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Surgery Blog

Blood Transfusions During Heart Surgery May Up Pneumonia Risk

Posted 1 day 6 hours ago by Drugs.com

TUESDAY, Jan. 27, 2015 – Receiving a blood transfusion during heart bypass surgery may raise a patient's risk of pneumonia, researchers report. "The ability to store and transfuse blood is one of medicine's greatest accomplishments, but we are continuing to see that receiving a blood transfusion may alter a patient's ability to fight infection," Dr. James Edgerton, of The Heart Hospital, Baylor Plano in Texas, said in a Society of Thoracic Surgeons news release. He was not involved in the study. For the current study, investigators looked at data on more than 16,000 patients who had heart bypass surgery. The surgeries took place at 33 U.S. hospitals between 2011 and 2013. Nearly 40 percent of those surgical patients received red blood cell transfusions, the findings showed. Just under 4 percent of the entire group developed pneumonia. People given one or two units of red blood cells ... Read more

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Morphine After Tonsillectomy Tied to Breathing Problems in Study

Posted 2 days 6 hours ago by Drugs.com

MONDAY, Jan. 26, 2015 – Using morphine at home to treat pain in children after tonsil and/or adenoid removal may cause life-threatening respiratory problems, according to a new study. "The evidence here clearly suggests children with obstructive sleep apnea should not be given morphine for postoperative pain. We already know that they should not get codeine either," Dr. Gideon Koren, one of the study's authors and a senior scientist at the Hospital for Sick Children in Toronto, said in a McMaster University news release. "The good news is that we now have evidence that indicates ibuprofen [Motrin, Advil] is safe for these kids, and is just as effective in controlling their pain, so there's a good alternative available for clinicians to prescribe," he added. In recent years, many doctors began prescribing morphine to young tonsillectomy patients after Canadian and U.S. health officials ... Read more

Related support groups: Surgery, Morphine, Tonsillitis/Pharyngitis, MS Contin, Kadian, Avinza, M O S, Roxanol, MSIR, Morphine IR, Statex, Oramorph SR, Morphine Sulfate ER, MS/S, M-Eslon, Morphine Sulfate SR, Morphine LP Epidural, Duramorph, Roxanol-T, Astramorph PF

Preventing Emergency Surgeries Could Save $1 Billion

Posted 29 Dec 2014 by Drugs.com

MONDAY, Dec. 29, 2014 – Strategies to reduce the number of emergency surgeries in the United States could save up to $1 billion in health care costs over a decade, new research suggests. The study also found that surgeries planned ahead of time (elective surgery) are less risky for patients and generally have better outcomes. "The costs of surgical care represent nearly 30 percent of total health care expenditures and they are projected to total more than $900 billion by 2025," study author Dr. Adil Haider, director of the Center for Surgery and Public Health at Brigham and Women's Hospital in Boston, said in a hospital news release. Haider was at the Center for Surgical Trials and Outcomes Research at Johns Hopkins University while conducting the study. "If 10 percent of these emergency surgeries had been performed electively, the cost difference would have been nearly $1 billion over ... Read more

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FDA Medwatch Alert: 0.9 Percent Sodium Chloride Injection USP in 100 mL MINI-BAG PLUS Container by Baxter: Recall - Particulate Matter

Posted 16 Dec 2014 by Drugs.com

ISSUE: Baxter International Inc. initiated a recall in the United States of two lots of 0.9% Sodium Chloride Injection USP in 100 mL MINI-BAG PLUS Container to the hospital/user level. The recall is being initiated as a result of two complaints (one per lot) of particulate matter that was identified as a fragment of the frangible from the vial adapter. The issue was identified upon standard visual inspection prior to patient administration. This recall affects lot numbers P317842 and P317891.   Intravenous administration of a solution containing sterile particulate matter may lead to adverse health consequences. The extent and severity of harm depends on the size, number, and composition of the foreign material, and the patient's underlying medical condition. In the absence of in-line filtration, particles may cause: local vein irritation, inflammatory reaction, aggravation of ... Read more

Related support groups: Surgery, Sodium Chloride, Hyper-Sal, NebuSal, Thermoject, Normal Saline Flush

Patients Given Less Blood During Surgery Do Fine, Study Reports

Posted 12 Dec 2014 by Drugs.com

FRIDAY, Dec. 12, 2014 – Heart disease patients who receive smaller amounts of blood during surgery do as well as those who get more blood, a new study finds. The research included more than 2,000 heart disease patients who were followed for as long as four years after surgery. Half received larger amounts of blood during surgery and half received up to two-thirds less blood. Those who received less blood did not have an increased risk of death from heart disease, cancer or severe infection, according to the findings published online Dec. 9 in The Lancet. "There has been a steady decline in the amount of blood in transfusions given to patients in the past three to five years," study leader Dr. Jeffrey Carson, chief of the internal medicine division at Rutgers University Robert Wood Johnson Medical School, said in a university news release. "I think it is very reassuring that we have ... Read more

