The Boston technique for acute point-of-care single-practitioner fracture stabilization of the lower extremity.
In this report, we describe the novel single-practitioner technique utilized at our institution for acute point-of-care temporizing management of lower extremity fractures. The Boston technique: The patient is placed supine at the edge of the hospital bed. The injured extremity is suspended from an intravenous pole in 45° of hip abduction and 30° of hip flexion. Neutral rotation is adequately maintained due to suspension through the great and second toes, without the need for patient participation. A plaster cast is applied in the usual manner and allowed to dry. Once dry, the cast is bivalved per our standard...
Source: Patient Safety in Surgery - May 24, 2019 Category: Surgery Authors: Parisien RL, McAlpine KJ Tags: Patient Saf Surg Source Type: research

Impact of the surgical modality for axillary lymph node dissection on postoperative drainage and seroma formation after total mastectomy.
Conclusions: The surgical procedure for axillary lymph node dissection should be considered to avoid prolonged fluid discharge, and the lymph vessels should be ligated in axillary lymph node dissection. An ultrasonic dissector was not effective in reducing the total fluid discharge volume. An optimal axillary lymph node dissection technique should be developed. For the patients without drainage, careful postoperative treatment should be given to avoid infectious seroma formation, even for patients who underwent total mastectomy with sentinel lymph node retrieval. PMID: 31114633 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - May 24, 2019 Category: Surgery Authors: Isozaki H, Yamamoto Y, Murakami S, Matsumoto S, Takama T Tags: Patient Saf Surg Source Type: research

Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia.
The objective of this study was to investigate the prevalence of preoperative anxiety and its predictors among adult patients scheduled for elective surgery. Methodology: Institutional based cross sectional study was conducted using interviewer administered structured questionnaire in Yirgalem zonal hospital in Ethiopia from November 1, to December 30, 2018 on 407 patients scheduled for elective surgery. The study included all patients with age greater than 18 years who were undergoing surgery. Patients with known anxiety disorder and unable to communicate were excluded from the study. State and trait anxiety i...
Source: Patient Safety in Surgery - April 24, 2019 Category: Surgery Authors: Bedaso A, Ayalew M Tags: Patient Saf Surg Source Type: research

Surgical management of intramuscular hemangioma of the foot: a case report.
Conclusion: Intramuscular hemangiomas are rare occurrences. Steroid injection and sclerotherapy are effective non-operative methods. Complete excision of isolated hemangioma lesions allows definite diagnosis with no recurrence. PMID: 30962823 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - April 11, 2019 Category: Surgery Authors: Lahrach K, Abdulrazak S, Marzouki A, Boutayeb F Tags: Patient Saf Surg Source Type: research

Breast cancer involvement of the nipple-areola complex and implications for nipple-sparing mastectomies: a retrospective observational study in 137 patients.
Conclusion: The incidence of NAC affection among breast carcinoma patients who underwent mastectomy and axillary clearance was associated with important parameters, such as tumor size, areola edge-tumor distance, lymph node affection, hormonal receptor status and lymphovascular invasion. Accordingly, NAC-preserving surgeries could be tailored to patients with favourable tumor characteristics. PMID: 30923569 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - March 31, 2019 Category: Surgery Authors: Faisal M, Fathy H, Gomaa AMM, Abd-Elzaher H, Ahmed MAH, Sayed MG Tags: Patient Saf Surg Source Type: research

Outcomes after surgical treatment of acetabular fractures: a review.
Abstract Acetabular fractures are fractures that extend into the hip joint and pose a challenge for orthopaedic trauma surgeons. The first known descriptions of surgical fixation of acetabular fractures were case reports in 1943. In 1964, Robert Judet, Jean Judet, and Émile Letournel published a landmark article describing a classification system and surgical approaches to treat acetabular fractures. These teachings had a significant effect on clinical outcomes after surgical fixation of acetabular fractures. In 1980, Letournel demonstrated 80% good-to-excellent results in 492 hips, and in 2012, Joel Matta ...
Source: Patient Safety in Surgery - March 31, 2019 Category: Surgery Authors: Ziran N, Soles GLS, Matta JM Tags: Patient Saf Surg Source Type: research

