Opinion Article

Transradial Angiography: Coming to a Consensus

Transradial Angiography: Coming to a Consensus | Opinion Article

A consensus statement has been issued on the best practices for transradial angiography and interventions.The recommendations aim to ensure high-quality patient care as transradial access becomes increasingly popular in catheter-based procedures.

Breast-Conserving Surgery for Invasive Breast Cancer

Breast-Conserving Surgery for Invasive Breast Cancer | Opinion Article

Despite recent improvements in imaging technology, pathology assessments, and the use of systemic therapy, there is still controversy regarding the optimal margin width in breast-conserving surgery. About 25% of patients with invasive breast cancer return to the operating room after undergoing lumpectomy to obtain more widely clear margins.…

A Look at Opioid Use During Pregnancy

A Look at Opioid Use During Pregnancy | Opinion Article

According to NIH data, prescriptions for opioids have increased dramatically in the general population, rising by more than 200 million between 1991 and 2009. In 2014, the American Society of Anesthesiologists distributed a list as part of the American Board of Internal Medicine Foundation’s Choosing Wisely campaign to help physicians and patients engage in conversations about treatments or medications that are commonly prescribed in pain medicine but are not always necessary.…

Combating Antibiotic Resistance

Combating Antibiotic Resistance | Opinion Article

Simply telling people to not overuse antibiotics is ineffective.

Updating Adult Vaccination Recommendations

Updating Adult Vaccination Recommendations | Opinion Article

Research has shown that current vaccination rates for adults are low. “There are 14 different infectious agents for which vaccines are recommended for adults, but vaccination rates are low for a number of reasons,” says Carolyn B. Bridges, MD. “There is limited public awareness about the need for vaccines for adults besides influenza.…

Lifestyle Strategies for Heart Risks

Lifestyle Strategies for Heart Risks | Opinion Article

In 2013, the American Heart Association and the American College of Cardiology published a first-ever joint clinical practice guideline on lifestyle management to reduce cardiovascular disease (CVD) risks. Published simultaneously in Circulation and the Journal of the American College of Cardiology, the guideline is based on a systematic evidence review from studies published between 1990 and 2012.…

Reducing Ambulance Diversions

Reducing Ambulance Diversions | Opinion Article

Recent data indicate that about 45% of EDs in the United States report being “on diversion” at some point within a given year to alleviate crowding. “Although ambulance diversion has been used for quite some time, several studies link these diversions to negative consequences,” explains M.…

Patient Factors in Bariatric Surgery Choices

Patient Factors in Bariatric Surgery Choices | Opinion Article

A recent investigates the reasons why obese patients choose one type of weight loss operation over another.

COPD & Cognitive Issues

COPD & Cognitive Issues | Opinion Article

As the third leading cause of death in the United States, COPD affects about 13.7 million patients. Recent research has suggested that as many as 77% of patients with COPD and hypoxemia have some form of cognitive impairment. Despite this association, the link between COPD and mild cognitive impairment (MCI) has not been established in well-designed, population-based studies.…

Managing Critically Ill Surgery Patients

Managing Critically Ill Surgery Patients | Opinion Article

Intensivists should be encouraged to become educational, investigative, and administrative leaders in surgical critical care.