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Mastectomy Rates Rising Among Women Eligible for Lumpectomy

Posted 19 Nov 2014 by Drugs.com

WEDNESDAY, Nov. 19, 2014 – When confronted with early stage breast cancer, surgical removal of the tumor alone (lumpectomy) – which conserves the breast – can be a less drastic option than total mastectomy. However, a new study shows that a rising number of early stage breast cancer patients who are eligible for lumpectomy are nonetheless undergoing mastectomy. Researchers led by Dr. Kristy Kummerow, of Vanderbilt University Medical Center in Nashville, tracked data from the National Cancer Data Base. They found that the percentage of early stage breast cancer patients who were eligible for breast conservation surgery but underwent mastectomy rose from just over 34 percent in 1998 to nearly 38 percent in 2011. The largest increases were among patients with lymph node-negative, contained cancers – tumors that did not show evidence of spreading, according to the study published online ... Read more

Related support groups: Surgery, Breast Cancer

3-D Model of Heart May Help Surgeons Fix Defects

Posted 19 Nov 2014 by Drugs.com

WEDNESDAY, Nov. 19, 2014 – Being able to examine a 3-D model of the heart may boost surgeons' ability to treat patients born with complex cardiac defects, a new study suggests. Heart surgeons typically rely on 2-D images taken by X-ray, ultrasound or MRI to plan their surgery on a patient. But these images may not reveal complex structural defects in the heart present at birth, the researchers explained. But now, advances in technology are enabling surgeons to build and print detailed 3-D models of patients' hearts from plaster, ceramic or other materials in order to gain a full understanding of what they'll face during surgery. Researchers used the new technology in treating three patients who were born with complex heart defects. In each case, the 3-D model provided important information that wasn't available from traditional imaging and that influenced how the surgery was performed. ... Read more

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Guidelines Aim to Reduce 2nd Surgeries After Breast Cancer Lumpectomy

Posted 12 Nov 2014 by Drugs.com

WEDNESDAY, Nov. 12, 2014 – In a study of more than 240,000 women who had breast conservation surgery for breast cancer, nearly 25 percent needed a second operation, a new study finds. "There are very few operations where you would expect to have a second surgery," said lead researcher Dr. Lee Wilke, director of the section of surgical oncology at the Breast Cancer Center at the University of Wisconsin School of Medicine and Public Health in Madison. "This is traumatic for women from a psychological standpoint and can result in poorer cosmetic outcomes." Removing all of a tumor is the best way to reduce the odds of it returning, but until recently there hasn't been agreement on how much breast tissue needs to be removed at the edges of a tumor during the breast-conserving procedure, commonly called a lumpectomy. This lack of consensus has led to the high rate of second surgeries, the ... Read more

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Pain, Depression Tied to Delirium Risk After Surgery for Seniors

Posted 11 Nov 2014 by Drugs.com

TUESDAY, Nov. 11, 2014 – Pain and depression before an operation may increase seniors' risk for delirium after surgery, a new study suggests. Rates of delirium after surgery are highest among older patients, occurring in up to 51 percent of those aged 65 and older. Previous research has also shown that depression is a major risk factor for delirium, which is a disoriented state marked by a sharp decrease in attention and mental abilities. This study included 459 patients without dementia, aged 70 and older, who had orthopedic surgery. The patients' pain and depression levels were assessed before surgery. Twenty-three percent of the patients experienced delirium after surgery, the investigators found. Delirium occurred much more often in patients who had depression and pain before surgery, according to the study published recently in The Lancet Psychiatry. Further analyses found that ... Read more

Related support groups: Pain, Depression, Surgery

FDA Medwatch Alert: 10 Percent Neutral Buffered Formalin by Richard-Allan Scientific: Class I Recall - May Contain Incorrect Concentration of Formalin

Posted 31 Oct 2014 by Drugs.com

ISSUE: Richard-Allan Scientific discovered defective products returned from several customers were found to have from 0 percent to 3 percent Formalin content instead of the required 10 percent.  A too-low or too high concentration of Formalin will not properly preserve or can damage tissues. BACKGROUND: This recall was initiated on September 17, 2014 and includes 10 percent Neutral Buffered Formalin manufactured on July 18, 2014 and distributed between July 18 - September 17, 2014.  Richard-Allan Scientific sent an Urgent Medical Device Recall letter dated September 10, 2014 to all customers followed by a second letter dated October 3, 2014 with additional information. RECOMMENDATION: Richard-Allan advises customers/users to: Immediately stop using the defective product. Upon identifying the defective lots, notify Richard-Allan Scientific of the quantity and the preferred d ... Read more

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Spinal Surgery Varies by Region in U.S.: Study

