Perfusion index as a predictor of hypotension after spinal anesthesia in lower extremity orthopedic surgery: a prospective observational trial by Fatma Kavak Akelma, Milas Mafizer, Burak Nalbant

“…This study aims to investigate the role of the perfusion index (PI) in predicting spinal anesthesia-induced hypotension (SAIH) during orthopedic lower extremity surgery and its relationship with age. Methods We conducted a single-center, prospective, observational study of 120 elective patients over 18 years of age, classified as ASA I-II-III risk groups, undergoing lower extremity surgery in the supine position under spinal anesthesia. …”
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Perioperative diltiazem or nitroglycerin in on-pump coronary artery bypass: A systematic review and network meta-analysis. by Yirui Hu, Xinbei Yang, Li Zhang, Xianren Wu, Anastasia Yian Liu, Joseph A Boscarino, H Lester Kirchner, Alfred S Casale, Xiaopeng Zhang

“…The current systematic review and network meta-analysis aims to summarize the data from all available randomized clinical trials of perioperative continuous intravenous infusion of diltiazem and/or nitroglycerin in patients undergoing on-pump CABG in order to define and compare their roles in graft spasm prevention and their impacts on perioperative outcomes.<h4>Methods</h4>We searched Ovid Medline, PubMed, CINAHL, Google Scholar and Cochrane Center for randomized controlled trials that reported outcome effects of perioperative continuous intravenous infusion of diltiazem and/or nitroglycerin in patients undergoing elective on-pump CABG. …”
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“Impact of regional data reporting and feedback on rectal cancer surgery quality metrics in the Surgical Care Outcomes Assessment Program (SCOAP)” by Alex J. Charboneau, MD, MS, Chad Cragle, MD, PhD, Joseph Frankhouse, MD, Shalini Kanneganti, MD, Jenny A. Kaplan, MD, Ravi Moonka, MD, Laila Rashidi, MD, Vlad V. Simianu, MD, MPH

“…This study was designed to describe the impact of targeted feedback at the institutional level on improving achievement of rectal cancer quality metrics. Methods: Adult elective rectal cancer resections performed at institutions that continuously participated in SCOAP between 2011 and 2022 were included for analysis. …”
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Medical Students&rsquo; Knowledge and Perceptions of Herbal Medicine in Saudi Arabia: Should Medical Schools Take Immediate Action? by Almech M, Alissa A, Baghdadi RA, Abujamai JZ, Hafiz W, Alwafi H, Shaikhomer M, Alshanberi AM, Alshareef MH, Alsanosi SM

“…While 72.6% of the students agreed that medical students lack proper knowledge about the use of herbal medicines, 64.9% preferred having an elective course in complementary medicine (including herbal medicine). …”
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Comparison between sevoflurane and propofol induction in I-gel insertion in pediatric patients undergoing inguinal herniotomy by Harshita Singh, Harpreet Kaur, Shirin Parveen, Narendra Singh Bafila, Kirtika Yadav, Anam Rizwan, Dhruvraj Singh

“…The secondary objective was to note complications such as laryngospasm, coughing, biting, and gagging with Sevoflurane and Propofol induction. Materials and Methods: The prospective observational study included 66 children aged 6 months–8 years with American society of anesthesiologists physical status I and II, scheduled for elective herniotomy. …”
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Development and validation of machine learning-derived frailty index in predicting outcomes of patients undergoing percutaneous coronary intervention by John T.Y. Soong, L.F. Tan, Rodney Y.H. Soh, W.B. He, Andie H. Djohan, H.W. Sim, T.C. Yeo, H.C. Tan, Mark Y.Y. Chan, C.H. Sia, M.L. Feng

“…We developed and validated a tool to identify and stratify frailty using collected data for patients who underwent PCI and explored its predictive power to predict adverse clinical outcomes post PCI. Methods: Between 2014 and 2015, 1,732 patients who underwent semi-urgent or elective PCI in a tertiary centre were included. …”
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Cardiovascular outcomes in metabolically healthy Asian-American population with obesity (18–44 years): Insights from the National Inpatient Sample by Rupak Desai, Avilash Mondal, Boney Lapsiwala, Venkata Balaji Chenna, Pratik Rajpopat, Vaidehi Mendpara, Athri Kodali, Amritha R. Nair, Ayodya Perera, Subramanian Gnanaguruparan

