General Surgery & Trauma
Guideline: Acute abdomen in the immunocompromised patient.
16 Aug, 2021 | 01:00h | UTC
Review: Diagnosis of uncomplicated and complicated appendicitis in adults.
12 Aug, 2021 | 08:45h | UTCDiagnosis of Uncomplicated and Complicated Appendicitis in Adults – Scandinavian Journal of Surgery
Evidence-based approach to nailbed injuries: ED presentations, evaluation, and management.
10 Aug, 2021 | 08:47h | UTCEvidence-based Approach to Nailbed Injuries: ED Presentations, Evaluation, and management – emDocs
ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”
6 Aug, 2021 | 09:59h | UTCESPEN practical guideline: Clinical nutrition in surgery – Clinical Nutrition
Pre-post study: The implementation of a pathway and care bundle for the management of acute occlusive arterial mesenteric ischemia reduced mortality.
6 Aug, 2021 | 08:55h | UTC
Commentary on Twitter
Putting effort in the management of acute mesenteric ischemia seems worthwhile! How are these patients managed in your hospital? See our latest study. #EmergSurg #surgtwitter @villesallinen @JTraumAcuteSurg @me4_so @Me4Trauma https://t.co/iinp3HFBDw pic.twitter.com/njRQq3fpmp
— Matti Tolonen, MD, PhD (@MattiTolon3n) August 4, 2021
Clinical practice guidelines for the management of colonic volvulus and acute colonic pseudo-obstruction.
2 Aug, 2021 | 00:13h | UTCNews release: American Society of Colon & Rectal Surgeons Publishes New Guidelines for Colonic Volvulus and Acute Colonic Pseudo-Obstruction
Observational study: Positive Fluid balance linked to worse outcomes in critically ill patients with traumatic brain injury.
1 Aug, 2021 | 23:57h | UTCFluid balance and outcome in critically ill patients with traumatic brain injury (CENTER-TBI and OzENTER-TBI): a prospective, multicentre, comparative effectiveness study – The Lancet Neurology (link to abstract – $ for full-text)
Commentary: Traumatic Brain Injury: Fluid Overload Tied to Higher Mortality in ICU Patients – Physician’s Weekly
Commentary on Twitter
Happy with our paper in @TheLancetNeuro on comparative effectiveness of fluid management strategies in TBI patients in the ICU. Successful example of treatment effect estimation in observational data. @CenterTBI @Menon_Cambridge @Dr_Cit @ESteyerberghttps://t.co/TMzhkd1SZz
— Hester Lingsma (@hesterlingsma) July 23, 2021
Research aims to stop fuzzy phrasing, medical errors in surgery.
29 Jul, 2021 | 11:09h | UTCResearch aims to stop fuzzy phrasing, medical errors in surgery – University of Kansas
Original study: Semantically Ambiguous Language in the Teaching Operating Room – Journal of Surgical Education (link to abstract – $ for full-text)
Another RCT evaluating the efficacy and quality of life of antibiotic-only treatment of acute uncomplicated appendicitis.
13 Jul, 2021 | 09:33h | UTCA Randomized Clinical Trial Evaluating the Efficacy and Quality of Life of Antibiotic-only Treatment of Acute Uncomplicated Appendicitis: Results of the COMMA Trial – Annals of Surgery (link to abstract – $ for full-text)
Related: A Randomized trial comparing antibiotics with appendectomy for appendicitis AND Antibiotics alone for uncomplicated appendicitis: Oral Moxifloxacin almost as good as intravenous Ertapenem + oral Levofloxacin AND Observational study: 67.1% success rate with nonoperative management of children with uncomplicated appendicitis AND Randomized Trial: Quality of Life and Patient Satisfaction at 7-Year Follow-up of Antibiotic Therapy vs. Appendectomy for Uncomplicated Acute Appendicitis AND Meta-Analysis: Antibiotic Treatment vs. Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children AND Nonoperative treatment for nonperforated appendicitis in children: a systematic review and meta-analysis – Pediatric Surgery International
Commentary on Twitter
The debate continues!
Another RCT comparing antibiotics to surgery for uncomplicated appendicitis – COMMA trial from 🇮🇪
Recurrence within 1-year : 25% after AB
Superior quality of life at 3 and 12mo after surgery.https://t.co/Yv51qpxchb
— Ville Sallinen (@villesallinen) July 11, 2021
WSES position paper: Diagnosis and management of small bowel obstruction in virgin abdomen.
6 Jul, 2021 | 10:07h | UTC
M-A: Prehospital Tranexamic Acid reduces mortality among bleeding trauma patients without increasing the risk of venous thromboembolism.
