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  1. For patients' safety reasons, current American Heart Association and European Resuscitation Council guidelines recommend intraosseous (IO) vascular access as an alternative in cases of emergency, if prompt ven...

    Authors: Bernd A Leidel, Chlodwig Kirchhoff, Viktoria Bogner, Julia Stegmaier, Wolf Mutschler, Karl-Georg Kanz and Volker Braunstein

    Citation: Patient Safety in Surgery 2009 3:24

    Content type: Research

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  2. We report herein a case of a synchronous presentation of an adenocarcinoma of esophagago-gastric junction type II and an ampullary tumor that was treated by combined Whipple's pancreaticoduodenectomy, total ga...

    Authors: Namita Jayaprakash, Fardod O'Kelly, Kheng Tian Lim and John Vincent Reynolds

    Citation: Patient Safety in Surgery 2009 3:23

    Content type: Case report

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  3. Combined iatrogenic vascular and biliary injury during cholecystectomy resulting in ischemic hepatic necrosis is a very rare cause of acute liver failure. We describe a patient who developed fulminant liver fa...

    Authors: Lucas McCormack, Emilio G Quiñonez, Pablo Capitanich, Sara Chao, Victor Serafini, Nicolas Goldaracena and Ricardo C Mastai

    Citation: Patient Safety in Surgery 2009 3:22

    Content type: Case report

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  4. Until recently, only bovine-derived thrombin was available for use as a stand-alone topical hemostat or as a component of other hemostatic devices. Concerns over a number of case reports of immune-mediated coa...

    Authors: Christopher Lomax

    Citation: Patient Safety in Surgery 2009 3:21

    Content type: Debate

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  5. We have read the letter by Bhoyrul et al. in response to our recently published article "Safety and effectiveness of bariatric surgery: Roux-en-Y gastric bypass is superior to gastric banding in the management of...

    Authors: Ulrich Guller, Lazar V Klein and John A Hagen

    Citation: Patient Safety in Surgery 2009 3:20

    Content type: Letter to the Editor

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  6. Esophageal perforation is associated with a significant risk of morbidity and mortality. We report herein a case of lye-induced esophageal perforation managed successfully by employing endoscopic T-tube placem...

    Authors: Mary Aisling McMahon, Fardod O'Kelly, Kheng Tian Lim, Narayanasamy Ravi and John Vincent Reynolds

    Citation: Patient Safety in Surgery 2009 3:19

    Content type: Case report

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  7. Given the complexity of surgical care, perioperative patients are at high risk of opioid-related adverse drug events. Existing methods of detection, such as trigger tools and manual chart review, are time-inte...

    Authors: Julie A Eckstrand, Ashraf S Habib, Abbie Williamson, Monica M Horvath, Katherine G Gattis, Heidi Cozart and Jeffrey Ferranti

    Citation: Patient Safety in Surgery 2009 3:18

    Content type: Research

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  8. The recent article by Guller, Klein, Hagen was reviewed and discussed by the authors of this response to critically analyze the validity of the conclusions, at a time when patients and providers depend on peer...

    Authors: Sunil Bhoyrul, John Dixon, George Fielding, Christine Ren Fielding, Emma Patterson, Lee Grossbard, Vafa Shayani, Marc Bessler, David Voellinger, Helmuth Billy, Robert Cywes, Timothy B Ehrlich, Daniel B Jones, Brad M Watkins, Jaime Ponce, Matthew Brengman…

    Citation: Patient Safety in Surgery 2009 3:17

    Content type: Letter to the Editor

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  9. Topical haemostatic agents are used to help achieve haemostasis during surgery when standard surgical techniques are insufficient. The objective of this study was to confirm the safety profile of an equine col...

    Authors: Mathias Birth, Joan Figueras, Stéphane Bernardini, Tine Troen, Klaus Günther, Darius Mirza and Frank Viborg Mortensen

    Citation: Patient Safety in Surgery 2009 3:13

    Content type: Research

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  10. Prompt diagnosis and decompression of acute lower extremity compartment syndrome (LECS) in the multisystem injured patient is essential to avoid the devastating complications of progressive tissue necrosis and...

