General Surgery & Trauma | Page 8 of 25 | Links Medicus Content Curation & Alerts in Medicine

Review: Steroid use in patients with acute spinal cord injury and guideline update.

16 May, 2022 | 01:22h | UTC

Review: Steroid Use in Patients With Acute Spinal Cord Injury and Guideline Update – Korean Journal of Neurotrauma

SUNBURN: a protocol for delivering bad news in trauma and acute care surgery.

3 May, 2022 | 10:53h | UTC

SUNBURN: a protocol for delivering bad news in trauma and acute care surgery – Trauma Surgery & Acute Care Open

Commentary on Twitter

#TSACOTuesday

Delivery of bad news can be a challenging tasks for practicing surgeons

Protocol-based delivery can provide support to help guide these difficult conversations

S-U-N-B-U-R-N protocol by @DrMentorA provides a framework

Read more: https://t.co/3H5AyT6125 pic.twitter.com/imJ9HuUQJ3

— Trauma Surgery & Acute Care Open (TSACO) (@TSACO_AAST) February 15, 2022

M-A: Efficacy and safety of laparoscopy for mild and moderate pediatric abdominal trauma.

27 Apr, 2022 | 07:39h | UTC

Efficacy and Safety of Laparoscopy for Mild and Moderate Pediatric Abdominal Trauma: A Systematic Review and Meta-Analysis – Journal of Clinical Medicine

Giant tube slides and broken legs: why the latest playground craze is a serious hazard.

26 Apr, 2022 | 07:50h | UTC

Giant tube slides and broken legs: why the latest playground craze is a serious hazard – The Conversation

AAOS Guideline: Prevention of surgical site infections after major extremity trauma.

19 Apr, 2022 | 02:35h | UTC

Prevention of Surgical Site Infections After Major Extremity Trauma: Evidence-Based Clinical Practice Guideline – American Academy of Orthopaedic Surgeons

Evidence Review: Prevention of Surgical Site Infection After Extremity Trauma (2022)

Incidence of electric scooter–associated injuries in Finland from 2019 to 2021.

18 Apr, 2022 | 09:54h | UTC

Incidence of Electric Scooter–Associated Injuries in Finland From 2019 to 2021 – JAMA Network Open

Commentary on Twitter

This cross-sectional study found that actual incidence of any injury and major trauma was 18/100k and 5.9/100k trips taken with rental e-scooters in Finland. https://t.co/ZKz1j219vQ

— JAMA Network Open (@JAMANetworkOpen) April 14, 2022

M-A: The clinical effect and safety of new preoperative fasting time guidelines for elective surgery.

12 Apr, 2022 | 09:51h | UTC

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

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.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (free)

Systematic Review: Timing of antibiotic administration, wound debridement, and the stages of reconstructive surgery for open long bone fractures of the upper and lower limbs.

5 Apr, 2022 | 08:08h | UTC

Timing of antibiotic administration, wound debridement, and the stages of reconstructive surgery for open long bone fractures of the upper and lower limbs – Cochrane Library

Summary: The timing of treatment for broken bones in the legs and arms that also have open wounds – Cochrane Library

Development of a consensus-based definition of Focused Assessment with Sonography for Trauma (FAST) in children.

1 Apr, 2022 | 08:35h | UTC

Development of a Consensus-Based Definition of Focused Assessment With Sonography for Trauma in Children – JAMA Network Open

Commentaries:

New FAST Definitions May Improve Trauma Assessment of Children – Medscape (free registration required)

Ultrasonographic views, landmarks, and patient-specific factors to consider in a consensus-based definition of the Focused Assessment With Sonography for Trauma in children with abdominal injury – Physician’s Weekly

Commentary on Twitter

Qualitative study describes the development of an expert definition for high-quality & accurate pediatric Focused Assessment with Sonography for Trauma (FAST), including recommended views, landmarks & imaging quality. @aaronkornblith @nkpluso @pocusnetwork https://t.co/4CTvGp2Rqs

— JAMA Network Open (@JAMANetworkOpen) March 18, 2022

M-A: Artificial intelligence in fracture detection.

