2023
3D printed pedicle screw guides reduce the rate of intraoperative screw revision in adolescent idiopathic scoliosis surgery
Jeong S, Yang A, Dhodapkar M, Jabbouri S, Jonnalagadda A, Tuason D. 3D printed pedicle screw guides reduce the rate of intraoperative screw revision in adolescent idiopathic scoliosis surgery. The Spine Journal 2023, 23: 1894-1899. PMID: 37553024, DOI: 10.1016/j.spinee.2023.08.001.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisRevision rateOperative timeFreehand techniquePedicle screwsPosterior spinal instrumented fusionAdolescent idiopathic scoliosis surgeryIntraoperative screw revisionsLength of surgerySpinal instrumented fusionSingle academic centerTotal operative timeTotal revision rateIdiopathic scoliosis surgeryHigher revision rateYears of agePedicle screw fixationIntraoperative revision rateScrew placement accuracySecondary outcomesPatient demographicsPatients 10Instrumented fusionIntraoperative measuresRetrospective study
2022
Prospective analysis of home narcotic consumption and management of excess narcotic prescription following adolescent idiopathic scoliosis surgery
Garcia-Muñoz J, Elblein C, David W, Elaydi A, Tuason D. Prospective analysis of home narcotic consumption and management of excess narcotic prescription following adolescent idiopathic scoliosis surgery. Spine Deformity 2022, 11: 651-656. PMID: 36583832, DOI: 10.1007/s43390-022-00637-y.Peer-Reviewed Original ResearchConceptsPosterior spinal fusionAdolescent idiopathic scoliosisNarcotic useSpinal fusionIdiopathic scoliosisLow-use groupAdolescent idiopathic scoliosis surgeryMethodsFollowing institutional review board approvalIntraoperative blood lossPostoperative clinic visitsLength of surgeryInstitutional review board approvalLength of hospitalizationIdiopathic scoliosis surgeryPatient demographic dataReview board approvalHigh-use groupNarcotic dosesNarcotic intakeUnused narcoticsNarcotic usagePain scoresNarcotic prescriptionsBlood lossChart reviewThree-dimensional printing versus freehand surgical techniques in the surgical management of adolescent idiopathic spinal deformity
McLaughlin WM, Donnelley CA, Yu K, Gillinov SM, Tuason DA. Three-dimensional printing versus freehand surgical techniques in the surgical management of adolescent idiopathic spinal deformity. Journal Of Spine Surgery 2022, 0: 0-0. PMID: 35875617, PMCID: PMC9263733, DOI: 10.21037/jss-22-28.Peer-Reviewed Original ResearchScrew placement timeIntraoperative blood lossAdolescent idiopathic scoliosisBlood lossMultivariate analysisFreehand techniqueScrew placementImplant costsPlacement timeSagittal curve correctionRetrospective cohort studyLength of surgeryHigher implant costsSurgical residentsSignificant differencesPedicle screw placementTotal implant costsHospital stayIdiopathic spinal deformityPostoperative hospitalizationPerioperative dataCohort studyPatient ageSurgical treatmentSurgical management
2021
Surgical strategies for older patients with glioblastoma
Barak T, Vetsa S, Nadar A, Jin L, Gupte TP, Fomchenko EI, Miyagishima DF, Yalcin K, Vasandani S, Gorelick E, Zhao AY, Antonios J, Theriault BC, Lifton N, Marianayagam N, Omay B, Omay ZE, Huttner A, McGuone D, Blondin NA, Corbin Z, Fulbright RK, Moliterno J. Surgical strategies for older patients with glioblastoma. Journal Of Neuro-Oncology 2021, 155: 255-264. PMID: 34626296, PMCID: PMC8651607, DOI: 10.1007/s11060-021-03862-z.Peer-Reviewed Original ResearchConceptsKarnofsky performance scoreLength of surgeryOlder patientsOverall survivalPostoperative complicationsSurgical resectionSurgical strategyLow preoperative KPS scorePoor Karnofsky performance scoreLow Karnofsky performance scoreYale-New Haven HospitalPostoperative adjuvant treatmentPreoperative KPS scoreAdjuvant treatment regimensExtent of resectionNew Haven HospitalUse of ioMRIAdjuvant treatmentHospital stayKPS scoreMethodsClinical dataConsecutive patientsPrognostic factorsTreatment regimensExperienced handsA Two-Surgeon Approach Improves Performance for Young Surgeons in Adolescent Idiopathic Scoliosis.
