Intraoperative Considerations - Washington Manual of Surgery

Let’s talk patient safety— Join general surgery resident Dr. Felicia Zhang for a discussion with expert trauma surgeon, Dr. Jason Snyder. This episode of the Washington Manual of Surgery Podcast will focus on critical considerations during surgical procedures and serves as a companion to Chapter 2 of the 9th edition of the bestselling Washington Manual of Surgery. 

In this episode of the Washington Manual of Surgery Podcast, host Dr. Felicia Zhang is joined by Dr. Jason Snyder, an acute and critical care surgeon at WashU Medicine, to discuss vital intraoperative considerations. Key points include the importance of team introductions, surgical timeouts, anesthesia options, managing intraoperative complications, and effective postoperative handoffs. Gain insights into optimizing patient care during surgery with practical tips from experienced professionals. 

Guest Host: 

Felicia Zhang, MD – General surgery resident at WashU Medicine. 

Guest: 

Jason Snyder, MD – Director of Emergency General Surgery at Barnes-Jewish Hospital and associate program director for the General Surgery Residency Program at WashU Medicine. He is a specialist in acute care surgery. He is the chairman for the Missouri chapter of the Committee on Trauma of the American College of Surgeons. 

Citations: 

PROMMTT trial: The prospective, observational, multicenter PROMMTT study compared the effectiveness of different platelet or plasma to RBC ratios within various resuscitation time frames. The study found that higher ratios (1:1 or greater) administered in the first 6 hours of active resuscitation were linked to improved in-hospital mortality rates. 

https://jamanetwork.com/journals/jamasurgery/fullarticle/1379768 

PROPPR trial: The randomized clinical trial compared the transfusion of plasma, platelets, and red blood cells in ratios of 1:1:1 versus 1:1:2 in patients with severe trauma during active resuscitation. The study found that the 1:1:1 group had a higher rate of achieving hemostasis and a lower rate of death due to exsanguination within the first 24 hours. 

https://jamanetwork.com/journals/jama/fullarticle/2107789 

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

If you liked this episode, check out our recent episodes here: https://www.buzzsprout.com/2422197

For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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• WashU Medicine Department of Surgery: @washusurg
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