Latest & greatest articles for surgery

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Top results for surgery

1. Effect of Intraoperative Dexamethasone on Major Complications and Mortality Among Infants Undergoing Cardiac Surgery: The DECISION Randomized Clinical Trial. (Abstract)

Effect of Intraoperative Dexamethasone on Major Complications and Mortality Among Infants Undergoing Cardiac Surgery: The DECISION Randomized Clinical Trial. Corticosteroids are widely used in pediatric cardiac surgery to blunt systemic inflammatory response and to reduce complications; nevertheless, their clinical efficacy is uncertain.To determine whether intraoperative administration of dexamethasone is more effective than placebo for reducing major complications and mortality during (...) pediatric cardiac surgery.The Intraoperative Dexamethasone in Pediatric Cardiac Surgery was an investigator-initiated, double-blind, multicenter randomized trial that involved 4 centers in China, Brazil, and Russia. A total of 394 infants younger than 12 months, undergoing cardiac surgery with cardiopulmonary bypass were enrolled from December 2015 to October 2018, with follow-up completed in November 2018.The dexamethasone group (n = 194) received 1 mg/kg of dexamethasone; the control group (n = 200

2020 JAMA

2. Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery: Part Two

Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery: Part Two 1 Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery Part Two Future of Otolaryngology Task Force: Gavin Setzen, MD (Chair), Samantha Anne, MD, Eugene G. Brown III, MD, James C. Denneny III, MD, Marc G. Dubin, MD, Stacey L. Ishman, MD, MPH, Ronald B. Kuppersmith, MD, MBA, and, Richard V. Smith, MD. INTRODUCTION While this document will address many important concerns, the environment (...) the following categories: • Emergent: There is an immediate impact on survival. • Urgent: There is potential for permanent harm or permanent worsening of the medical condition if the procedure or surgery is not performed in a timely manner (two weeks) OR there is potential for exacerbations of pain, and/or chronic/acute medical conditions resulting in additional urgent/emergency care or inpatient care. • Time-sensitive: Significant temporary impairment of ability to work or perform essential activities

2020 American Academy of Otolaryngology - Head and Neck Surgery

3. Investigating the Effect of Perioperative Chlorzoxazone on Acute Postoperative Pain After Total Hip and Knee Replacement Surgery

Investigating the Effect of Perioperative Chlorzoxazone on Acute Postoperative Pain After Total Hip and Knee Replacement Surgery Investigating the Effect of Perioperative Chlorzoxazone on Acute Postoperative Pain After Total Hip and Knee Replacement Surgery - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes (...) Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Clin J Pain Actions . 2020 May;36(5):352-358. doi: 10.1097/AJP.0000000000000805. Investigating the Effect of Perioperative Chlorzoxazone on Acute Postoperative Pain After Total Hip and Knee Replacement Surgery , , , , , , , Affiliations Expand Affiliations 1 Department of Health Science and Technology, Center for Sensory-Motor Interaction (SMI). 2 Orthopaedic Research Unit

2020 EvidenceUpdates

4. Preoperative Chemoradiotherapy Versus Immediate Surgery for Resectable and Borderline Resectable Pancreatic Cancer: Results of the Dutch Randomized Phase III PREOPANC Trial

Preoperative Chemoradiotherapy Versus Immediate Surgery for Resectable and Borderline Resectable Pancreatic Cancer: Results of the Dutch Randomized Phase III PREOPANC Trial Preoperative Chemoradiotherapy Versus Immediate Surgery for Resectable and Borderline Resectable Pancreatic Cancer: Results of the Dutch Randomized Phase III PREOPANC Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History (...) a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation J Clin Oncol Actions . 2020 Jun 1;38(16):1763-1773. doi: 10.1200/JCO.19.02274. Epub 2020 Feb 27. Preoperative Chemoradiotherapy Versus Immediate Surgery for Resectable and Borderline Resectable Pancreatic Cancer: Results of the Dutch Randomized Phase III PREOPANC Trial

2020 EvidenceUpdates

5. ACS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic

ACS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic ACS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic Developed by the leaders within the ACS Cancer Programs (American Joint Committee on Cancer [AJCC], Clinical Research Program [CRP], Commission on Cancer [COC], National (...) on elective surgery, and during the recovery phase when, no doubt, bans will be lifted and backlogs of patients will need urgent attention. While most among us would not consider cancer surgery as elective, some cancer operations are more urgent than others, and this document helps to provide some guidance on prioritization strategies that may be helpful. As before, we fully appreciate that nothing takes the place of sound medical judgment and that local conditions and resources will dictate how and when

