Perioperative Practice

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June 2019
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CDC investigating sepsis cases after platelet transfusions

Editor's Note The Centers for Disease Control and Prevention (CDC) announced June 14 in its Morbidity and Mortality Weekly Report that four hospital patients developed sepsis after receiving platelet transfusions contaminated with bacteria. The CDC found that the platelets contained Acinetobacter calcoaceticus-baumannii complex and Staphylococcus saprophyticus. The agency is still…

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By: Judy Mathias
June 17, 2019
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Association of TAVR for bicuspid vs tricuspid aortic stenosis with mortality, stroke

Editor's Note In this study, patients who had transcatheter aortic valve replacement (TAVR) for bicuspid compared with tricuspid aortic stenosis had no significant difference in mortality, but they had a 30-day increased risk of stroke. In this cohort of 2,691 matched pairs of patients having TAVR for bicuspid vs tricuspid…

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By: Judy Mathias
June 12, 2019
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AHRQ opens enrollment for hospitals to implement enhanced recovery pathways

Editor's Note The American College of Surgeons on June 6 called for interested hospitals to join a new cohort of the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care and Recovery (ISCR). In the program, presented in collaboration with the Johns Hopkins Medicine Armstrong Institute…

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By: Judy Mathias
June 7, 2019
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Opioid epidemic increases number of hearts available for transplant

Editor's Note The opioid epidemic has expanded the pool of overdose-death donors (ODDs) for heart transplantation. Even though ODDs have higher rates of hepatitis C, cardiac allograft quality indices are favorable, and recipient outcomes are similar to those with non-ODD hearts, this study finds. Of 15,904 heart transplant donors analyzed,…

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By: Judy Mathias
June 6, 2019
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Opiate-sparing analgesia after discharge from total hip

Editor's Note Multimodal analgesia with minimal opiates improved pain control and significantly decreased opiate use and opiate-related adverse effects after discharge from elective total hip replacement surgery, finds this study. The 235 patients analyzed received one of three discharge pain regimens: Group A: scheduled-dose multimodal analgesia (ie, acetaminophen, meloxicam, gabapentin)…

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By: Judy Mathias
June 6, 2019
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HHS releases final report on pain management

Editor's Note The Pain Management Best Practices Inter-Agency Task force, a Health and Human Services (HHA) federal advisory committee on May 30 released its final report. The report calls for a balanced, individualized, patient-centered approach to pain management and underscores the need to address stigma, risk assessment, access to care,…

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By: Judy Mathias
June 4, 2019
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Effect of opioid-sparing postop pathway on patient satisfaction, pain control

Editor's Note Patients on an opioid-sparing postoperative pain management pathway reported minimal or no opioid use and high satisfaction and pain control in this study. A total of 190 patients having one of six different procedures participated in the pathway and were advised to use acetaminophen and ibuprofen every 6…

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By: Judy Mathias
June 3, 2019
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Association of step volume, intensity with mortality in older women

Editor's Note In this study, women who averaged approximately 4,400 steps per day had significantly lower mortality rates than women who took approximately 2,700 steps per day. Of 16,741 women with a mean age of 72 years analyzed, their mean step count was 5,499 per day. A step volume of approximately…

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By: Judy Mathias
May 30, 2019
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Association between postop delirium, cognitive dysfunction

Editor's Note In this study, postoperative delirium significantly increased the risk of postoperative cognitive dysfunction in older adults at 1 month after surgery, but there was no association at 2 and 6 months. Of 560 patients analyzed, 24% developed delirium during hospitalization. At 1 month after surgery, 47% had not…

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By: Judy Mathias
May 29, 2019
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Risks, benefits of using CHG for handwashing

Editor's Note Because of the potential risk of selecting mutants carrying genes for cross-resistance to chlorhexidine gluconate (CHG) and antibiotics, it is advisable to reserve the use of CHG for purposes other than hand hygiene, this study finds. A review of studies showed no significant difference in healthcare-associated infection rates…

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By: Judy Mathias
May 28, 2019
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