Should surgery be performed immediately, or is it better to first administer antibiotics and then perform surgery? A study led by Heidelberg University Hospital Department of Surgery has demonstrated that patients suffering from acute cholecystitis should be operated on immediately. There are no advantages to delaying surgery...
A total of 100 medical errors were reported — the same number as in 2011 — in a survey of Indiana's 289 hospitals, ambulatory surgery centers, abortion clinics, and birthing centers, the Indiana State Department of Health said Monday...
One would never guess that a frequent activity in the OR is painting. I’m not referring to the application of paint to the walls of a room or house. The painting I’ve seen is limited to the patient and his or her body parts. I suppose the first application of “paint” would be the initial scribble placed by the surgeon, marking the surgical site...
I-Flow Launches Patient Education Program To Build Awareness Of Non-Narcotic Therapy For Post-Surgical Pain ManagementSeptember 16, 2013 2:49 pm | News | Comments
I-Flow, LLC, a Kimberly-Clark Health Care Company and manufacturer of the ON-Q Pain Relief System (ON-Q), today announced the launch of the “Rethinking Narcotics After Surgery: Post-Op Pain Management with ON-Q” Program to educate patients about alternatives to narcotics for post-operative surgical pain relief.
The Oklahoma Board of Medical Licensure and Supervision approved an agreement Thursday that will allow a Tulsa surgeon who is accused of negligence, incompetence, and fraud to keep his license. A complaint against Dr. Steven C. Anagnost, who specializes in orthopedic surgery, lists 23 patients who had complications after he performed surgery on them.
Autologous stem cells shrank cardiac scar tissue and increased viable heart tissue, but did little to improve functional outcomes, the 1-year results of the randomized CADUCEUS Trial suggested. The 17 patients treated with stem cells saw an absolute decrease of 11 percent in LV scar tissue compared with a 2.2 percent decrease in eight controls not treated with stem cells.
Hospital administrators and staff are rightfully aware of the need to prevent exposure to surgical smoke due to its potential to negatively affect the health of both the individuals being operated on and those tasked with conducting or assisting with the procedures. However, to suggest surgical smoke evacuation is simply a safety issue is to oversimplify it. There are a number of variables to consider.
For patients with ischemic cardiomyopathy and a reduced ejection fraction, the addition of coronary artery bypass grafting (CABG) to medical therapy reduced certain types of cardiovascular death, an analysis of the STICH trial showed. Adding bypass surgery reduced rates of the two most common types of death in patients with chronic heart failure.
Correlation doesn’t always indicate causation, but there are times when certain statistical data deserves another look. According to a recent study from the University of Michigan, nearly one in five older adults who have common operations will end up in the emergency department within a month of their hospital stay.
Using large and frequent doses of the pain-killer codeine may actually produce heightened sensitivity to pain, without the same level of relief offered by morphine, according to new research from the University of Adelaide. Researchers in the Discipline of Pharmacology have conducted what is believed to be the world's first experimental study comparing the pain relieving and pain worsening effects of both codeine and morphine.
Among patients with diabetes, use of an outpatient electronic health record (EHR) in an integrated healthcare delivery system was associated with modest reductions in emergency department visits and hospitalizations, but was not associated with a change in office visit rates, according to a study.
University of Toronto researchers examined data on patients who had been hospitalized in the United States for subarachnoid hemorrhage (SAH) and found racial/ethnic differences in the rates of inpatient mortality and hospital discharge to institutional care.
There is a wide variation between hospitals in keeping their older surgery patients from needing emergency care after surgery on their hearts, hips, backs, colons, and major blood vessels. Some hospitals had four times the rate of post-surgery emergency care for their patients, compared with others.
Healthmark announces the new custom two color vinyl labels that will make a lasting impression. The custom labels are made from durable, industrial grade vinyl and will endure even harsh environments. These labels can withstand temperatures ranging from 40 degrees Fahrenheit to 200 degrees Fahrenheit and are UV, water, chemical, and smear resistant.
There have been several lapses in reporting problems with robotic surgical equipment, a new study has found. The equipment, called the da Vinci system, is made by Intuitive Surgical Inc. of Sunnyvale, Calif. It has been on the market for more than a decade; more than a million procedures have been performed with it. Between January 2000 and August 2012, thousands of mishaps were reported to the FDA.
An internal investigation by the Department of Veterans Affairs has found that one of its hospitals in Jackson, Miss., did not have enough doctors in its primary care unit, resulting in nurse practitioners’ handling far too many patients, numerous complaints about delayed care, and repeated violations of federal rules on prescribing narcotics.
In the years since that first difficult bedside admission, I have done my best to avoid making medical errors, but I still make them. I still find it very hard every time I meet with a patient and family members to acknowledge that I made a mistake.
Relatively small numbers of women in stenting trials have precluded definitive evidence of benefit, but a large pooled analysis strongly suggests stents are safe and effective in women. Slightly more than one-fourth of 44,000 patients in 26 trials were women and their rates of death or myocardial infarction at 3 years were similar to that of men, and improved as stenting technology advanced.
Cook Medical has a new device to simplify percutaneous nephrolithotomy (PCNL) procedures, during which physicians break up and remove large kidney stones, or can use it in the bladder to break up large bladder stones. LithAssist combines suction control and provides access for a laser fiber. It is the first device globally to provide suction control and laser fiber access.
Health officials in New Hampshire said eight neurosurgery patients at one hospital in the state may have been unwittingly exposed to Creutzfeldt-Jakob disease (CJD). Surgical instruments used on a patient later given a tentative diagnosis of sporadic CJD were subsequently used in at least eight other patients after ordinary sterilization, which is not adequate to reliably eliminate the prion proteins responsible for CJD.
If you are interested in patient safety and medical errors and haven't read the story in the Texas Observer about a spectacularly incompetent neurosurgeon, you should. It is long but worth it. As I tweeted last week, it will make you cringe. The story includes many details about operations done poorly and patients suffering paralysis and death at the hands of Dr. Christopher D. Duntsch.
While no clinical practice guidelines exist for the use of MRI around the time of surgery, some surgeons use the screening tool to obtain a clearer picture of the cancer before surgery is performed or immediately after surgery to check for any residual disease. Previous studies have shown that using MRI in this capacity for women with invasive breast cancer does not have a clinically significant impact on local recurrence.
Atlantic General Hospital recently strengthened patient safety measures by expanding its use of capnography to monitor patients using patient-controlled analgesia (PCA) to regulate their pain after surgery. PCA can provide an effective way to control pain by allowing patients to self-administer small doses of pain medication intravenously, but the technology poses unique risks.
During surgery at Torrance Memorial Medical Center, an anesthesiologist decorated a patient's face with stickers while the patient was unconscious — giving her a black mustache and teardrops under her left eye — and then a nurse's aide snapped her photo. The 2011 incident has prompted a state investigation and a civil lawsuit by the patient against the hospital and the doctor over the alleged breach of medical privacy.
Researchers at Duke University conducted a randomized clinical trial in patients with subarachnoid hemorrhage (SAH). In this study, the researchers compared two approaches to intracranial pressure management—continuous and intermittent drainage of cerebrospinal fluid (CSF)—and outcomes associated with those methods, focusing specifically on the incidence of cerebral vasospasm.