Surgery/Specialties Editor's Note A new measure for assessing the body’s response to painful stimuli during surgery may allow for better anesthesia management, less pain when regaining consciousness, and better postoperative outcomes, this study finds. The measure, called the nociception (pain) level index, uses an algorithm to process multiple hormonal and neurological…
Editor's Note A new long-acting cardioplegia solution resulted in better outcomes for pediatric cardiac surgery patients in this study, presented May 16 at the annual meeting of the American Association for Thoracic Surgery in Baltimore. Researchers randomized 100 pediatric patients to the new Del Nido solution or the conventional St…
Editor's Note Autonomous robotic surgery performed by the Smart Tissue Autonomous Robot (STAR) may help healthcare providers improve outcomes and efficiency, while reducing errors, finds this study. STAR integrates a robotic arm, suturing device, and imaging capabilities. Surgeons tested STAR against manual, laparoscopic, and robot-assisted surgery for porcine intestinal anastomoses…
Editor's Note In a new study, military surgeons are proposing a new education and training paradigm that will benefit them and their patients in both military and civilian practice environments, the American College of Surgeons reports. Military surgeons face a unique challenge in that they serve as a “jack-of-all trades”…
Editor's Note The use of moderate sedation leads to better outcomes than general anesthesia for patients having transcatheter aortic valve replacement (TAVR), finds a study presented May 6 at the Society for Cardiovascular Angiography and Interventions annual meeting in Orlando, Florida. Of 10,997 patients included in the study, 1,737 received…
Editor's Note A simple arm test that uses a wearable technology can rapidly and accurately identify physiological frailty in older adults facing surgery, finds this study. Researchers developed a 20-second upper arm extension test (ie, upper extremity frailty [UEF] system) to assess biomarkers of frailty, such as slowness of motion,…
Editor's Note The Joint Commission on April 27 announced that Thomas Jefferson University Hospital, Philadelphia, is the first hospital in the US to achieve its Advanced Certification for Total Hip and Total Knee Replacement. The certification recognizes that Thomas Jefferson University Hospital is committed to providing safe and efficient care…
Editor's Note Seven emergency general surgery procedures account for about 80% of all admissions, deaths, complications, and inpatient costs, this study finds. The seven procedures are: partial colectomy small bowel resection cholecystectomy operative management of peptic ulcer disease lysis of peritoneal adhesions appendectomy laparotomy. These seven procedures represent the greatest…
Editor's Note In intermediate-risk patients, outcomes (ie, death from any cause or disabling stroke) of transcatheter aortic-valve replacement (TAVR) were similar to conventional open aortic-valve replacement, this study finds. The study involved 2,032 patients: 1,011 were randomized to TAVR and 1,021 to open surgery. Previous studies have shown that survival rates…
Editor's Note Hand and arm surgical procedures can be completed safely in the outpatient setting at a freestanding ambulatory surgery center (ASC), this study finds. In this retrospective review of nearly 29,000 cases performed at a freestanding ASC over an 11-year period, there were 58 adverse events, for an overall…