Posted 31 Oct 2014 by Drugs.com

FRIDAY, Oct. 31, 2014 – Surgery for low back pain caused by spinal stenosis varies depending on where in the United States you live, a new report says. "Nearly 80 percent of Americans will experience low back pain at some point in their lives, and about 30 million people a year receive professional medical care for a spine problem," co-author Brook Martin, of the Dartmouth Institute of Health Policy & Clinical Practice, said in a college news release. In spinal stenosis, thickening of tissue surrounding the spine affects the spinal nerves, resulting in pain, according to background information in the study. Treatments include surgery, medication, physical therapy and steroid injections, the study said. The two types of surgery for spinal stenosis are spinal decompression and spinal fusion, according to the researchers, who explain that in spinal decompression, doctors remove the tissue ... Read more

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Very Special Delivery: Unused U.S. Surgical Supplies

Posted 28 Oct 2014 by Drugs.com

TUESDAY, Oct. 28, 2014 – Unused medical supplies from American hospitals could improve the safety of surgeries around the world, a new report says. Certain large academic U.S. medical centers alone produce about 2 million pounds of surplus medical supplies each year, the researchers estimated. "In ORs [operating rooms] throughout the U.S., surgical supplies are often packaged together. Upon being opened, there are commonly excess supplies that remain unused," said Dr. Richard Redett, a report co-author and director of pediatric plastic and reconstructive surgery at Johns Hopkins Cleft Lip and Palate Center. "Those items typically are taken off of the back table before the incision is made, so they're completely sterile and unused," he said in a news release from the Clinical Congress of the American College of Surgeons. The findings are based on the experiences of the Supporting ... Read more

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Brief Interruption of Blood Supply to Limb Might Aid Heart Surgery: Study

Posted 24 Oct 2014 by Drugs.com

FRIDAY, Oct. 24, 2014 – Interrupting blood supply to an arm or a leg before heart surgery may help reduce the risks associated with the surgery, according to a new study. "During heart surgery we have to stop the blood supply to the heart to be able to operate on it. After some time without fresh blood, the heart will reduce its ability to produce energy because it doesn't get oxygen. When we shut off the blood flow to another large muscle, such as an arm or a leg, the body prepares for an upcoming challenge by mobilizing its defense system," said the study's first author, Dr. Katrine Hordnes Slagsvold, a doctoral candidate from the K.G. Jebsen Center for Exercise in Medicine Cardiac Exercise Research Group at the Norwegian University of Science and Technology in Trondheim, Norway, in a university news release. The technique used in the study is called remote ischemic preconditioning ... Read more

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Anesthetic During Breast-Removal Surgery May Reduce Long-Term Pain

Posted 13 Oct 2014 by Drugs.com

MONDAY, Oct. 13, 2014 – Giving a common local anesthetic to women undergoing breast removal surgery – a mastectomy – reduces their risk of persistent pain after the procedure, a new study says. More than two-thirds of mastectomy patients experience chronic pain after surgery, which can significantly affect physical activity, physical and mental health, and quality of life. The pain also increases the risk of depression, sleep problems and use of anti-anxiety drugs, according to the authors of the study. "Unfortunately, chronic pain is a condition that many breast cancer patients endure after mastectomy," said lead author Dr. Mohamed Tiouririne, associate professor of anesthesiology at the University of Virginia. "Our findings indicate that intravenous (IV) lidocaine can protect mastectomy patients from developing chronic pain, possibly due to the anti-inflammatory effects associated ... Read more

Related support groups: Pain, Surgery, Breast Cancer, Lidocaine, Xylocaine, UAD Caine, Anestacaine, Xylocaine Duo-Trach Kit, L-Caine, Xylocaine HCl For Spinal, Lidoject 2, Truxacaine, Dilocaine, DentiPatch, Xylocaine HCl, Lidoject 1, Xylocaine-MPF, Nervocaine

Chewing Gum Before Surgery Safe: Report

Posted 12 Oct 2014 by Drugs.com

SUNDAY, Oct. 12, 2014 – It's safe to chew gum while fasting before surgery, researchers report. Patients are usually told not to eat or drink before surgery to prevent complications while they're under anesthesia, but it wasn't clear if the same was true for chewing gum. This new study included 67 patients who underwent gastrointestinal endoscopic procedures. About half the patients were allowed to chew gum until just before the start of the procedure, with no limit on the amount or type of gum, or duration of chewing. The other patients did not chew gum. The patients who chewed gum had significantly increased volume of fluids in the stomach compared to those who didn't chew gum. But it was still safe to administer sedatives or anesthesia to the patients who chewed gum, according to the study to be presented Sunday at the annual meeting of the American Society of Anesthesiologists, in ... Read more

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Ophthalmic Surgery, Surgical Prophylaxis, Neurosurgery, Head & Neck Surgery, Orthopedic Surgery, Cardiothoracic Surgery, Gastrointestinal Surgery, Postoperative Albumin Loss, Vascular Surgery, Genitourinary Surgical and Other Conditions, Biliary Tract Surgery, Extracorporeal Perfusion