“…Depression (aOR 3.09, 95%Cl 0.86–11.08), elective admission (aOR 3.71, 95%Cl 0.74–18.58), and tobacco use (aOR 0.81, 95%Cl 0.26–2.60) were not statistically significant predictors. …”
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Effects of single subanesthetic dose of oxycodone on pain and Th1/Th2 balance in patients after radical mastectomy by QU Na，ZHAO Xiaohong，NI Qiang

“…Objective To compare the effects of oxycodone and fentanyl on postoperative pain relief，immune balance of T-helper cells（Th），and adverse reactions in radical mastectomy. Methods A total of 120 female patients whounderwent elective radical mastectomy at Shanghai Public Health Clinical Center between December 2021 and January2024 were selected for this study. …”
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Noninferiority of 0.25% versus 0.375% Ropivacaine in Popliteal Sciatic and Saphenous Nerve Blocks for Analgesia After Foot and Ankle Surgery: A Randomized Self-Paired Noninferiorit... by Wu L, Xi C, Lei G, Li H, Yin Y, Wan M, Wu H, Wang Y, Hu C, Wang G

“…Hence, we hypothesized that the analgesic effect of 0.25% ropivacaine would be noninferior to that of 0.375% ropivacaine at the same volume and would reduce the degree of weakness.Patients and Methods: In this randomized, double-blind, self-paired, noninferiority trial, 31 patients who were scheduled for similar, elective, bilateral foot and ankle surgeries under general anesthesia combined with popliteal sciatic and saphenous nerve blocks were enrolled. …”
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Four-Year Analysis of a Five-Year Prospective Multicenter Study Assessing Radiographic Recurrence and Patient Outcomes Following Triplanar Tarsometatarsal Arthrodesis with Early We... by Daniel C. Farber MD, Dane K. Wukich MD, Robert D. Santrock MD, Abdi Raissi MD, Avneesh Chhabra MD, Jennifer Koay MD, Paul Dayton DPM, Jody P. McAleer DPM, Robert Taylor DPM, Dan Hatch DPM, Deidre Kile BS

“…Fourteen (8.1%) patients required non-elective reoperation (most commonly HWR) and 3 (1.8%) experienced symptomatic nonunion. …”
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Increased dietary acid load May elevate the risk of coronary artery disease severity: Findings from a cross-sectional study by Zeinab Ghorbani, Fatemeh Dashti, Zahra Saeedirad, Amir Aris, Marjan Mahdavi-Roshan, Arsalan Salari

“…This study aims to examine the relationship between Potential Renal Acid Load (PRAL) and Net Endogenous Acid Production (NEAP) and the risk of severe coronary artery disease (CAD) in participants undergoing elective angiography. Methods: In this cross-sectional study, the data of 895 participants from the Nutrition Heshmat Registry (NUTHER) was collected. …”
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Total endovascular arch repair: Initial experience in BolognaCentral MessagePerspective by Luca Di Marco, MD, PhD, Chiara Nocera, MD, PhD, Francesco Buia, MD, Francesco Campanini, MD, Domenico Attinà, MD, Giacomo Murana, MD, Luigi Lovato, MD, Davide Pacini, MD, PhD

“…Results: From May 2017 to November 2023, 15 patients underwent elective arch TEVAR, having been deemed unfit for open surgery. …”
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The maternal microbiome in pregnancy, delivery, and early‐stage development of neonatal microbiome after cesarean section: A prospective longitudinal study by Philipp Foessleitner, Petra Pjevac, Sonja Granser, Lukas Wisgrill, Lisa Pummer, Fanny Eckel, David Seki, David Berry, Bela Hausmann, Alex Farr

“…Abstract Introduction Changes within the maternal microbiome during the last trimester of pregnancy and the determinants of the subsequent neonatal microbiome establishment after delivery by elective cesarean section are described. Material and methods Maternal vaginal and rectal microbiome samples were collected in the last trimester and before cesarean section; intrauterine cavity, placenta, neonatal buccal mucosa, skin, and meconium samples were obtained at birth; neonatal sample collection was repeated 2–3 days postnatally. …”
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Nomogram Predictive Model for Vaginal Birth after One Prior Cesarean Section: A Retrospective Study by Fangyuan Zheng, Yangfang Sun, Xuening Liang, Jinying Zhou, Yun Chen

