American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Videos from Monday's Editions

Death and complications more common in STEMI patients with first-day CABG

Anthony Lemaire, MD, FACS
New Brunswick, NJ

Dr. Anthony Lemaire discusses how cardiac and respiratory complications and in-hospital mortality were more common in STEMI patients who underwent coronary artery bypass grafts (CABG) within 24 hours of non-elective hospital admission as opposed to those who underwent the procedure 2-3 days after and 4-7 days after admission. Lemaire’s study concluded that despite the urgency of STEMI, patients should not undergo immediate coronary revascularization by CABG within the first 24 hours of non-elective admission.

View the abstract online.

The fourth year of medical school: Redesign or replace?

Andre Campbell, MD, FACS
San Francisco, CA

Medical school has been four years for over 100 years. Surgical educators must ensure students receive the most benefit out of the fourth year. Andre Campbell, MD, FACS discusses ways to maximize that year.

Prehospital Air Medical Plasma Following Trauma and Hemorrhagic Shock

Jason L. Sperry, MD, MPH
Pittsburgh, PA

Dr. Jason L. Sperry discusses how pre-hospital administration of thawed plasma to severely injured patients at risk of hemorrhagic shock during air medical transport resulted in lower 30-day mortality (23.2 percent v. 33 percent) than standard-care resuscitation. In addition, plasma patients also had lower 24-hour red blood cell transfusion volumes.

Laparoscopic fluorescent lighting improves view of biliary structures over white light alone (results)

Raul J. Rosenthal, MD, FACS; Fernando Dip, MD, FACS
Cleveland, OH

Misidentification of bile ducts during laparoscopic cholecystectomy can lead to bile duct injury. Drs. Raul J. Rosenthal and Fernando Dip found that adding near infrared incisionless fluorescent cholangiography (NIFC) to standard white light illumination during surgery increased identification of biliary structures in laparoscopic cholecystectomy. The odds of visualizing a particular structure with NIFC were three times better than with while light alone.

Laparoscopic fluorescent lighting improves view of biliary structures over white light alone (implications)

Raul J. Rosenthal, MD, FACS; Fernando Dip, MD, FACS
Cleveland, OH

Misidentification of bile ducts during laparoscopic cholecystectomy can lead to bile duct injury. Drs. Raul J. Rosenthal and Fernando Dip found that adding near infrared incisionless fluorescent cholangiography (NIFC) to standard white light illumination during surgery increased identification of biliary structures in laparoscopic cholecystectomy. The odds of visualizing a particular structure with NIFC were three times better than with while light alone.

Tissue-engineered liver cells from universal donor cell line avoid immune response

Anthony Squillaro, MD, MPH
Los Angeles, CA

Human hepatoblasts were generated from a universal donor cell line, containing proliferative and liver cell types without elevation of NANOG, a pluripotency gene. Dr. Anthony Squillaro found the generation of tissue-engineered liver from a universal donor cell might avoid the necessity of immunosuppression.