Publications by authors named "Fallon Ngo"
Background: We aimed to describe the financial implications of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) in the USA.
Materials And Methods: We conducted a retrospective cost analysis of 100 CRS/HIPEC procedures to examine the impact of patient and procedural factors on hospital costs and reimbursement. A comparison of surgeons' work relative value units (wRVUs) between CRS/HIPEC and a representative sample of complex surgical oncology procedures was made to assess the physicians' compensation rate.
Leveraging the Science of Teamwork to Sustain Handoff Improvements in Cardiovascular Surgery.
Jt Comm J Qual Patient Saf
August 2023
Article Synopsis
- - The study focused on enhancing the reliability of handoffs and transitions in cardiovascular care at a busy academic medical center, where a previously implemented handoff process had poor adoption.
- - Using methods like Plan-Do-Study-Act cycles and participatory design, researchers redesigned the handoff process, assessed it through video analysis, and developed a bundle of best practices with cognitive aids.
- - Results showed significant improvements in team leadership, communication, coordination, and cooperation in handoffs, with sustained success observed over 2.3 years after implementing the new bundle.
Enhanced recovery pathways (ERPs) and recommendations have become widely accepted for metabolic and bariatric surgery, including recommendations for preoperative carbohydrate loading and duration of fasting status. There is still a lack of consensus regarding such protocols and the underlying issues of gastric emptying time, resting gastric volume and pH, and risk of aspiration in patients with severe obesity and in patients undergoing bariatric surgery. The goal of this position statement by the International Society for the Perioperative Care of Patients with Obesity (ISPCOP) is to provide an analysis of available data on preoperative fasting and loading with oral complex clear carbohydrate drinks as well its potential effects on perioperative risk of aspiration in the context of Enhanced Recovery Pathways for Metabolic and Bariatric Surgery (ERAMBS).
View Article and Find Full Text PDFPurpose: Continuous transversus abdominis plane (TAP) block using a catheter has proven its usefulness in reducing opioid requirements and pain scores after lower abdominal surgery. However, there are no reports of its successful use after renal transplant. We tested the hypothesis that continuous TAP block would retrospectively reduce opioid requirement, nausea score and hospital stay after renal transplant surgery.
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