INTRODUCTION: Bronchscopy and laryngoscopy have become common bedside procedures in the ICU. Frequently, however, these modalities utilize non-video platforms which make it difficult for novices to perform the procedures independently. This study evaluated a novel ICU bedside procedure cart for performing video laryngoscopy and bronchoscopy to see if junior level residents could be mentored through […]
Introduction: Enterocutaneous fistulas most commonly develop as a postoperative complication of bowel surgery, though in 15% to 20% of cases fistulas occur spontaneously. Management of a patient with enterocutaneous fistula is very difficult. Intraperitoneal surgical repair of these fistulae is very difficult. Coils of intestine are plastered together. Dissection is extremely difficult and time consuming. […]
Introduction: In the face of high caloric intake and low levels of physical exertion, obesity induces sympathetic nervous system activation. This increased autonomic activity is manifested as higher blood pressure in obese patients, and as a result, excess body weight is associated with increased cardiovascular morbidity. Furthermore, it has been shown that when patients lose […]
Background: The purpose of this study was to determine if utilization of minimally invasive techniques for esophagectomy in the elderly results in decreased complications compared with traditional open esophagectomy. Methods: A retrospective, case-control study was performed comparing outcomes after minimally invasive esophagectomy (MIE) and open esophagectomy (OE) in elderly patients (age>70 years) over a 7 […]
BackgroundElderly (65 years and older) obese patients are expected to be at high risk for bariatric surgery. We sought to study outcomes in elderly patients undergoing bariatric surgery with or without Medicare (MC, since 2006), and to evaluate differences in co-morbidities when compared to a meta-analysis study of younger patients. MethodsElderly patients undergoing bariatric surgery […]