Tag: Postoperative outcomes

Study makes case against preoperative urine culture for most surgical procedures

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Editor's Note Findings published March 4 in Jama Network show that preoperative urine culture is a low-value intervention for most surgical patients and should be de-implemented. Despite guidelines to the contrary from Infectious Diseases Society of America and the American College of Physicians, preoperative urine testing and antibiotic treatment persists…

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By: Matt Danford
March 25, 2024
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Swifty’s singing keeps brain surgery on track

Editor's Note Staying awake during brain surgery to sing Taylor Swift songs helped ensure the best possible outcome for Selena Campione, a 36-year-old teacher from Stanhope, New Jersey who recently had a tumor removed at Jersey Shore University Medical Center. As detailed in a March 21 report from People, neurooncologist…

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By: Matt Danford
March 22, 2024
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Safe postop patient recovery: A day in the PACU leader role

Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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By: Tarsilla Moura
March 22, 2024
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Study: Postoperative delirium less likely with ephedrine than phenylephrine

Editor's Note Using phenylephrine as an intraoperative vasopressor could lead to higher risk of postoperative delirium compared to ephedrine, according to findings published in the April issue of Anesthesiology. Posted online last September, these findings confirm researchers’ original hypothesis. “The treatment of intraoperative hypotension with phenylephrine may impair cerebral perfusion…

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By: Matt Danford
March 20, 2024
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Lack of primary care physicians tied to emergency surgeries

Editor's Note Research shows that Americans who live in areas with a limited number of primary care doctors and nurse practitioners are at a greater risk for emergency surgeries and complications. The findings were published March 4 in the journal Health Affairs.  For the study, researchers looked at Medicare patient…

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By: Brita Belli
March 19, 2024
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Physician shortages boost likelihood of emergency surgery, complications

Editor's Note Health complications and hospital readmissions are more likely for Medicare patients living in areas with primary care shortages. The findings, from a cross-sectional retrospective cohort study of data from 2015 to 2019, were published March 4 in Health Affairs. Specifically, the study showed that patients in areas with…

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By: Matt Danford
March 12, 2024
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Flexible sticker device detects postoperative gastrointestinal leaks

Editor's Note A medical device developed by researchers at Northwestern University and Washington University School of Medicine could enable clinicians to monitor the health of a patient’s organs following surgery. The findings appeared in the journal Science on March 7.  Patients who undergo gastrointestinal surgeries—including pancreatic surgery—can develop anastomotic leaks…

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By: Brita Belli
March 8, 2024
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Patient engagement technologies improve surgical outcomes, perioperative experience

Editor's Note Patient engagement technologies (PETs) reduced length of stay (LOS), complication rates, and readmission rates among patients in a study published February 16 in the American Journal of Surgery. The retrospective cohort study consisted of more than 400 patients undergoing elective colorectal surgery from 2018 to 2022. Approximately 9…

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By: Matt Danford
March 7, 2024
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Negative pressure wound therapy reduces SSI across surgical specialties

Editor's Note Compared with standard wound dressings, single-use negative pressure wound therapy (NPWT) devices can reduce the incidence of surgical site infection (SSI) in at-risk patients with closed surgical incisions across a range of surgical specialties, according to a data review highlighted in the February issue of the American Journal…

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By: Matt Danford
March 6, 2024
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Study: Microglia help awaken the brain from anesthesia, protect neurons from aftereffects

Editor's Note A new study finds that the same cells that are involved in preventing damage to the central nervous system – called microglia – help to awaken the brain following anesthesia. The findings appeared January 4 in the journal Nature.  Using electron-microscopy-based synaptic reconstruction, the researchers could see the…

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By: Brita Belli
March 5, 2024
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