Bassett W, Caruso C, Adolfsen S, McPartland T, Bowe JA, Tuason D. A Two-Surgeon Approach Improves Performance for Young Surgeons in Adolescent Idiopathic Scoliosis. Orthopedics 2021, 44: e347-e352. PMID: 34039196, DOI: 10.3928/01477447-20210414-05.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisPercent curve correctionBlood lossCurve correctionPrimary surgeonSurgeon groupIdiopathic scoliosisExperienced surgeon groupLength of surgerySurgical blood lossLength of staySignificant shorter lengthSignificant differencesTwo-surgeon approachOperative timePrimary diagnosisSurgeon experienceIS groupExperienced surgeonsSurgeryInexperienced surgeonsLenke classificationSurgeonsSurgical metricsStay
2020
Intraoperative Cardiac Arrest During Adult Liver Transplantation: Incidence and Risk Factor Analysis From 7 Academic Centers in the United States.
Smith N, Zerillo J, Kim S, Efune G, Wang C, Pai S, Chadha R, Kor T, Wetzel D, Hall M, Burton K, Fukazawa K, Hill B, Spad M, Wax D, Lin H, Liu X, Odeh J, Torsher L, Kindscher J, Mandell M, Sakai T, DeMaria S. Intraoperative Cardiac Arrest During Adult Liver Transplantation: Incidence and Risk Factor Analysis From 7 Academic Centers in the United States. Anesthesia & Analgesia 2020, 132: 130-139. PMID: 32167977, DOI: 10.1213/ane.0000000000004734.Peer-Reviewed Original ResearchConceptsIntraoperative cardiac arrestIncidence of intraoperative cardiac arrestBody mass indexOrthotopic liver transplantationPostreperfusion syndromeLiver transplantationRisk factorsIntraoperative mortalityCardiac arrestAdult liver transplant recipientsMulticenter retrospective cohortLength of surgeryAssociated with body mass indexSingle-center studyLiver transplant recipientsLiving donorsAdult liver transplantationIntraoperative mortality rateIdentified new risk factorsMultivariate regression analysisNew risk factorsIdentified risk factorsRisk factor analysisTransplant recipientsMELD scoreGeographic Variation in Outcomes and Costs After Spinal Fusion for Adolescent Idiopathic Scoliosis
Koo AB, Elsamadicy AA, Kundishora AJ, David WB, Lee M, Hong CS, Lee V, Kahle KT, DiLuna M. Geographic Variation in Outcomes and Costs After Spinal Fusion for Adolescent Idiopathic Scoliosis. World Neurosurgery 2020, 136: e347-e354. PMID: 31917315, DOI: 10.1016/j.wneu.2019.12.175.Peer-Reviewed Original ResearchConceptsAdolescent idiopathic scoliosisLength of surgeryAdolescent patientsSpinal fusionIdiopathic scoliosisMultilevel posterior spinal fusionHealth care resource utilizationGreater complication ratePosterior spinal fusionPosterior spinal surgeryPostoperative complicationsComplication ratePrimary outcomeAIS patientsSpinal surgeryPatientsSurgeryAdmissionRegional variationComplicationsFurther studiesOutcomesCohortScoliosisTotal cost
2019
Association of Preoperative Frailty With Intraoperative Hemodynamic Instability and Postoperative Mortality
James L, Levin M, Lin H, Deiner S. Association of Preoperative Frailty With Intraoperative Hemodynamic Instability and Postoperative Mortality. Anesthesia & Analgesia 2019, Publish Ahead of Print: &na;. PMID: 31094800, DOI: 10.1213/ane.0000000000004085.Peer-Reviewed Original ResearchConceptsMean arterial pressureIntraoperative hemodynamic variablesPerioperative mortalityAbsolute change >Hemodynamic variablesAssociation of preoperative frailtyAmerican Society of Anesthesiologists classSingle-center retrospective studyAssociated with perioperative mortalityBody mass index <Intraoperative blood pressure variationsAssociated with increased mortalityIntraoperative hemodynamic instabilityLength of surgeryIntact autonomic nervous systemAssociated with mortalityAssociated with >Marker of frailtyDecreased physiologic reserveAutonomic nervous systemFrailty conditionsPostoperative mortalityHemodynamic instabilityRelationship of frailtyAutonomic dysfunction