    Authors: Jeffry L Kashuk, Ernest E Moore, Sarah Pinski, Jeffrey L Johnson, John B Moore, Steven Morgan, Clay C Cothren and Wade Smith

    Citation: Patient Safety in Surgery 2009 3:11

    Content type: Research

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  11. The use of bariatric surgery in the management of morbid obesity is rapidly increasing. The two most frequently performed procedures are laparoscopic Roux-en-Y bypass and laparoscopic gastric banding. The obje...

    Authors: Ulrich Guller, Lazar V Klein and John A Hagen

    Citation: Patient Safety in Surgery 2009 3:10

    Content type: Debate

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  12. In this article, we welcome the adoption of the WHO surgical checklist to prevent errors in surgical practice. We highlight the scale of the problem and discuss the adoption of this tool in the UK.

    Authors: Sukhmeet S Panesar, Kevin Cleary, Aziz Sheikh and Liam Donaldson

    Citation: Patient Safety in Surgery 2009 3:9

    Content type: Letter to the Editor

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  13. Topical hemostats, fibrin sealants, and surgical adhesives are regularly used in a variety of surgical procedures involving multiple disciplines. Generally, these adjuncts to surgical hemostasis are valuable m...

    Authors: Paul Ness, Michael Creer, George M Rodgers, Joseph J Naoum, Kenneth Renkens, Stacy A Voils and W Allan Alexander

    Citation: Patient Safety in Surgery 2009 3:8

    Content type: Review

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  14. Over the past decade several studies have questioned current standards of patient safety in health care delivery. In response, our institution started a clinical pathway for total hip replacement in 1996. Pros...

    Authors: Philipp N Streubel, Marcela Pachón, Carlos A Kerguelén, José Navas, Julio Portocarrero, Rodrigo F Pesantez, Gamal Zayed, Germán Carrillo and Adolfo M Llinás

    Citation: Patient Safety in Surgery 2009 3:7

    Content type: Research

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  15. Infection of a peripheral joint following arthroscopic surgery presents with an incidence of approximately 0.42% an extremely rare entity. However, septic arthritis is a serious situation possibly leading to a...

    Authors: Chlodwig Kirchhoff, Volker Braunstein, Jochen Paul, Andreas B Imhoff and Stefan Hinterwimmer

    Citation: Patient Safety in Surgery 2009 3:6

    Content type: Review

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  16. The predictive value of trauma impact for the severity of whiplash injuries has mainly been investigated in sled- and crash-test studies. However, very little data exist for real-life accidents. Therefore, the...

    Authors: Martin Elbel, Michael Kramer, Markus Huber-Lang, Erich Hartwig and Christoph Dehner

    Citation: Patient Safety in Surgery 2009 3:5

    Content type: Research

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  17. Pyogenic spondylodiscitis represents a potentially life-threatening condition. Due to the low incidence, evidence-based surgical recommendations in the literature are equivocal, and the treatment modalities re...

    Authors: Michael A Flierl, Kathryn M Beauchamp, Gene E Bolles, Ernest E Moore and Philip F Stahel

    Citation: Patient Safety in Surgery 2009 3:4

    Content type: Case report

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  18. Work-hour limitations have been implemented by the Accreditation Council for Graduate Medical Education (ACGME) in July 2003 in order to minimize fatigue related medical adverse events. The effects of this reg...

    Authors: Hans-Christoph Pape and Roman Pfeifer

    Citation: Patient Safety in Surgery 2009 3:3

    Content type: Review

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  19. In a majority of cases, whiplash injuries are a domain of conservative therapy. Nevertheless it remains unclear whether physical therapy is of medical or economic benefit in patients with whiplash injuries.

    Authors: Christoph Dehner, Martin Elbel, Philipp Strobel, Matthias Scheich, Florian Schneider, Gert Krischak and Michael Kramer

    Citation: Patient Safety in Surgery 2009 3:2

    Content type: Research

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  20. System analyses of incidents that occur in the process of health care delivery are rare. A case study of a series of incidents that one of the authors experienced after routine urologic surgery is presented. W...

