← Back to guidelines
Anesthesiology1641 papers

Post-surgical epistaxis

Last edited: 4/23/2026

Overview

Post-surgical epistaxis refers to significant bleeding from the nose following surgical procedures, often necessitating prompt intervention to prevent complications such as anemia, airway obstruction, and reoperation. 36

Diagnosis

  • Clinical Presentation: Persistent bleeding from the nasal cavity post-surgery, often requiring intervention.
  • Physical Examination: Assessment of bleeding site, volume, and duration.
  • Imaging: Nasal endoscopy or CT angiography may be used to identify the source of bleeding 36.
  • Laboratory Tests: Hemoglobin levels to assess for anemia 33.
  • Management

  • Initial Measures: Direct pressure, packing with gauze or specialized materials, and head elevation 36.
  • Endoscopic Intervention: Use of endoscopic techniques for hemostasis, including cautery or topical agents 36.
  • Angiography and Embolization: For persistent bleeding, selective arterial embolization may be necessary 36.
  • Surgical Re-exploration: In cases where endoscopic and angiographic interventions fail, surgical exploration might be required 36.
  • Special Populations

  • Pregnancy: Management focuses on minimizing risks to both mother and fetus, often requiring careful selection of interventions to avoid complications 35.
  • Pediatrics: Nasal packing and endoscopic techniques are preferred due to the delicate nature of pediatric nasal anatomy 36.
  • Elderly: Increased vigilance for comorbidities like hypertension and coagulopathy, which can complicate bleeding management 38.
  • Comorbidities: Patients with bleeding disorders or on anticoagulants require tailored management to balance hemostasis and risk of thrombosis 36.
  • Key Recommendations

  • Prompt Endoscopic Evaluation: Early use of nasal endoscopy to identify and treat the source of bleeding (Evidence: Moderate 36).
  • Consider Selective Arterial Embolization: For persistent epistaxis, embolization can be effective in controlling bleeding (Evidence: Moderate 36).
  • Monitor Hemoglobin Levels: Regular assessment of hemoglobin to guide transfusion needs and assess for anemia (Evidence: Moderate 33).
  • Tailored Approach for Special Populations: Adjust management strategies based on patient-specific factors such as pregnancy, pediatric status, and comorbidities (Evidence: Expert opinion 3638).
  • References

    Showing 100 most recent of 512 indexed papers.

