Newsletter
Every new paper in this field, in your inbox.
An analysis of the Michigan Surgical Quality Collaborative registry reveals that patient-reported opioid consumption decreased from 2018 to 2021 following updated prescribing guidelines. Out of 39,493 opioid-naive patients, the guidelines did not change for seven procedures but were lowered for nine, predominantly by five pills.…
An automated 360-degree feedback tool, known as the 'intraoperative 360' (i360), proved effective in assessing surgeons' technical, nontechnical, and teaching skills. Feedback gathered from 960 surveys highlighted strong performance in technical (4.87/5) and nontechnical skills (4.65/5), while teaching skills rated lower (2.92/3). Semi-structured interviews revealed…
The novel proximal smoke evacuation device demonstrated superior efficacy during laparoscopic procedures, effectively reducing in-screen smoke density by 85.47%. Compared to traditional evacuation methods, it maintained higher image quality and consistent pneumoperitoneum pressure, minimizing surgical interruptions caused by smoke. Analysis from 62 trials conducted by…
An active prescription of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) in diabetic patients undergoing surgery is linked to lower risks of 30-day readmission, postoperative wound dehiscence, and hematoma, according to a recent study. Out of 74,425 surgical procedures analyzed, the GLP-1 RA group demonstrated significant…
Lean methodology effectively reduced violations of work-hour restrictions among surgical residents, decreasing the average number of residents logging over 80 hours weekly from 4.4 to 0.8. The study involved multifactorial interventions that enhanced scheduling and workflows. Perceived compliance improved significantly from 72% to 88% over…
A cohort study of 9.8 million surgical patients revealed that combining the modified frailty index 5 (mfi-5) with hypoalbuminemia significantly enhances predictive accuracy for surgical outcomes. The analysis indicated that the combined assessment outperformed individual predictors in identifying risks for 30-day mortality, complications, and hospital…
A comprehensive analysis of 75 studies involving 13,010 patients reveals that goal-directed haemodynamic therapy (GDHT) significantly lowers the incidence of surgical site infections (SSI) from 13.3% in conventional fluid therapy to 9.4%, marking an absolute risk reduction of 3.9%. With high-certainty evidence, GDHT demonstrates a…
A randomized clinical trial revealed that inexperienced clinicians receiving just-in-time coaching achieved a first attempt success rate of 91.4% for infant orotracheal intubation, compared to 81.6% in the control group. This significant difference (odds ratio 2.42, p=0.001) suggests enhanced procedural quality. Additionally, the intervention group…
A systematic review of 267 clinical practice guidelines revealed significant variability in perioperative patient safety recommendations. Among 4,666 recommendations identified, 44.9% were strongly endorsed; however, only 18 guidelines excelled in methodological quality. A notable gap was found in recommendations related to pre-admission and post-discharge care.…
A decade-long evaluation of the Wade Programme reveals its innovative educational framework effectively supports surgical anatomy training. After delivering 105 courses globally to 1,191 participants, feedback-rated satisfaction stood at 95%. The Wade educational approach, based on visualization, conceptual understanding, and practical application, received widespread acclaim…