    Authors: Robert C Lee, David L Cooke and Michael Richards

    Citation: Patient Safety in Surgery 2009 3:1

    Content type: Research

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  21. Proximal humerus fractures are one of the most common fractures. Intramedullary locked nailing is becoming a popular alternative treatment, especially for easier fracture patterns. Although axillary nerve inju...

    Authors: Stefaan Nijs, An Sermon and Paul Broos

    Citation: Patient Safety in Surgery 2008 2:33

    Content type: Research

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  22. Complications arising from accidental intraarterial drug injections have been described in the past. However, given the multitude of injected substances and complex pathophysiology, guidelines regarding diagno...

    Authors: Kyros Ipaktchi, Ramin Ipaktchi, Andreas D Niederbichler, Peter M Vogt and Karsten Knobloch

    Citation: Patient Safety in Surgery 2008 2:32

    Content type: Case report

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  23. Using crude mortality and morbidity rates for comparing outcomes can be misleading. The aim of the present study was to compare the outcome of various surgical modalities without and with risk adjustment using...

    Authors: Ravindra Singh Mohil, Tanveer Singh, Satyavrat Arya and Dinesh Bhatnagar

    Citation: Patient Safety in Surgery 2008 2:31

    Content type: Research

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  24. Totally implanted vascular access devices are frequently used in children for repeated blood samples or intravenous treatments. This prospective study aims at identifying the risk factors associated with infec...

    Authors: Stéphane Tercier, Christophe Gapany, Manuel Diezi, Chantal Clément, Katy Lemay and Jean-Marc Joseph

    Citation: Patient Safety in Surgery 2008 2:30

    Content type: Research

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  25. The vast majority of pediatric lumbosacral spondylolisthesis have developmental etiology. Of the very rare type of pediatric lumbosacral facet dislocations, there are only three reported cases of a pediatric u...

    Authors: Oszkar Szentirmai, Joshua Seinfeld, Kathryn Beauchamp and Vikas Patel

    Citation: Patient Safety in Surgery 2008 2:29

    Content type: Case report

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  26. Traumatic injuries of the inferior gluteal artery are rare, the majority of which are aneurysms due to sharp or blunt trauma. We report the rare case of a "near miss" event of a patient with an acute hemorrhag...

    Authors: Qi Zhang, Huaijun Liu, Wade R Smith, Jinshe Pan, Wei Chen and Yingze Zhang

    Citation: Patient Safety in Surgery 2008 2:27

    Content type: Case report

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  27. Anterior pelvic ring disruptions are often associated with injuries to the genitourinary structures with the potential for considerable resultant morbidity. Herniation of the bladder into the symphyseal region...

    Authors: Ryan P Finnan, Michael A Herbenick, Michael J Prayson and Mary C McCarthy

    Citation: Patient Safety in Surgery 2008 2:26

    Content type: Case report

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  28. Adolescent idiopathic scoliosis (AIS) represents a rare condition with a potentially detrimental impact on young patients. Despite vast clinical research and published treatment guidelines and algorithms, the ...

    Authors: Hans-Rudolf Weiss, Shay Bess, Man Sang Wong, Vikas Patel, Deborah Goodall and Evalina Burger

    Citation: Patient Safety in Surgery 2008 2:25

    Content type: Debate

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  29. A recent review has suggested that bovine thrombin is not associated with an increased risk of bleeding in surgical populations. In spite of extremely limited evidence available, many valuable resources (e.g. ...

    Authors: Aryeh Shander and Mazyar Javidroozi

    Citation: Patient Safety in Surgery 2008 2:23

    Content type: Letter to the Editor

    Published on:

  30. Dissection during laparoscopic surgery produces smoke containing potentially toxic substances. The aim of the present study was to analyze smoke samples produced during laparoscopic colon surgery using a bipol...

