The authors describe a clinical unit developed at their institution designed to implement "nudges" to help improve health care delivery, primarily through the EMR. "Nudges" have been used to shape other behaviors, such as offering opt-out (rather than opt-in) for organ donor status to encourage increased organ donation. The concept was described
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Thoracic
January 18, 2018
The authors summarize the rationale and utility of point of care ultrasonography for identifying factors associated with hypotension or hypoxia in a deteriorating surgical patient, including hypovolemia, LV dysfunction, PE, pleural fluid, ascites, etc. Their claim is that a variety of other diagnostic measures are less accurate, and that a single ul
January 17, 2018
Find it here: The First International Conference on Sublobar Resections for Lung Cancer.
January 15, 2018
In this video-based article, Sarsam and colleagues demonstrate the use of continuous barbed sutures in four robotic procedures, two wedge bronchoplasties and two sleeve bronchoplasties.
January 15, 2018
This video demonstrates the key steps of a right upper microlobectomy. The authors have performed microlobectomy for the last three years and the results of their experience were published in 2017.
January 13, 2018
The authors studied survival in patients with multiple lung cancers and their associated genetic mutations. There was 90% discordance in driver mutations beween cancers in individual patients that was associated with favorable survival. The two patients in whom condordance was present suffered recurrent cancer.
January 13, 2018
Interesting research/opinion piece about how the introduction of robots has forced a change in surgical training, with some residents gaining skill through a process of "shadow learning."
January 12, 2018
The authors summarizes a personal experience with 529 patients undergoing VATS operations under local anesthesia and sedation. No nerve block, epidural, laryngeal mask airway, or endotracheal intubation was used. Indications were lung nodule, hemothorax, empyema, pleural effusion, pericardial effusion, chylothorax, etc. There was one unsuccessful
January 11, 2018
Christian Etz of the Herzzentrum Leipzig in Germany discusses spinal cord protection during thoracoabdominal aortic procedures.
January 10, 2018
In his presidential address at the 2017 STSA Annual Meeting, David R. Jones discusses the importance of expertise in thoracic surgery.