidelines, the extent to which these are supported by high levels of evidence is not known. This study hypothesized that most recommendations in clinical practice guidelines are supported by a low level of evidence. METHODS: A registered (Prospero CRD42020202932) systematic review was conducted of anesthesia evidence-based recommendations from the major North American and European anesthesiology societies between January 2010 and September 2020 in PubMed and EMBASE...
May 27, 2021: Anesthesiology
Victor P Gazivoda, Mudathir Ibrahim, Aaron Kangas-Dick, Arony Sun, Michael Silver, Ory Wiesel
BACKGROUND: Pneumomediastinum and pneumothorax are complications which may be associated with barotrauma in mechanically ventilated patients. The current literature demonstrates unclear outcomes regarding barotrauma in critically ill patients with severe COVID-19. The purpose of this study was to examine the incidence of barotrauma in patients with severe COVID-19 pneumonia and its influence on survival. STUDY DESIGN AND METHODS: A retrospective cohort study was performed from March 18, 2020 to May 5, 2020, with follow-up through June 18, 2020, encompassing critically ill intubated patients admitted for COVID-19 pneumonia at an academic tertiary care hospital in Brooklyn, New York...
June 21, 2021: Journal of Intensive Care Medicine
Jeffrey B Matthews
No abstract text is available yet for this article.
July 23, 2021: British Journal of Surgery
Kristin L Long, Angela M Ingraham, Elizabeth M Wendt, Megan C Saucke, Courtney Balentine, Jason Orne, Susan C Pitt
BACKGROUND: Informed consent is an ethical and legal requirement that differs from informed decision-making-a collaborative process that fosters participation and provides information to help patients reach treatment decisions. The objective of this study was to measure informed consent and informed decision-making prior to major surgery. METHODS: We audio-recorded 90 preoperative patient-surgeon conversations prior to major cardiothoracic, vascular, oncologic, and neurosurgical procedures at 3 centers in the U...
June 5, 2021: Journal of the American College of Surgeons
Philipp K Haber, Marc Puigvehí, Florian Castet, Vennis Lourdusamy, Robert Montal, Parissa Tabrizian, Michael Buckstein, Edward Kim, Augusto Villanueva, Myron Schwartz, Josep M Llovet
BACKGROUND AND AIMS: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality with a rapidly changing landscape of treatments. In the past 20 years, numerous randomized controlled trials (RCT) have aimed at improving outcomes across disease stages. We aimed at analyzing the current evidence and identifying potential factors influencing response to therapies. METHODS: We conducted a systematic review of phase III RCTs across disease stages (2002-2020)...
June 11, 2021: Gastroenterology
Alexander R Cortez, Beatriz Ibáñez, Leah K Winer, Andrew Jones, Ralph C Quillin, R James Valentine, John R Potts
OBJECTIVE: To compare the operative experience of general surgery residents and practicing general surgeons. SUMMARY BACKGROUND DATA: The scope of general surgery has evolved, yet it remains unknown whether residents are being exposed to the right mix of operations during residency. METHODS: A retrospective review of operative case logs submitted to the American Board of Surgery by US general surgery graduates and practicing general surgeons from 2013 to 2017 was performed...
June 2, 2021: Annals of Surgery
Konstantinos Triantafyllou, Paraskevas Gkolfakis, Ian M Gralnek, Kathryn Oakland, Gianpiero Manes, Franco Radaelli, Halim Awadie, Marine Camus Duboc, Dimitrios Christodoulou, Evgeny Fedorov, Richard J Guy, Marcus Hollenbach, Mostafa Ibrahim, Ziv Neeman, Daniele Regge, Enrique Rodriquez de Santiago, Tony C Tham, Peter Thelin-Schmidt, Jeanin E van Hooft
1: ESGE recommends that the initial assessment of patients presenting with acute lower gastrointestinal bleeding should include: a history of co-morbidities and medications that promote bleeding; hemodynamic parameters; physical examination (including digital rectal examination); and laboratory markers. A risk score can be used to aid, but should not replace, clinician judgment.Strong recommendation, low quality evidence. 2 : ESGE recommends that, in patients presenting with a self-limited bleed and no adverse clinical features, an Oakland score of ≤ 8 points can be used to guide the clinician decision to discharge the patient for outpatient investigation...