2020 American College of Surgeons

6. Kicking on while it’s still kicking off - getting surgery and anaesthesia restarted after COVID-19

Kicking on while it’s still kicking off - getting surgery and anaesthesia restarted after COVID-19 This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/anae.15128 This article is protected by copyright. All rights reserved Editorial Kicking on while it’s still (...) kicking off – getting surgery and anaesthesia restarted after COVID-19 T.M. Cook 1 and W. Harrop-Griffiths 2 1 Consultant, Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, and Honorary Professor of Anaesthesia, University of Bristol, Bristol. 2 Professor, Imperial College, London and Consultant, Department of Anaesthesia, Imperial College Healthcare NHS Trust, London Corresponding author: T Cook Email for correspondence: timcook007

2020 ICM Anaesthesia COVID-19

7. Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations Full Text available with Trip Pro

Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS ® ) Society Recommendations | SpringerLink Search Search SpringerLink Search Help us understand how you use our websites. Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS ® (...) ) Society Recommendations , , , , , , , , , , , , , , , , , , , , & ( 2020 ) 1933 Accesses 1 Citations 28 Altmetric Abstract Background Enhanced Recovery After Surgery (ERAS ® ) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved outcomes in multiple adult surgical specialties. There are currently no pediatric ERAS ® Society guidelines. We created an ERAS ® guideline designed to enhance quality of care in neonatal intestinal resection surgery. Methods

2020 ERAS Society

8. Management of essential cancer surgery for adults during the coronavirus pandemic

Management of essential cancer surgery for adults during the coronavirus pandemic A NHS England clinical guide for the management of essential cancer surgery for adults during the coronavirus pandemic: applicable to NHSScotland? HIS Evidence were asked whether the recommendations in the following guidance are evidence based, practical and not in conflict with other advice? Academy of Medical Royal Colleges and NHS England (7 April 2020) Clinical guide for the management of essential cancer (...) surgery for adults during the coronavirus pandemic. URL: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/04/C0239-Specialty- guide-Essential-Cancer-surgery-and-coronavirus-v1-70420.pdf (referred to in this note as NHS England guidance) In order to answer this question, a list of COVID-19 evidence sources was searched. Where similar guidance was identified (from the UK and internationally), the recommendations were noted and compared. The results are detailed in Table 1

2020 Covid-19 Ad hoc papers

9. What is the added clinical value of preoperative brain natriuretic peptide (BNP/NTproBNP) in predicting post-operative cardiac complications in patients undergoing noncardiac surgery across the MUHC RUIS?

What is the added clinical value of preoperative brain natriuretic peptide (BNP/NTproBNP) in predicting post-operative cardiac complications in patients undergoing noncardiac surgery across the MUHC RUIS? Report available at https://muhc.ca/tau Technology Assessment Unit of the McGill University Health Centre (MUHC) What is the added clinical value of pre- operative brain natriuretic peptide (BNP/NT- proBNP) in predicting post-operative cardiac complications in patients undergoing non- cardiac (...) surgery across the MUHC RUIS? Report number: 83 DATE: April 1 st , 2020 Report available at https://muhc.ca/tau Report prepared for the Technology Assessment Unit (TAU) of the McGill University Health Centre (MUHC) by Nisha Almeida and Nandini Dendukuri Approved by the Committee of the TAU on April 1 st , 2020 TAU Committee Andre Bonnici, James Brophy, Nandini Dendukuri, Rona Fleming, Todd Lee, Nancy Mayo, Emily McDonald, Maurice McGregor, Carlos Noriega, Kit Racette, Alyson Turner Suggested citation

2020 McGill TAU reports

10. Managing theatre processes for planned surgery between COVID-19 surges

Managing theatre processes for planned surgery between COVID-19 surges 9 June 2020 | icmanaesthesiacovid-19.org 1 Endorsed by Managing theatre processes for planned surgery between COVID-19 surges Tim Cook, Kathleen Ferguson, Helgi Johannsson and William Harrop-Griffiths Context As we emerge from the first pandemic surge, there is a widespread desire to restart planned surgery using patient pathways that seek to minimise COVID-19 risk to patients and healthcare workers (HCWs). Some hospitals (...) are using colour-coded pathways but, since there is no standardised NHS nomenclature for these pathways, we will simply refer to emergency (unplanned) surgery pathways and planned surgery pathways. This document focuses on planned surgery pathways. Purpose We are aware that there is marked uncertainty amongst operating theatre team members as to which infection prevention and control precautions should be taken when treating screened patients in planned surgical pathways. This applies in particular