Correlation of radiographic variables to guide safe implant positioning during acetabular surgery and hip replacement: a retrospective observational study.
Conclusion: There is a weak correlation between AI and medial safe zone. AI should not be used to predict medial safe zone. Due to the weakness in correlation AI is not suited for predicting medial safe zone. However, a low or negative AI can be a warning sign for less medial safe zone, prompting surgeons to take care when reaming in THA or placing periacetabular screws. PMID: 30918530 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - March 29, 2019 Category: Surgery Authors: Tiziani S, Osterhoff G, Campagna JF, Werner CML Tags: Patient Saf Surg Source Type: research

Adherence to the WHO surgical safety checklist: an observational study in a Swiss academic center.
Conclusion: The study illustrates factors, which foster and hinder consistent application of the WHO surgical safety checklist namely individual, procedural and contextual. It also demonstrates that the TTO was consistently and correctly applied, while the unavailability of key OR team members at sign-out time was the most common reason for omission or incomplete use of the TSO. PMID: 30918531 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - March 29, 2019 Category: Surgery Authors: Schwendimann R, Blatter C, Lüthy M, Mohr G, Girard T, Batzer S, Davis E, Hoffmann H Tags: Patient Saf Surg Source Type: research

Adherence to preoperative hand hygiene and sterile gowning technique among consultant surgeons, surgical residents, and nurses: a pilot study at an academic medical center in Indonesia.
Conclusions: The mean score of each group of health personnel in each section showed good results. Comparison of hand hygiene and gowning procedure performance between groups of health personnel did not show significant differences. However, larger scale research is needed after this pilot study. PMID: 30899331 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - March 24, 2019 Category: Surgery Authors: Handaya AY, Werdana VAP Tags: Patient Saf Surg Source Type: research

Inter-observer reliability of alternative diagnostic methods for proximal humerus fractures: a comparison between attending surgeons and orthopedic residents in training.
Conclusions: 3D models can substantially improve diagnostic agreement for proximal humerus fractures evaluation among experts or resident physicians. The holography showed good agreement between the experts and can be a similar option to x-ray and tomography in the evaluation and classification of these fractures. The observers' period of experience did not improve the diagnostic agreement between the image modalities studied. Trial registration: Registered in the Brazil Platform under no. CAAE 88912318.1.0000.5487. PMID: 30899332 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - March 24, 2019 Category: Surgery Authors: Cocco LF, Yazzigi JA, Kawakami EFKI, Alvachian HJF, Dos Reis FB, Luzo MVM Tags: Patient Saf Surg Source Type: research

Incidence, root causes, and outcomes of surgical site infections in a tertiary care hospital in Rwanda: a prospective observational cohort study.
Conclusion: SSI incidence rate was revealed to be within acceptable international ranges. However, multi drug resistance was seen in half of the isolates leaving clinicians with few choices of drugs for the treatment of patients with SSI. Periodic surveillance of bacteria and antibiotic susceptibility coupled with the implementation of strict protocol for antibiotic administration and operative room regulations are important to minimize the burden of SSI with resistant bacteria pathogens. PMID: 30820247 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - March 5, 2019 Category: Surgery Authors: Mukagendaneza MJ, Munyaneza E, Muhawenayo E, Nyirasebura D, Abahuje E, Nyirigira J, Harelimana JD, Muvunyi TZ, Masaisa F, Byiringiro JC, Hategekimana T, Muvunyi CM Tags: Patient Saf Surg Source Type: research

Unusual anatomic variant of the axillary nerve challenging the deltopectoral approach to the shoulder: a case report.
Conclusions: Neurologic lesions are well-documented complications of reverse total shoulder arthroplasty. The integrity of the axillary nerve is of particular importance to reverse total shoulder arthroplasty as it innervates the deltoid and post-operative function of the extremity is dependent upon a functioning deltoid muscle. Extreme care must be taken to avoid insult to the axillary nerve and any aberrant paths it may course around the glenohumeral joint. PMID: 30815032 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - March 1, 2019 Category: Surgery Authors: Pizzo RA, Lynch J, Adams DM, Yoon RS, Liporace FA Tags: Patient Saf Surg Source Type: research

