Surgeons rethink aggressive care as xylazine wounds mimic necrotizing fasciitis but rarely require urgent radical excision
Editor's Note Surgeons across multiple disciplines are confronting a distinct wound pattern tied to xylazine-contaminated opioids and adapting management to avoid unnecessary amputations, the American College of Surgeons October 1 reports. These wounds can resemble necrotizing soft tissue infection at first glance, yet the clinical picture and trajectory differ, calling…
Pilot study suggests robotic force feedback may reduce tissue trauma in colorectal surgery
Editor's Note Early findings indicate the da Vinci 5 (DV5) platform’s force feedback technology can reduce the amount of force surgeons apply to tissue, potentially minimizing trauma during colorectal surgery. According to a pilot study published in the American Journal of Surgery on July 10, the feature allows surgeons to…
Injectable hydrogel uses visible light to regenerate bone, boost adhesion without grafts
Editor's Note Researchers at Pohang University of Science & Technology (POSTECH) have pioneered a hydrogel that regenerates bone and adheres to tissue using only visible light—eliminating the need for traditional bone grafts or adhesives. As detailed in a December 2024 article from ScienceDaily, this injectable hydrogel offers a breakthrough solution…
FDA updates draft guidance on safety of US blood supply
Editor's Note The Food & Drug Administration on December 4 updated a draft guidance that promotes the development and adoption of innovations to ensure continued safety of the US blood supply. The draft guidance entitled, “Bacterial risk control strategies for blood collection establishments and transfusion services to enhance the safety…
Restrictive vs liberal transfusion strategy for cardiac surgery patients
Editor's Note In cardiac surgery patients at moderate-to-high risk for death, a restrictive strategy for red blood cell (RBC) transfusion was equivalent to a liberal strategy, with respect to death from any cause, myocardial infarction, stroke, or renal failure, at 6-months follow-up, this study finds. There also were no significant…
Perioperative RBC transfusions linked to postop VTE
Editor's Note In this study, perioperative red blood cell (RBC) transfusions were significantly associated with development of new or progressive postoperative venous thromboembolism (VTE) within 30 days of a surgical procedure. Of 750,937 patients included in the analysis, 47,410 (6.3%) received at lest one perioperative RBC transfusion. Of these, 6,309…
Study: Restrictive vs liberal blood transfusion outcomes in cardiac surgery patients
Editor's Note A restrictive blood transfusion strategy (HGB <7.5 g/dL) was equivalent to a liberal strategy (HGB <9.5 g/dL in the OR or ICU and HGB<8.5 g/dL in the non-ICU ward) with regard to mortality and major disability in cardiac surgery patients who had a moderate-to-high risk of death, this…
Joint Commission updates Patient Blood Management standards
Editor's Note The Joint Commission on November 8 announced the update of its Patient Blood Management standards to align with AABB standards. Among the changes: educational requirements for those who order and/or transfuse blood defined guidelines on transfusion orders procedures for emergent/urgent patients, including massive blood loss intraoperative methods for…
Effect of organ donor hospital volume on transplantable organs
Editor's Note Hospitals managing the highest volume of deceased organ donors were 52% more likely to recover an above-average number of transplantable organs per donor than low-volume hospitals in this study. The study included data from 4,427 donors across 384 hospitals. High-volume hospitals had an organ yield (ie, rate of…
FDA issues tissue, cell donation recommendations to reduce Zika virus risk
Editor's Note The Food and Drug Administration (FDA) on March 1 released new guidelines to prevent the transmission of the Zika virus from human cells, tissues, and cellular and tissue-based products. The guidance addresses both living and deceased donations of corneas, bone, skin, heart valves, hematopoietic stem/progenitor cells, gestational tissues…
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- Hospitals being squeezed: Anesthesia workforce gaps, payer cuts threaten surgery access
- CDC layoffs cripple national injury and overdose tracking, leaving prevention efforts in doubt
- The Joint Commission makes nurse staffing a national performance goal for 2026
- Telehealth in limbo: Providers split on continuing Medicare services during shutdown
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- Slower acquisitions, mounting debt reshape Surgery Partners growth outlook
- ASCs surge as hospitals and investors chase outpatient growth
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