In a cross-sectional study analyzing data from 152 German and Austrian hospitals, researchers determined procedure-specific, risk-adjusted probabilities of postoperative nausea for 72 types of operations. The adjusted absolute risk ranged from 6.2% to 36.2%, with laparoscopic bariatric operations having the highest risk. Factors such as male sex, antiemetic prophylaxis, regional anesthesia, and preoperative opioids influenced […]

Surgeons and anesthesiologists at an academic medical center completed surveys revealing higher global well-being scores linked to workplace satisfaction and support. Anesthesiologists reported lower satisfaction and control than surgeons. Template analysis identified five intervention areas. Both specialties prioritized patient care, but differed in other priorities. Surgeons’ well-being threats were inefficiencies/delays and workload, while anesthesiologists cited […]

Mapping the surgical discharge process in US hospitals revealed key components and challenges specific to surgical patients. Current care transition models do not address wound care education, pain control, non-home post-discharge locations, and follow-up plans. Challenges include social situations, team communication issues, and post-discharge care coordination. Addressing these components and challenges in care transitions for […]

Creating a modified tool, the Cirrhosis-Hospital Frailty Risk Score (CHFRS), for improved perioperative risk stratification in cirrhosis patients undergoing abdominal operations. This simplified index, based on 12 icd-10 codes within the existing Hospital Frailty Risk Score, was found to have superior predictive accuracy for in-hospital mortality compared to the original 109-component score. The CHFRS more […]

Private equity investments have substantially impacted surgical specialties, leading to increased practice consolidation. Among 1,542 transactions involving surgical practices from 2015-2019, 539 were financed by private equity. Activity peaked in 2017 with 63 practices involved, predominantly in digestive disease, urology, and orthopedic surgery. Anesthesiology, ambulatory surgery centers, and surgical staffing firms were also affected, with […]

Using a crosshair on the video monitor during laparoscopic surgeries improved novices’ understanding of anatomical structures, as shown by better global operative assessment scores. Although operating time and confidence levels did not significantly change, participants found the crosshair to be non-disruptive and beneficial. The simple, inexpensive tool can enhance communication between instructors and novices in […]

LMIC surgeons value clinical and educational partnerships in global surgery collaborations with HICs. They express the need for a formal process to assess resources and needs at the beginning of partnerships and cite a lack of structure for long-term collaborations. Despite challenges during the COVID-19 pandemic, most partnerships continued, with some partners reporting weaker relationships. […]

Surgeons in the US decreased opioid prescriptions post-surgery from 2013 to 2017, with 81.6% of counties showing a decreasing trend. Factors such as lower median population age, higher education levels, insufficient sleep rates, healthcare costs, fewer mental health providers, and uninsured adults were linked to higher opioid prescription rates. Suboptimal access to healthcare, particularly mental […]

Exposure to surgical smoke from electrocautery in operating rooms poses minimal health risks to personnel, with low levels of pollutants and particulate matter. Virus transmission through electrocautery remains uncertain. Current mandates for smoke evacuators are deemed unnecessary based on the limited health hazards associated with surgical smoke exposure. Review by Hurst RD and Stewart CL […]