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Surgery General

ISET 2013: Transformative Technology Holds Promise for DVT

Jan 22, 2013

The Particulars: Blood thinners are typically prescribed to treat DVT, but these agents tend to be only partially effective at removing clots. Rheolytic pharmacomechanical thrombectomy is a treatment ...

ISET 2013: Uterine Artery Balloon Occlusion During C-Section

Jan 22, 2013

The Particulars: Women with an abnormal placenta sometimes undergo cesarean section to reduce risks of hemorrhage during pregnancy. These women, however, are still at risk for excessive blood loss and...

Octaplas Approved for Blood Clotting Disorders

Jan 17, 2013

The U.S. Food and Drug Administration today approved Octaplas, a pooled plasma (human) blood product for the replacement of clotting proteins (coagulation factors) in certain medical conditions where ...

When to Use Radiotherapy After Mastectomy

Jan 17, 2013

Post-mastectomy radiotherapy (PMRT) to the chest wall and supraclavicular fossa is beneficial in breast cancer patients with four or more positive nodes, according to findings from the International B...

Intraoperative Cardiac Arrests in Non-Cardiac Surgery

Jan 17, 2013

Researchers at Columbia University have found that intraoperative blood loss, as indicated by transfusion use, appears to be the most important predictor of intraoperative cardiac arrest (ICA) among a...

Trends in Lower Extremity Amputations in PAD

Jan 17, 2013

The rate of lower extremity amputations appears to have decreased significantly between 2000 and 2008 among patients with peripheral artery disease (PAD), according to findings from a review of CMS da...

Stroke Risk in Hip Replacement Patients

Jan 17, 2013

Patients undergoing total hip replacement (THR) have 4.7-fold and 4.4-fold increased risks of ischemic stroke and hemorrhagic stroke, respectively, during their first 2 postoperative weeks, according ...

Can Omega-3 Fatty Acids Help With Postoperative AF?

Jan 17, 2013

Among patients undergoing cardiac surgery, perioperative supplementation with omega-3 fatty acids does not appear to reduce the risk of postoperative atrial fibrillation (AF). An international investi...

Improving Surgeon Skills With Simulator Training to Automaticity

Jan 16, 2013

Studies have shown that using surgical simulators to improve skills in the operating room (OR) can be effective for surgeons in training. To maximize the effectiveness of simulation training, a profic...

Effective Strategies for Sedation During Bronchoscopy

Jan 16, 2013

Studies indicate that sedation during bronchoscopy makes the procedure more comfortable for patients and provides better working conditions for physicians when compared with no sedation. Sedation can ...

Devices for Cardiac Rhythm Abnormalities: A Guideline Update

Jan 15, 2013

According to recent estimates, about 400,000 pacemakers and implantable cardioverter defibrillators (ICDs) are surgically implanted each year in the United States. In 2008, the American College of Car...

A Guideline Update for Managing Acute Pain in Perioperative Settings

Jan 14, 2013

Pain management is a critical component medical care for patients undergoing surgery, but studies suggest that up to 70% of individuals undergoing surgery complain of moderate-to-severe pain after the...

CKD Complicates AAA Repair

Jan 10, 2013

Among patients being considered for abdominal aortic aneurysm (AAA) repair, moderate and severe chronic kidney disease (CKD) appears to be associated with significantly increased mortality. Mortality ...

A Safety Program to Decrease SSIs

Jan 09, 2013

Surgical site infections (SSIs) are the most common complication facing colorectal surgery patients, occurring in 15% to 30% of cases. SSIs prolong hospitalization, increase readmissions, require subs...

Calcium Supplementation After Thyroidectomy

Jan 09, 2013

More than 50,000 thyroid operations are performed in the United States annually, and postoperative hypoparathyroidism can occur in up to 30% of cases. To protect against the development of symptomatic...

Pulmonary Hypertension Remains After Aortic Valve Replacement

Jan 09, 2013

Most patients who undergo aortic valve replacement (AVR) appear to have pulmonary hypertension that remains following AVR, according to a Cleveland Clinic investigation. Any improvement in initial rig...

Optimizing Resources in Lung Cancer Surgery

Jan 09, 2013

Performing routine needle biopsy of suspicious lung nodules in surgical candidates appears to have several benefits, according to Canadian investigators. With routine needle biopsy, 16% of patients av...

Duty Hour Limits: Perceptions of Residents

Jan 09, 2013

Perceptions of fatigue appear to have improved following the implementation of the 2003 Accreditation Council for Graduate Medical Education duty hour limits, according to a survey of residents. The a...

Assessing Off-Label Anesthesia Use in Pediatrics

Jan 09, 2013

A Johns Hopkins University study suggests that many anesthesia drugs used for children are not approved by FDA labels for pediatric use. Of the 106 drugs administered during anesthesia to pediatric p...

Antimicrobial Stewardship Programs: A Call to Action

Jan 08, 2013

Over the past 30 years, many multidrug-resistant organisms have emerged across healthcare settings in the United States. At the same time, there has been a dramatic drop in the development and approva...

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