Tissue Management

Latest Issue of OR Manager
October 2017

Bone allografts: Options for healing

These are examples of types of bone allograft products and purposes they serve. With the chart on page 12, this information can help OR teams determine where a new allograft product would fit into current inventory. Allograft cancellous chips Cancellous chips, a common nonstructural human allograft bone material, serve as…

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By: OR Manager
November 1, 2010
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Bone allografts: Understanding their roles in the healing process

Bone-graft substitutes are one of the most challenging types of materials OR teams must consider. They include grafts made from human tissues, animals, synthetics, and combinations. They all attempt to replicate the "gold standard" for bone repair, the patient's own tissue. This issue continues our series on bone-graft substitutes in…

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By: OR Manager
November 1, 2010
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Making good choices of DBM products

With their array of gels, pastes, and putties, demineralized bone matrix (DBM) products are a confusing area. What questions can your OR team ask to help make good product choices? OR Manager talked with experts who outlined issues to consider. Suggested questions to ask companies are in the sidebar on…

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By: Pat Patterson
November 1, 2010
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Allografts: Overview of the process

Like organ donation, tissue donation is an end-of-life gift that can save or enhance the lives of 50 people, often many more. Donated human tissue, also called allografts, can be used in a variety of replacement, reconstructive, or regenerative surgical procedures. Beginning with an individual's decision to donate, each step…

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By: Martha Anderson
October 1, 2010
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Donor screening: First step in safety

Screening of tissue donors is a critical step in ensuring tissue safety. Screening is a complex, multidisciplinary process that begins every time a family says "yes" to the option of donation and ends when tissue is released for transplant. Tissue banks vary in what is considered a suitable donor. Regulating…

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By: Judi Togerson, BSN, CTBS
October 1, 2010
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Supplies Management in the OR

This book describes the Kanban method in detail from the OR perspective and for application in the OR. However, the contents of this book apply to the hospital in general as well, and the Kanban method has application in Central Stores, on nursing floors, in the ED, and any place…

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Fine-tuning tissue management

Managing allograft tissue is a challenge for a single facility. Developing a tissue management process for a health system takes the challenge to a new level. That was the situation facing the Moses Cone Health System, Greensboro, North Carolina, which has 7 surgical sites on 6 campuses. During a Joint…

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By: Pat Patterson
September 1, 2009
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Being prepared for donation after cardiac death

Depending on your perspective, donation after cardiac death (DCD) is a welcome boost for organ donation or an ethical quagmire. Trends in donation after cardiac death Donation after cardiac death accounts for a small but growing number of organ donations. Because each donor often provides mutliple organs, DCD might make…

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By: Cynthia Saver, RN, MS
October 1, 2007
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Tissue-tracking requirements: Putting all the pieces together

If you receive a recall letter from a tissue supplier, how quickly could you identify which patients received that tissue? If one of your surgeons reports an infection in a patient who received a tissue graft, how will you follow up? Tracking of tissue is a patient safety issue—consider the…

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By: OR Manager
February 1, 2007
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