Surgeons face alarming rates of burnout and mistreatment, impacting retention and well-being.

• 34.9% of surgical faculty report weekly burnout symptoms.
• 66.2% have experienced workplace mistreatment, including significant bullying and discrimination.
• Female surgeons are particularly affected, with 88.6% reporting mistreatment compared to 55.7% of male faculty.

Addressing these issues is crucial for improving surgical practice and faculty retention.

• Burnout risk increases sharply for women and those working over 70 hours per week.

A study shows opioid agreements don’t improve disposal or safety practices post-surgery.

• Among 450 patients, 143 (32%) had leftover opioids; only 13 (9.1%) disposed of them.
• Patients with agreements were less likely to dispose of leftover opioids (6.7% vs. 12%).

Surgeons should consider alternative strategies for managing leftover opioids as agreements alone are ineffective.

Gastric point-of-care ultrasound (G-POCUS) can improve postoperative assessments for gastrointestinal surgery patients.

• 92% of G-POCUS assessments were conclusive, mostly prompted by signs of gastrointestinal distress.
• Nurses reported high acceptability and confidence when using G-POCUS.

Patients experienced no change in pain or comfort during the procedure, indicating it’s well tolerated.

• 46% of patients had fluid content detected, with a median volume of 248 ml.

Integrating G-POCUS could enhance recovery monitoring and patient outcomes in surgical practice.

In nondiabetic patients undergoing major abdominopelvic surgery, prophylactic glucose-insulin-potassium infusion was feasible and improved perioperative glucose control without severe hypoglycemia.

• In this pilot trial, 103 patients were randomized; 97% completed treatment, with no severe hypoglycemic episodes.
• Euglycemia occurred in 42% with prophylactic insulin versus 27% with placebo. Hyperglycemia occurred in 37% versus 48%, and treatment insulin was needed in 26% versus 45%.
• Complications were less frequent with prophylaxis (12% vs. 21%), but confidence intervals were wide and the study was not powered for outcomes.

A larger trial is feasible and should determine whether better glucose control translates into fewer surgical complications.