2020 ICM Anaesthesia COVID-19

11. Quarantining patients prior to elective surgery during COVID-19

Quarantining patients prior to elective surgery during COVID-19 Evidence Snapshot Quarantining patients prior to elective surgery during COVID-19 Sax Institute | Evidence Snapshot: Quarantining patients prior to elective surgery during COVID-19 2 An Evidence Snapshot brokered by the Sax Institute for the Australian Commission on Safety and Quality in Health Care. April 2020. This report was prepared by: Gabriel Moore, Sian Rudge and Brydie Jameson. April 2020. © Sax Institute 2020 This work (...) 9500 Suggested Citation: Moore G, Rudge S, Jameson B. Quarantining patients prior to elective surgery during COVID-19: an Evidence Snapshot brokered by the Sax Institute (www.saxinstitute.org.au) for the Australian Commission on Safety and Quality in Health Care, 2020. Disclaimer: This Evidence Snapshot was produced using the Evidence Snapshot methodology in response to specific questions from the commissioning agency. It is not necessarily a comprehensive review of all literature relating

2020 Sax Institute Evidence Check

12. Clinical Outcomes of Robotic Surgery Compared to Conventional Surgical Approaches (Laparoscopic or Open): A Systematic Overview of Reviews

Clinical Outcomes of Robotic Surgery Compared to Conventional Surgical Approaches (Laparoscopic or Open): A Systematic Overview of Reviews Clinical Outcomes of Robotic Surgery Compared to Conventional Surgical Approaches (Laparoscopic or Open): A Systematic Overview of Reviews - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable (...) Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Ann Surg Actions . 2020 May 8. doi: 10.1097/SLA.0000000000003915. Online ahead of print. Clinical Outcomes of Robotic Surgery Compared to Conventional Surgical Approaches (Laparoscopic or Open): A Systematic Overview of Reviews , , , , , , , Affiliations Expand Affiliations 1 Division of General Surgery, Department of Surgery University of Toronto, Toronto

2020 EvidenceUpdates

13. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Full Text available with Trip Pro

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection.This international, multicentre (...) , cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation.This analysis includes 1128 patients who had surgery between

2020 Lancet

14. Adding NT-proBNP to the Revised Cardiac Risk Index improved prediction of CV events after noncardiac surgery. (Abstract)

Adding NT-proBNP to the Revised Cardiac Risk Index improved prediction of CV events after noncardiac surgery. Duceppe E, Patel A, Chan MTV, et al. Preoperative N-terminal pro-B-type natriuretic peptide and cardiovascular events after noncardiac surgery: a cohort study. Ann Intern Med. 2020;172:96-104. 31869834.

2020 Annals of Internal Medicine

15. Rivaroxaban or Enoxaparin in Nonmajor Orthopedic Surgery. (Abstract)

Rivaroxaban or Enoxaparin in Nonmajor Orthopedic Surgery. Nonmajor orthopedic surgery of the lower limbs that results in transient reduced mobility places patients at risk for venous thromboembolism. Rivaroxaban may be noninferior to enoxaparin with regard to the prevention of major venous thromboembolism in these patients.In this international, parallel-group, randomized, double-blind, noninferiority trial, we randomly assigned adult patients undergoing lower-limb nonmajor orthopedic surgery (...) in the prevention of venous thromboembolic events during a period of immobilization after nonmajor orthopedic surgery of the lower limbs. (Funded by Centre Hospitalier Universitaire de Saint-Etienne and Bayer; PRONOMOS ClinicalTrials.gov number, NCT02401594.).Copyright © 2020 Massachusetts Medical Society.

