AASPA Newsline
May. 8, 2012

200 years of surgery: Cutting to cure has come long way
ABC News
Today's minimally invasive surgery is far different from the procedures of 200 years ago, when surgeons hacked through skin, muscle and bone briskly and brutally without anesthesia or antisepsis. "Pain and the always-looming problem of infection restricted the extent of a surgeon's reach," Dr. Atul Gawande, a surgeon at Brigham and Women's Hospital in Boston, wrote in a review published in the New England Journal of Medicine's 200th anniversary issue.More

Start planning now for the 12th Annual AASPA CME Meeting & Surgical Update
AASPA

We hope you will join us at the Hilton Suites Chicago/Magnificent Mile in Chicago for our 12th Annual AASPA CME Meeting in 2012, Sept. 27-30.

Join fellow Surgical PAs, PA educators, PA students, Pre-PA Students and surgical industry leaders at the 12th Annual Surgical CME, preceding the Annual Clinical Congress of the American College of Surgeons!

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!

For more information, including on how to sponsor or exhibit at the meeting, go to www.aaspa.com.More

Fundamental Critical Care Support course
AASPA

For 2012 the Society of Critical Care's Fundamental Critical Care Support Course. According to the SCC, this course is a two-day comprehensive course addressing fundamental management principles for the first 24 hours of critical care. It will prepare you for the first 24 hours of management of the critically ill patient until transfer or appropriate critical care consultation can be arranged. It is also designed to assist the non-intensivist in dealing with sudden deterioration of the critically ill patient and to prepare nurses and other critical care practitioners to deal with acute deterioration in the critically ill patient.

Course Purpose
• To better prepare the non-intensivist 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 non-intensivist 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 Objectives
• Prioritize assessment needs for the critically ill patient
• Select appropriate diagnostic tests
• Identify and respond to significant changes in the unstable patient
• Recognize and initiate management of acute life-threatening conditions
• Determine the need for expert consultation and/or patient transfer and prepare the practitioner for optimally accomplishing transfer

For more information and to register, go to our website.More

FDA approves first 'inside the body' surgical platform
Medscape News Today
The U.S. Food and Drug Administration has approved the percutaneous surgical set, the first surgical instrument set that can be assembled and disassembled inside the body during minimally invasive laparoscopic abdominal surgery.More

Sleepiness may affect surgeons' ability to deal with the unexpected
Pennsylvania State University via Medical Xpress
Sleep-deprived surgeons can perform a previously learned task or learn a new task as well as surgeons who are rested, according to Penn State College of Medicine researchers. However, in sleep-deprived surgeons, the brain must work harder, which could lead to problems during unexpected events.More

Healthcare sees slower job growth in April
Modern Healthcare
Healthcare added 19,000 jobs in April, an increase of 0.1 percent, to bring total employment for the sector to 14.3 million, employment figures from the Bureau of Labor Statistics show.More

Perioperative interruptions lead to miscommunication
HealthDay News via Medical Xpress
The number of miscommunications that occur during surgery is inversely associated with the length of time a team has worked together, and positively associated with the number of interruptions during surgery, according to a study published in the AORN Journal.More

Ex vivo surgery works on complex tumors
Medscape News Today
Multivisceral ex vivo surgery appears to be an effective treatment for locally invasive but otherwise inoperable abdominal tumors, according to a series of case reports. Researchers managed to operate on three patients' abdominal tumors that were deemed unresectable because of their location and vascular involvement, Dr. Tomoaki Kato of Columbia University Medical Center and colleagues reported in the American Journal of Transplantation.More

Study finds hand surgeons scarce for emergency surgery
Vanderbilt University Medical Center via Medical Xpress
Wrist, hand and finger trauma are the most common injuries presenting to emergency departments nationwide, yet only 7 percent of Tennessee hospitals have a hand specialist on call 24/7 to treat these patients, according to a Vanderbilt study published in the Annals of Plastic Surgery.More

Extensive tests not needed for incontinence surgery
Medpage Today
For uncomplicated stress urinary incontinence, preoperative urodynamic testing doesn't add much to the basic office evaluation, a clinical trial determined. The specific dysfunctions diagnosed changed somewhat with further physiologic testing, but those changes didn't significantly alter treatment selection or outcomes, Dr. Charles W. Nager of the University of California San Diego and colleagues found.More

Health system changes inspire more med students to pursue dual degrees
American Medical News
As they contemplate careers in a rapidly changing health care landscape, a growing number of medical students are deciding that a medical degree is not enough. Most U.S. medical schools offer students the chance simultaneously to get advanced degrees in a variety of other areas, such as public health, law, business administration, mass communications and the sciences. However, more recently, dual degrees are growing in popularity as prospective physicians feel they must develop expertise beyond medicine to compete in a dynamic health care market.More

Low vitamin D linked to poorer outcomes in lung recipients
HealthDay News via Physician's Briefing
For lung transplant recipients, 25-hydroxyvitamin D deficiency is associated with increased incidence of acute rejection and infection, and deficiency at one year after transplant is linked with increased mortality, according to a study published in The Journal of Heart and Lung Transplantation.More

New app predicts chronic pain after inguinal hernia surgery
General Surgery News
Surgeons and patients considering hernia surgery can now use a free app that predicts a person's chance of experiencing chronic pain after inguinal hernia repair, based on the outcomes of nearly 1,700 patients treated over the last five years.More

Debate over who should be allowed to administer anesthesia moves to courts
The New York Times
A long-running dispute over whether nurses should be allowed to administer anesthesia without doctor supervision has been playing out in Denver and around the country in recent months, with some states insisting that such a move is needed to address the shortage of physicians in rural areas. More

Florida surgical center offers up-close training
Tallahassee Democrat
Students from all over the Southeast can now get an in-depth look at surgical procedures, thanks to the observation center at the Red Hills Surgical Center in Tallahassee, Fla. Equipped with special cameras and audio equipment, the center allows observers to get as close to surgeries as possible without actually holding a scalpel.More

Omaha hospital goes bananas for special patient; gorilla needs jaw surgery after zoo scuffle
The Associated Press via The Washington Post
It was a bit of a zoo at the Nebraska Medical Center over the weekend, when a special patient came in for jaw surgery. Motuba, a 27-year-old silverback gorilla, needed a CT scan after a scuffle with another gorilla, said Doug Armstrong, director of animal health at Omaha's Henry Doorly Zoo. The zoo can't perform the scan, so it contacted the hospital, whose staff has been consulted on animal cases in the past. "It wasn't life threatening but we knew we had to address it," Armstrong said.More