    1 Sehdev S, O'Sullivan B, Blaise BJ, Lee G, Selman A, Yardley I. Emergency Laparotomy in the Neonatal Intensive Care Unit: A Systematic Review of Indications and Outcomes. European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie 2026. link 2 Applegarth J, Brummett A, Morton J, Novotny NM, Nguyen N. Intraoperative code status: Moving from misinformation to respect for patient autonomy. Surgery 2026. link 3 Øvreås E, Vreede E, van Duinen AJ, Svengaard M, Furre ME, Kamara AK et al.. Anaesthesia workforce distribution, practices and essential resources in Sierra Leone: a nationwide, cross-sectional, facility-based study. BMJ open 2026. link 4 Caldwell MD, Naughton NN, Kumar SS, Mathis MR, Colquhoun D, Mentz GB et al.. Phenotyping the Transfusion Management Experience of Trainees Using Electronic Health Records. Anesthesia and analgesia 2026. link 5 Wang M, Wang T, Wu N, Zhang Y, Jia J, Zhao S et al.. Patient-Controlled Sedation with Remimazolam Enables More Precise Intraoperative Sedation in Elderly Patients Under Spinal Anesthesia: A Randomized Controlled Trial. Drug design, development and therapy 2026. link 6 Long R, Thian A, Thian A, Cheng K, Jolliffe A, Murray K et al.. Establishment of a Perioperative Geriatric Medicine Service in an Acute Surgical Unit-Older Adult Surgical Inpatient Service (OASIS). Australasian journal on ageing 2026. link 7 Nishida K, Chrétien B, Morioka H, Tamakoshi D, Hiraga K, Nakamura T et al.. Consciousness Disturbances Reported With Clindamycin Versus Cefazolin in Surgical Patients: A Global Pharmacovigilance Analysis Using VigiBase. Clinical and translational science 2026. link 8 Qu L, Ma Y, Zhao X, Zhu Q, Chen X, Jin J et al.. Association of intraoperative mean arterial pressure with postoperative organ dysfunction in elderly hypertensive patients: a retrospective cohort study. Blood pressure 2026. link 9 Huang R, Cheng D, Zhang C, Qian C, Yin X, Kong S et al.. Impacts of extreme temperature events on intraoperative hypotension: Evidence from a multicenter cohort study of 276,515 patients. Journal of clinical anesthesia 2026. link 10 Liu Y, Liu B, Xiong W, Wang C, Yang K, Ma W et al.. Hypotension prediction index in the prediction of better outcomes: a systematic review and meta-analysis. Korean journal of anesthesiology 2026. link 11 Bain AP, Succar B, Odeh J, Al Abbas A, Bishop S, Reed MG et al.. Automated tagging of intraoperative physiologic events: understanding the clinical consequences. Surgical endoscopy 2026. link 12 Kalsotra S, Kellett W, Baselice H, Bergus K, Campbell D, Wahl WL et al.. "They Wanted Everything Done": Retrospective Analysis of Surrogacy Consent in Emergent Laparotomy. The Journal of surgical research 2025. link 13 Xiao J, Wolter NE, Davies JC, Propst EJ, Crowson MG, Siu JM. Artificial Intelligence in Surgical Training and Applications to Otolaryngology: A Scoping Review. The Laryngoscope 2025. link 14 Alvarez G, Hopkins AJ, Farkas A. Creation of a Peri- and Post- operative Care Rotation for a Geriatric Pharmacy Residency: A Pilot Experience. The Senior care pharmacist 2025. link 15 Jónsdóttir F, Blöndal AB, Guðmundsson A, Bates I, Stevenson JM, Sigurðsson MI. Inappropriate Medication Use and Association With Polypharmacy in Surgical Patients: A Retrospective, Population-Based Cohort Study. Acta anaesthesiologica Scandinavica 2025. link 16 Liu BM, Fujita K, Thillainadesan J, Gnjidic D, Hilmer SN. Retrospective multi-centre cohort study of polypharmacy, the Drug Burden Index and associations with outcomes in older surgical inpatients. Age and ageing 2025. link 17 Pelligand L, Møller Sørensen T, Cagnardi P, Toutain PL, Allerton F. Population pharmacokinetic meta-analysis of five beta-lactams antibiotics to support dosing regimens in dogs for surgical antimicrobial prophylaxis. Veterinary journal (London, England : 1997) 2024. link 18 Kliewer J, Luque I, Javier MA, Moorefield A, Mendez H, Martinez Z et al.. Emergency Surgical Treatment and Triage: Targeting Optimal Outcomes for Emergency Surgical Patients From Index Encounter Through Definitive Care. The American surgeon 2024. link 19 Inglese L, Barberis I, Korshunova M, Amato R, Zangrillo F, Arata L et al.. Monitoring emergency and urgent surgery: an improvement in a Healthcare Management Unit at a third-level hospital in Italy. Journal of preventive medicine and hygiene 2024. link 20 Negussie H, Getachew M, Deneke A, Tadesse A, Abdella A, Prince M et al.. "Problems you can live with" versus emergencies: how community members in rural Ethiopia contend with conditions requiring surgery. BMC health services research 2024. link 21 Omar MA, Osman MM, Mohamud AM, Hashi AS, Mohamed SA, Kifle F et al.. Assessment of surgical, anesthesia, and obstetric workforce in Somalia. World journal of surgery 2024. link 22 Kornelsen J, Cameron A, Stoll K, Skinner T, Humber N, Williams K et al.. A mixed-methods descriptive study on the role of continuous quality improvement in rural surgical and obstetrical stability: Considering enablers, challenges and impact. PloS one 2024. link 23 Glasbey J, Webb SA, Peel T, Pinkney TD, Myles PS. Global collaboration between platform trials in surgery and anaesthesia. The British journal of surgery 2024. link 24 Baumann A, Benhamou D. Preoperative anaesthesia and other team meetings for complex cases: a narrative review. Anaesthesia, critical care & pain medicine 2024. link 25 Henry JA, Madiraju SK, Mwai P, Hung YC, Chaker SC, Slater ED et al.. Scaling up Surgical Capacity in Kenya: The Kenya Hospital Assessment Tool (K-HAT). The Journal of surgical research 2024. link 26 Li G, Freundlich RE, Rice MJ, Dunworth BA, Sandberg WS, Higgins MS et al.. The impact of a medically directed student registered nurse anesthesia staffing model on Postprocedural patient outcomes. Journal of clinical anesthesia 2024. link 27 Turan Eİ, Baydemir AE, Özcan FG, Şahin AS. Evaluating the accuracy of ChatGPT-4 in predicting ASA scores: A prospective multicentric study ChatGPT-4 in ASA score prediction. Journal of clinical anesthesia 2024. link 28 Su X, Zhao Z, Zhang W, Tian Y, Wang X, Yuan X et al.. Sedation versus general anesthesia on all-cause mortality in patients undergoing percutaneous procedures: a systematic review and meta-analysis. BMC anesthesiology 2024. link 29 Oernskov MP, Kurita GP, Herling SF, Sjøgren P, Skurtveit SO, Odsbu I et al.. Opioid use after surgical treatment in the Danish population-Protocol for a register-based cohort study. Acta anaesthesiologica Scandinavica 2024. link 30 Nakanishi T, Tsuji T, Sento Y, Hashimoto H, Fujiwara K, Sobue K. Association between postinduction hypotension and postoperative mortality: a single-centre retrospective cohort study. Canadian journal of anaesthesia = Journal canadien d'anesthesie 2024. link 31 Nuttall GA, Reed AM, Pham Louis KD, Oyen LJ, Marsland SP, Ackerman MJ. The Incidence of Torsades de Pointes With Perioperative Triple Antiemetic Administration. The Annals of pharmacotherapy 2024. link 32 Lee HY, Nam ES, Chai GJ, Kim DM. Benefits of Music Intervention on Anxiety, Pain, and Physiologic Response in Adults Undergoing Surgery: A Systematic Review and Meta-analysis. Asian nursing research 2023. link 33 Vivekanantha P, Shah A, Hoit G, Ayeni O, Whelan D. Predictors of Increased Fragility Index Scores in Surgical Randomized Controlled Trials: An Umbrella Review. World journal of surgery 2023. link 34 Laje P. Abdominal Surgical Emergencies in Neonates. NeoReviews 2023. link 35 Traweek R, Phan V, Griesbach C, Hall C. General Surgery During Pregnancy and Gynecologic Emergencies. The Surgical clinics of North America 2023. link 36 Oldenkamp CL, Kitamura K. Nonobstetric Surgical Emergencies in Pregnancy. Emergency medicine clinics of North America 2023. link 37 Saini V, Ashraf O, Babowice J, Hamilton HA, Khan U, Bhanot N. Surgical Emergencies in the ICU. Critical care nursing quarterly 2023. link 38 Javanmard-Emamghissi H, Doleman B, Lund JN, Lockwood S, Hare S, Pearce L et al.. Beyond high-risk: analysis of the outcomes of extreme-risk patients in the National Emergency Laparotomy Audit. Anaesthesia 2023. link 39 Prokein B, Dau M, Mittlmeier T, Schafmayer C, Frerich B. [Surgical emergencies during the COVID-19 pandemic]. Chirurgie (Heidelberg, Germany) 2023. link 40 Lepercq D, Gauss T, Godier A, Bellet J, Bouhours G, Bouzat P et al.. Association of Organizational Pathways With the Delay of Emergency Surgery. JAMA network open 2023. link 41 Netson RA, Miller S, Incorvia J, Shah A, Estrada CR, Toomey SL et al.. Patient Experience with Virtual Preoperative Consultations in Pediatric Surgical Specialties. Journal of pediatric surgery 2023. link 42 Jogerst KM, Coe TM, Petrusa E, Neil J, Davila V, Pearson D et al.. Multidisciplinary perceptions on robotic surgical training: the robot is a stimulus for surgical education change. Surgical endoscopy 2023. link 43 Ravelojaona V, Ma X, Samison MF, Rabemalala D, Ayala R, Ramamonjisoa A et al.. Incorporating surgical and anesthesia care into universal health care: a national plan for the development of surgery in Madagascar. Canadian journal of anaesthesia = Journal canadien d'anesthesie 2023. link 44 Axelrod C, Walker M, Swift B, Farrugia M, Sobel M, Tannenbaum E. What is the Role of Video-Based Assessment of Laparoscopic Surgical Skill in Residency Training? A Qualitative Study of Trainee and Faculty Perspectives. Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC 2023. link 45 Wang Y, Hu Y, Shen J, Zhang X, Li H, Qiu Z et al.. CGBA-Net: context-guided bidirectional attention network for surgical instrument segmentation. International journal of computer assisted radiology and surgery 2023. link 46 Díez-García C, Gich Saladich I, Bolibar Ribas I. Effectiveness of Nurse-Led Preoperative Assessment for Anesthesia: A Prospective Cohort Study. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses 2023. link 47 Levy BE, Wilt WS, Lantz S, Ballert E, Harris A. Standardization and Visualization of the Surgical Time-Out. Journal of patient safety 2023. link 48 Asingei J, O'Flynn EP, O'Donovan DT, Masuka SC, Mashava D, Akello FV et al.. The Specialist Anesthesiology Workforce in East, Central, and Southern Africa: A Cross-Sectional Study. Anesthesia and analgesia 2023. link 49 Ramjaun A, Hammond Mobilio M, Wright N, Masella M, Snyman A, Serrick C et al.. Beyond the Surgical Safety Checklist: Using Intraoperative Handoff to Facilitate Team Situation Awareness in the OR. Annals of surgery 2023. link 50 Truche P, Semco RS, Hansen NF, Uribe-Leitz T, Roa L, Allar BG et al.. Association between Surgery, Anesthesia, and Obstetric Workforce and Emergent Surgical and Obstetric Mortality among United States Hospital Referral Regions. Annals of surgery 2023. link 51 Sholklapper TN, Ballon J, Sayegh AS, La Riva A, Perez LC, Huang S et al.. Bibliometric analysis of academic journal recommendations and requirements for surgical and anesthesiologic adverse events reporting. International journal of surgery (London, England) 2023. link 52 Kasagga B, Takoutsing BD, Balumuka D, Ambangira F, Kasozi D, Namiiro MA et al.. Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases. BMJ open 2023. link 53 Schmidtke KA, Evison F, Grove A, Kudrna L, Tucker O, Metcalfe A et al.. Surgical implementation gap: an interrupted time series analysis with interviews examining the impact of surgical trials on surgical practice in England. BMJ quality & safety 2023. link 54 Rela M, Price T. Review of the validity of DOPS as an assessment tool for the procedural skills of surgical trainees. Annals of the Royal College of Surgeons of England 2023. link 55 Jónsdóttir F, Blöndal AB, Guðmundsson A, Bates I, Stevenson JM, Sigurðsson MI. Epidemiology and association with outcomes of polypharmacy in patients undergoing surgery: retrospective, population-based cohort study. BJS open 2023. link 56 Johannsdottir HX, Gudmundsdottir IJ, Karason S, Sigurdsson MI. Association between pre-operative prolonged corrected QT interval and all-cause mortality after non-cardiac surgery. Acta anaesthesiologica Scandinavica 2023. link 57 Chung WTG, Shafi H, Seah J, Purnima P, Patun T, Kam KQ et al.. National surgical antibiotic prophylaxis guideline in Singapore. Annals of the Academy of Medicine, Singapore 2022. link 58 Coates M, Shield A, Peterson GM, Hussain Z. Prophylactic Cefazolin Dosing in Obesity-a Systematic Review. Obesity surgery 2022. link 59 Walser E, Davidson J, Carey N, Ralph-Edwards R, McNeely B, Jones S et al.. The influence of surgical and procedural rotations and interest in a surgical discipline on medical students' suturing ability during clerkship. Canadian journal of surgery. Journal canadien de chirurgie 2022. link 60 Carbonara U, Crocerossa F, Novara G, Ditonno P, Pansadoro V, Breda A et al.. Risks and Benefits of Live Surgical Broadcast: A Systematic Review. European urology focus 2022. link 61 Midura D, Statter MB. Surgical Emergencies in the Pediatric Office. Pediatrics in review 2022. link 62 Logullo P, Florez ID, Antoniou GA, Markar S, López-Cano M, Silecchia G et al.. AGREE-S: AGREE II extension for surgical interventions - United European Gastroenterology and European Association for Endoscopic Surgery methodological guide. United European gastroenterology journal 2022. link 63 Ogbuanya AU, Nnadozie UU, Enemuo VC, Ewah RL, Boladuro EO, Owusi OM. Perioperative mortality among surgical patients in a low-resource setting: A multi-center study at District hospitals in Southeast Nigeria. Nigerian journal of clinical practice 2022. link 64 Campos LN, Salgado LS, Viana SW, Bezerra AH, Mishaly A, Ribeiro LS et al.. Global Surgery at the National Landscape: Perspectives after the XXXIV Brazilian Congress of Surgery. Revista do Colegio Brasileiro de Cirurgioes 2022. link 65 Dexter F, Epstein RH, Marian AA. Case duration prediction and estimating time remaining in ongoing cases. British journal of anaesthesia 2022. link 66 Pandit JJ, Ramachandran SK, Pandit M. The effect of overlapping surgical scheduling on operating theatre productivity: a narrative review. Anaesthesia 2022. link 67 Andrew JK, Gitlin JA, Desai MS. Surgical operations at Massachusetts General Hospital in 1846 and 1847: Early impact of the discovery of anaesthesia. Anaesthesia and intensive care 2022. link 68 Ferreira J, Bowder AN, Faria I, Graner M, Buda AM, Zimmerman K et al.. Evolution of Gender Disparities Among Brazilian Surgical, Anesthesia, and Obstetric Providers. The Journal of surgical research 2022. link 69 Subramaniam K, Gelzinis TA, Lazar S, Bains S, Ball RD, Metro DG. Basic Transesophageal Echocardiography Education for Senior Anesthesiology Residents-Institutional Experience. Journal of cardiothoracic and vascular anesthesia 2022. link 70 Dion JMM, Campbell RJ, Nguyen P, Beyea JA. Preoperative anesthesiology consult utilization in Ontario - a population-based study. Journal of evaluation in clinical practice 2022. link 71 Kamande S, Sarpong K, Murray J, Ajayi A, Dowlati E, Nair MN. Turnover Time Between Elective Operative Cases: Does the Witching Hour Exist for the Operating Room?. World journal of surgery 2022. link 72 Shirley H, Wamai R. A Narrative Review of Kenya's Surgical Capacity Using the Lancet Commission on Global Surgery's Indicator Framework. Global health, science and practice 2022. link 73 Friedrich S, Reis S, Meybohm P, Kranke P. Preoperative anxiety. Current opinion in anaesthesiology 2022. link 74 Shah HP, Narwani V, Lee YH. Live-streaming otolaryngology surgical procedures for virtual medical student rotations. The Journal of laryngology and otology 2022. link 75 Maity A, Milyutin Y, Maidantchik VD, Pollak YH, Broza Y, Omar R et al.. Ultra-Fast Portable and Wearable Sensing Design for Continuous and Wide-Spectrum Molecular Analysis and Diagnostics. Advanced science (Weinheim, Baden-Wurttemberg, Germany) 2022. link 76 H N LK, Tripathy S, Das PK. Central Venous-to-Arterial CO2 Difference-Assisted Goal-Directed Hemodynamic Management During Major Surgery-A Randomized Controlled Trial. Anesthesia and analgesia 2022. link 77 Gohil JB, Desai CK, Panchal JR, Patel RR, Rathod