Does the time of day in orthopedic trauma surgery affect mortality and complication rates?
Conclusion: This study observed higher complication and mortality rates for surgery performed after-hours, which correlates with other recent studies. Surgeon fatigue is a potential contributing factor for these increased risks. Other potential factors include surgeon experience, surgery type, and the potential for more severe or emergent injuries occurring after-hours. PMID: 30766615 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - February 16, 2019 Category: Surgery Authors: Halvachizadeh S, Teuber H, Cinelli P, Allemann F, Pape HC, Neuhaus V Tags: Patient Saf Surg Source Type: research

Risk factors for complications and adverse outcomes in polytrauma patients with associated upper extremity injuries.
Abstract Background: In terms of upper extremity fractures by patients with multiple injuires, a lot of studies have assessed the functional outcome following trauma to have less favorable outcomes in regards to functional recovery. We tested the hypothesis that differences in clinical outcome occur between shaft and articular injuries of the upper extremity, when patients that sustained neurologic deficits (e.g. brachial plexus lesions) are excluded. Methods: We involved Patients with isolated or combined upper extremity fracture, ISS > 16 in a level one trauma center. The follow up was at l...
Source: Patient Safety in Surgery - February 12, 2019 Category: Surgery Authors: Allemann F, Heining S, Zelle B, Probst C, Pape HC Tags: Patient Saf Surg Source Type: research

Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Abstract The integration of artificial intelligence (AI) into acute care brings a new source of intellectual thought to the bedside. This offers great potential for synergy between AI systems and the human intellect already delivering care. This much needed help should be embraced, if proven effective. However, there is a risk that the present role of physicians and nurses as the primary arbiters of acute care in hospitals may be overtaken by computers. While many argue that this transition is inevitable, the process of developing a formal plan to prevent the need to pass control of patient care to computers shoul...
Source: Patient Safety in Surgery - February 9, 2019 Category: Surgery Authors: Lynn LA Tags: Patient Saf Surg Source Type: research

Lessons learned for postoperative wound healing: respect the past and embrace the future.
PMID: 30697348 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - February 1, 2019 Category: Surgery Authors: Zelle BA, Stahel PF Tags: Patient Saf Surg Source Type: research

Cognition errors in the treatment course of patients with anastomotic failure after colorectal resection.
Conclusion: Cognitive errors seem to play an important role during surgical therapy of patients with anastomotic failure after colorectal resection. Consequently, we suggest cognitive errors should attract more interest in research as well as attention in clinical practice. PMID: 30679957 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 27, 2019 Category: Surgery Authors: Vogel P, Vogel DHV Tags: Patient Saf Surg Source Type: research

Variability in pelvic packing practices for hemodynamically unstable pelvic fractures at US level 1 trauma centers.
Conclusion: Controversy and varying anecdotal perception regarding safety and effectiveness of PP prevails among trauma medical directors at level 1 trauma centers in the US. PMID: 30675184 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 26, 2019 Category: Surgery Authors: Blondeau B, Orlando A, Jarvis S, Banton K, Berg GM, Patel N, Meinig R, Tanner A, Carrick M, Bar-Or D Tags: Patient Saf Surg Source Type: research

The role of indocyanine green fluoroscopy for intraoperative bile duct visualization during laparoscopic cholecystectomy: an observational cohort study in 70 patients.
Conclusion: Laparoscopic cholecystectomy with real-time indocyanine green fluorescence cholangiography enables a better visualization and identification of biliary tree and therefore should be considered as a means of increasing the safety of laparoscopic cholecystectomy. PMID: 30651756 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 19, 2019 Category: Surgery Authors: Ambe PC, Plambeck J, Fernandez-Jesberg V, Zarras K Tags: Patient Saf Surg Source Type: research

Low-grade infections as a possible cause of arthrofibrosis after total knee arthroplasty.
Conclusion: The hypothesis of low-grade-infection-induced arthrofibrosis after total knee arthroplasty could not be confirmed in this study. However, based on this small study population the conclusion needs to be confirmed by new and larger studies, ideally prospectively designed including a control group. PMID: 30647774 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - January 17, 2019 Category: Surgery Authors: Brückner C, Straube E, Petersen I, Sachse S, Keller P, Layher F, Matziolis G, Spiegl U, Zajonz D, Edel M, Roth A Tags: Patient Saf Surg Source Type: research

