July 2011 Briefing - Anesthesiology

Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for July 2011. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Smoking Tied to Increase in Post-Arthroplasty Complications

WEDNESDAY, July 27 (HealthDay News) -- Pre-operative smoking status is a significant predictor of 30-day postoperative complications and mortality at one year in patients undergoing elective primary total knee replacement or primary total hip replacement surgery (TKR/THR), according to a study published online July 18 in Arthritis Care & Research.

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HCC Surgery Depends on Race, Socioeconomics, Hospital Type

FRIDAY, July 22 (HealthDay News) -- Only a small proportion of patients with hepatocellular carcinoma (HCC) undergo surgical treatment, which varies significantly with race, socioeconomic status, and type of hospital, according to a study published in the July issue of the Archives of Surgery.

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Liver Resection Score IDs Susceptibility to Complications

THURSDAY, July 21 (HealthDay News) -- A score to predict morbidity in liver resections helps identify which patients are most susceptible to complications, according to a study published online July 18 in the Archives of Surgery.

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Decrease in Rate of Surgical Adverse Events in VHA Centers

THURSDAY, July 21 (HealthDay News) -- The rate of adverse events for surgical procedures and harm in the Veterans Health Administration (VHA) system decreased from 2006 to 2009 while reported close calls increased, according to a study published online July 18 in the Archives of Surgery.

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Medical Students Support Right to Conscientious Objection

THURSDAY, July 21 (HealthDay News) -- Nearly half of medical students in the United Kingdom, especially Muslims, believe in the right of doctors to conscientiously object to or refuse any procedure, according to a study published online July 18 in the Journal of Medical Ethics.

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Surgeons Constitute Risk Factor for Infection After Colon Surgery

WEDNESDAY, July 20 (HealthDay News) -- Surgeons are found to constitute a risk factor for surgical site infections (SSI) in patients undergoing colon surgery, independent of other factors linked to the patient, the procedure, or the hospital where the intervention took place, according to a study published online July 18 in the Archives of Surgery.

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Timely Surgery in Traumatic Brain Injury Halves Death Rate

THURSDAY, July 14 (HealthDay News) -- For patients with traumatic brain injury (TBI), shorter time from emergency department (ED) arrival to surgery significantly lowers mortality and length of hospital stay (LOS), according to a study published in the July issue of the Journal of Emergency Nursing.

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Obesity Tied to Higher Risk of Breast Surgery Complications

THURSDAY, July 7 (HealthDay News) -- Obesity is associated with a significantly higher risk of complications following breast surgery, according to a study published online June 9 in Plastic and Reconstructive Surgery.

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Nurses' Calls Decrease Day-of-Surgery Cancellations

THURSDAY, July 7 (HealthDay News) -- Nurse-to-patient telephone calls three days prior to scheduled surgery result in a significant decrease in the daily cancellation rate, increased patient satisfaction scores, and increased operating room use, according to a study published in the July issue of the AORN Journal.

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Blood Pressure Variability Tied to Heart Surgery Mortality

FRIDAY, July 1 (HealthDay News) -- Variations in perioperative blood pressure are associated with 30-day mortality in cardiac surgical patients, with increased mortality risks for high-risk than low-risk patients, according to a study published in the July issue of Anesthesia & Analgesia.

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Physician's Briefing