Surgery

Initial Outcomes No Worse for Surgical ICU Patients With Cancer

Initial Outcomes No Worse for Surgical ICU Patients With Cancer

ICU and hospital mortality were lower for patients with cancer versus those without cancer.

Restricting perioperative fluid for abdominal surgery patients does not reduce complications: The RELIEF trial

1. Among patients at increased risk for complications undergoing abdominal surgery, those randomized to perioperative fluid restriction did not have increased disability-free survival at one year compared to patients who received liberal perioperative fluid management. 2. Patients managed with fluid restriction experienced higher rates of acute kidney injury. Evidence Rating Level: 1 (Excellent) Study Rundown: []

Peri-Op RBC Transfusions Linked to Postoperative VTE

Peri-Op RBC Transfusions Linked to Postoperative VTE

Perioperative red blood cell transfusion linked to increased adjusted odds of VTE, DVT, PE.

Diabetes, HbA1c Linked to Adverse Outcomes After Surgery

Diabetes, HbA1c Linked to Adverse Outcomes After Surgery

DM tied to 6-month mortality, major complications, ICU admission, mechanical ventilation, LOS

Put Yourself in Your Patients' Shoes

Put Yourself in Your Patients' Shoes

By

Patients want to be listened to and well informed about the care they will receive.

Pregnant Surgical Residents Face Several Challenges

Pregnant Surgical Residents Face Several Challenges

Most women receive 6 weeks or less of maternity leave; most feel leave duration is inadequate.

Virtual Reality Can Aid Pain Relief From Medical Procedures

Virtual Reality Can Aid Pain Relief From Medical Procedures

VR effective for reducing pain and distress of even extremely painful procedures

VTE Risk High for Emergency General Surgery Patients

VTE Risk High for Emergency General Surgery Patients

Pharmacologic prophylaxis should be considered unless an absolute contraindication exists.

Brochure Improves Disposal of Unused Opioids After Surgery

Brochure Improves Disposal of Unused Opioids After Surgery

Patients more likely to dispose of unused opioids after getting information and recommendations

Perioperative Glucose Not A1c Predicts Death

Perioperative Glucose Not A1c Predicts Death

A1C is not associated with increased 30-day mortality after controlling for glucose

Death Risk Rises as Day of Surgery Approaches Weekend

Death Risk Rises as Day of Surgery Approaches Weekend

Mortality after elective surgery increases in graded manner as day of surgery approaches weekend.

Young Surgery Pts at Risk for Persistent Opioid Use

Young Surgery Pts at Risk for Persistent Opioid Use

Adolescent cholecystectomy and colectomy patients may be at the highest risk for persistent opioid use.

Opioid-Free Anesthesia Tolerated in Outpatient Surgery

Opioid-Free Anesthesia Tolerated in Outpatient Surgery

Only 36% of patients request oral opioid meds in PACU despite receiving opioid-free anesthesia.

Bleeding, Death Similar for DOAC vs Warfarin in VTE

Bleeding, Death Similar for DOAC vs Warfarin in VTE

Direct oral anticoagulants not linked to increased risk of major bleeding, death in venous thromboembolism

Surgeons Impacted by Difficult Communications

Surgeons Impacted by Difficult Communications

Quality improvement efforts focused on the link between disclosure and surgeon's wellbeing may help sustain open disclosure policies.

Patient Experience Has Limited Impact on GU Cancer Surgery Outcomes

Patient Experience Has Limited Impact on GU Cancer Surgery Outcomes

Patients treated in high-performing hospitals face fewer incidences of prolonged hospitalization or nursing-sensitive complications.

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