Does time of surgery influence the rate of false-negative appendectomies? A retrospective observational study of 274 patients.
Conclusions: This retrospective study suggests that the rate of unknown diagnoses for acute appendicitis increases overnight, potentially reflecting increased numbers of unnecessary procedures being performed off hours due to poorer diagnostic accuracy. Reduced levels of staffing, availability of diagnostic modalities and changes to workforce training may explain this, but further prospective work is required. Potential solutions may include protocolizing the management of common acute surgical conditions and making more use of non-resident on call senior colleagues. PMID: 30564285 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - December 21, 2018 Category: Surgery Authors: Singh K, Wilson MSJ, Coats M Tags: Patient Saf Surg Source Type: research

Safety of selective nonoperative management for blunt splenic trauma: the impact of concomitant injuries.
Abstract Background: Nonoperative management for blunt splenic injury is the preferred treatment. To improve the outcome of selective nonoperative therapy, the current challenge is to identify factors that predict failure. Little is known about the impact of concomitant injury on outcome. Our study has two goals. First, to determine whether concomitant injury affects the safety of selective nonoperative treatment. Secondly we aimed to identify factors that can predict failure. Methods: From our prospective trauma registry we selected all nonoperatively treated adult patients with blunt splenic trauma admitted...
Source: Patient Safety in Surgery - December 8, 2018 Category: Surgery Authors: Teuben MPJ, Spijkerman R, Blokhuis TJ, Pfeifer R, Teuber H, Pape HC, Leenen LPH Tags: Patient Saf Surg Source Type: research

Dexamethasone and postoperative hyperglycemia in diabetics undergoing elective hip or knee arthroplasty: a case control study in 238 patients.
Conclusions: Dexamethasone administration in diabetic patients undergoing primary arthroplasty increases post-operative hyperglycemia during the first 24 and 72 h. While our data did not investigate causation, dexamethasone use in this patient population should be thoughtfully considered, as post-operative hyperglycemia is a known risk factor for complications. PMID: 30410577 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - November 11, 2018 Category: Surgery Authors: O'Connell RS, Clinger BN, Donahue EE, Celi FS, Golladay GJ Tags: Patient Saf Surg Source Type: research

Safety and efficacy of a two-screw cephalomedullary nail for intertrochanteric femur fracture fixation: a retrospective case series in 264 patients.
Discussion: This modified cephalomedullary nail is a reliable, safe, and effective implant for management of intertrochanteric hip fractures. Surgical treatment of patients with intertrochanteric hip fractures can be performed in a safe fashion using this implant. PMID: 30410578 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - November 11, 2018 Category: Surgery Authors: Zelle BA, Webb AJ, Matson C, Morwood M, Dang KH, Ornell SS, Gostigian G, Ramirez CM, Mir H Tags: Patient Saf Surg Source Type: research

Predictors of femoral shortening for pediatric developmental hip dysplasia surgery: an observational study in 435 patients.
Conclusion: In addition to age and superior displacement of the femoral head, male gender is considered to be an independent predictor for needing femoral shortening. Studying the probability of femoral shortening in DDH surgery may optimize family education, operating room preparation, and operative time utilization. Moreover, there appears to be less risk of recurrence when femoral shortening is performed at the cost of higher probability of deep surgical site infection. PMID: 30377448 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - November 1, 2018 Category: Surgery Authors: Alassaf N Tags: Patient Saf Surg Source Type: research

Neuroschistosomiasis mimicking lower back pain: case report of a rare differential diagnosis in a pediatric patient.
Conclusions: This case highlights the increasing prevalence of neuroschistosomiasis in recent years, particularly in patients with a history of travel to endemic regions. Moreover, the study reports the clinicoradiological features of this enigmatic disorder. This rare occurrence potentiates further studies to address unanswered questions about neuroschistosomiasis. PMID: 30323860 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - October 18, 2018 Category: Surgery Authors: Al-Abdulwahhab AH, Al-Sharydah AM, Al-Suhibani SS, Al-Jubran SA, Al-Haidey AK, Al-Hifzi AI, Al-Issawi W Tags: Patient Saf Surg Source Type: research

