A well-written, brief, pessimistic editorial on the loss of surgeon autonomy in innovation.
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Medical technology
February 21, 2018
February 18, 2018
An interesting article describing the interface between medical 3D printing and art. It briefly outlines current and future applications, and it also describes constraints to the use of this technology.
January 26, 2018
A clear message (although no causation is proven) regarding an important patient-centered research question, going bravely against the tide.
January 22, 2018
A model analysis of a phase I surgical device trial. The readable editorial discusses the adoption of surgical innovation on the occasion of a harmonic sealing device for pulmonary resections, highlighting the problem of ligating small branches of the pulmonary artery in confined spaces.
January 18, 2018
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
January 8, 2018
A very brief editorial on frailty as a risk factor. In the time of weighing transcatheter interventions versus variable access surgical options, quantifying this physiological concept is of major importance for the cardiac teams and, importantly, the autonomy of the patient.
January 2, 2018
A sobering editorial, read last May at the AATS, that discusses at length the ethics of ventricular assist as a super expensive therapy seen from the principle of fairness.
December 28, 2017
Using a simulated out-of-hospital cardiac arrest scenario, the authors compared the time from an emergency call to resource deployment and arrival for drone-delivered automatic external defibrillator (AED) and ground vehicle-based emergency medical services (EMS). Mean time to dispatch was 3 sec for the drone and 3 min for EMS. Over a median flight
May 11, 2017
I was moved by this editorial on global health matters in a daily British newspaper by an academic medical colleague, written in response to anticipated changes in the leadership of the World Health Organisation. It is perhaps time for us surgeons to augment our administrative participation in global healthcare.
August 18, 2016
In a discussion filmed at the 2016 STS Annual Meeting in Phoenix, Arizona, a group of experts discuss the ethics of testing new medical devices in developing countries.