2006
Intra-operative Fluid Volume Influences Postoperative Nausea and Vomiting after Laparoscopic Gastric Bypass Surgery
Schuster R, Alami RS, Curet MJ, Paulraj N, Morton JM, Brodsky JB, Brock-Utne JG, Lemmens HJ. Intra-operative Fluid Volume Influences Postoperative Nausea and Vomiting after Laparoscopic Gastric Bypass Surgery. Obesity Surgery 2006, 16: 848-851. PMID: 16839481, DOI: 10.1381/096089206777822197.Peer-Reviewed Original ResearchConceptsPostanesthesia care unitBody mass indexMorbid obesityPostoperative nauseaPerioperative dataLaparoscopic gastric bypass surgeryIntra-operative fluidsIncidence of PONVGastric bypass surgeryLength of surgeryRate of administrationLaparoscopic RYGBGastric bypassLaparoscopic RouxBypass surgeryCommon complicationUrine outputCare unitMass indexSimilar patientsIntravenous fluidsFluid replacementPONVRetrospective analysisPatients
2004
Obtaining Parotid Saliva Specimens after Major Surgery
Good M, Wotman S, Anderson G, Ahn S, Cong X. Obtaining Parotid Saliva Specimens after Major Surgery. Biological Research For Nursing 2004, 6: 110-116. PMID: 15388908, PMCID: PMC1201528, DOI: 10.1177/1099800404264735.Peer-Reviewed Original ResearchConceptsDry mouthPostoperative patientsParotid saliva specimensOpioid side effectsLength of surgeryPostoperative day 2Statistically significant correlationTrained research nursesAbdominal surgeryMajor surgeryParotid glandSaliva specimensAntihypertensive medicationsSaliva productionSide effectsDay 2Hospital dischargePatientsSurgeryBiological markersSalivaSaliva variablesTime pointsParotidOpioid
2002
The Value of Splenic Preservation With Distal Pancreatectomy
Shoup M, Brennan M, McWhite K, Leung D, Klimstra D, Conlon K. The Value of Splenic Preservation With Distal Pancreatectomy. JAMA Surgery 2002, 137: 164-168. PMID: 11822953, DOI: 10.1001/archsurg.137.2.164.Peer-Reviewed Original ResearchConceptsLow-grade malignant diseasePerioperative infectious complicationsLength of hospital stayDistal pancreatectomyMalignant diseaseSplenic preservationInfectious complicationsPerioperative complicationsSevere complicationsHospital stayAssociated with decreased perioperative morbidityLength of postoperative stayLength of surgeryDatabase of patientsOverall survival timeUnits of bloodGroup of patientsOrgan resectionPostoperative stayPerioperative morbidityPerioperative mortalityRetrospective reviewSplenectomy groupSplenectomyPancreatectomy
1996
Cardiac Risk of Noncardiac Surgery in Patients with Asymmetric Septal Hypertrophy
Haering M, Comunale M, Parker R, Lowenstein E, Douglas P, Krumholz H, Manning W. Cardiac Risk of Noncardiac Surgery in Patients with Asymmetric Septal Hypertrophy. Anesthesiology 1996, 85: 254-259. PMID: 8712439, DOI: 10.1097/00000542-199608000-00005.Peer-Reviewed Original ResearchConceptsAdverse cardiac eventsAsymmetric septal hypertrophyAdverse perioperative cardiac eventsPerioperative cardiac eventsCongestive heart failureCardiac eventsNoncardiac surgerySeptal hypertrophyHeart failureMajor surgeryCardiac riskMyocardial infarctionImportant independent risk factorOutflow tract gradientPercent of patientsDuration of surgeryIndependent risk factorLength of surgerySystolic anterior motionPrior myocardial infarctionCoronary artery diseaseType of anesthesiaAnterior mitral leafletEmergent cardioversionTract gradient
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