A scoping review involving 394 studies highlighted diverse methodologies to elicit patient preferences for invasive procedures, encompassing 76,921 patients across surgical specialties. Predominantly, quantitative methods accounted for 81.2% of studies, with simple choice selection being the most utilized. In addition, qualitative methods, particularly one-on-one interviews, emerged as significant for understanding patient views. The findings stress […]
Category: Perspectives, Opinions and Curiosities
Refined nursing management improves outcomes for laparoscopic surgery patients
A study analyzing 100 patients undergoing laparoscopic general surgery revealed that refined nursing management significantly enhanced surgical efficiency, reduced postoperative recovery time, and lowered stress responses. The intervention group experienced notable decreases in anxiety and depression scores compared to the control, alongside increased comfort levels and fewer perioperative complications. Nurses also reported higher satisfaction with […]
Anterior quadratus lumborum block reduces post-operative pain effectively
A meta-analysis of 89 articles assessed the effectiveness of the anterior quadratus lumborum (AQL) block in abdominal surgeries. Results revealed that patients receiving the AQL block experienced significantly lower post-operative pain scores and reduced opioid consumption at 12 and 24 hours compared to controls. Furthermore, the AQL block demonstrated non-inferiority to the transversus abdominis plane […]
Surgical quality improvement projects show room for better planning
The evaluation of 242 surgical quality improvement projects revealed an average pre-conduct score of 52%, highlighting suboptimal planning across the board. Projects excelled in goal specification (65%) but struggled with strategic planning (44%) and problem detailing (52%). Notably, few projects addressed possible limitations (5%) or contextual issues (12%). These findings underscore the need for enhanced […]
The U.S. leads global surgery research productivity.
A comprehensive analysis of 665,668 surgical publications from 110 countries reveals that the United States significantly dominates global research productivity, contributing 30.78% of first authors and 31.32% of senior authors over a 12-year span. The study, utilizing a web-scraping algorithm, indicates other notable contributors include the United Kingdom, China, Japan, and Italy. Research output varies […]
Ecart AI tool outperforms other warning scores for patient deterioration
In a cohort study of 362,926 hospital encounters, the Ecart early warning score demonstrated superior performance in identifying patient clinical deterioration, achieving an area under the receiver operating characteristic curve of 0.895. The study compared three artificial intelligence scores and three traditional scores, revealing that Ecart provided better predictive values and lead time for interventions. […]
Percutaneous drainage proves more effective than open surgical drainage
In a study of 64 patients undergoing percutaneous drainage for postoperative abdominal fluid formations, success rates reached 96.8%, with average hospital stays of 9.13 days. In contrast, open surgical drainage yielded an 80% success rate and longer stays averaging 11.10 days. Complications were more common among those who underwent open surgery (16.7% vs. 12.4%). The […]
Da Vinci robotic surgery shows improved outcomes compared to laparoscopic and open procedures
The analysis of over 1.1 million minimally invasive surgical cases indicates that da Vinci robotic-assisted surgery (dv-ras) offers significant benefits over laparoscopic and open techniques. Although operative times were longer for dv-ras, patients experienced shorter hospital stays and reduced blood loss. Moreover, dv-ras was associated with fewer conversion rates, transfusions, postoperative complications, readmissions, and mortality […]
Multidisciplinary protocol effectively reduces surgical readmissions
A multidisciplinary protocol implemented in a tertiary hospital significantly reduced the unplanned surgical readmission rate from 7.9% to 5.6%, reflecting a 30% decrease. The study included 874 patients, revealing that the strategy, which featured a dedicated nurse liaison and post-discharge follow-up, enhanced patient care and hospital efficiency. Continued monitoring and audits will be necessary to […]
New tool effectively identifies non-technical errors in surgery
A novel tool, SICNESS, has been developed to identify and categorize non-technical errors linked to surgical mortality. Validated through a two-pilot approach using 844 mortality cases from Australia and New Zealand, the tool demonstrated high inter-rater reliability, particularly in leadership and decision-making aspects. Its systematic application can help to retrospectively pinpoint these errors, enhancing surgical […]