‘Lean’ Method Improves Complication Rates
Rigid bronchoscopic view of the laryngotracheo-oesophageal cleft showing three openings: Right anterior (RA), left anterior (LA) and posterior (P).
© BIndian J Anaesth / National Library of Medicine
The Richard Bellucci, MD, Resident Research Award went to a study on using the Lean methodology, aimed at improving efficiency in patient care and reducing the opportunity for errors, to improve patient safety and the use of resources after adenotonsillectomy.
In findings presented by Mingyang Gray, MD, MPH, a resident at Icahn School of Medicine at Mount Sinai in New York, researchers described how Lean methods were used to make improvements, including a checklist of preoperative, intraoperative, and postoperative standards, and a new patient-centered postoperative plan. In the six weeks after the new method was implemented, fewer patients presented with non-bleeding complications after adenotonsillectomy, and intraoperative use of dexamethasone and acetaminophen increased. “Lean can be used to improve care for these patients and decrease inappropriate utilization of resources,” researchers said.
Curcumin Gum Evaluated for Cancer Prevention
The James Harrill, MD, Resident Research Award, went to researchers who performed a study evaluating the use of gum to deliver curcumin, a compound in turmeric with anticarcinogenic properties, which could be useful in preventing oral cavity head and neck squamous cell carcinoma. The findings, reported by resident Lindsay Boven, MD, a resident at Louisiana State University Health Shreveport, showed that alternating chewing and packing the gum against the buccal mucosa for 30 minutes resulted in a higher curcumin release than simply chewing for 30 minutes. Researchers also found that curcumin release decreased when initial saliva levels were higher. “We want to optimize the gum formulation for better release,” Dr. Boven said.
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