Annals of surgery
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Recently, surgeon scientists have started to grapple with structural racism’s effect on health and prior academic failures in codifying and promoting institutionalized racism in research and clinical practice. In this Surgical Perspective, we hope to describe our journey of being humbled by the vast work of social epidemiologists on racism and health, and we will offer our reflections on how to apply this work to future research and practice.
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To characterize the proteomic signature of surgery in older adults and association with postoperative outcomes. ⋯ SOMAscan can identify novel and clinically relevant surgery-induced protein changes. Ultimately, proteomics may provide insights about pathways by which surgical stress contributes to postoperative outcomes.
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Meta Analysis
Prophylactic Topical Tranexamic Acid Versus Placebo in Surgical Patients: A Systematic Review and Meta-Analysis.
Perioperative bleeding remains a major concern to all clinicians caring for perioperative patients. Due to the theoretical risk of thromboembolic events associated with tranexamic acid (TXA) when administered intravenously, topical route of TXA has been extensively studied, but its safety and efficacy profile remain unclear in the literature. The primary aim of this review was to assess the effect of topical TXA on incidence of blood transfusion and mortality in adults undergoing surgery. ⋯ CRD 42018111762.