Perioperative Practice

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July 2018
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ALS by physicians linked to increased survival

Editor's Note In patients with traumatic out-of-hospital cardiac arrest (OHCA) after traffic collisions, advanced life support (ALS) performed by physicians was associated with increased chance of 1-month survival compared with ALS or basic life support (BLS) performed by emergency medical services (EMS) personnel, this Japanese study finds. Of 4,328 patients…

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By: Judy Mathias
June 20, 2018
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Effectiveness of reprocessing reusable flexible bronchoscopes

Editor's Note In a study on the effectiveness of reprocessing flexible bronchoscopes presented June 14 by Ofstead and Associates at the Association for Professionals in Infection Control’s annual conference in Minneapolis, the majority of bronchoscopes were found to be contaminated and damaged even when cleaned and high-level disinfected according to…

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By: Judy Mathias
June 20, 2018
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Endoscope fluid, contaminants linger after faulty drying

What does it take to get endoscopes dry? That is the question that prompted a new study on endoscope drying effectiveness by Ofstead & Associates (St Paul, Minnesota). “We asked that question after a study we did 2 years ago found that increasing the automated endoscope reprocessor [AER] drying cycle…

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By: Judith M. Mathias, MA, RN
June 20, 2018
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Managing patient and family disruption in the perioperative setting--Part 2

Disruption in the healthcare setting occurs all too often and can be dangerous for patients and staff like. Part 1 of this series discussed some of the reasons behind the volatile behavior of patients or their families and provided a list of organizations with resources for managing the problem (OR…

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By: Cynthia Saver, MS, RN
June 20, 2018
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Perioperative RBC transfusions linked to postop VTE

Editor's Note In this study, perioperative red blood cell (RBC) transfusions were significantly associated with development of new or progressive postoperative venous thromboembolism (VTE) within 30 days of a surgical procedure. Of 750,937 patients included in the analysis, 47,410 (6.3%) received at lest one perioperative RBC transfusion. Of these, 6,309…

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By: Judy Mathias
June 18, 2018
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Study identifies gaps in infection prevention practices at critical access hospitals

Editor's Note Small, rural critical access hospitals have significant gaps in their infection prevention practices, finds this new study presented June 13 at the Annual Conference of the Association of Professionals in Infection Control and Epidemiology in Minneapolis. In 36 Nebraska hospitals analyzed, researchers found important gaps in all domains,…

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By: Judy Mathias
June 14, 2018
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San Diego hospital in ‘Immediate Jeopardy’ for dirty surgical equipment

Editor's Note After a routine survey, the California Department of Public Health (CDPH) declared “Immediate Jeopardy” at UC San Diego’s Hillcrest campus because of cleaning issues with its surgical equipment, the June 8 10News reports. A CDPH report says that deficiencies found included: trays of surgical equipment with brown stains…

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By: Judy Mathias
June 12, 2018
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Machine-learning algorithm predicts hypotension during surgery

Editor's Note In this study, researchers at UCLA Medical Center in Los Angeles applied machine learning to arterial pressure waveforms to develop an algorithm that predicted intraoperative hypotension 15 minutes before it occurred in 84% of cases. Two sets of data were used to build the algorithm. One set consisted…

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By: Judy Mathias
June 12, 2018
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CDC issues hepatitis A alert

Editor's Note The Centers for Disease Control and Prevention (CDC) on June 11 issued a Health Advisory on investigations of hepatitis A outbreaks in multiple states in people reporting drug use and/or homelessness and their contacts. From January 2017 to April 2018, the CDC has received more than 2,500 reports…

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By: Judy Mathias
June 12, 2018
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Failures in safety protocols to reduce transmission of infectious agents

Editor's Note This study from the University of Utah and University of Michigan found frequent and varied active failures in safety protocols to reduce infectious agent transmission by hospital personnel, including violations, mistakes, and slips. Researchers identified 283 failures in safety protocols, including: 102 violations (deviations from safe operating practices…

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By: Judy Mathias
June 11, 2018
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