June 1, 2021: Endoscopy
Travis M Howard, Umesh N Khot
The recommended duration of dual antiplatelet therapy (DAPT) after percutaneous coronary intervention with a drug-eluting stent has changed from 1 year for all to a more personalized approach based on the patient's risks of ischemia and bleeding. The trend is toward shorter treatment in view of lower rates of late and very late stent thrombosis with newer drug-eluting stents and the risk of bleeding with DAPT. But some patients at high risk of ischemic events and low risk of bleeding may benefit from longer treatment...
June 2, 2021: Cleveland Clinic Journal of Medicine
M Pawlak, B East, A C de Beaux
BACKGROUND: An acute inguinal hernia remains a common emergency surgical condition worldwide. While emergency surgery has a major role to play in treatment of acute hernias, not all patients are fit for emergency surgery, nor are facilities for such surgery always available. Taxis is the manual reduction of incarcerated tissues from the hernia sack to its natural compartment, and can help delay the need for surgery from days to months. The aim of this study was to prepare a safe algorithm for performing manual reduction of incarcerated inguinal hernias in adults...
May 25, 2021: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Neil A Hanson, Matthew B Lavallee, Robert H Thiele
Human beings are predisposed to identifying false patterns in statistical noise, a likely survival advantage during our evolutionary development. Moreover, humans seem to prefer "positive" results over "negative" ones. These two cognitive features lay a framework for premature adoption of falsely positive studies. Added to this predisposition is the tendency of journals to "overbid" for exciting or newsworthy manuscripts, incentives in both the academic and publishing industries that value change over truth and scientific rigour, and a growing dependence on complex statistical techniques that some reviewers do not understand...
May 7, 2021: Canadian Journal of Anaesthesia
Colin Foley, Mark C Kendall, Patricia Apruzzese, Gildasio S De Oliveira
BACKGROUND: Seventy percent of surgical procedures are currently performed in the outpatient setting. Although the American Society of Anesthesiologists (ASA) Physical Classification ability to predict risk has been evaluated for in-patient surgeries, an evaluation in outpatient surgeries has yet to be performed. The major goal of the current study is to determine if the ASA classification is an independent predictor for morbidity and mortality for outpatient surgeries. METHODS: The 2005 through 2016 NSQIP Participant Use Data Files were queried to extract all patients scheduled for outpatient surgery...
May 21, 2021: BMC Surgery
Nils P Sommer, Reiner Schneider, Sven Wehner, Jörg C Kalff, Tim O Vilz
PURPOSE: Postoperative Ileus (POI) remains an important complication for patients after abdominal surgery with an incidence of 10-27% representing an everyday issue for abdominal surgeons. It accounts for patients' discomfort, increased morbidity, prolonged hospital stays, and a high economic burden. This review outlines the current understanding of POI pathophysiology and focuses on preventive treatments that have proven to be effective or at least show promising effects. METHODS: Pathophysiology and recommendations for POI treatment are summarized on the basis of a selective literature review...
May 11, 2021: International Journal of Colorectal Disease
J M Kärkkäinen
Acute mesenteric ischemia is considered uncommon, but it appears to be more frequent cause of acute abdomen than appendicitis or ruptured abdominal aortic aneurysm in elderly patients. Surgical treatment without revascularization is associated with high overall mortality, up to 80%. The modern treatment of acute mesenteric ischemia requires collaboration of gastrointestinal surgeons, vascular surgeons, and interventional radiologists. Early revascularization may reduce the overall mortality associated with acute mesenteric ischemia by up to 50%...
April 19, 2021: Scandinavian Journal of Surgery: SJS
(no author information available yet)
No abstract text is available yet for this article.
May 3, 2021: Cleveland Clinic Journal of Medicine
2021-05-09 14:14:18
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