Intraoperative angioedema induced by angiotensin II receptor blocker: a case report.
Conclusion: The precise mechanism of angiotensin II receptor blocker-induced angioedema is still unknown and should be thoroughly investigated. This report demonstrates a unique case of intraoperative angiotensin II receptor blocker-induced angioedema. Potential differential diagnoses of postoperative facial edema are discussed in detail, including the prolonged prone positioning for posterior spine surgery. Anesthesiologists should be aware of such rare, but potentially dangerous, perioperative adverse reaction that can occur with angiotensin II receptor blockers use. PMID: 30250510 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - September 27, 2018 Category: Surgery Authors: Alhowary AA, Odat H, Alali O, Al-Omari A Tags: Patient Saf Surg Source Type: research

Complications of pelvic and acetabular fractures in 1331 morbidly obese patients (BMI  ≥ 40): a retrospective observational study from the National Trauma Data Bank.
We examined this population and compared their rate of inpatient complications with that of control patients. Methods: We retrospectively reviewed the records of patients treated for closed pelvic ring or acetabular fracture, aged 16-85 years, with Injury Severity Scores ≤15 from the National Trauma Data Bank Research Dataset for the years 2007 through 2010. The primary outcome of interest was rate of in-hospital complications. Secondary outcomes were length of hospital stay and discharge disposition. Unadjusted differences in complication rates were evaluated using Student t tests and Chi-squared analyses. Mu...
Source: Patient Safety in Surgery - September 7, 2018 Category: Surgery Authors: Carson JT, Shah SG, Ortega G, Thamyongkit S, Hasenboehler EA, Shafiq B Tags: Patient Saf Surg Source Type: research

Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study.
Conclusion: Course of the marginal mandibular nerve is complex. If the distance of the incision in the posterior submandibular approach is less than 2 cm from the inferior border of the mandible, there is a high probability of damaging the inferior ramus of the marginal mandibular branch of the facial nerve. PMID: 30159033 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - September 1, 2018 Category: Surgery Authors: Anthony DJ, Oshan Deshanjana Basnayake BM, Mathangasinghe Y, Malalasekera AP Tags: Patient Saf Surg Source Type: research

Intraoperative real-time fluorescence angiography with indocyanine green for evaluation of intestinal viability during surgery for an incarcerated obturator hernia: a case report.
Conclusion: Intraoperative ICG fluorescence angiography provides an objective method of judging bowel perfusion and therefore represents a useful tool for assessing intestinal perfusion in patients with incarcerated hernia. PMID: 30154915 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - August 31, 2018 Category: Surgery Authors: Daskalopoulou D, Kankam J, Plambeck J, Ambe PC, Zarras K Tags: Patient Saf Surg Source Type: research

Incidence and causes of cancellations of elective operation on the intended day of surgery at a tertiary referral academic medical center in Ethiopia.
Conclusion: The cancellation rate in our academic medical center remains high. Improper scheduling, unavailability of surgeons, medical illness, and unavailability of operating room equipment were the commonest reason for the cancellation of elective operation. Most cancellations were preventable. For this, proper preoperative assessment, proper scheduling, fulfilling necessary operating room equipment's and cross-matched blood by the hospital and other stakeholders, early clear communication with operating room team like surgeons was recommended. PMID: 30154916 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - August 31, 2018 Category: Surgery Authors: Desta M, Manaye A, Tefera A, Worku A, Wale A, Mebrat A, Gobena N Tags: Patient Saf Surg Source Type: research

Safety and efficacy of a new thromboprophylaxis regiment for total knee and total hip replacement: a retrospective cohort study in 265 patients.
Conclusion: The regimen consisting of sequential enoxaparin and rivaroxaban is associated with a significant bleeding risk, although the risk of patients requiring a return to theatre is low. Further prospective trials are required to compare the safety and efficacy profiles of this regimen with established thromboprophylaxis regimens. PMID: 30123323 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - August 22, 2018 Category: Surgery Authors: Fallaha MA, Radha S, Patel S Tags: Patient Saf Surg Source Type: research

Transmigration of a retained surgical sponge: a case report.
Conclusion: Despite numerous advances in terms of technology and the ever-growing emphasis on patient safety, the problem of a retained surgical sponge remains a dreaded potential complication. All clinicians and health care professionals should be aware of this entity and its various presentations. PMID: 30127854 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - August 22, 2018 Category: Surgery Authors: Patial T, Rathore N, Thakur A, Thakur D, Sharma K Tags: Patient Saf Surg Source Type: research

