UCMC CT Surgery

09/19/2025

09/16/2025

Health care organizations increasingly deploy artificial intelligence (AI) tools as part of routine care, yet questions remain about when and how patients should be informed about these applications. While patients generally accept that physicians rely on various decision-support tools, surveys...

09/13/2025

“Covered” or “uncovered” , which one’s better? 🧐

Iino et al. in a randomized trial of 40 patients undergoing CABG with either pedicled or skeletonized ITA found that the pedicled technique (without endothoracic fascia)
🔬Better preserves the artery’s natural protective lining
🔬Maintains higher levels of beneficial nitric oxide
🔬Reduces harmful endothelin-1 production

- These findings are in line with the recent literature that show lower rates of adverse cardiovascular events and MACE rates in pedicled ITA grafts as compared to skeletonized ITA grafts.

- These differences could potentially affect how well the bypass grafts function over time, though the study doesn’t directly measure long-term graft performance.
- In simpler terms, using the less aggressive pedicled harvesting technique to better preserve the artery’s natural function.​​​​​​​​​​​​​​​​

For more details find out this article published in JTCVS:

This link will take you to a page that’s not on LinkedIn

09/06/2025

Extensive malignant lesions are the primary indication for tracheobronchial replacement, with cryopreserved aortic allografts being the only scientifically evaluated surgical technique. Learn more in this Review of tracheobronchial replacement. https://ja.ma/3Je2V7w

09/03/2025

Dexmedetomidine does not appear to improve analgesia or reduce opioid requirements in non-intubated ICU patients with rib fractures and should not be routinely used in this setting. https://ja.ma/4lVx8WI

09/02/2025

Michael DeBakey, who developed the surgery for aortic dissection, later suffered an aortic dissection himself.

He initially declined surgery (the very procedure he had pioneered); however, after he lapsed into unconsciousness, the operation was performed with the approval of the ethics committee. He subsequently thanked the surgical team for prolonging his life and continued to work until the day he died at the age of 99.

Two commonly used systems for classifying aortic dissection are the Stanford and DeBakey classifications.

08/29/2025

Restrictive platelet transfusion strategies are recommended for various clinical populations to minimize adverse reactions, mitigate platelet shortages, reduce costs, and ensure patient-centric care.

https://ja.ma/41Oju08

08/28/2025

In cardiac surgery patients at high risk of acute kidney injury (AKI), an infusion of 20% albumin increased the risk of AKI. https://ja.ma/4oucpMd

08/27/2025

Hypoxic-Ischemic Brain Injury in ECMO: Pathophysiology, Neuromonitoring, and Therapeutic Opportunities

https://tinyurl.com/3ye7xt3k

08/24/2025

Should AI be a trusted companion of CT surgeons? 🧐
Interesting insights from Rashidi et al. on the transformative potential of AI and machine learning in CT surgery suggest:
1)AI algorithms can provide predictions on the likelihood of complications
2) AI may play a key role in diagnostic augmentation and pre-and post-surgical patient management.
3) AI systems are now equipped to furnish surgeons with real-time data and decision-support mechanisms throughout intricate surgical operations
However, lack of trust still prevails owing to lack of reporting of long-term clinical outcomes of AI-driven interventions, as well as ethical and regulatory concerns, including patient data protection, AI bias, and approval processes for AI-based technologies in thoracic surgery.
Find out more details in the following paper:

This link will take you to a page that’s not on LinkedIn