The Financial Implications of Pancreatic Surgery: The Hospital Is the Big Winner, Not the Surgeon! by Nitzan Zohar, MD, Avinoam Nevler, MD, Sean P. Maher, Matthew C. Rosenthal, Florence Williams, Wilbur B. Bowne, MD, FACS, Charles J. Yeo, MD, FACS, Harish Lavu, MD, FACS

“…Charges for the 91-day perioperative period were included. A P < 0.05 was considered significant. …”
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Surgical Treatment for Chronic Pancreatitis: Past, Present, and Future by Stephanie Plagemann, Maria Welte, Jakob R. Izbicki, Kai Bachmann

“…Today, the well-known and standardized procedures are considered as safe due to the high experience of operating surgeons, the centering of pancreatic surgery in specialized centers, and optimized perioperative treatment. Although surgical procedures have become safer and more efficient than ever, the overall perioperative morbidity after pancreatic surgery remains high and management of postoperative complications stagnates. …”
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Epidural Anesthesia for Cesarean Section in a Pregnant Woman with Marfan Syndrome and Dural Ectasia by Franco Pepe, Mariagrazia Stracquadanio, Francesco De Luca, Agata Privitera, Elisabetta Sanalitro, Puccio Scarpinati

“…In these cases, epidural anesthesia may be a particularly useful technique during cesarean delivery because it allows an adequate spread and action of local anesthetic with a controlled onset of anesthesia, analgesia, and sympathetic block and a low risk of perioperative complications. We report the perioperative management of a patient with MFS and dural ectasia who successfully underwent cesarean section using epidural technique anesthesia. …”
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Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism by Hiroe Yoshioka, Haruyuki Yamazaki, Rie Yasumura, Kosuke Wada, Yoshiro Kobayashi

“…We discuss the management of perioperative acidosis in order to achieve successful weaning from mechanical ventilation and promise a complete recovery from anesthesia.…”
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Sedation and Anesthesia Options for Pediatric Patients in the Radiation Oncology Suite by Eric A. Harris

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Direct-acting oral anticoagulant removal by intraoperative hemoadsorption in CABG and/or single valve surgery: interim analysis of the International Safe and Timely Antithrombotic... by Michael Schmoeckel, Matthias Thielmann, Keti Vitanova, Thomas Eberle, Nandor Marczin, Kambiz Hassan, Andreas Liebold, Sandra Lindstedt, Georg Mächler, Marijana Matejic-Spasic, Daniel Wendt, Efthymios N. Deliargyris, Robert F. Storey

“…Abstract Objective Patients on direct-acting oral anticoagulants (DOACs) are at high risk of perioperative bleeding complications. Intraoperative hemoadsorption is a novel strategy to reduce perioperative bleeding in patients on DOACs undergoing non-deferable cardiac surgery. …”
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Surface enzyme-polymerization endows Janus hydrogel tough adhesion and regenerative repair in penetrating orocutaneous fistulas by Ye Ju, Chunyue Ma, Ling Ding, Mingyue Shi, Xia Wang, Dongbei Wu, Qing Wu, Xingjun Qin, Qigang Wang

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Blood Transfusions in Total Hip and Knee Arthroplasty: An Analysis of Outcomes by Thomas Danninger, Rehana Rasul, Jashvant Poeran, Ottokar Stundner, Madhu Mazumdar, Peter M. Fleischut, Lazaros Poultsides, Stavros G. Memtsoudis

“…Various studies have raised concern of worse outcomes in patients receiving blood transfusions perioperatively compared to those who do not. In this study we attempted to determine the proportion of perioperative complications in the orthopedic population attributable to the use of a blood transfusion. …”
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A nomogram for predicting mortality risk in geriatric patients with hip fractures complicated by pneumonia: A multicenter study by Kaiming Zhang, Xiangwei Li, Yujia Xiao, Cheng Zhou, Yu Liu, Fan Zhen, Hao Zhang, Mao Nie

“…Objectives: Pneumonia is a common perioperative complication in geriatric patients with hip fractures. …”
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Historical perspectives supporting the ambitious anesthetist aiming for zero nausea/vomiting: should one trust every consensus statement every time? by Brian A. Williams, Brian A. Williams, Christopher A. Schumacher, Ridhi Choragudi, Kelly E. Garbelotti, John M. Ludden, Daniel E. Hall, Daniel E. Hall, Daniel E. Hall