Comparison of flow pressures in different 3-way infusion devices: an in-vitro study.
In this study, we aim to determine the pressures generated in common 3-way infusion devices, using simple low-cost equipment available and currently in use in the operating theatre environment. Methods: We compared three different common and commercially available 3-way infusion devices that allowed multiple infusions through one cannula in vitro. One with anti-siphon valves, one without valves, and serial extension sets with side ports connected in series. An invasive blood pressure transducer was used to monitor line pressure. Seven different infusion rates were used to simulate different infusions. Results: 3-...
Source: Patient Safety in Surgery - July 12, 2018 Category: Surgery Authors: Chua J, Ratnavadivel A Tags: Patient Saf Surg Source Type: research

Retained surgical sponges: a descriptive study of 319 occurrences and contributing factors from 2012 to 2017.
Conclusions: Because of the complexity of perioperative patient care, the multitude of contributing factors that are difficult to control, and the potential benefit of radiofrequency sponge detection, we recommend that this technology be considered in areas where surgery is performed and in Labor and Delivery. PMID: 29988638 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - July 12, 2018 Category: Surgery Authors: Steelman VM, Shaw C, Shine L, Hardy-Fairbanks AJ Tags: Patient Saf Surg Source Type: research

An improved technical trick for identification of the thoracodorsal nerve during axillary clearance surgery: a cadaveric dissection study.
Conclusions: The lateral thoracic vein is an accurate guide to the thoracodorsal nerve. We recommend exploring for the thoracodorsal nerve from a point 2 cm from the confluence of the lateral thoracic vein and the axillary vein for a distance of 25 ± 5 mm in a posterolateral direction, at a 540 ± 120 angle to the horizontal plane. PMID: 29983745 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - July 10, 2018 Category: Surgery Authors: Anthony DJ, Basnayake BMOD, Ganga NMG, Mathangasinghe Y, Malalasekera AP Tags: Patient Saf Surg Source Type: research

Development of an emergency general surgery process improvement program.
Conclusion: Overall patient volume and PI events post EGS PI program initiation exceeded those prior to implementation. These data suggest that extending trauma PI principles to EGS may be beneficial in maintaining inter-war military and/or lower volume trauma center readiness. PMID: 29977337 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - July 7, 2018 Category: Surgery Authors: Bradley MJ, Kindvall AT, Humphries AE, Jessie EM, Oh JS, Malone DM, Bailey JA, Perdue PW, Elster EA, Rodriguez CJ Tags: Patient Saf Surg Source Type: research

The grass is not always greener: a multi-institutional pilot study of marijuana use and acute pain management following traumatic injury.
Abstract Background: Widespread legislative efforts to legalize marijuana have increased the prevalence of marijuana use and abuse. The effects of marijuana on pain tolerance and analgesic pain management in the acute pain setting have not been reported. Although marijuana has been shown to have antinociceptive effects and is approved for medical use to treat chronic pain, anecdotal evidence suggests marijuana users admitted with traumatic injuries experience poorer pain control than patients who do not use marijuana. We hypothesized that marijuana users would report higher pain scores and require more opioid anal...
Source: Patient Safety in Surgery - June 29, 2018 Category: Surgery Authors: Salottolo K, Peck L, Tanner Ii A, Carrick MM, Madayag R, McGuire E, Bar-Or D Tags: Patient Saf Surg Source Type: research

Incidence of early postoperative complications requiring surgical revision for recurrent lumbar disc herniation after spinal surgery: a retrospective observational study of 9,310 patients from the German Spine Register.
Conclusions: The rate of early recurrent LDH within days of surgery is 1.2%. Age seems to be an important factor in early recurrent LDH while obesity does not. The data of the German Spine Register seems to have a reliable data collection system that can perform multicentre data analysis. The databases from this Register could be used in the future for various purposes, such as the evaluation of multicentre surgical techniques, results in patients with various surgical procedures and basic research in spine surgery. PMID: 29942349 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - June 27, 2018 Category: Surgery Authors: Vinas-Rios JM, Sanchez-Aguilar M, Medina Govea FA, Von Beeg-Moreno V, Meyer F, DWG Registry-group Tags: Patient Saf Surg Source Type: research

