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Study: Patients may not benefit from sedatives prior to surgery
Medical News Today
Prior to undergoing a surgical procedure, many patients are prescribed sedatives to help reduce stress and anxiety before and after surgery. But a new study published in JAMA has questioned the benefits of these sedatives after finding they may not improve patients' experience and may even do more harm than good.
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Register for a Pre-PA Meeting!
Westchester County, New York
March 15 — 11 a.m. - 2 p.m.
New York Medical College Auditorium
Valhalla, Westchester County, New York
Total Registration Fee: $50
Note: You must be pre-registered to attend! Seating limited to first 100 registrants!

Click here to register!
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2015 AASPA CME Meeting & Surgical Update
We hope you will join us Oct. 1 – 4, 2015 at the Hilton Suites Chicago/Magnificent Mile, Chicago, Illinois, for our 15th Annual AASPA CME Meeting.

Join fellow surgical PAs, PA educators, PA students, pre-PA students and surgical industry leaders at the 15th Annual Surgical CME, preceding the Annual Clinical Congress of the American College of Surgeons!

This exciting, hands-on surgical meeting will be held at the fabulous Hilton Suites Chicago in the heart of incredible Chicago.

If you are looking for a qualified surgical PA, this is the ideal venue to fill that position. For industry exhibitors looking for "high touch face time" with surgical PAs, this is the ideal meeting for you!

Register now for the 2015 FCCS — Fundamental Critical Care Support
Management principles for the first 24 hours of critical care. Two-day course — 16 hours of CME and Certificate of Completion and card.
    Course Purpose
  • To better prepare the nonintensivist for the first 24 hours of management of the critically ill patient until transfer or appropriate critical care consultation can be arranged.
  • To assist the nonintensivist in dealing with sudden deterioration of the critically ill patient.
  • To prepare house staff for ICU coverage.
  • To prepare critical care practitioners to deal with acute deterioration in the critically ill patient.
Course will be held before the 15th Annual AASPA CME Meeting at the Hilton Suites Chicago/Magnificent Mile.

Register today!


State medical board licensing: Challenges for telemedicine
By Christina Thielst
The pressures to reduce healthcare costs and improve access have never been greater. Everything from the Affordable Care Act to the "Silver Tsunami" of aging baby boomers requires a transformation of the healthcare delivery system. Telemedicine, having proven its value in rural and remote communities, is increasingly being adopted — including for urban areas with shortages of specialists and in other innovative programs where face-to-face encounters increase cost or risk, or limit access.
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Improving OR performance via data-driven change
Hospitals & Health Networks
When it comes to priorities for health care information technology, meaningful use has officially taken a back seat. A recent College of Healthcare Information Management Executives survey ranks analytics as the C-suite's top HIT priority, followed by population health at second and ICD-10 at third. Analytics' ability to fuel widespread improvements in quality, cost-containment and efficiency undoubtedly has made it appealing to executives, but its recent popularity is also due to health care's transition to value-based reimbursement.
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New study shows positive effects of gastric bypass surgery on obese adolescents
The skeletons of obese adolescents are usually more dense than those of normal weight teens, but after gastric bypass surgery, most return to normal density within two years, a new study finds. The results will be presented March 5, at ENDO 2015, the annual meeting of the Endocrine Society, in San Diego. "In the short term, the participants' bone density decreased proportionally to the successful weight reduction resulting from surgery. After two years, though, their average bone density was back in the normal range," said lead study author Eva Gronowitz, RN, Ph.D., Research Coordinator for the AMOS (Adolescents Morbid Obesity Surgery) study in Sweden.
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Osteomyelitis likely an issue with open finger fractures
Infections, such as osteomyelitis, are important to take into consideration in the management of open finger fractures, according to a presenter at the Annual Hand Surgery Symposium. “The real issue is osteomyelitis,” Randall W. Culp, M.D., of the Philadelphia Hand Center, said. “Most [infections] you see in your own practices result in contracted contamination by bad injuries… and knowing how to diagnose and deal with it is important.” According to Culp, osteomyelitis will usually present with pain, swelling and erythema, and systemic signs are rare.
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Novel surgery using leg nerve restores lost feeling to eye, protects vision
The Canadian Press
Canadian pediatric surgeons have pioneered a technique to restore missing feeling in the eye — and prevent subsequent vision loss — using a nerve taken from a patient’s leg and grafting it onto an existing healthy nerve in the face. The minimally invasive operation brings sensation back to children born without feeling in one or both eyes, or to those who have lost feeling due to injury or surgery to remove a brain tumor.
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Despite clinical success, laparoscopic colectomy underused in colon cancer treatment
Laparoscopic colectomy has shown superiority in clinical trials to open colectomy, but most physicians still choose open resection as the standard of surgical care for colon cancer, according to study results. Many randomized clinical trials in the past decade have shown patients who undergo laparoscopic colectomies experience better short-term outcomes than those who undergo open colectomy. These benefits include better 30-day mortality, fewer unplanned readmissions and shorter lengths of stay.
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More change coming for surgeons, patients
The Ledger
Before robotic surgery there was minimally invasive laparoscopic surgery. It let surgeons use smaller incisions to get instruments into the body and led into robotic-assisted surgery. Doctors doing robotic surgeries sit at consoles to guide small instruments, put into the body through tiny incisions, for cutting, suturing and other procedures. That brought 3-D where there had been 2-D.
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Spider venom has strong painkiller potential
By Dorothy L. Tengler
Chronic pain is a serious health problem that affects more Americans than diabetes, heart disease and cancer combined. Part of the search for new pain-killing drugs has focused on the world's 45,000 species of spiders, many of which kill their prey with venoms that contain hundreds and even thousands of protein molecules, some of which block nerve activity. A new study in the British Journal of Pharmacology suggests that spider venom could lead to a more effective treatment for the millions suffering with chronic pain.
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Robotics in general surgery: Procedure by procedure
General Surgery News
There is one certainty about the use of the robot in general surgery: The platform is controversial. But on everything else regarding the robot, little agreement exists. The 2014 Clinical Congress of the American College of Surgeons featured a panel session on robotics, entitled “Robotics for General Surgeons: What’s Proven, What’s Not.” Over the next months, General Surgery News will present a review of robotics in general surgery, based on the panel presentations.
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Click here
to visit AASPA archive page.

Missed last week's issue? See which articles your colleagues read most.

    FDA guidance highlights inappropriate use of power morcellation, but concern about interpretation lingers (Healio)
Physician burnout: Erosion of the soul (By Dorothy L. Tengler)
Efforts seek to develop systematic ways to objectively assess surgeons' skills (JAMA)
Frailty assessment test can accurately predict complications after major operation (News-Medical)
'Superdonors' poised to change the world of transplant surgery (By Alan Kelsky)

Don't be left behind. Click here to see what else you missed.


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Colby Horton, Vice President of Publishing, 469.420.2601
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