“…Within the domain of perioperative prophylaxis against postoperative nausea and/or vomiting (PONV), there seems to be (i) a consensus-guided “hard stop” recommendation after four prophylactic anti-emetic medications are utilized, and (ii) an assumption that each of the four “usual” PONV medications/categories produces 25% risk reduction from the “previous baseline”, representing a “law of diminishing returns.” …”
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Assessment of Geriatric Problems and Risk Factors for Delirium in Surgical Medicine: Protocol for Multidisciplinary Prospective Clinical Study by Henriette Louise Möllmann, Eman Alhammadi, Soufian Boulghoudan, Julian Kuhlmann, Anica Mevissen, Philipp Olbrich, Louisa Rahm, Helmut Frohnhofen

“…ObjectiveThis study aimed to determine the frequency and severity of geriatric medical problems in elective patients of the Clinics of Oral and Maxillofacial Surgery, Vascular Surgery, and Orthopedics, General Surgery, and Trauma Surgery, revealing associations with the incidence of perioperative delirium regarding potential risk factors, and recording the long-term effects of geriatric problems and any perioperative delirium that might have developed later the patient’s life. …”
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Preoperative uterine artery embolisation before hysterectomy in women with giant uterine fibroid and HIV-associated nephropathy by Filip Szkodziak, Sławomir Woźniak, Łukasz Światłowski, Emilia Maleszyk, Piotr Szkodziak, Krzysztof Pyra, Viktor Berczi, Tomasz Paszkowski, Tomasz Jargiełło

“…However, surgical treatment in a patient with severe comorbid conditions and giant uterine fibroid carries serious risk of perioperative complications. Pre-operative UAE decreases such risk by reducing blood loss during hysterectomy and shortening operation/anaesthesia time. …”
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LSD and psilocybin for chronic nociplastic pain: A narrative review of the literature supporting the use of classic psychedelic agents in chronic pain by J Van Der Walt, R Parker

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Thoracic Segmental Spinal Anesthesia in Kyphoplasty: A Case Series by Prajnananda Haloi, Rahul Biswas, Ananta Kumar Bora, Dipanjali Mahanta, Dhrubajyoti Choudhury

“…Assessment of the results demonstrated significant perioperative benefits, including stable hemodynamics, enhanced analgesia, and early motor recovery. …”
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Targeted Next-Generation Resequencing of Gene Identifies Novel Multiple Variants Pattern in Severe Hereditary Factor V Deficiency by Piotr K. Janicki, Sonia Vaida, Hamid A. B. AL-Mondhiry

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Gabapentin and Pregabalin for the Treatment of Neuropathic Pain: A Review of Laboratory and Clinical Evidence by Ian Gilron, Sarah JL Flatters

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Differential Susceptibility to Propofol and Ketamine in Primary Cultures of Young and Senesced Astrocytes by Liang Huang, Ferit Tuzer, Abigail Murtha, Michael Green, Claudio Torres, Henry Liu, Shadi Malaeb

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Development of a LASSO machine learning algorithm-based model for postoperative delirium prediction in hepatectomy patients by Yu Zhu, Renrui Liang, Ying Wang, Jian-Jun Yang, Ning Zhou, Cheng-Mao Zhou

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Surgical Results of Anteromedial Plate Osteosynthesis for Diaphyseal Humerus Fracture by Ujjawal Pradhan, S. G. Thejaswi, H. Papa Naik, Sunil Baliga, Nobin Kumar Sharma, Avik Chakravorty

“…The mean operative time was 61.27 ± 10.3 min, and the mean perioperative blood loss was 308 cm3. The mean time for the radiological union was 13.9 weeks. …”
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Percutaneous large-bore mechanical thrombectomy for macroscopic fat pulmonary embolism: a case report by James M. Chan, Zeyad Aljeboori, Angajendra Ghosh, Benjamin Peake, Moira N. Rush, Alexandra Du Guesclin, Hui Yin Lim, Miranda Siemienowicz, Hong Kuan Kok, Goran Mitreski

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