Use of reprocessed external fixators in orthopaedic surgery: a survey of 243 orthopaedic trauma surgeons.
Conclusions: Many orthopaedic traumatologists are interested in the reprocessing of EF components but few have reprocessing systems in place at their institutions. A major barrier to implementation is concern about litigation, which is likely unwarranted on the basis of Food and Drug Administration approval and a lack of previous litigation. Reprocessing by the original device manufacturers has yielded substantial savings at our institution and is an example of the cost savings that can be expected when implementing an EF reprocessing system. PMID: 29930708 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - June 23, 2018 Category: Surgery Authors: Thamyongkit S, Bachabi M, Thompson JM, Shafiq B, Hasenboehler EA Tags: Patient Saf Surg Source Type: research

Intra-articular injection of the anti-inflammatory compound LMWF-5A in adults with severe osteoarthritis: a double-blind prospective randomized controlled multi-center safety and efficacy trial.
This study evaluated the safety and efficacy of LMWF-5A for the signs and symptoms of OAK. Methods: This 12-week randomized, double-blind, controlled clinical trial was conducted at thirteen sites across the United States. Patients with symptomatic, severe OAK (Kellgren-Lawrence grade 4 disease) who were fully ambulatory and had no other conditions interfering with the study knee were randomized to a single 4 ml intra-articular injection of LMWF-5A or saline, randomized 6:1. The primary endpoint was Outcome Measures in Rheumatology-Osteoarthritis Research Society International (OMERACT-OARSI) responder rate (%), ...
Source: Patient Safety in Surgery - June 20, 2018 Category: Surgery Authors: Salottolo K, Cole B, Bar-Or D Tags: Patient Saf Surg Source Type: research

Assessment of attitudes towards future implementation of the "Surgical Risk Preoperative Assessment System" (SURPAS) tool: a pilot survey among patients, surgeons, and hospital administrators.
Conclusions: Systematically capturing data from the beginning of the implementation process from key stakeholders (patients, surgical providers, clinical staff, and administrators) that includes adaptations to the tool and implementation process will help to inform pragmatic approaches for implementing the SURPAS tool in various settings, scaling-up, and sustaining it. PMID: 29881458 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - June 10, 2018 Category: Surgery Authors: Lambert-Kerzner A, Ford KL, Hammermeister KE, Henderson WG, Bronsert MR, Meguid RA Tags: Patient Saf Surg Source Type: research

Incidence of total knee replacement subsequent to intra-articular injection of the anti-inflammatory compound LMWF-5A versus saline: a long-term follow-up study to a randomized controlled trial.
Conclusion: This study demonstrates significant delays in TKR for patients with severe osteoarthritis treated with LMWF-5A, suggesting that LMWF-5A has the potential to provide structure modifying/preserving therapy in this population. PMID: 29881459 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - June 10, 2018 Category: Surgery Authors: Schwappach J, Schultz J, Salottolo K, Bar-Or D Tags: Patient Saf Surg Source Type: research

The diagnostic value of 99m-Tc GSA scintigraphy for liver function and remnant liver volume in hepatic surgery: a retrospective observational cohort study in 27 patients.
Abstract Background: The aim was to analyze hepatic hypertrophy after portal vein embolization (PVE) and Associating Liver Partition with Portal vein ligation for Staged hepatectomy (ALPPS) to determine whether clinical circumstances associated with major hepatic resections correlated with remnant growth. Methods: Data was abstracted from a retrospectively maintained database on 27 patients undergoing hepatic resection followed by PVE and the ALPPS procedure between October 1, 2007 and December 31, 2016. The increasing rate of liver volume and remnant liver LU15 was defined as the percentage-point difference ...
Source: Patient Safety in Surgery - June 10, 2018 Category: Surgery Authors: Chiba N, Yokozuka K, Ochiai S, Gunji T, Okihara M, Sano T, Tomita K, Tsutsui R, Kawachi S Tags: Patient Saf Surg Source Type: research

