Physicians from the Department of Surgery at the University of Maryland School of Medicine have determined that outcomes for traumatic injury in patients with organ transplants are not worse than for non-transplanted patients. One theory indicates that severe trauma activates nearly all components of the immune system, triggering a series of responses that lead to inflammation, which can limit tissue damage and promotes repair.
As pediatric specialists become increasingly aware that surgical anesthesia may have lasting effects on the developing brains of young children, new research suggests the threat may also apply to adult brains. Although more research is needed to confirm the study's relevance to humans, the study suggests possible health implications for millions of children and adults who undergo surgical anesthesia annually.
As modern medical advances help more children with complex conditions live longer, a new study shows a significant number suffer from complications caused by medical devices that are also necessary for their survival. Study authors say their research underscores the continued need to improve care for this growing population of children by enhancing medical device safety practices.
(2013 ESP Award Nominee) The Wrong Site Sleeve by Patient Safety Gear, Inc. marks the surgical site with a skin marker which is placed on the patient’s “wrong limb” to avoid any mistakes once the patient is taken to the operating room. The safety sleeve’s fluorescent orange color alerts medical staff once again of the wrong limb for surgery.
Among pediatric heart transplant recipients, failure to adhere to immunosuppressive medication is relatively common and is associated with a high mortality rate, researchers found.Over a 7-year period, 9 percent of heart transplant recipients younger than 18 were non-adherent at least once, which set back his or her recovery, according to Christopher Almond, MD, MPH, of Boston Children's Hospital, and colleagues.
Measuring blood flow in the brain may be an easy, noninvasive way to predict stroke or hemorrhage in children receiving cardiac or respiratory support through a machine called ECMO, according to a new study. Early detection would allow physicians to alter treatment and take steps to prevent these complications—the leading cause of death for patients on ECMO.
In a prospective population-based cohort study, older adults with at with at least one exposure to general anesthesia over eight years had an increased risk of developing dementia compared with age-matched adults who were not exposed to anesthesia over the same period.
Procedures like angioplasty, stenting and bypass surgery may save lives, but they also cause excessive inflammation and scarring, which ultimately can lead to permanent disability and even death. A new research report shows that naturally derived compounds from polyunsaturated fatty acids (omega-3s) may reduce the inflammation associated with these procedures to help arteries more fully and completely heal.
The temporary placement of umbrella-like, metal mesh filters in abdominal veins to stop potentially lethal blood clots from traveling to the lungs during and after weight loss surgery may actually increase the risk of death in morbidly obese patients, according to new Johns Hopkins research.
Many patients who have experienced strokes or mini strokes take blood thinners to reduce the risk of blood clots that can cause strokes. This can pose a dilemma when a patient needs to undergo a surgical procedure, because blood thinners can increase the risk of bleeding. But a new guideline from the American Academy of Neurology advises that it is likely safe to continue taking blood thinners before minor procedures.
Patients who receive a red blood cell transfusion during or after heart surgery may be at greater risk for infection, according to a new study. However, the use of platelets during transfusions does not appear to carry a similar risk. Limiting red blood cell use could result in fewer major postoperative infections, the researchers suggested.
Patients undergoing planned surgery appear more likely to die if they have their operation at the end of the week. The mortality rate was lowest for patients having operations on Monday, and increased for each subsequent day of the week. The odds of death were 44 percent higher for operations on a Friday than a Monday.
An intracranial bleed? You couldn’t do much worse than miss an intracranial bleed. How had I let my craze to decrease my patient load overtake proper medical care? I had failed to check the head CT! I was appalled at myself, mortified by my negligence. I stumbled through the rest of the day, an acrid mix of shame and guilt churning inside me.
A survey of anesthesia educators and investigators at the International Anesthesia Research Society (IARS) found that existing pulse oximetry sensors have significant limitations that hamper their reliability. The survey also found that fingertip sensors can be problematic.
People who have had a stroke often take blood thinners such as aspirin or warfarin to prevent another stroke. Blood thinners are also used to prevent a first stroke in people with atrial fibrillation, an irregular or fast heartbeat. Blood thinners can prevent blood clots from forming that can cause strokes. These drugs also can increase the risk of bleeding, which is especially a concern when someone is having a procedure or operation.
(2013 ESP Award Nominee) Flagship Surgical's Safe Cord Floor Strip is a durable, disposable safety strip designed to cover cables and cords on the OR floors, thereby reducing the risk of staff tripping hazards and injuries. It has adhesive strips on the underside which secure the product to the floor, but will not leave any residue.
(2013 ESP Award Nominee) The Allen Advance table (from Allen Medical) is used for dedicated spine positioning where 360-degree radiolucency is required. It can be used in prone or supine positions with the ability to “flip” the patient intraoperatively. The Allen design addresses the safety concerns associated with pulling the wrong pins that can result in table collapse with patient.
It’s been nearly 23 years since the Americans With Disabilities Act, a federal law prohibiting discrimination against people with disabilities, went into effect. Despite its unequivocal language, studies in recent years have revealed that disabled patients tend not only to be in poorer health, but also to receive inadequate preventive care and to experience worse outcomes.
Same-day discharge for patients receiving an implantable cardioverter defibrillator (ICD) is safe, feasible, and cost-effective, a retrospective study found. There were no cardiac events, rehospitalizations, or procedure-related complications at 24 hours post-discharge for the 198 (79 percent) of 254 outpatients who had successful same-day discharge.
Intuitive Surgical prevailed in a civil lawsuit that accused it of negligence in its training of doctors using the company's surgical robot machines, a victory as it looks to counter criticisms that its da Vinci machines are unsafe and too costly. The suit, had sought $8.45 million in compensatory damages in connection to the death of Fred Taylor, who had his prostate gland removed with a da Vinci robot in 2008 and died four years later.
Transitional care programs are ripe for innovation for forward-thinking providers who are willing to do the difficult work of making these programs a success. For hospitals, even seemingly modest success, such as preventing a few dozen readmissions, can yield a financial benefit – and preventing more than that could save a hospital millions of dollars.
Johns Hopkins researchers have developed new guidelines — the first in more than 35 years — to govern the amount of blood ordered for surgical patients. The recommendations, based on a lengthy study of blood use at The Johns Hopkins Hospital (JHH), can potentially save the medical center more than $200,000 a year and improve patient safety, researchers say.
Lawyers for the estate of Fred Taylor seek $8.45 million in damages based on claims that Intuitive is mostly to blame for his injuries stemming from a 2008 robot-assisted removal of his prostate gland. Taylor and his family allege he suffered because of Intuitive’s inadequate training that was streamlined and compromised by the company’s push to sell its robots.
A new study has confirmed that removing the tonsils and adenoids of children with obstructive sleep apnea can reduce sleepiness and improve the quality of life, but putting off the surgery might not hurt either. The findings found that after seven months, surgery improved many gauges of everyday living.
The Pink Pad - Pigazzi Positioning System from Xodus Medical is designed to mold to the patient's body, providing stability and maintaining patient position throughout the procedure. Its for single patient use, and it decreases potential cross contamination with reusables.