6 Jun, 2021 | 23:34h | UTCThe impact of prehospital TXA on mortality among bleeding trauma patients: A systematic review and meta-analysis – Journal of Trauma and Acute Care Surgery (link to abstract – $ for full-text)
Commentary: Prehospital TXA for Trauma – Meta-analysis – JournalFeed
RCT: Continuous infusion of 20% hypertonic saline does not improve neurological outcomes in patients with traumatic brain injury
26 May, 2021 | 08:22h | UTCEffect of Continuous Infusion of Hypertonic Saline vs Standard Care on 6-Month Neurological Outcomes in Patients With Traumatic Brain Injury: The COBI Randomized Clinical Trial – JAMA (free for a limited period)
Commentary on Twitter
Among patients with moderate to severe traumatic brain injury, treatment with continuous infusion of 20% hypertonic saline compared with standard care did not result in a significantly better neurological status at 6 months https://t.co/zyPhO0Y2Yy
— JAMA (@JAMA_current) May 25, 2021
WSES-AAST guidelines: Management of inflammatory bowel disease in the emergency setting.
18 May, 2021 | 07:15h | UTC
ACG Clinical Guideline: Upper Gastrointestinal and Ulcer Bleeding – RBC transfusion at a threshold of 7 g/dL; Erythromycin infusion is suggested before endoscopy; and endoscopy is suggested within 24 hours after presentation.
3 May, 2021 | 05:27h | UTC
American Academy of Orthopedic Surgeons Clinical Practice Guideline Summary for Limb Salvage or Early Amputation
28 Apr, 2021 | 08:14h | UTC
Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19
13 Apr, 2021 | 05:21h | UTCRelated: Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery AND Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk
Consensus Document: Management of ureteric and bladder injury
12 Apr, 2021 | 00:29h | UTC
ERAS Guidelines for Perioperative Care for Emergency Laparotomy: Part 1—Preoperative: Diagnosis, Rapid Assessment and Optimization
1 Apr, 2021 | 03:35h | UTC
Consensus Document: Management of superficial and deep surgical site infection
1 Apr, 2021 | 03:33h | UTCRelated Guidelines: Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery AND Global guidelines on the prevention of surgical site infection – World Health Organization AND Surgical site infections: prevention and treatment – National Institute for Health and Care Excellence AND APSIC guidelines for the prevention of surgical site infections – Antimicrobial Resistance & Infection Control
Study shows unique diagnostic signatures of concussion in the saliva of Rugby players
31 Mar, 2021 | 03:08h | UTCCommentaries: Concussion in sport: Saliva test is 94% accurate in rugby union trial – BBC AND Rugby study identifies new method to diagnose concussion using saliva – University of Birmingham AND Saliva test boosts efforts to detect concussions in rugby – Associated Press
RCT: A multi-modal analgesic strategy after trauma can reduce opioid exposure and achieve adequate acute pain control
30 Mar, 2021 | 02:57h | UTC
Commentary on Twitter
A generic multimodal pain regimen reduced opioids and discharge from the hospital with an opioid prescription while achieving similar pain control.https://t.co/7JURYCfbxa#VisualAbstract #SoMe4Surgery@johnaharvin @UTHealthACS @UTHealthSurg#AuthorVideo: https://t.co/F5YY06FiEe pic.twitter.com/XmdgNYkpfR
— Journal of the American College of Surgeons (JACS) (@acsJACS) March 16, 2021
WSES Position Paper: The management of surgical patients in the emergency setting during COVID-19 pandemic
24 Mar, 2021 | 08:39h | UTC
RCT: Biologic mesh implantation is associated with serious abdominal wall complications in patients undergoing emergency abdominal surgery
7 Mar, 2021 | 19:07h | UTCBiologic mesh implantation is associated with serious abdominal wall complications in patients undergoing emergency abdominal surgery: A randomized-controlled clinical trial – Trauma & Acute Care Surgery (link to abstract – $ for full-text)
Consensus Document: Venous thromboembolism prophylaxis in the trauma intensive care unit
2 Mar, 2021 | 01:52h | UTC
Diverticulitis: Observational study in outpatients suggests amoxicillin-clavulanate is a safe and effective option compared with metronidazole-fluoroquinolone
24 Feb, 2021 | 02:16h | UTCCommentaries: Amoxicillin-clavulanate safe and effective compared with metronidazole-with-fluoroquinolone for diverticulitis – American College of Physicians AND Study supports fluoroquinolone-sparing treatment for diverticulitis – CIDRAP