Publications by authors named "Ari Sapin"
Enhanced recovery after surgery for sleeve gastrectomies: improved patient outcomes.
Surg Obes Relat Dis
September 2021
Background: Enhanced Recovery After Surgery (ERAS) is a paradigm shift in perioperative care and incorporates patient-centered, evidence-based, and multidisciplinary team-developed pathways for a surgical specialty. ERAS pathways aim to reduce the patient's surgical stress response, optimize their physiologic function, facilitate recovery, and reduce the length of stay. The bariatric program at our institution was previously managed by many surgeons with anecdotal preferences, resulting in increased costs, lengths of stay, and opioid prescribing.
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- Botulism, caused by a neurotoxin from Clostridium botulinum, is mostly linked to ingestion or drug use, while wound botulism is rare with only 1-2 cases yearly in the U.S.
- A 27-year-old man developed muscle weakness and other symptoms 10 days after a gunshot wound, leading to a diagnosis of wound botulism and the necessity of mechanical ventilation.
- Emergency physicians should be aware that wound botulism is becoming more common in adults and needs to be considered for any patient showing neuromuscular symptoms with a recent injury, regardless of wound appearance.