Articles Tagged With: surgery
-
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.
-
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.
-
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.
-
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.
-
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.
-
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.
-
Telesurgery Poses Unique Ethical Considerations
The cutting-edge field of telesurgery holds promise for improved patient outcomes, but there also are significant ethical considerations.
-
Surgeons May Need Additional Ethical Guidance
There is an evolving recognition of surgical ethics as a distinct branch of medical ethics — and an integral part of surgical practice itself.
-
Risk-Reducing Surgery and Quality of Life for Patients with Breast and Ovarian Cancer
Risk-reducing mastectomy (RRM) and risk-reducing salpingo-oophorectomy (RRSO) for patients at high risk of breast and ovarian cancer led to decreased cancer-related distress, unaffected health-related quality of life, poorer body image after RRM, and decreased sexual function and increased menopause symptoms after RRSO.
-
Inappropriate Antibiotic Prescribing Is Common for Elective Surgeries
A retrospective cohort study of adults who underwent an elective craniotomy, hip replacement, knee replacement, spinal procedure, or hernia repair revealed only 59% adhered to recommended guidelines on prophylactic antibiotic prescribing. Unnecessary vancomycin use was the most common reason for nonadherence and had 19 times higher risk for acute kidney injury.