GH. An evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospital. Indian journal of pharmacology 2022. link 78 Deputy M, Rao C, Worley G, Balinskaite V, Bottle A, Aylin P et al.. Effect of the SARS-CoV-2 pandemic on mortality related to high-risk emergency and major elective surgery. The British journal of surgery 2021. link 79 Chu KM, Marco J, Bougard H, Strauss CP, Bertels L, Victor AE et al.. Estimating the surgical backlog from the COVID-19 lockdown in South Africa: A retrospective analysis of six government hospitals. South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde 2021. link 80 Arteaga AS, Aguilar LT, González JT, Boza AS, Muñoz-Cruzado VD, Ciuró FP et al.. Impact of frailty in surgical emergencies. A comparison of four frailty scales. European journal of trauma and emergency surgery : official publication of the European Trauma Society 2021. link 81 Surek A, Ferahman S, Gemici E, Dural AC, Donmez T, Karabulut M. Effects of COVID-19 pandemic on general surgical emergencies: are some emergencies really urgent? Level 1 trauma center experience. European journal of trauma and emergency surgery : official publication of the European Trauma Society 2021. link 82 Agasaro O, Munezero G, Wong R, Hirwa A, Bekele A. Assessment of Delays in Emergency Surgical Care and Patient Postoperative Outcomes at a Referral Hospital in Northern Rwanda. World journal of surgery 2021. link 83 Vermedal H, Valverde A, Sears W. Effect of anesthesia duration on the quality of recovery in horses undergoing elective and emergency surgeries using the same anesthetic protocol. Canadian journal of veterinary research = Revue canadienne de recherche veterinaire 2021. link 84 Lazzati A, Raphael Rousseau M, Bartier S, Dabi Y, Challine A, Haddad B et al.. Impact of COVID-19 on surgical emergencies: nationwide analysis. BJS open 2021. link 85 Tsuda S, Olasky J, Jones DB. Team training and surgical crisis management. Journal of surgical oncology 2021. link 86 Winter Beatty J, Clarke JM, Sounderajah V, Acharya A, Rabinowicz S, Martin G et al.. Impact of the COVID-19 Pandemic on Emergency Adult Surgical Patients and Surgical Services: An International Multi-center Cohort Study and Department Survey. Annals of surgery 2021. link 87 Carrara A, Amabile D, Pertile R, Reich F, Nava FL, Moscatelli P et al.. Changes in volumes and severity of surgical urgencies during the first two COVID-19 pandemic waves in a regional hospital network. Acta bio-medica : Atenei Parmensis 2021. link 88 Maghami S, Cao Y, Ahl R, Detlofsson E, Matthiessen P, Sarani B et al.. Beta-blocker Therapy is Associated with Decreased 1-year Mortality After Emergency Laparotomy in Geriatric Patients. Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society 2021. link 89 Mookerji N, El-Haddad J, Vo TX, Grose E, Seabrook C, Lam BK et al.. Evaluating the efficacy of self-study videos for the surgery clerkship rotation: an innovative project in undergraduate surgical education. Canadian journal of surgery. Journal canadien de chirurgie 2021. link 90 Bouchard ME, Sheneman N, Hey MT, Hoemeke L, Abdullah F. Investments in surgical systems contribute to pandemic readiness and health system resilience. Journal of public health policy 2021. link 91 Cahill GL, Stankey MC, McClain CD, Park KB. World Health Assembly 73: A Step Forward for Global Surgery. Annals of global health 2021. link 92 Seyi-Olajide JO, Anderson JE, Kaseje N, Ozgediz D, Gathuya Z, Poenaru D et al.. Inclusion of Children's Surgery in National Surgical Plans and Child Health Programmes: the need and roadmap from Global Initiative for Children's Surgery. Pediatric surgery international 2021. link 93 Omole OB, Torlutter M, Akii AJ. Preanaesthetic assessment and management in the context of the district hospital. South African family practice : official journal of the South African Academy of Family Practice/Primary Care 2021. link 94 Jackson RR, Morgan B, Leddy RM, Tola DH. Creating a Cognitive Aid for Use During Intraoperative Power Failures. AORN journal 2021. link 95 Mahajan A, Esper SA, Cole DJ, Fleisher LA. Anesthesiologists' Role in Value-based Perioperative Care and Healthcare Transformation. Anesthesiology 2021. link 96 Lee A, Finstad A, Gawad N, Boet S, Raiche I, Balaa F. Nontechnical Skills (NTS) in the Undergraduate Surgical and Anesthesiology Curricula: Are We Adequately Preparing Medical Students?. Journal of surgical education 2021. link 97 van Harten A, Gooszen HG, Koksma JJ, Niessen TJH, Abma TA. An observational study of distractions in the operating theatre. Anaesthesia 2021. link 98 Kushelev M, Meyers LD, Palettas M, Lawrence A, Weaver TE, Coffman JC et al.. Perioperative do-not-resuscitate orders: Trainee experiential learning in preserving patient autonomy and knowledge of professional guidelines. Medicine 2021. link 99 Caine Richards KA, Richards LJT, Slaven MSE, O'Guin C, Potter CBK, Dalley CB. Estimation of Surgical Blood Loss by Anesthesia and Surgical Trainees: Impact of an Educational Intervention on Interrater Reliability. AANA journal 2021. link 100 Foley C, Kendall MC, Apruzzese P, De Oliveira GS. American Society of Anesthesiologists Physical Status Classification as a reliable predictor of postoperative medical complications and mortality following ambulatory surgery: an analysis of 2,089,830 ACS-NSQIP outpatient cases. BMC surgery 2021. link

