Daytime Surgery After an Interrupted Night

iStock_000055153054_Medium1-120x86If you were asked if a surgeon made more mistakes if he or she had had an interrupted night's sleep the evening before a procedure, you might agree with Rick, as he opines on PodMed this week, and say yes. The question is an old one, and one that has been studied largely in interns and residents.  Now comes a study in NEJM taking a look at the same surgeon performing elective procedures, both after an interrupted night's sleep previously or not.  Pretty good control, huh?  And Rick was surprised by the outcome: with regard to endpoints including death, readmission, complications, length of stay, and the duration of the procedure, guess what?  NO difference.  That's right, these outcomes were virtually the same regardless of sleep interruption.  I wasn't particularly surprised, and that may be because experienced surgeons performing elective procedures become expert at doing so, are likely to have a team in place to support them, and have had to get their game on multiple times previously.  Still, we agree that this is going to be an ongoing issue for study, and outcomes may be different for emergent or unfamiliar procedures or under a host of other scenarios.  Good news, though, for folks who have elective procedures.

Other topics this week include Chagas' cardiomyopathy, also in NEJM, susceptibility to cold virus infection with shortened sleep duration in Sleep, and management of chronic sinusitis in JAMA.  Until next week, y'all live well.

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