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Am Surg15 Jan 2024

Music in the Operating Room: Perspectives of Surgical Team Members

Most operating room (OR) personnel have positive attitudes towards music in the OR, perceiving it as calming, helpful for focus, and not distracting or unsafe, according to a survey of 222 surgeons, anesthesiologists, and nurses. Surgeons tended to believe that the decision to play music…

BMC Surg13 Jan 2024

Immunonutrition in Major Abdominal Surgery

The meta-analysis of 87 studies involving 8,375 patients revealed that perioperative oral/enteral immunonutrition containing arginine, glutamine, and polyunsaturated fatty acids significantly reduces morbidity rates (odds ratio of 0.32). Additionally, postoperative enteral immunonutrition with RNA, arginine, and polyunsaturated fatty acids may lower mortality rates, but with…

Perspectives, Opinions and Curiosities10 Jan 2024

Inefficiencies in Hub-and-Spoke Systems: Balancing Outcomes and Length of Stay

A multi-state cohort study examined hub and spoke healthcare systems and found that while hub hospitals had lower odds of death or serious morbidity (DSM) for complex operations, they had higher odds of prolonged length of stay (LOS) for common operations. This suggests that there…