- Increasing adoption of risk calculators to assess operative risks
- Use of regional anesthesia approaches to decrease narcotic usage
- Impact of ERAS pathways on approaches to perioperative management
Latest Updates
- Increasing adoption of risk calculators to assess operative risks
- Use of regional anesthesia approaches to decrease narcotic usage
- Impact of ERAS pathways on approaches to perioperative management
Antiepileptic and Antidepressant Drugs Used in the Treatment of Pain
- Gabapentinoids
- Antiepileptic and antidepressant drugs used in pain therapy: approved indications and off-label use
- Antiepileptic drugs used as adjuvant analgesics in the perioperative period
ENDOSCOPIC TECHNIQUES FOR OBTAINING ENTERAL ACCESS
- DPEJ tubes should be considered when percutaneous endoscopic gastrostomy (PEG) tubes are not feasible or are contraindicated.
- Postpyloric feeding (percutaneous gastrostomy with a jejunal extension or direct percutaneous jejunostomy should be considered in severely ill patients (especially those with an APACHE II score over 20).
- In patients with dementia, PEG tube placement does not enhance mortality, prevent aspiration pneumonia, improve nutritional status, or improve quality of life.
Pathologic Evaluation of Soft Tissue Sarcoma
- Concepts of pathologic examination and grading
- Important diagnostic criteria for each soft tissue sarcoma
- Latest molecular diagnostic methods used in the diagnosis of sarcomas
Child Abuse and Nonaccidental Trauma
- Abusive injuries account for over 1% of pediatric emergency department visits.
- Skeletal survey should now be obtained in any child under age 3 with concern for abusive injury.
- Cardiopulmonary resuscitation does not lead to significant rib fractures or retinal hemorrhages, and these conditions should be considered highly concerning for abusive injury.
Extent of Gastrectomy and Lymphadenectomy for Gastric Adenocarcinoma
- The eighth edition of the AJCC Cancer Staging Manual now includes prognostic information for clinical TNM staging and post–neoadjuvant therapy staging.
- A D2 lymphadenectomy is frequently recommended as the nodal dissection of choice for locally advanced gastric adenocarcinoma.
- Laparoscopy-assisted operations are associated with improved overall morbidity and comparable lymph node yield.
Parenteral Nutrition–Associated Liver Toxicity: Prevention, Diagnosis, and Management
- Fish oil–based lipid emulsions may be efficacious in the treatment of parenteral nutrition–associated liver disease (PNALD).
- Lipid reduction (e.g., to 1 g/kg/day) does not decrease the incidence of PNALD but does slow its progression.
- Patients whose cholestasis reverses with fish oil therapy or achievement of enteral autonomy may have stable rather than progressive cirrhosis and should not be transplanted based on biopsy alone.
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