Editor's Note This study by researchers from the department of anesthesiology, Columbia University Irving Medical Center, and the department of perioperative services-nursing, New York-Presbyterian Hospital, both in New York City, describes how OR and anesthesia personnel converted 23 ORs into an 82-bed operating room intensive care unit (ORICU), ensured staff…

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Most high-performing ORs share something in common—an anesthesia group that is actively engaged in perioperative leadership, takes responsibility for organizational performance, and is fully invested in the success of the OR. Unfortunately, in many ORs, anesthesia providers focus narrowly on services and procedures, not the total performance of the surgery…

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Editor's Note The findings of this study from the Southern California Permanente Medical Group, Irvine, suggest that there is a high prevalence of microaggressions that stigmatize female and racial/ethnic-minority surgeons and anesthesiologists and contribute to unhealthy surgical workplaces and physician burnout. Of 588 (259 female, 329 male) respondents to a…

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Fueled by a pandemic, patient demand, and competition with ambulatory surgery centers (ASCs), hospital outpatient department (HOPD) leaders are feeling the push to offer same-day discharge for total joint arthroplasty (TJA). Outpatient TJA is nothing new, but it’s certainly growing in popularity, says John W. Stirton, MD, MBA, medical director…

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Editor's Note A new international study with more than 15,000 coauthors from 116 countries concludes that surgical procedures should be delayed for 7 weeks after a patient tests positive for COVID-19, to reduce postoperative mortality risk. The analysis of 140,231 patients undergoing surgical procedures in 1,674 hospitals in October 2020…

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Editor's Note The Joint Commission on February 24 announced that it will be offering an Advanced Certification for Spine Surgery (ACSS) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS). The new program will be available in July to hospitals, critical access hospitals, and ambulatory surgery centers that perform…

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The end of the COVID-19 pandemic is in sight, but hospital surgery departments will not likely see a rapid return to normal. Since the start of the pandemic, perioperative leaders have had to stay flexible and act quickly. Over the next 12 months, OR leaders will need to reassess the…

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Editor's Note This study by researchers from Harvard Medical School, Boston, on data from 16.7 million insured individuals, shows that 30.1% of total outpatient visits early in the COVID-19 pandemic (March 18-June 16, 2020) were conducted via telemedicine, and weekly telemedicine visits were 23 times higher, compared with the pre-COVID-19…

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Editor's Note This survey of members of the Society for Pediatric Anesthesia finds that COVID-19 has affected the personal and professional lives of pediatric anesthesiologists, with women and non-whites disproportionately affected. Of 561 respondents: 21.7% planned to change their clinical responsibilities, and 10.6% planned to decrease their professional working time…

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Editor's Note A new negative-pressure ventilatory support device, similar to the “iron lung” used to treat polio patients in the 1950s, provides an additional treatment option for COVID-19 patients, finds this study by researchers in the UK’s Exovent Task Force, formed in March 2020 in response to the COVID-19 pandemic.…

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