Articles Tagged With: surgery
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Surgeon Who Erred with Liver Suspended in Second State
The surgeon whose license was suspended in Florida for a shocking medical error has had his license suspended in Alabama for that and other incidents.
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Infectious Disease Updates
Is Your Hospital Bed Contaminated? The Surgical Skin Prep Debate Thickens
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Ethical Considerations with DNR Orders and Anesthesia Care
Because many elements of anesthesia care constitute “resuscitation” in other settings, patients presenting for surgery with do-not-resuscitate orders or other directives limiting treatment pose some unique ethical challenges.
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Ethical Concerns with Large Language Models in Surgery
Large language models (LLMs) in surgery have the potential to enhance decision-making, documentation, and patient engagement. However, the body of literature addressing the ethical concerns of applying LLMs in surgical settings is relatively limited.
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Extreme Surgical Error Shows Never Events Still Happen
A stunning surgical error in Florida is a reminder that never events still can happen and underscores the importance of a hospital culture that encourages clinicians to speak up when they suspect something is wrong.
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Ethical Informed Consent if Resident Is Involved in Surgery
Given conflicting opinions about disclosing trainee participation in surgery, Nhon Le, MD, and colleagues developed an ethical framework to guide surgeons in disclosing resident involvement during the informed consent process.
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Ethical Decision-Making for High-Risk Surgical Patients
High-risk patients present some unique ethical considerations for surgeons. One issue is that surgeons are under increasing pressure to meet quality metrics, but high-risk patients are more likely to have adverse outcomes. That can result in lower metrics — and, possibly, less reimbursement.
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Do We Need to Stop Renin-Angiotensin Inhibition Before Non-Cardiac Surgery?
A randomized study of stopping vs. continuing renin-angiotensin system inhibitors prior to elective non-cardiac surgery in older patients did not decrease the incidence of myocardial injury and may have increased the incidence of hypertensive adverse events.
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Post-Operative Delirium May Involve Altered Brain Glucose Metabolism
Post-operative delirium is a major health problem that occurs in about half of older patients who undergo surgery with general anesthesia. This prospective study from Norway of patients undergoing emergency hip repair surgery demonstrated from spinal fluid analysis that patients with delirium have abnormalities in brain glucose uptake and metabolism and have an early shift to ketosis in the spinal fluid.
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Telesurgery Poses Unique Ethical Considerations
The cutting-edge field of telesurgery holds promise for improved patient outcomes, but there also are significant ethical considerations.