30 Mar, 2022 | 08:51h | UTC

Artificial Intelligence in Fracture Detection: A Systematic Review and Meta-Analysis – Radiology

News Release: AI helps radiologists detect bone fractures – Radiological Society of North America

Before-and-after study: Effectiveness of implementing a preventive urinary catheter care bundle in hip fracture patients.

29 Mar, 2022 | 08:33h | UTC

Effectiveness of implementing a preventive urinary catheter care bundle in hip fracture patients – Journal of Infection Prevention

News Release: Catheter infections went down after more preventive efforts – University of Gothenburg

RCT: Hydrosurgical vs. conventional debridement of burns.

28 Mar, 2022 | 08:34h | UTC

Hydrosurgical and conventional debridement of burns: randomized clinical trial – British Journal of Surgery

Commentary on Twitter

In the April issue of BJS: Hydrosurgical and conventional debridement of burns: randomized clinical trial https://t.co/XoN6w3xkRU @AmyLightnerMD @bplwijn @des_winter @ksoreide @MalinASund @evanscolorectal @nfmkok @robhinchliffe1 @young_bjs pic.twitter.com/YSkczkqnTU

— BJS (@BJSurgery) March 25, 2022

Global guidelines for emergency general surgery: systematic review and Delphi prioritization process.

23 Mar, 2022 | 09:53h | UTC

Global guidelines for emergency general surgery: systematic review and Delphi prioritization process – BJS Open

Evaluation of glial and neuronal blood biomarkers compared with clinical decision rules in assessing the need for computed tomography in patients with mild traumatic brain injury.

22 Mar, 2022 | 08:33h | UTC

Evaluation of Glial and Neuronal Blood Biomarkers Compared With Clinical Decision Rules in Assessing the Need for Computed Tomography in Patients With Mild Traumatic Brain Injury – JAMA Network Open

Commentary on Twitter

In this prospective cohort of mTBI/concussion patients, CCHR, NOC and blood test GFAP/UCH-L1 were equally sensitive in detecting traumatic intracranial lesions on CT but CCHR had the highest specificity; GFAP combined with CCHR detected lesions best. https://t.co/hYwxg76uu8

— JAMA Network Open (@JAMANetworkOpen) March 14, 2022

EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis.

21 Mar, 2022 | 10:01h | UTC

EASL Clinical Practice Guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis – Journal of Hepatology

Guideline: Management of anticoagulants and antiplatelets during acute gastrointestinal bleeding and the periendoscopic period.

18 Mar, 2022 | 09:39h | UTC

American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline: Management of Anticoagulants and Antiplatelets During Acute Gastrointestinal Bleeding and the Periendoscopic Period – Journal of the Canadian Association of Gastroenterology

Commentary on Twitter

BREAKING 🔥
Antiplatelets, anticoagulants and #Endoscopy

New CPG & dissemination tool.

An @AmCollegeGastro @CanGastroAssn co-production @AmJGastro and #JCAG @GriLeont @BryanGSauer @NeenaSAbrahamMD @alan_barkun @ThrombosisCan @LorenLaine2 #JenTelford https://t.co/Ijs4jgOkPC pic.twitter.com/uUfN2zj3RS

— Journal of the Canadian Assn of Gastroenterology (@JCanAssnGastro) March 17, 2022

Study on traumatic brain injury highlights global inequality in causes and treatment.

18 Mar, 2022 | 09:37h | UTC

News Release: Largest ever study on traumatic brain injury highlights global inequality in causes and treatment – University of Cambridge

Original Study: Casemix, management, and mortality of patients receiving emergency neurosurgery for traumatic brain injury in the Global Neurotrauma Outcomes Study: a prospective observational cohort stud – The Lancet Neurology

Happy TRALIdays: An overview of trauma resuscitation and transfusion complications.

