Surgical/Anesthesia

Latest Issue of OR Manager
January 2019
Home Surgical/Anesthesia

How should you manage patients using marijuana?

What is the current state of marijuana research? Russell: Marijuana research is unlike any other drug research. Researchers have to jump through a lot of hoops with the federal government to study it. As a result, people are using marijuana before there is enough science to prove safety and efficacy.…

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By: Catherine Spader, RN
December 13, 2018
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Orthopedic experts urge caution when starting total knee service lines

Total joint replacements contribute hefty profits to hospitals and healthcare systems. Once the Centers for Medicare & Medicaid Services (CMS) starts reimbursing surgery centers—as is done for hospital outpatient surgery departments (HOPDs)—the competition between hospitals, HOPDs, and ambulatory surgery centers (ASCs) will intensify. “Total joints are the hot ticket in…

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By: Janet M. Boivin, BSN, BSJ, RN
December 13, 2018
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SHEA issues new guidance on infection control in anesthesiology

Editor's Note The Society for Healthcare Epidemiology of America (SHEA) on December 11 published a new expert guidance on “Infection prevention in the operating room anesthesia work area.” Key recommendations of the guidance to improve infection prevention include: Increased hand hygiene performed, at a minimum, before aseptic tasks, after removing…

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By: Judy Mathias
December 12, 2018
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Ultrarestrictive opioid prescription strategy results in fewer pills dispensed, no increase in pain

Editor's Note In this study, an ultrarestrictive opioid prescribing strategy was associated with a reduction in the number of pills dispensed without changes in postoperative pain, complications, or increases in prescription refill requests. In this case-control 2-year analysis of 1,231 women having surgery for gynecologic cancer, those having ambulatory or…

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By: Judy Mathias
December 11, 2018
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FDA issues statement on updated rates of duodenoscope contamination

Editor's Note The Food and Drug Administration (FDA) on December 10 issued a statement on an updated safety communication about rates of duodenoscope contamination obtained from preliminary postmarket data. Interim results from sampling studies from device manufacturers−Olympus, Fujifilm, and Pentax− indicate higher-than-expected contamination rates after reprocessing. Up to 3% of…

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By: Judy Mathias
December 11, 2018
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Cost-effectiveness analysis of implants used in total hip replacements

Editor's Note New research from the Hip Implant Prosthesis Study (HIPS) team at the University of Bristol Medical School that analyzed hip replacements in more than 1 million patients in the United Kingdom and Sweden found that: Small-head (less than 36 mm in diameter) cemented metal-on-polyethylene implants were the most…

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By: Judy Mathias
December 6, 2018
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Study: Fish oil does not increase bleeding risk in cardiac surgery patients

Editor's Note Fish oil did not increase perioperative bleeding and reduced the number of blood transfusions in cardiac surgery patients, in this study. A total of 1,516 cardiac surgery patients were randomized to perioperative fish oil or placebo−from 2 to 5 days before surgery until discharge. The primary outcome of…

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By: Judy Mathias
December 6, 2018
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FDA: Class I recall of Synaptive Medical’s BrightMatter Guide with SurfaceTrace Registration

Editor's Note The Food and Drug Administration (FDA) on November 30 identified the recall by Synaptive Medical of its BrightMatter Guide with SurfaceTrace Registration, which is used to perform neurosurgical procedures, as Class I, the most serious. The recall was initiated because of a software defect that could potentially result…

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By: Judy Mathias
December 4, 2018
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First accredited VR continuing medical education course filmed at Cedars-Sinai

Editor's Note The first 360-degree virtual reality (VR) accredited continuing medical education course in gastro-intestinal (GI) surgery was filmed at Cedars-Sinai, Los Angeles, and is now available for streaming, Cedars-Sinai announced on December 3. The course is a collaboration between Cedars-Sinai and the streaming medical platform GIBLIB. The content closely…

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By: Judy Mathias
December 4, 2018
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SSI incidence, risk factors in total knees

Editor's Note In this 9-year prospective cohort study from Spain, researchers identified surgical site infection (SSI) risk factors that showed the necessity  to strictly comply with wound decontamination and patient preparation protocols, reduce the length of surgical time, and identify patients requiring comprehensive monitoring. This analysis of 1,969 patients who…

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By: Judy Mathias
November 29, 2018
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