Articles Tagged With: surgery
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Informed Consent Considerations if Surgeon Delegates Portion of Operation
Surgeons should be clear there will be other providers in the OR, and that some elements of the operation — not the critical portion the attending has to manage, but other elements — can be delegated to a qualified member of the surgical team. However, the primary attending surgeon’s personal responsibility for the safety and the welfare of the patient cannot be delegated.
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Thrombolysis vs. Surgery for Thrombosed Mechanical Prosthetic Valves
A study of patients with obstructive prosthetic valve thrombosis that deployed low-dose, slow infusion thrombolysis or surgery using shared decision-making, showed thrombolysis was highly effective and resulted in fewer major complications than surgery.
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Comparison of Treatments Highlights Poor Outcomes for TAVR Patients with Infective Endocarditis
In this analysis of a large registry of transcatheter aortic valve replacement patients with confirmed endocarditis, most were treated with antibiotics without surgery. In-hospital and one-year mortality rates were high and were not much better in patients who underwent surgery.
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Informed Consent Challenges with High-Risk Surgery
There appears to be room for improvement when it comes to surgeons talking with patients about shared decision-making and providing specifics about quality of life after procedures.
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What’s the Best Way to Fix ‘Leaky’ Heart Valves?
Researchers scrutinized common surgical techniques.
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Antibiotics for Appendicitis, Revisited
One year later, researchers present updated data that strengthen the alternative to surgery approach.
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Does Music Lower Preoperative Anxiety in Pelvic Reconstructive Surgery Patients?
Listening to music may lower preoperative anxiety in patients undergoing pelvic reconstructive surgery.
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The Difficulty of Showing Benefit of Cerebral Protection Devices During TAVR
In this trial of cerebral protection in transcatheter aortic valve replacement, the TriGUARD device was safe vs. historical controls, but failed to meet its primary efficacy endpoint. -
Important Lessons About Edge-to-Edge Repair
This analysis of mitral surgery after failed transcatheter edge-to-edge repair demonstrates high rates of valve replacement as opposed to repair. Surgical mortality was higher than predicted but was significantly lower in high-volume centers. -
The Unique Characteristics of Surgical Consults
Ethics consults called by surgical specialties differ somewhat from consults called by other hospital specialties.