surgery

Key Principles in Geriatric Surgery

Key Principles in Geriatric Surgery | Opinion Article

With the aging population becoming perhaps the greatest force in healthcare, it’s time for most surgeons to consider themselves geriatric surgeons.

Micropauses Reduce Impact of Surgeon Fatigue | News Brief

An experimental study has found that using micropauses—20-second breaks every 20 minutes—appears to completely or almost completely prevent surgeon muscular fatigue. The authors noted that recent reports have suggested that prolonged surgical procedures can directly affect comfort and surgical accuracy among surgeons.…

Unanticipated Events Common in the Operating Room | News Brief

Unanticipated events appear to be common in the operating room, according to an investigation of high-acuity surgeries. Deviations occurred an average of every 79.4 minutes in the study. These deviations often resulted from poor organizational and environmental design and suboptimal OR team dynamic.…

Examining Attitudes Toward Pregnancy & Childbearing in Women Surgeons

Examining Attitudes Toward Pregnancy & Childbearing in Women Surgeons | Feature

New data reveal that more women general surgeons are becoming pregnant during training, but substantial negative biases persist. The findings may have important ramifications for the surgery workforce.

Comorbidities in Hip Fracture: Costs & Improving Care Delivery

Comorbidities in Hip Fracture: Costs & Improving Care Delivery | Feature

Comorbidities have a significant effect on the costs of hospitalization and length of stay following hip fractures. Developing a better understanding of the comorbidities that affect hip-fracture patients may help to improve strategies for providing more effective care.

Preventing Paralysis During Spinal Surgery

Preventing Paralysis During Spinal Surgery | Feature

Surgeons should strongly consider using spinal cord monitoring to help avoid potential complications such as paraparesis, paraplegia, and quadriplegia during spinal cord surgery or procedures that put the spinal cord at risk.

Aspirin Use During the Perioperative Period | Feature

A meta-analysis has found patient-specific strategies should be used during perioperative management of patients that balances risks of stopping aspirin with risks associated with continuing it. Aspirin withdrawal syndrome may significantly increase the risk of major thromboembolic complications in patients taking aspiring for secondary cardiovascular prevention.…

Physician Decision-Making: Damned If You Do…

Physician Decision-Making: Damned If You Do… | Guest Blog

We are being criticized for runaway healthcare spending and encouraged to reduce unnecessary testing, yet also being sued for failing to order certain tests.

Examining the Neurologic & Cognitive Effects of CABG

Examining the Neurologic & Cognitive Effects of CABG | Feature

Strategies to reduce the incidence of adverse post-CABG neurologic and cognitive outcomes should focus more on patient-related risk factors rather than procedure-specific outcomes.

BMI Predicts Postoperative 30-Day Mortality | News Brief

Researchers at the University of Virginia have found that BMI appears to significantly predict 30-day mortality following surgery, even after adjusting for surgery type and expected risk of death. Study participants with a BMI less than 23.1 kg/m2 had a 40% higher risk of death when compared with participants who had BMIs ranging between 26.3 kg/m2 and 29.7 kg/m2.…