Endoscopy case highlights risks of complex patients in ASCs
Editor's Note A malpractice case involving a 69-year-old man undergoing an endoscopy at an ambulatory surgery center (ASC) spotlights the risks of managing high-comorbidity patients outside a hospital setting. According to a May 13 report in Anesthesiology News, the patient experienced a hypoxic event that led to permanent brain injury…
Cosmetic surgery chains targeted in lawsuits over disfiguring injuries, deaths
Editor's Note A growing subset of cosmetic surgery chains, some backed by private equity, have been named in multiple lawsuits alleging serious patient harm, according to an August 1 article in KFF Health News. Based on a joint investigation with NBC News, the outlets reports that chains offering body-reshaping operations…
Surgeons perform first dual-organ transplant on LVAD patient
Editor's Note A Florida transplant team has performed the first-ever heart-liver transplant in a patient supported by a left ventricular assist device (LVAD), offering a potential new treatment route for those previously ineligible due to high rejection risk, CBS News reported June 21. The patient, whose antibody levels placed her…
Study finds high rates of preventable, adverse events in perioperative care
Editor's Note Adverse events (AEs) remain widespread in perioperative care, affecting nearly one in three patients and resulting in substantial and often preventable patient harm, according to a retrospective cohort study published November 13 in The BMJ. The study analyzed 1,009 weighted admissions from a sample of 64,121 surgical patients…
Study: Women more likely to die from postoperative complications after high-risk surgery
Editor's Note Female patients undergoing high-risk surgeries are significantly more likely to die from postoperative complications despite experiencing complications at similar rates, according to findings published October 16 in JAMA. Observed in a cohort of 863,305 Medicare beneficiaries, this disparity suggests that clinicians may be less effective at recognizing and…
Study: Improper arm positioning during blood pressure measurements can lead to hypertension overdiagnosis
Editor's Note A recent randomized crossover trial conducted at Johns Hopkins University reveals that improper arm positioning during blood pressure measurements can lead to significant overestimation, potentially contributing to over-diagnosis of hypertension. The findings appeared in Jama Network October 7. The study, which included 133 participants, compared readings in three…
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)…
Study: Uterus transplant associated with high birth rates, but significant risks
Editor's Note Uterus transplants are feasible, but the procedure is associated with considerable risks for both patient and organ donor, according to a study published August 15 in JAMA. Conducted at a large US tertiary care center, the study involved 20 women with absolute uterine-factor infertility—a condition that prevents…
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…
Study: Thrombectomy beneficial in high-risk acute stroke patients with large infarct
Editor's Note Building on previous evidence favoring thrombectomy even in high-risk cases, the prospective randomized LASTE trial finds the surgical procedure could reduce mortality and improve funcational outcomes in patients with acute stroke and large infarct of unrestricted size. Medpage Today reported the news May 8. Originally published in the…
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