Blood glucose regulation significantly improves survival in Fournier’s gangrene
Elevated blood glucose at admission is linked to increased mortality in Fournier’s gangrene patients. A study of 36 patients indicated a 16.7% mortality rate, with diabetes common in 61.1% of cases. The optimal glucose cut-off of 186.5 mg/dl provided 83.3% sensitivity and specificity for predicting mortality. While existing scoring systems like LRINEC and CUPI showed predictive potential, blood glucose emerged as a more effective and quicker marker, highlighting its importance in patient management.
A review finds indocyanine green fluorescence can guide anatomy and tissue perfusion in acute surgery, with the strongest clinical support for reducing anastomotic leaks.
In 48,564 Swedish elective laparoscopic cholecystectomies, achievable-care benchmarks were 0.2% for serious intraoperative events and 1.0% for severe 30-day complications—useful quality targets, not guarantees of what every unit should achieve.
In hypotensive trauma, PIV access succeeds in about two-thirds of attempts, but the odds of success fall with each repeat—making early alternatives worth considering in patients with no measurable blood pressure.
