There is an association between after-hours surgery and mortality risk that is not entirely explained by the emergent and morbidity characteristics of patients or the surgical procedure.
Perioperative administration of vasopressors in patients having major abdominal surgery may reduce complications and length of stay.
Although feasible, non-surgical antibiotic treatment of uncomplicated acute appendicitis is associated with both a lower treatment success rate and higher complication rate than primary surgical appendicectomy.
Corticosteroids may reduce length of ICU stay in patients with septic shock.
Corticosteroids may reduce 28 day mortality in patients with severe sepsis or septic shock.
Point-of-care ultrasound performed by emergency physicians to diagnose intussusception has a diagnostic accuracy equivalent to radiology-performed ultrasound.
Intravenous resuscitation with balanced crystalloid fluids does not reduce mortality or kidney injury compared with normal saline in critically ill patients.
Suprascapular block may be an acceptable and safer alternative to interscalene block for analgesia after shoulder surgery.
Use of processed-EEG monitoring to guide anaesthesia depth is associated with a 38% odds reduction of developing postoperative delirium.
Up to 20% of patients ≥ 65 years experience post-operative delirium after major surgery.