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June, 2003
Children's
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New surgery shows early success
Short bowel procedure proves simple and effective

Heung Bae Kim, MD, never gave up on the good idea he had for improving the surgical outcomes of patients with short bowel syndrome (SBS). In fact, all he needed was a receptive audience, and a decade of thinking about the surgery quickly turned into finding a way to make it work.

Until now, SBS has been treated with a surgery called the Bianchi procedure, in which the bowel is bisected and one end is sewn to the other. In these cases, however, the bowel often re-dilates, leaving patients in the same condition as when they started.

< READ THE FULL ARTICLE >


Scheduled caseload proves key to capacity
Study indicates demand fluctuations may be controllable

After more than a decade of downsizing, many hospitals throughout the country are experiencing system stress in their emergency departments due to diminished capacity. Patterns of erratic patient flow with intermittent periods of extreme overload have long been familiar to anesthesiologists, intensivists and critical care providers working on busy hospital units. Overcrowding and ambulance diversion are widely recognized as public health problems and threats to emergency preparedness. This roller coaster workload often can mean delayed care, cancelled procedures, “boarding” and refused admission—as well as staff burnout and patient dissatisfaction. Typically, hospitals face only two solutions: rationing resources or continuing to add staff and beds.

< READ THE FULL ARTICLE >

 

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