    Authors: Martin Hübner, Markus W Sigrist, Nicolas Demartines, Michele Gianella, Pierre A Clavien and Dieter Hahnloser

    Citation: Patient Safety in Surgery 2008 2:22

    Content type: Research

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  31. Overlooked injuries and delayed diagnoses are still common problems in the treatment of polytrauma patients. Therefore, ongoing documentation describing the incidence rates of missed injuries, clinically signi...

    Authors: Roman Pfeifer and Hans-Christoph Pape

    Citation: Patient Safety in Surgery 2008 2:20

    Content type: Review

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  32. Three-dimensional (3D) visualization is thought to improve the anatomical understanding of clinicians, thus improving patient safety.

    Authors: Lars Fischer, Max Schoebinger, Jan-Oliver Neumann, Sascha Müller, Hans-Peter Meinzer, Markus W Büchler and Bruno M Schmied

    Citation: Patient Safety in Surgery 2008 2:19

    Content type: Case report

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  33. Avulsion of cystic duct during laparoscopic cholecystectomy (LC) is not a common intraoperative complication, but may be encountered by any laparoscopic surgeon. Surgeons are rarely familiar with management of...

    Authors: Faramarz Karimian, Ali Aminian, Rasoul Mirsharifi and Farhad Mehrkhani

    Citation: Patient Safety in Surgery 2008 2:17

    Content type: Research

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  34. The use of virtual reality (VR) has gained increasing interest to acquire laparoscopic skills outside the operating theatre and thus increasing patients' safety. The aim of this study was to evaluate trainees'...

    Authors: Rachel Rosenthal, Walter A Gantert, Christian Hamel, Jürg Metzger, Thomas Kocher, Peter Vogelbach, Nicolas Demartines and Dieter Hahnloser

    Citation: Patient Safety in Surgery 2008 2:16

    Content type: Research

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  35. Patients with ankylosing spondylitis are at significant risk for sustaining cervical spine injuries following trauma predisposed by kyphosis, stiffness and osteoporotic bone quality of the spine. The risk of s...

    Authors: Christoph-E Heyde, Johannes K Fakler, Erik Hasenboehler, Philip F Stahel, Thilo John, Yohan Robinson, Sven K Tschoeke and Ralph Kayser

    Citation: Patient Safety in Surgery 2008 2:15

    Content type: Review

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  36. The oral cavity may exhibit a vast number of pathologic conditions, often dealt with by different medical disciplines. Combined with a substantial variation in clinical appearance, an accurate diagnosis may pr...

    Authors: Sigbjørn Løes and Knut Tornes

    Citation: Patient Safety in Surgery 2008 2:14

    Content type: Case report

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  37. Incremental doses of intravenous labetalol are safe and effective and, at times, such therapy may need to be augmented by a continuous infusion of labetalol to control severe hypertension. Continuous infusions...

    Authors: Samir Fahed, Daniel F Grum and Thomas J Papadimos

    Citation: Patient Safety in Surgery 2008 2:13

    Content type: Case report

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  38. Catheter-related blood stream infections (CRBSI) cause significant morbidity and mortality. A retrospective study of a performance improvement project in our teaching hospital's surgical intensive care unit (S...

    Authors: Thomas J Papadimos, Sandra J Hensely, Joan M Duggan, James P Hofmann, Sadik A Khuder, Marilyn J Borst and John J Fath

    Citation: Patient Safety in Surgery 2008 2:11

    Content type: Short report

    Published on:

Editors-in-Chief
Prof Philip F Stahel, The Medical Center of Aurora, USA
Prof Pierre-Alain Clavien, University Hospital Zurich, Switzerland

Managing Editor
Prof Sebastian Weckbach, University Hospital Ulm, Germany
Dr Navid Ziran, St. Joseph's Hospital and Medical Center, Arizona, USA

Senior Editor Emeritus
Prof George Youngson, Royal College of Surgeons of Edinburgh, Scotland

