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Tag: Surgery: Misc.

Prescription size is associated with increased new persistent opioid use among patients after cardiothoracic surgery

Rx Size Predicts Persistent Opioid Use After Cardiothoracic Surgery

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Patients prescribed more than 450 oral morphine equivalents have more new persistent opioid use
Mechanical and oral antibiotic bowel preparation does not reduce surgical site infections or the overall morbidity of colon surgery versus no bowel preparation

Mechanical, Oral Antibiotic Bowel Prep Yields No Benefit for Colectomy

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Authors urge reconsideration of recommendations for these types of bowel preps for elective colectomy
Seven percent of older patients undergoing inpatient

Periop Covert Stroke ID’d in 7 Percent of Older Surgery Patients

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Perioperative covert stroke tied to increased risk for cognitive decline one year after surgery
Radial artery catheterization is an alternative approach to performing a wide range of neuroendovascular procedures and has a low rate of complications

Radial Artery Access Used for Neuroendovascular Procedures

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Data examined from 233 consecutive cases performed via transradial access at a single institution
A reduction in postoperative opioid prescription size was observed following release of evidence-based opioid prescribing guidelines in Michigan

Postoperative Opioid Rx Size Down After Guideline Release

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No change seen in satisfaction or pain scores despite reductions in prescription size, opioid use
The time to first postoperative bowel movement after elective laparoscopic colorectal resection is shorter in those drinking coffee versus noncaffeinated tea

Coffee May Speed Up Recovery of Function After Bowel Surgery

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Time to first postoperative bowel movement and length of hospital stay shorter in coffee drinkers
Only two-thirds of all health care providers are fully adherent to surgical guidelines for risk-reducing salpingo-oophorectomy

Adherence to Surgical Guidelines Low for Salpingo-Oophorectomy

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Gynecologic oncologists more likely to fully adhere to surgical protocol than ob-gyns
Unused pharmaceutical products during phacoemulsification result in relatively high financial and environmental costs

Unused Pharmaceuticals Common After Cataract Surgery

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Study shows both financial, environmental costs to unused pharmaceuticals across surgical sites
For children undergoing tonsillectomy

No Evidence for Benefits of Opioids After Pediatric Tonsillectomy

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Perioperative opioid fills linked to risk of return visit for constipation but not pain, dehydration or hemorrhage
Major surgery is associated with a small

Major Surgery Linked to Lasting Change in Cognitive Trajectory

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Major surgery on average tied to additional decline equivalent to less than five months of cognitive aging