2020 NEJM

16. Effect of Surgery vs Functional Bracing on Functional Outcome Among Patients With Closed Displaced Humeral Shaft Fractures: The FISH Randomized Clinical Trial. (Abstract)

Effect of Surgery vs Functional Bracing on Functional Outcome Among Patients With Closed Displaced Humeral Shaft Fractures: The FISH Randomized Clinical Trial. Humeral shaft fractures traditionally have been treated nonsurgically, but there has been a steady increase in the rate of surgery over the past 2 decades without high-quality evidence to justify the trend.To compare the effectiveness of surgical treatment with open reduction and internal plate fixation to nonsurgical treatment (...) the trial. Thirteen (30%) of the patients assigned to functional bracing underwent surgery during the 12-month follow-up period to promote healing of the fracture. At 12 months, the mean DASH score was 8.9 (95% CI, 4.2 to 13.6) in the surgery group and 12.0 (95% CI, 7.7 to 16.4) in the bracing group (between-group difference, -3.1 points; 95% CI, -9.6 to 3.3; P = .34). Eleven patients (25%) allocated to functional bracing developed fracture nonunion. Three patients (8%) allocated to surgery developed

2020 JAMA

17. Restarting planned surgery in the context of the COVID-19 pandemic

Restarting planned surgery in the context of the COVID-19 pandemic 1 May 2020 | icmanaesthesiacovid-19.org | 1 Restarting planned surgery in the context of the COVID-19 pandemic A strategy document from the Royal College of Anaesthetists, Association of Anaesthetists, Intensive Care Society and Faculty of Intensive Care Medicine Background As a logical and necessary part of the country’s response to the COVID-19 pandemic, elective surgery was suspended throughout the NHS to liberate staff (...) and capacity for patients requiring hospital admission for treatment of COVID-19 and its complications. The Government’s approach to the management of the pandemic has reached the point at which we are seeing a decline in hospital admissions, critical care bed occupancy and deaths from COVID-19. This enables the NHS to consider how best to resume planned surgical activity. While there is considerable concern over the potentially severe impact of COVID-19 on patients who have undergone surgery

2020 ICM Anaesthesia COVID-19

18. Covid-19: Local Resumption of Elective Surgery Guidance

Covid-19: Local Resumption of Elective Surgery Guidance Local Resumption of Elective Surgery Guidance Enter Keyword Enter Keyword Local Resumption of Elective Surgery Guidance Local Resumption of Elective Surgery Guidance Online April 17, 2020 Introduction In order to focus local resources on managing the new coronavirus (COVID-19) pandemic, “elective” surgery has been largely postponed and stopped. As the COVID-19 rates have already reached their peaks, or will do so over the next week or two (...) capabilities (e.g., beds, testing, operating rooms [ORs]) as well as potential constraints (e.g., workforce, supply chain), while keeping an eye on potential subsequent waves of COVID-19 will continue to be important. Within the categories of I. COVID-19 Awareness, II. Preparedness, III. Patient Issues, and IV. Delivery of Safe High-Quality Care , there are 10 distinct issues to be addressed locally before elective surgery may be safely reinstituted. Evaluating and addressing each of these 10 issues

2020 American College of Surgeons

19. Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons Full Text available with Trip Pro

Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons - Canadian Journal of Cardiology Go search Powered By Mendeley Share on Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons Ansar Hassan Affiliations New Brunswick Heart Center (...) , Dalhousie University, Saint John, New Brunswick, Canada Rakesh C. Arora Affiliations Max Rady College of Medicine, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada Corey Adams Affiliations Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada Denis Bouchard Affiliations Montréal Heart Institute, Department of Surgery, University of Montréal, Montréal, Québec, Canada Richard Cook Affiliations St. Paul’s Hospital, Department of Surgery, University

2020 Canadian Cardiovascular Society

20. Immunosuppression and the risk of readmission and mortality in patients with rheumatoid arthritis undergoing hip fracture, abdominopelvic and cardiac surgery

Immunosuppression and the risk of readmission and mortality in patients with rheumatoid arthritis undergoing hip fracture, abdominopelvic and cardiac surgery Immunosuppression and the Risk of Readmission and Mortality in Patients With Rheumatoid Arthritis Undergoing Hip Fracture, Abdominopelvic and Cardiac Surgery - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced (...) citation management software Create file Cancel Actions Cite Share Permalink Copy Page navigation Ann Rheum Dis Actions . 2020 May;79(5):573-580. doi: 10.1136/annrheumdis-2019-216802. Epub 2020 Mar 24. Immunosuppression and the Risk of Readmission and Mortality in Patients With Rheumatoid Arthritis Undergoing Hip Fracture, Abdominopelvic and Cardiac Surgery , , , , , , , , Affiliations Expand Affiliations 1 Rheumatology and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA

2020 EvidenceUpdates