“…Background: Repeat cesareans pose significant maternal risks, whereas vaginal birth after cesarean (VBAC) offers better outcomes, with a complication rate of 2.4% compared with 3.6% for elective repeat cesareans and 14.1% for failed trial of labor after cesarean (TOLAC). …”
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Evaluation of Perinatal Outcome in Women with Impaired Glucose Homeostasis During Pregnancy by Neha SAHAY, Felice FAIZAL

“…It is controversial whether maternal hyperglycemia less severe than in diabetes is associated with increased risk of adverse pregnancy outcome or not. Materials and methods: All women were subjected to Glucose Challenge Test(GCT) with 50 gram glucose either at first visit or between 24-28 weeks on the basis of risk profile. …”
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Reducing the length of hospital stay for patients undergoing primary total knee arthroplasty by application of enhanced recovery after surgery (ERAS) pathway: a multicenter, prospe... by Chenxi Liao, Xingning Lai, Jie Zhong, Wencong Zeng, Jiannan Zhang, Wanxin Deng, Jiayun Shu, Haobo Zhong, Liangyu Cai, Ren Liao

“…The authors hypothesized that application of the ERAS pathway can reduce the length of hospital stay (LOS) for patients undergoing primary TKA. Materials and Methods This multicenter, prospective, randomized controlled trial was conducted from February 1, 2021 to January 31, 2023, and included patients undergoing elective primary TKA. 320 patients were randomly assigned to either the ERAS group (practice according to the ERAS pathway) or the control group (without ERAS pathway implementation) in a 1:1 ratio. …”
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Battery Longevity in Modern Implantable Cardioverter‐Defibrillators and Cardiac Resynchronization Therapy‐Defibrillators by Kotaro Nishino, Taro Temma, Masaya Watanabe, Motoki Nakao, Masahiro Kawasaki, Kintaro Shimano, Kei Kawakami, Shota Saito, Jiro Koya, Daishiro Tatsuta, Hiroyuki Natsui, Takuya Koizumi, Takahide Kadosaka, Taro Koya, Kiwamu Kamiya, Toshiyuki Nagai, Toshihisa Anzai

“…Kaplan–Meier curves and Cox proportional hazards models were used to analyze the device longevity, with a primary endpoint of the time to battery depletion, defined by the elective replacement indicator. A multivariate analysis adjusted for the potential confounders. …”
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Patients’ anesthesia preferences for Cesarean delivery: exploring the role of personality beliefs in spinal vs. General anesthesia by Esra Turunc, Sezgin Bilgin, Sevda Akdeniz, Ozgur Komurcu, Leman Tomak, Yasemin Burcu Ustun, Ersin Koksal, Burhan Dost

“…Abstract Background This study aimed to compare the personality belief scores of patients who chose either general or spinal anesthesia during cesarean delivery (CD) and explore the relationship between personality beliefs, and anxiety levels. Methods This prospective study included expecting mothers, aged 18–45 years, who were classified as ASA II-III, scheduled for elective CD. …”
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Efficacy of Bilateral Transverse Abdominis Plane Block and Ilioinguinal Iliohypogastric Nerve Block for Post Lower Segment Caesarean Section Pain Relief: A Randomised Clinical Stud... by Jigisha Bharatbhai Mehta, Gayatri Vasagadekar, Sara Mary Thomas

“…Aim: To compare the efficacy of bilateral Transverse Abdominis Plane block (TAP) and Ilioinguinal Iliohypogastric block (II-IH) for postcaesarean section pain relief. Materials and Methods: A randomised clinical study was conducted at Dhiraj Hospital, Piparia, Vadodara, Gujarat, India, on 60 pregnant women, aged between 18 to 45 years, who were posted for elective Lower Segment Caesarean Section (LSCS). …”
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Effect of transcranial direct current stimulation on postoperative delirium in elderly patients undergoing hip fracture surgery: study protocol for a randomized controlled trial by Li-Chao Xue, Hai-Jie Ji, Sha-Sha Fan, Qing Niu, Jun-Yan Zhang, Ai-Li Fang, Ping-Zhi Wang, Shou-Yuan Tian, Hua Zheng, Hua Zheng

“…ObjectiveTo evaluate the efficacy of transcranial direct current stimulation (tDCS) in reducing the incidence of postoperative delirium (POD) in elderly patients undergoing hip fracture surgery.Methods and analysisThis single-center, double-blind, randomized controlled trial will enroll 160 participants aged 65 years and older, scheduled for elective hip surgery under spinal anesthesia. …”
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