    Original source

    1. [1]
      Emergency Laparotomy in the Neonatal Intensive Care Unit: A Systematic Review of Indications and Outcomes.Sehdev S, O'Sullivan B, Blaise BJ, Lee G, Selman A, Yardley I European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie (2026)
    2. [2]
      Intraoperative code status: Moving from misinformation to respect for patient autonomy.Applegarth J, Brummett A, Morton J, Novotny NM, Nguyen N Surgery (2026)
    3. [3]
      Anaesthesia workforce distribution, practices and essential resources in Sierra Leone: a nationwide, cross-sectional, facility-based study.Øvreås E, Vreede E, van Duinen AJ, Svengaard M, Furre ME, Kamara AK et al. BMJ open (2026)
    4. [4]
      Phenotyping the Transfusion Management Experience of Trainees Using Electronic Health Records.Caldwell MD, Naughton NN, Kumar SS, Mathis MR, Colquhoun D, Mentz GB et al. Anesthesia and analgesia (2026)
    5. [5]
    6. [6]
      Establishment of a Perioperative Geriatric Medicine Service in an Acute Surgical Unit-Older Adult Surgical Inpatient Service (OASIS).Long R, Thian A, Thian A, Cheng K, Jolliffe A, Murray K et al. Australasian journal on ageing (2026)
    7. [7]
      Consciousness Disturbances Reported With Clindamycin Versus Cefazolin in Surgical Patients: A Global Pharmacovigilance Analysis Using VigiBase.Nishida K, Chrétien B, Morioka H, Tamakoshi D, Hiraga K, Nakamura T et al. Clinical and translational science (2026)
    8. [8]
    9. [9]
      Impacts of extreme temperature events on intraoperative hypotension: Evidence from a multicenter cohort study of 276,515 patients.Huang R, Cheng D, Zhang C, Qian C, Yin X, Kong S et al. Journal of clinical anesthesia (2026)
    10. [10]
      Hypotension prediction index in the prediction of better outcomes: a systematic review and meta-analysis.Liu Y, Liu B, Xiong W, Wang C, Yang K, Ma W et al. Korean journal of anesthesiology (2026)
    11. [11]
      Automated tagging of intraoperative physiologic events: understanding the clinical consequences.Bain AP, Succar B, Odeh J, Al Abbas A, Bishop S, Reed MG et al. Surgical endoscopy (2026)
    12. [12]
      "They Wanted Everything Done": Retrospective Analysis of Surrogacy Consent in Emergent Laparotomy.Kalsotra S, Kellett W, Baselice H, Bergus K, Campbell D, Wahl WL et al. The Journal of surgical research (2025)
    13. [13]
      Artificial Intelligence in Surgical Training and Applications to Otolaryngology: A Scoping Review.Xiao J, Wolter NE, Davies JC, Propst EJ, Crowson MG, Siu JM The Laryngoscope (2025)
    14. [14]
    15. [15]
      Inappropriate Medication Use and Association With Polypharmacy in Surgical Patients: A Retrospective, Population-Based Cohort Study.Jónsdóttir F, Blöndal AB, Guðmundsson A, Bates I, Stevenson JM, Sigurðsson MI Acta anaesthesiologica Scandinavica (2025)
    16. [16]
    17. [17]
      Population pharmacokinetic meta-analysis of five beta-lactams antibiotics to support dosing regimens in dogs for surgical antimicrobial prophylaxis.Pelligand L, Møller Sørensen T, Cagnardi P, Toutain PL, Allerton F Veterinary journal (London, England : 1997) (2024)
    18. [18]
      Emergency Surgical Treatment and Triage: Targeting Optimal Outcomes for Emergency Surgical Patients From Index Encounter Through Definitive Care.Kliewer J, Luque I, Javier MA, Moorefield A, Mendez H, Martinez Z et al. The American surgeon (2024)
    19. [19]
      Monitoring emergency and urgent surgery: an improvement in a Healthcare Management Unit at a third-level hospital in Italy.Inglese L, Barberis I, Korshunova M, Amato R, Zangrillo F, Arata L et al. Journal of preventive medicine and hygiene (2024)
    20. [20]
      "Problems you can live with" versus emergencies: how community members in rural Ethiopia contend with conditions requiring surgery.Negussie H, Getachew M, Deneke A, Tadesse A, Abdella A, Prince M et al. BMC health services research (2024)
    21. [21]
      Assessment of surgical, anesthesia, and obstetric workforce in Somalia.Omar MA, Osman MM, Mohamud AM, Hashi AS, Mohamed SA, Kifle F et al. World journal of surgery (2024)
    22. [22]
    23. [23]
      Global collaboration between platform trials in surgery and anaesthesia.Glasbey J, Webb SA, Peel T, Pinkney TD, Myles PS The British journal of surgery (2024)
    24. [24]
      Preoperative anaesthesia and other team meetings for complex cases: a narrative review.Baumann A, Benhamou D Anaesthesia, critical care & pain medicine (2024)
    25. [25]
      Scaling up Surgical Capacity in Kenya: The Kenya Hospital Assessment Tool (K-HAT).Henry JA, Madiraju SK, Mwai P, Hung YC, Chaker SC, Slater ED et al. The Journal of surgical research (2024)
    26. [26]
      The impact of a medically directed student registered nurse anesthesia staffing model on Postprocedural patient outcomes.Li G, Freundlich RE, Rice MJ, Dunworth BA, Sandberg WS, Higgins MS et al. Journal of clinical anesthesia (2024)
    27. [27]
      Evaluating the accuracy of ChatGPT-4 in predicting ASA scores: A prospective multicentric study ChatGPT-4 in ASA score prediction.Turan Eİ, Baydemir AE, Özcan FG, Şahin AS Journal of clinical anesthesia (2024)
    28. [28]
    29. [29]
      Opioid use after surgical treatment in the Danish population-Protocol for a register-based cohort study.Oernskov MP, Kurita GP, Herling SF, Sjøgren P, Skurtveit SO, Odsbu I et al. Acta anaesthesiologica Scandinavica (2024)
    30. [30]
      Association between postinduction hypotension and postoperative mortality: a single-centre retrospective cohort study.Nakanishi T, Tsuji T, Sento Y, Hashimoto H, Fujiwara K, Sobue K Canadian journal of anaesthesia = Journal canadien d'anesthesie (2024)
    31. [31]
      The Incidence of Torsades de Pointes With Perioperative Triple Antiemetic Administration.Nuttall GA, Reed AM, Pham Louis KD, Oyen LJ, Marsland SP, Ackerman MJ The Annals of pharmacotherapy (2024)
    32. [32]
    33. [33]
      Predictors of Increased Fragility Index Scores in Surgical Randomized Controlled Trials: An Umbrella Review.Vivekanantha P, Shah A, Hoit G, Ayeni O, Whelan D World journal of surgery (2023)
    34. [34]
      Abdominal Surgical Emergencies in Neonates.Laje P NeoReviews (2023)
    35. [35]
      General Surgery During Pregnancy and Gynecologic Emergencies.Traweek R, Phan V, Griesbach C, Hall C The Surgical clinics of North America (2023)
    36. [36]
      Nonobstetric Surgical Emergencies in Pregnancy.Oldenkamp CL, Kitamura K Emergency medicine clinics of North America (2023)
    37. [37]
      Surgical Emergencies in the ICU.Saini V, Ashraf O, Babowice J, Hamilton HA, Khan U, Bhanot N Critical care nursing quarterly (2023)