A novel technique of harmonic tissue dissection reduces seroma formation after modified radical mastectomy compared to conventional electrocautery: a single-blind randomized controlled trial.
Abstract Background: Seroma is the most frequent postoperative complication following breast cancer surgery. Our aim was to evaluate the effect of the harmonic focus scalpel versus electrocautery in reducing seroma formation post-mastectomy and axillary clearance. Methods: A prospective randomized controlled trial study was conducted at the Department of Surgery of Suez Canal University Hospital from April 26th 2014 to 30th June 2016. Seventy-two women, in whom a mastectomy and axillary clearance for breast cancer were performed, were randomly allocated to either harmonic dissection (n = 36) or el...
Source: Patient Safety in Surgery - May 30, 2018 Category: Surgery Authors: Faisal M, Fathy H, Shaban H, Abuelela ST, Marie A, Khaled I Tags: Patient Saf Surg Source Type: research

Predictors of hydrocephalus as a complication of non-traumatic subarachnoid hemorrhage: a retrospective observational cohort study in 107 patients.
Abstract Background: The predictors of shunt dependency such as amount of subarachnoid blood, acute hydrocephalus (HC), mode of aneurysm repair, clinical grade at admission and cerebro spinal fluid (CSF) drainage in excess of 1500 ml during the 1st week after the subarachnoid hemorrhage (SAH) have been identified as predictors of shunt dependency. Therefore our main objective is to identify predictors of CSF shunt dependency following non-traumatic subarachnoid hemorrhage. Methods: We performed a retrospective study including patients from January 1st 2012 to September 30th 2014 between 16 and 89 ye...
Source: Patient Safety in Surgery - May 30, 2018 Category: Surgery Authors: Vinas Rios JM, Sanchez-Aguilar M, Kretschmer T, Heinen C, Medina Govea FA, Jose Juan SR, Schmidt T Tags: Patient Saf Surg Source Type: research

Mechanical failure of a femoral lengthening nail: a case report.
Conclusion: Post-operative protocol and weight-bearing status should be further researched and standardized after re-evaluating the mechanical stiffness of the intramedullary nail construct. PMID: 29743955 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - May 11, 2018 Category: Surgery Authors: Wu W, Kuhn KM Tags: Patient Saf Surg Source Type: research

Self-assessment of surgical ward crisis management using video replay augmented with stress biofeedback.
Conclusion: Self-assessment using an objective self-assessment tool alongside video replay augmented with stress biofeedback is feasible in a simulated setting and well liked by participants. PMID: 29713382 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - May 3, 2018 Category: Surgery Authors: Normahani P, Makwana N, von Rosenberg W, Syed S, Mandic DP, Goverdovsky V, Standfield NJ, Jaffer U Tags: Patient Saf Surg Source Type: research

Assessment of postoperative complications using E-PASS and APACHE II in patients undergoing oral and maxillofacial surgery.
Abstract Background: The prediction of postoperative complications is important for oral and maxillofacial surgeons. We herein aimed to evaluate the efficacy of the Estimation of Physiologic Ability and Surgical Stress (E-PASS) and Acute Physiology, Age, and Chronic Health Evaluation (APACHE) II scoring systems to predict postoperative complications in patients undergoing oral and maxillofacial surgery. Methods: Thirty patients (22 males, 8 females; mean age: 65.1 ± 12.9 years) who underwent major oral surgeries and stayed in the intensive care unit for postoperative management were ...
Source: Patient Safety in Surgery - April 11, 2018 Category: Surgery Authors: Ishihata K, Kakihana Y, Yoshimura T, Murakami J, Toyodome S, Hijioka H, Nozoe E, Nakamura N Tags: Patient Saf Surg Source Type: research

Non-retrieval of  inferior vena cava filters as a patient safety concern: evaluation of a new process improvement project to increase retrieval rates in a vascular and interventional radiology clinic.
Conclusions: This low-cost intervention significantly increased retrieval rates in a single clinic. However, retrieval rates remain low and can be further improved. Ongoing interventions, including improved patient follow-up and physician education, are being implemented to further improve retrieval and use of inferior vena cava filters. Implanting clinics should implement quality improvement initiatives to improve patient care and follow-up with IVCFs to ensure retrievals occur once clinically relevant in order to minimize long-term complications. PMID: 29560028 [PubMed] (Source: Patient Safety in Surgery)
Source: Patient Safety in Surgery - March 24, 2018 Category: Surgery Authors: Brown J, Talbert J, Pennington R, Han Q, Raissi D Tags: Patient Saf Surg Source Type: research