17 Mar, 2022 | 08:08h | UTC

Happy TRALIdays: An Overview of Trauma Resuscitation and Transfusion Complications – emDocs

Observational Study: Comparison of intracranial pressure measurements before and after hypertonic saline or mannitol treatment in children with severe traumatic brain injury.

14 Mar, 2022 | 00:51h | UTC

Comparison of Intracranial Pressure Measurements Before and After Hypertonic Saline or Mannitol Treatment in Children With Severe Traumatic Brain Injury – JAMA Network Open

Invited Commentary: ADAPTing to a New Era of Comparative Effectiveness Research in Traumatic Brain Injury—Generating Evidence From Observational Data – JAMA Network Open

Commentary on Twitter

For children with severe TBI, hypertonic saline is recommended in published guidelines. However, mannitol is in wide-spread clinical use. In this comparative effectiveness, hypertonic saline was associated with improved ICP compared to mannitol. https://t.co/7JW224Dbio

— JAMA Network Open (@JAMANetworkOpen) March 10, 2022

Efficacy and safety of non-operative management of uncomplicated acute appendicitis compared to appendectomy: an umbrella review of systematic reviews and meta-analyses.

11 Mar, 2022 | 09:49h | UTC

Efficacy and Safety of Non-Operative Management of Uncomplicated Acute Appendicitis Compared to Appendectomy: An Umbrella Review of Systematic Reviews and Meta-Analyses – World Journal of Surgery

Cohort Study: Patient factors associated with appendectomy within 30 days of initiating antibiotic treatment for appendicitis – the presence of an appendicolith was associated with a nearly 2-fold increased risk of undergoing appendectomy within 30 days.

Review: Diagnosis of uncomplicated and complicated appendicitis in adults.

Another RCT evaluating the efficacy and quality of life of antibiotic-only treatment of acute uncomplicated appendicitis.

A Randomized trial comparing antibiotics with appendectomy for appendicitis

Antibiotics alone for uncomplicated appendicitis: Oral Moxifloxacin almost as good as intravenous Ertapenem + oral Levofloxacin

Observational study: 67.1% success rate with nonoperative management of children with uncomplicated appendicitis

Randomized Trial: Quality of Life and Patient Satisfaction at 7-Year Follow-up of Antibiotic Therapy vs. Appendectomy for Uncomplicated Acute Appendicitis

Meta-Analysis: Antibiotic Treatment vs. Appendectomy for Uncomplicated Acute Appendicitis in Adults and Children

Nonoperative treatment for nonperforated appendicitis in children: a systematic review and meta-analysis – Pediatric Surgery International

Review: Acute cholecystitis.

11 Mar, 2022 | 09:40h | UTC

Acute Cholecystitis: A Review – JAMA (free for a limited period)

Author Interview: Acute Cholecystitis

ACS Best Practice Guidelines: Spine injury.

9 Mar, 2022 | 10:00h | UTC

Spine Injury – American College of Surgeons

News Release: New guidelines will help trauma centers treat spinal injury patients

RCT: In patients with trauma-related hemorrhagic shock receiving prehospital care, there was no benefit from resuscitation with blood products compared to 0.9% sodium chloride.

9 Mar, 2022 | 09:55h | UTC

Resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care (RePHILL): a multicentre, open-label, randomised, controlled, phase 3 trial – The Lancet Haematology

Invited commentary: Prehospital blood transfusion: who benefits? – The Lancet Haematology

Commentary on Twitter

NEW research—resuscitation with blood products in patients with trauma-related haemorrhagic shock receiving prehospital care: results of #RePHILL, a randomised, controlled, phase 3 trial #openaccess #EmergencyMedicine 🚑🩸https://t.co/Ci0lMMCryX pic.twitter.com/iWEtV12N1r

— The Lancet Haematology (@TheLancetHaem) March 8, 2022