ASA annual meeting highlights top 10 risks of providing anesthesia in ambulatory setting
Editor's Note There are certain patients and clinical situations that may require anesthesiologists to say no to performing surgery in the outpatient/ambulatory setting, Anesthesiology News April 4 reports. At the 2023 annual meeting of the American Society of Anesthesiologists (ASA), BobbieJean Sweitzer, MD, a professor of medical education at the…
Surgeons complete first successful animal-to-human kidney transplant
Editor's Note A 62-year-old man in Weymouth, Massachusetts is reportedly recovering well several days after receiving the first kidney to be transplanted into a living person. As noted in a March 21 report in the Boston Globe, the operation at Massachusetts General Hospital marked a new milestone in the effort…
Researchers test alternative approach to ranking US heart transplant candidates
Editor's Note The current method for identifying heart transplant candidates with the most urgent need might not be the best one. In a study published February 13 in Jama Network, a candidate risk score incorporating the latest clinical, laboratory, and hemodynamic data out-performed the current treatment-based categorical allocation system. …
Thyroid hormone replacement boosts risk of abdominal surgery complications
Editor's Note: Preoperative thyroid hormone replacement independently predicts operative morbidity and length of stay following major abdominal surgery, according to a January 23 report in the American Journal of Surgery. To determine the association between preoperative thyroid hormone replacement and complications following major abdominal surgery, researchers performed a retrospective case…
AI screening identifies patients’ risky preoperative alcohol use
Editor's Note: A recent study suggests artificial intelligence (AI) can be valuable for identifying patients who consumed risky amounts of of alcohol prior to surgery. Findings appeared in the journal Alcohol, Clinical and Experimental Research on January 8. For the study, researchers extracted 3 years of text-based clinical records from…
Administering sedative preoperatively deemed safe for older patients
Editor's Note Researchers conducted the largest randomized study to date on use of the sedative midazolam in older patients, a drug sometimes used to calm patients prior to surgery. The results were published in JAMA Surgery on December 20. Highlights include: The study involved nine German hospitals and included more…
Association of hospital market competition with high-risk surgical procedure outcomes
Editor's Note This study from the University of Michigan, Ann Arbor, examines the association between hospital market competition and outcomes after high-risk surgical procedures. A total of 2,248,438 Medicare beneficiaries who had 1 of 10 high-risk surgical procedures between 2015 and 2018 were included in the analysis. Compared with low-competition…
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