Associate Editors
Dr Darryl Auston, North Suburban Medical Center, Colorado, USA
Prof Walter Biffl, Scripps Memorial Hospital, USA
Prof Markus W Buechler, University Hospital Heidelberg, Germany
Prof Christoph E Heyde, University Hospital Leipzig, Germany
Dr Michael Janssen, Center for Spinal Disorders, USA
Prof James Kellam, Carolinas Medical Center, USA
Dr Fernando Kim, Denver Health Medical Center, USA 
Prof Martin A Makary, The Johns Hopkins Hospital, USA 
Dr Claudia Medina, IPS Universitaria Clinica Leon XIII, Colombia
Prof Philip S Mehler, Eating Recovery Center, USA
Prof Ernest E Moore, Denver Health Medical Center, USA
Prof Hans-Christoph Pape, University Hospital Zurich, Switzerland
Prof Rodrigo Pesántez, Universidad de los Andes Bogotá, Colombia
Dr. Carlos Rodriguez, Walter Reed National Military Medical Center, USA
Dr Steven Schelkun,  AO North America, USA
Prof Andrew H Schmidt, Minnesota university, USA
Dr Jeffrey Smith, Orthopaedic Trauma & Fracture Specialist Medical Corp, USA
Prof Wade R Smith, Swedish Medical Center, USA
Prof Adam Starr, University of Texas Southwestern Medical School, USA
Prof Charles Vincent, University of Oxford, UK
Dr Boris A. Zelle, University of Texas Health, USA
Prof Bruce Ziran, Hughston Clinic at Gwinnett Medical Center, USA

Statistical Advisors
Dr Stefan Sauerland, Institute for Quality and Efficiency in Healthcare (IQWiG), Germany
Dr Allison E Williams, Bay Pines VA Health Care System, USA

Editorial Board
Prof Fernando Baldy dos Reis, UNIFESP-Federal University of São Paulo, Brazil
Prof Jeffrey Barkun, McGill University Health Center, Canada
Dr Nathan C Butler, West Virginia School of Osteopathic Medicine, USA
Dr Ted Clarke, Colorado Physician Insurance Companies (COPIC), USA
Prof Nicolas Demartines, University Hospital Lausanne (CHUV), Switzerland
Dr Johannes Fakler, University of Leipzig, Germany
Prof Joan Figueras, University Hospital Girona, Spain
Prof Beat Gloor, University of Bern, Switzerland
Dr Andrew Grose, Westchester Medical Center, USA 
Prof Dieter Hahnloser, University Hospital Lausanne (CHUV), Switzerland
Prof Jiandong Hao, The Third Hospital of Hebei Medical University, China
Prof Kirk Hogan, University of Wisconsin, USA
Prof Markus Huber-Lang, University of Ulm, Germany
Dr Kyros Ipaktchi, Denver Health Medical Center, USA
Dr Thilo John, DRK Hospital Berlin-Westend, Germany 
Dr Jeffrey L Johnson, Henry Ford Hospital, USA
Prof Jeffry Kashuk, Tel Aviv University-Sackler School of Medicine, Israel
Prof Christian K Lackner, LMU University, Germany
Dr Geeta Lal, University of Iowa, USA
Dr Alan Lembitz, Colorado Physician Insurance Companies (COPIC), USA
Prof Matthias Majetschak, Loyola University, USA
Dr Lucas McCormack, Hospital Aleman, Argentina
Dr Timothy Moore, MetroHealth Medical Center, USA
Dr John Mukhopadhaya, Mukhopadhaya Orthopaedic Clinic, India
Prof Giuseppe Nigri, Sapienza University of Rome, Italy
Dr Lena Nilsson, Linköping University Hospital, Sweden
Dr Robert Padbury, Flinders Medical Centre, Australia
Dr Fredric Pieracci, Denver Health Medical Center, USA
Prof John V Reynolds, Trinity College Dublin, Ireland 
Prof Taylor S Riall, University of Arizona, USA
Dr Andrew Robson, University of Edinburgh, UK
Prof Steven M. Strasberg, Washington University School of Medicine, USA
Dr Todd Swenning, Desert Regional Medical Center, USA
Dr Jeffrey Varnell, Colorado Physician Insurance Companies (COPIC), USA
Dr Ryan Will, Olympia Orthopaedic Association, USA
Dr Gerald Zarlengo, Colorado Physician Insurance Companies, USA