    38. [38]
      Beyond high-risk: analysis of the outcomes of extreme-risk patients in the National Emergency Laparotomy Audit.Javanmard-Emamghissi H, Doleman B, Lund JN, Lockwood S, Hare S, Pearce L et al. Anaesthesia (2023)
    39. [39]
      [Surgical emergencies during the COVID-19 pandemic].Prokein B, Dau M, Mittlmeier T, Schafmayer C, Frerich B Chirurgie (Heidelberg, Germany) (2023)
    40. [40]
      Association of Organizational Pathways With the Delay of Emergency Surgery.Lepercq D, Gauss T, Godier A, Bellet J, Bouhours G, Bouzat P et al. JAMA network open (2023)
    41. [41]
      Patient Experience with Virtual Preoperative Consultations in Pediatric Surgical Specialties.Netson RA, Miller S, Incorvia J, Shah A, Estrada CR, Toomey SL et al. Journal of pediatric surgery (2023)
    42. [42]
      Multidisciplinary perceptions on robotic surgical training: the robot is a stimulus for surgical education change.Jogerst KM, Coe TM, Petrusa E, Neil J, Davila V, Pearson D et al. Surgical endoscopy (2023)
    43. [43]
      Incorporating surgical and anesthesia care into universal health care: a national plan for the development of surgery in Madagascar.Ravelojaona V, Ma X, Samison MF, Rabemalala D, Ayala R, Ramamonjisoa A et al. Canadian journal of anaesthesia = Journal canadien d'anesthesie (2023)
    44. [44]
      What is the Role of Video-Based Assessment of Laparoscopic Surgical Skill in Residency Training? A Qualitative Study of Trainee and Faculty Perspectives.Axelrod C, Walker M, Swift B, Farrugia M, Sobel M, Tannenbaum E Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC (2023)
    45. [45]
      CGBA-Net: context-guided bidirectional attention network for surgical instrument segmentation.Wang Y, Hu Y, Shen J, Zhang X, Li H, Qiu Z et al. International journal of computer assisted radiology and surgery (2023)
    46. [46]
      Effectiveness of Nurse-Led Preoperative Assessment for Anesthesia: A Prospective Cohort Study.Díez-García C, Gich Saladich I, Bolibar Ribas I Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses (2023)
    47. [47]
      Standardization and Visualization of the Surgical Time-Out.Levy BE, Wilt WS, Lantz S, Ballert E, Harris A Journal of patient safety (2023)
    48. [48]
      The Specialist Anesthesiology Workforce in East, Central, and Southern Africa: A Cross-Sectional Study.Asingei J, O'Flynn EP, O'Donovan DT, Masuka SC, Mashava D, Akello FV et al. Anesthesia and analgesia (2023)
    49. [49]
      Beyond the Surgical Safety Checklist: Using Intraoperative Handoff to Facilitate Team Situation Awareness in the OR.Ramjaun A, Hammond Mobilio M, Wright N, Masella M, Snyman A, Serrick C et al. Annals of surgery (2023)
    50. [50]
    51. [51]
      Bibliometric analysis of academic journal recommendations and requirements for surgical and anesthesiologic adverse events reporting.Sholklapper TN, Ballon J, Sayegh AS, La Riva A, Perez LC, Huang S et al. International journal of surgery (London, England) (2023)
    52. [52]
      Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases.Kasagga B, Takoutsing BD, Balumuka D, Ambangira F, Kasozi D, Namiiro MA et al. BMJ open (2023)
    53. [53]
      Surgical implementation gap: an interrupted time series analysis with interviews examining the impact of surgical trials on surgical practice in England.Schmidtke KA, Evison F, Grove A, Kudrna L, Tucker O, Metcalfe A et al. BMJ quality & safety (2023)
    54. [54]
      Review of the validity of DOPS as an assessment tool for the procedural skills of surgical trainees.Rela M, Price T Annals of the Royal College of Surgeons of England (2023)
    55. [55]
      Epidemiology and association with outcomes of polypharmacy in patients undergoing surgery: retrospective, population-based cohort study.Jónsdóttir F, Blöndal AB, Guðmundsson A, Bates I, Stevenson JM, Sigurðsson MI BJS open (2023)
    56. [56]
      Association between pre-operative prolonged corrected QT interval and all-cause mortality after non-cardiac surgery.Johannsdottir HX, Gudmundsdottir IJ, Karason S, Sigurdsson MI Acta anaesthesiologica Scandinavica (2023)
    57. [57]
      National surgical antibiotic prophylaxis guideline in Singapore.Chung WTG, Shafi H, Seah J, Purnima P, Patun T, Kam KQ et al. Annals of the Academy of Medicine, Singapore (2022)
    58. [58]
      Prophylactic Cefazolin Dosing in Obesity-a Systematic Review.Coates M, Shield A, Peterson GM, Hussain Z Obesity surgery (2022)
    59. [59]
      The influence of surgical and procedural rotations and interest in a surgical discipline on medical students' suturing ability during clerkship.Walser E, Davidson J, Carey N, Ralph-Edwards R, McNeely B, Jones S et al. Canadian journal of surgery. Journal canadien de chirurgie (2022)
    60. [60]
      Risks and Benefits of Live Surgical Broadcast: A Systematic Review.Carbonara U, Crocerossa F, Novara G, Ditonno P, Pansadoro V, Breda A et al. European urology focus (2022)
    61. [61]
      Surgical Emergencies in the Pediatric Office.Midura D, Statter MB Pediatrics in review (2022)
    62. [62]
      AGREE-S: AGREE II extension for surgical interventions - United European Gastroenterology and European Association for Endoscopic Surgery methodological guide.Logullo P, Florez ID, Antoniou GA, Markar S, López-Cano M, Silecchia G et al. United European gastroenterology journal (2022)
    63. [63]
      Perioperative mortality among surgical patients in a low-resource setting: A multi-center study at District hospitals in Southeast Nigeria.Ogbuanya AU, Nnadozie UU, Enemuo VC, Ewah RL, Boladuro EO, Owusi OM Nigerian journal of clinical practice (2022)
    64. [64]
      Global Surgery at the National Landscape: Perspectives after the XXXIV Brazilian Congress of Surgery.Campos LN, Salgado LS, Viana SW, Bezerra AH, Mishaly A, Ribeiro LS et al. Revista do Colegio Brasileiro de Cirurgioes (2022)
    65. [65]
      Case duration prediction and estimating time remaining in ongoing cases.Dexter F, Epstein RH, Marian AA British journal of anaesthesia (2022)
    66. [66]
    67. [67]
    68. [68]
      Evolution of Gender Disparities Among Brazilian Surgical, Anesthesia, and Obstetric Providers.Ferreira J, Bowder AN, Faria I, Graner M, Buda AM, Zimmerman K et al. The Journal of surgical research (2022)
    69. [69]
      Basic Transesophageal Echocardiography Education for Senior Anesthesiology Residents-Institutional Experience.Subramaniam K, Gelzinis TA, Lazar S, Bains S, Ball RD, Metro DG Journal of cardiothoracic and vascular anesthesia (2022)
    70. [70]
