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

V39N5: Cardiac and Respiratory Care

Baron TH, Kamath PS, McBane RD. Management of antithrombotic therapy in patients undergoing invasive procedures. N Engl J Med. 2013;368(22):2113-2124.

Baron and coauthors present a clear and helpful review of the management of antithrombotic therapy in patients who require an invasive procedure. Included is a discussion of newer anticoagulant drugs.

Becher RD, Colonna AL, Enniss TM, et al. An innovative approach to predict the development of adult respiratory distress syndrome in patients with blunt trauma. J Trauma Acute Care Surg. 2012;73(5):1229-1235.

This article presents data in support of a significant association of pulmonary contusion seen on admission imaging and the risk for development of acute respiratory distress syndrome. Although the predictive value of pulmonary contusion seen on admission imaging was not strong, the presence of signs of pulmonary contusion can alert surgeons to an increased risk of respiratory distress.

Dumas F, Rea TD, Fahrenbruch C, et al. Chest compression alone cardiopulmonary resuscitation is associated with better long-term survival compared with standard cardiopulmonary resuscitation. Circulation. 2013;127(4):435-441.

This article adds additional support to the value of compression-only CPR for patients with cardiac arrest.

Gupta PK, Gupta H, Sundaram A, et al. Development and validation of a risk calculator for prediction of cardiac risk after surgery. Circulation. 2011;124(4):381-387.

This report describes a simple and easy-to-use method for calculating the risk of postoperative cardiac death. This calculation will be a valuable addition to materials for patient counseling about operative risk.

Hawn MT, Houston TK, Campagna EJ, et al. The attributable risk of smoking on surgical complications. Ann Surg. 2011;254(6):914-920.

Hawn and colleagues provide data supporting the incremental increase in operative risk associated with smoking.

Mills E, Eyawo O, Lockhart I, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154 e148.

This article provides strong data in support of the benefit from smoking cessation more than four weeks before an elective operation.

Watkins TR, Nathens AB, Cooke CR, et al. Acute respiratory distress syndrome after trauma: development and validation of a predictive model. Crit Care Med. 2012;40(8):2295-2303.

This article provides useful data for predicting risk of respiratory distress in injured patients.

Wren SM, Martin M, Yoon JK, et al. Postoperative pneumonia-prevention program for the inpatient surgical ward. J Am Coll Surg. 2010;210(4):491-495.

Most “care bundles” for prevention of respiratory complications are designed for use in the intensive care unit. The protocol described here has value for prevention on a surgical ward.