NEW YORK (Reuters Health) – In patients undergoing non-cardiac surgery under general anesthesia, intraoperative mean arterial pressure (MAP) of less than 55 mm Hg is associated with increased risk of postoperative delirium within 30 days of surgery, according to a new study. And the longer hypotension lasted, the greater the odds of delirium, Dr. Matthias […]
Stenting and surgery have similar effects on stroke in patients with severe carotid artery stenosis
Carotid artery surgery and stenting have comparable long-term effects on fatal or disabling stroke in asymptomatic patients with severe carotid artery stenosis. That's the finding of late breaking research presented in a Hot Line session today at ESC Congress 2021 and published simultaneously in The Lancet. Patients with severe carotid artery stenosis are at elevated […]
Most Orthopedic Joint Surgery Lacks Scientific Justification
A meta-analysis of the 10 most common orthopedic procedures shows that most lack firm scientific support, according to British researchers. In some cases, they are not any better than doing nothing, according to the study, which was published in The BMJ. The group conducted an umbrella survey of patients who had 10 disorders. Participants were […]
Without major changes, gender parity in orthopaedic surgery will take two centuries
At the current rate of change, it will take more than 200 years for the proportion of women in orthopedic surgery to reach parity with the overall medical profession, according to a study in Clinical Orthopedics and Related Research (CORR), a publication of The Association of Bone and Joint Surgeons. “Substantive changes must be made […]
New website helps children and parents to prepare for hospital stays, anesthesia and surgery
Every year, millions of children around the world are admitted to hospital for having anesthesia and surgery. Many of them experience preoperative anxiety which negatively affects both their hospital experience and medical outcome, as well as their future relationships with healthcare services from both a short-term and long-term point of view. Image Credit: Anaesthesia Web […]
Presurgical Nivo/Chemo Boosts pCR Rates in NSCLC
Patients with resectable non–small cell lung cancer (NSCLC) often receive treatment before they undergo surgery. For such patients who achieve a pathologic complete response (pCR), the chances of survival are improved. However, only a small percentage of patients achieve a pCR with neoadjuvant chemotherapy alone. Adding the immune checkpoint inhibitor nivolumab (Opdivo) to platinum-doublet chemotherapy […]
FDA: Time to Move Away From Using Decontaminated Respirators
Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center. The US Food and Drug Administration (FDA) today recommended that healthcare facilities cut back on the use of strategies for conserving capacity that have been in effect during the COVID-19 crisis, such as decontaminating disposable respirators for reuse. The National Institute […]
Cavity shave margin resection reduces the rate of positive margins in patients with DCIS
According to the American Cancer Society, a noninvasive breast cancer called ductal carcinoma in situ (DCIS) accounts for approximately one of every four new breast cancer cases in the United States. If left untreated, DCIS has the potential to evolve into invasive cancer, so many patients choose to have breast-conserving surgery or mastectomy after a […]
Bariatric Surgery Tied to Reduced Breast Cancer Risk, Earlier Diagnosis
(Reuters Health) – Women with obesity who undergo bariatric surgery may have a lower risk of breast cancer and get diagnosed at earlier stages when they do develop these malignancies, a recent meta-analysis and systematic review suggests. Researchers examined data from 11 studies with a total of 1,106,939 women with obesity, including 105,295 women (9.5%) […]
The Real Reason You Might Suddenly Want Plastic Surgery During The Pandemic
During the pandemic, most of us have adopted Zoom calls rather than in-person meetings, and one unexpected side effect (outside of all the surprise cats on the screen and kids yelling in the background) is that many of us are staring at our own faces for more hours a day than we normally would be. […]