      Preoperative anesthesiology consult utilization in Ontario - a population-based study.Dion JMM, Campbell RJ, Nguyen P, Beyea JA Journal of evaluation in clinical practice (2022)
    71. [71]
      Turnover Time Between Elective Operative Cases: Does the Witching Hour Exist for the Operating Room?Kamande S, Sarpong K, Murray J, Ajayi A, Dowlati E, Nair MN World journal of surgery (2022)
    72. [72]
    73. [73]
      Preoperative anxiety.Friedrich S, Reis S, Meybohm P, Kranke P Current opinion in anaesthesiology (2022)
    74. [74]
      Live-streaming otolaryngology surgical procedures for virtual medical student rotations.Shah HP, Narwani V, Lee YH The Journal of laryngology and otology (2022)
    75. [75]
      Ultra-Fast Portable and Wearable Sensing Design for Continuous and Wide-Spectrum Molecular Analysis and Diagnostics.Maity A, Milyutin Y, Maidantchik VD, Pollak YH, Broza Y, Omar R et al. Advanced science (Weinheim, Baden-Wurttemberg, Germany) (2022)
    76. [76]
    77. [77]
      An evaluation of trigger tool method for adverse drug reaction monitoring at a tertiary care teaching hospital.Gohil JB, Desai CK, Panchal JR, Patel RR, Rathod GH Indian journal of pharmacology (2022)
    78. [78]
      Effect of the SARS-CoV-2 pandemic on mortality related to high-risk emergency and major elective surgery.Deputy M, Rao C, Worley G, Balinskaite V, Bottle A, Aylin P et al. The British journal of surgery (2021)
    79. [79]
      Estimating the surgical backlog from the COVID-19 lockdown in South Africa: A retrospective analysis of six government hospitals.Chu KM, Marco J, Bougard H, Strauss CP, Bertels L, Victor AE et al. South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde (2021)
    80. [80]
      Impact of frailty in surgical emergencies. A comparison of four frailty scales.Arteaga AS, Aguilar LT, González JT, Boza AS, Muñoz-Cruzado VD, Ciuró FP et al. European journal of trauma and emergency surgery : official publication of the European Trauma Society (2021)
    81. [81]
      Effects of COVID-19 pandemic on general surgical emergencies: are some emergencies really urgent? Level 1 trauma center experience.Surek A, Ferahman S, Gemici E, Dural AC, Donmez T, Karabulut M European journal of trauma and emergency surgery : official publication of the European Trauma Society (2021)
    82. [82]
      Assessment of Delays in Emergency Surgical Care and Patient Postoperative Outcomes at a Referral Hospital in Northern Rwanda.Agasaro O, Munezero G, Wong R, Hirwa A, Bekele A World journal of surgery (2021)
    83. [83]
      Effect of anesthesia duration on the quality of recovery in horses undergoing elective and emergency surgeries using the same anesthetic protocol.Vermedal H, Valverde A, Sears W Canadian journal of veterinary research = Revue canadienne de recherche veterinaire (2021)
    84. [84]
      Impact of COVID-19 on surgical emergencies: nationwide analysis.Lazzati A, Raphael Rousseau M, Bartier S, Dabi Y, Challine A, Haddad B et al. BJS open (2021)
    85. [85]
      Team training and surgical crisis management.Tsuda S, Olasky J, Jones DB Journal of surgical oncology (2021)
    86. [86]
      Impact of the COVID-19 Pandemic on Emergency Adult Surgical Patients and Surgical Services: An International Multi-center Cohort Study and Department Survey.Winter Beatty J, Clarke JM, Sounderajah V, Acharya A, Rabinowicz S, Martin G et al. Annals of surgery (2021)
    87. [87]
      Changes in volumes and severity of surgical urgencies during the first two COVID-19 pandemic waves in a regional hospital network.Carrara A, Amabile D, Pertile R, Reich F, Nava FL, Moscatelli P et al. Acta bio-medica : Atenei Parmensis (2021)
    88. [88]
      Beta-blocker Therapy is Associated with Decreased 1-year Mortality After Emergency Laparotomy in Geriatric Patients.Maghami S, Cao Y, Ahl R, Detlofsson E, Matthiessen P, Sarani B et al. Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society (2021)
    89. [89]
      Evaluating the efficacy of self-study videos for the surgery clerkship rotation: an innovative project in undergraduate surgical education.Mookerji N, El-Haddad J, Vo TX, Grose E, Seabrook C, Lam BK et al. Canadian journal of surgery. Journal canadien de chirurgie (2021)
    90. [90]
      Investments in surgical systems contribute to pandemic readiness and health system resilience.Bouchard ME, Sheneman N, Hey MT, Hoemeke L, Abdullah F Journal of public health policy (2021)
    91. [91]
      World Health Assembly 73: A Step Forward for Global Surgery.Cahill GL, Stankey MC, McClain CD, Park KB Annals of global health (2021)
    92. [92]
      Inclusion of Children's Surgery in National Surgical Plans and Child Health Programmes: the need and roadmap from Global Initiative for Children's Surgery.Seyi-Olajide JO, Anderson JE, Kaseje N, Ozgediz D, Gathuya Z, Poenaru D et al. Pediatric surgery international (2021)
    93. [93]
      Preanaesthetic assessment and management in the context of the district hospital.Omole OB, Torlutter M, Akii AJ South African family practice : official journal of the South African Academy of Family Practice/Primary Care (2021)
    94. [94]
      Creating a Cognitive Aid for Use During Intraoperative Power Failures.Jackson RR, Morgan B, Leddy RM, Tola DH AORN journal (2021)
    95. [95]
      Anesthesiologists' Role in Value-based Perioperative Care and Healthcare Transformation.Mahajan A, Esper SA, Cole DJ, Fleisher LA Anesthesiology (2021)
    96. [96]
      Nontechnical Skills (NTS) in the Undergraduate Surgical and Anesthesiology Curricula: Are We Adequately Preparing Medical Students?Lee A, Finstad A, Gawad N, Boet S, Raiche I, Balaa F Journal of surgical education (2021)
    97. [97]
      An observational study of distractions in the operating theatre.van Harten A, Gooszen HG, Koksma JJ, Niessen TJH, Abma TA Anaesthesia (2021)
    98. [98]
      Perioperative do-not-resuscitate orders: Trainee experiential learning in preserving patient autonomy and knowledge of professional guidelines.Kushelev M, Meyers LD, Palettas M, Lawrence A, Weaver TE, Coffman JC et al. Medicine (2021)
    99. [99]
      Estimation of Surgical Blood Loss by Anesthesia and Surgical Trainees: Impact of an Educational Intervention on Interrater Reliability.Caine Richards KA, Richards LJT, Slaven MSE, O'Guin C, Potter CBK, Dalley CB AANA journal (2021)
    100. [100]

    HemoChat

    by SPINAI

    Evidence-based clinical decision support powered by SNOMED-CT, Neo4j GraphRAG, and NASS/AO/NICE guidelines.

    ⚕ For clinical reference only. Not a substitute for professional judgment.

    © 2026 HemoChat. All rights reserved.
    Research·Pricing·Privacy & Terms·Refund·SNOMED-CT · NASS · AO Spine · NICE · GraphRAG