“It is impossible to achieve independence with self-care when you are an acute spinal cord injured patient with a Stage IV sacral decubitus ulcer. These patients need to be fixed and should never be referred to nursing homes where their risk of sepsis and death become increasingly foreseeable,” states Greg Vigna, MD, JD. Dr. Anthony [...]
“In patients with low-risk cervical cancer, simple hysterectomy was not inferior to radical hysterectomy with respect to the 3-year incidence of pelvic recurrence and was associated with a lower risk of urinary incontinence”… Dr. Marie Plante, New England Journal of Medicine, 2024; 390: 819-829. What else did Dr. Plante report in “Simple versus Radical Hysterectomy [...]
“Dr. Herbert Conway, plastic surgery, wrote about his experience with 1,000 cases of sacral, ischial, and trochanteric decubitus ulcer providing care for paralyzed Veterans at the Veterans Hospital, Bronx, New York. Flap closure provided superior outcomes when compared with conservative management,” states Greg Vigna, MD, JD, national decubitus ulcer attorney. What did Dr. Herbert Conway [...]
“Compared with patients with community-onset sepsis, patients with hospital-onset sepsis are twice as likely to require mechanical ventilation and ICU admission, have more than two times longer ICU and hospital length of stay, accrue five times higher hospital costs, and are twice as likely to die," states Dr. Jennifer Ginestra, MD. Critical Care Medicine. Greg [...]
We know that the old, obsolete polyurethane and silicone catheters used in PICC lines, central lines, and midlines do nothing to reduce the risk of hospital-acquired bloodstream infections.” Greg Vigna, MD, JD “Infections during the neonatal period are associated with cerebral palsy in both premature and term babies … the present study highlights the need to [...]
“The study aims to compare the efficacy and safety of bulking agents and single-incision slings … at our follow-up there was no discernible difference in terms of effectiveness or quality of life between patients treated with bulking agents and those treated with single-incision slings (Coloplast’s Altis sling)” … Dr. Lorenzo Campanella, Rome, Italy. What else [...]
“We identified that decompressive surgery within 24 hours of onset of autonomic symptoms in cauda equina syndrome incomplete reduces bladder dysfunction at initial follow-up”… SPINE. Volume 40, Number 8, pg. 580-583. What else did the article, “Does Early Surgical Decompression in Cauda Equina Syndrome Improve Bladder Function” report? “For the 36 CESI less than 24 [...]
Study shows that TAP block should be considered early, from the onset of the first pain symptoms “We argue that a transversus abdominis plane (TAP) block should be considered early, from the onset of the first pain symptoms," states Sarrah Sellam, MD. Department of Anesthesia Robert-Debre University Hospital, France. What else did Dr. Sellam [...]
Patients with deep Stage 3 and Stage 4 who are not provided flap closure have a 17% risk of death at one year, and there is a 44% risk of readmission. Long-term acute care hospitals (LTACHs) have a niche role in the health care system. They specialize in caring for patients who are ventilator-dependent, [...]
Investigating cases of central-line associated bloodstream infections including PICC lines and midlines. Neonatal sepsis is a major cause of morbidity and mortality. It is the third leading cause of neonatal mortality globally, constituting 13% of overall neonatal. In high-income countries, the mortality rate due to neonatal sepsis ranges from 5% to 20%, and neonatal [...]