Articles By Topic:

Surgery

Assessing Laparoscopic Repair of PEH | News Brief

Laparoscopic repair of paraesophageal hernia (PEH) using a biological mesh appears to result in excellent long-term quality of life (QOL), according to Johns Hopkins researchers. Overall QOL scores improved from baseline out to 36 months among patients undergoing laparoscopic surgery for PEH.…

Defining Rx Opioid Overdose Risk | News Brief

Patients who use multiple pharmacies concurrently and have overlapping opioid prescriptions appear to be at greater risk for opioid overdoses than others, according to a study. Patients who used four or more pharmacies and had three or more opioid prescriptions had an overdose rate of 26.3 per 1,000 person-years, compared with a rate of 4.3 per 1,000 person-years observed among those with neither condition.…

An Approach to Cutting SSI Rates | News Brief

Preoperative MRSA decontamination with chlorhexidine washcloths as well as oral rinse and intranasal povidone-iodine appears to significantly decrease surgical site infection (SSI) rates among patients undergoing elective orthopedic surgery with hardware implantation, according to a study. Patients who underwent MRSA decontamination with these protocols had an SSI rate of 1.1%, compared with a rate of 3.8% for those who did not.…

Charge Awareness & Pediatric Appendectomy

Charge Awareness & Pediatric Appendectomy | Opinion Article

Consumers can typically compare prices before making purchases for most industries in the United States, but the same is not necessarily true in healthcare, a sector of the economy that accounts for more than 17% percent of the U.S. Gross Domestic Product.…

Surgical Resection & NSCLC | News Brief

Among highly selected patients with stage IIIB non-small cell lung cancer (NSCLC), surgical resection appears to improve overall survival when used as a part of multimodality therapy. NSCLC patients who underwent definitive chemoradiation had an average overall survival of 16.3 months, compared with an average of 25.9 months for those who underwent chemotherapy, radiation, and surgical intervention in any sequence.…

Predicting Discharge to Post-Acute Care | News Brief

A study has found that conducting individualized risk assessments of discharge to post-acute care can be predicted with excellent accuracy among surgical patients. Significant predictors of discharge to post-acute care included age 85 or older, septic shock, ventilator dependence, an American Society of Anesthesiologist class of 4 or 5, and totally dependent functional status.…

It Ain’t What You Don’t Know…

It Ain’t What You Don’t Know… | Medical Blog

"Sometimes medics do the right thing for the wrong reasons. Sometimes trauma surgeons can get misled by what they think they know. Mark Twain is credited with saying, 'It ain’t what you don’t know that can hurt you, it’s what you know that just ain’t so.'"

CME – Preventing SSIs: An Evidence-Based Update

CME – Preventing SSIs: An Evidence-Based Update | Medical Blog

An updated guide provides evidence-based strategies for preventing surgical site infections (SSIs) and offers a framework to prioritize and implement strategies to reduce these infections. The SSI recommendations go beyond standard practices that are required by many organizations.

Cardiac Rehab After Open Heart Surgery | News Brief

A study has found that early enrollment into cardiac rehabilitation (CR) after open heart surgery appears to be safe when patient assessments are carefully individualized and exercise prescriptions take place within the bounds of an established CR program. When compared with patients who enrolled in CR after more than 2 weeks from their surgery, those who enrolled in less than 2 weeks had similar rates of major events, sternal instability, and wound infection.…

Reducing Imaging Use in Pediatric Appendicitis | News Brief

Use of ultrasound as the first imaging modality to diagnose pediatric appendicitis appears to have increased between 2008 and 2013, according to a study. The authors suggest that educational campaigns be initiated and focus on the continued reduction of CT use to limit radiation exposure in this patient population.…

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