General Surgery & Trauma
The Risk of Adverse Pregnancy Outcomes Following Nonobstetric Surgery During Pregnancy
16 Aug, 2017 | 13:31h | UTCSource: Journal Watch ($)
“we found that the risk associated with nonobstetric surgery was relatively low, confirming that surgical procedures during pregnancy are generally safe”
Surgery must be a core part of health care – even in the poorest countries
15 Aug, 2017 | 16:57h | UTCSurgery must be a core part of health care – even in the poorest countries – The Guardian (free)
Related book: Essential Surgery – Disease Control Priorities 3 (DCP3) (free)
Related report: Global Surgery 2030 (free PDF)
Related commentary on the subject: In countries with a shortage of surgeons, other health care workers can fill in the gaps – STAT (free)
Surgical Guidelines for Perioperative Management of Older Adults
10 Aug, 2017 | 20:48h | UTC
Acute mesenteric ischemia: guidelines
9 Aug, 2017 | 16:57h | UTC
Resuscitative endovascular balloon occlusion of the aorta (REBOA) or open aortic cross-clamping by resuscitative thoracotomy in non-compressible torso hemorrhage patients
1 Aug, 2017 | 21:31h | UTCThis meta-analysis, mainly from observational studies and including 1276 patients, suggests a positive effect of REBOA on mortality among non-compressible torso hemorrhage patients.
Laparoscopy in Blunt Abdominal Trauma: for Whom? When?and Why?
1 Aug, 2017 | 17:10h | UTCReview: Laparoscopy in Blunt Abdominal Trauma: for Whom? When?and Why? – Current Trauma Reports (free)
Guideline: Damage control resuscitation in patients with severe traumatic hemorrhage
25 Jul, 2017 | 00:58h | UTCSee also: Guideline Summary: National Guideline Clearinghouse (free)
Guideline: Operative fixation of rib fractures after blunt trauma
25 Jul, 2017 | 00:48h | UTCSee also: Guideline Summary: National Guideline Clearinghouse (free)
Reducing Smoking Rates for Patients Facing Surgery
25 Jul, 2017 | 00:35h | UTC2017 ACS Quality and Safety Conference: “Strong for Surgery” Shows Promise in Reducing Smoking Rates for Patients Facing Surgery – American College of Surgeons, via NewsWise (free)
“Study suggests big drop in smoking rates when surgeons help patients quit before their operations”.
Enhanced recovery pathway for colorectal surgical patients improves outcomes, reduces cost
25 Jul, 2017 | 00:10h | UTCAmerican College of Surgeons (ACS) 2017 Quality and Patient Safety Conference: Enhanced recovery pathway for colorectal surgical patients improves outcomes, reduces cost – ACS, via EurekAlert (free)
Related guideline: Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons (free)
See other Enhanced Recovery After Surgery (ERAS) Guidelines and Reviews in our collection and in the ERAS Society Website.
“Successful protocol shortens hospital stays, reduces patients’ risk of complications, and cuts costs up to $11,000 per procedure”
Guideline: Prophylaxis against venous thromboembolism in pediatric trauma
23 Jul, 2017 | 14:42h | UTC
The Evolving Story of Overlapping Surgery
23 Jul, 2017 | 14:09h | UTCViewpoint: The Evolving Story of Overlapping Surgery – JAMA (free) (RT @pash22 see Tweet)
Commentary: 3 steps to restore patient trust in overlapping surgeries – FierceHealthcare (free)
This interesting viewpoint discusses the practice of scheduling overlapping surgeries, in which a qualified practitioner finishes noncritical parts of the first operation while the primary surgeon moves to the next surgery.
Guideline: The management of intra-abdominal infections from a global perspective
17 Jul, 2017 | 01:38h | UTCRelated: The Surgical Infection Society Revised Guidelines on the Management of Intra-Abdominal Infection – Surgical Infections (free)
How providing access to surgery drives global prosperity
11 Jul, 2017 | 18:47h | UTCRelated: Essential Surgery – Disease Control Priorities (DCP3) (free landmark book on the topic) AND The Lancet Commission on Global Surgery (free resources)
Source: Global Health NOW Newsletter
Association of delay of urgent or emergency surgery with mortality and use of health care resources
10 Jul, 2017 | 15:09h | UTCCommentary: Patients whose emergency surgery is delayed are at higher risk of death – Canadian Medical Association Journal, via EurekAlert (free)
Source: STAT News Newsletter
“Delayed operating room access for emergency surgery was associated with increased risk of inhospital mortality, longer length of stay and higher costs”.
Long-term health status and trajectories of seriously injured patients
7 Jul, 2017 | 14:01h | UTCLong-term health status and trajectories of seriously injured patients: A population-based longitudinal study – PLOS Medicine (free) (RT @karimbrohi see Tweet – “Trauma is a chronic disease”)
“The prevalence of reporting problems at 36-months postinjury was 37% for mobility, 21% for self-care, 47% for usual activities, 50% for pain/discomfort, and 41% for anxiety/depression… the prevalence of ongoing problems at 3-years postinjury is high, confirming that serious injury is frequently a chronic disorder”
Evacuation of Hospitals during Disaster, Establishment of a Field Hospital, and Communication
7 Jul, 2017 | 13:27h | UTCReview: Evacuation of Hospitals during Disaster, Establishment of a Field Hospital, and Communication – Eurasian Journal of Medicine (free)
Re-designing the pathway to surgery: better care and added value
3 Jul, 2017 | 17:16h | UTCRe-designing the pathway to surgery: better care and added value – Perioperative Medicine (free)
Source: Critical Care Reviews Newsletter
A Placebo-Controlled Trial of Antibiotics for Smaller Skin Abscesses
29 Jun, 2017 | 13:34h | UTCA Placebo-Controlled Trial of Antibiotics for Smaller Skin Abscesses – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Adding Antibiotics to Incision-and-Drainage of Small Skin Abscesses Helps – Physician’s First Watch (free) AND Antibiotics Improve Short-Term Outcomes for Simple Abscesses – Medscape (free registration required) AND Study finds benefit for antibiotic treatment of simple skin wounds – CIDRAP (free)
A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery
26 Jun, 2017 | 17:32h | UTCA Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts (free resource to find articles of interest)
“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”
Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery
20 Jun, 2017 | 18:23h | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss
20 Jun, 2017 | 12:25h | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss – The New York Times (10 articles per month are free)
Surgeon Variation in Complications With Minimally Invasive and Open Colectomy
20 Jun, 2017 | 12:23h | UTCSurgeon Variation in Complications With Minimally Invasive and Open Colectomy: Results From the Michigan Surgical Quality Collaborative – JAMA Surgery (free) (RT @MaryDixonWoods see Tweet)
Surgeon-level variation in complications among surgeons was nearly twice as great for Minimally Invasive Colectomy than for Open Colectomy, implying a need for improved training in adoption of minimally invasive techniques.
How to fall to your death and live to tell the tale
14 Jun, 2017 | 00:38h | UTCHow to fall to your death and live to tell the tale – Mosaic Science (free)
“Falls—such as slipping in the shower or tripping down stairs—kill over 420,000 people worldwide each year” (RT @ghn_news see Tweet)
Head injury: assessment and early management
9 Jun, 2017 | 16:07h | UTCHead injury: assessment and early management – NICE Guideline (free)