Surgical/Anesthesia

Latest Issue of OR Manager
November 2018
Home Surgical/Anesthesia

Experts recommend new description for cognitive changes after anesthesia, surgery

Editor's Note A multidisciplinary panel of experts recommended changing the way clinicians and patients describe cognitive changes experienced after anesthesia and surgery, in this session presented October 16 at the Anesthesiology 2018 annual meeting in San Francisco. The experts recommended that a new umbrella term, “Perioperative Neurocognitive Disorder (PND),” be…

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By: Judy Mathias
October 18, 2018
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Surgeons to monitor hip, knee patients using Apple Watches

Editor's Note Zimmer Biomet and Apple Inc have begun a multiyear study that will allow surgeons to use Apple Watches to monitor activities, including heart rate, steps taken, and standing hours of up to 100,000 patients before and after hip and knee replacement surgery, the October 15 Reuters reports. Providers…

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By: Judy Mathias
October 18, 2018
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Early action advised to achieve better OAS CAHPS responses

Mandatory implementation of the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) originally scheduled for 2018 has been delayed, but that does not mean it should be ignored, say ambulatory surgery center (ASC) leaders. The earliest projected date when the survey could become mandatory…

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By: Janet M. Boivin, BSN, BSJ, RN
October 18, 2018
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Unlike adults, obese children do not have more postop pain

Editor's Notes Though obese adults often report more postoperative pain, the same was not true for obese children in this study presented October 16 at the Anesthesiology 2018 annual meeting in San Francisco. In this analysis of 808 children who had noncardiac surgery at the Cleveland Clinic, pain was assessed…

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By: Judy Mathias
October 17, 2018
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Despite concerns, patients see opioids as superior, expect them for postop pain

Editor's Note Despite concerns about addiction and side effects of opioids, patients still expect them to be prescribed and believe them to be the most effective for postoperative pain relief, finds this study presented October 13 at the Anesthesiology 2018 annual meeting in San Francisco. Researchers gave a 13-question survey…

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By: Judy Mathias
October 15, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

From Surgeon-Centered to Patient-Centered: Discharge Instructions are the Lifeline to Improving Patient Care

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Joint Commission announces new CV certification with AHA

Editor's Note The Joint Commission and the American Heart Association (AHA) will offer a single cardiovascular (CV) certification program for hospitals beginning January 1, 2019, the Joint Commission announced on October 10. The single certification is designed to enhance CV patient care and improve outcomes and quality of life. It…

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By: Judy Mathias
October 15, 2018
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PSH improves outcomes in elderly, children

Editor's Note The Perioperative Surgical Home (PSH) model of care was successful in improving quality of care and outcomes in elderly hip fracture patients and children having cardiac surgery in two studies presented October 14 at the Anesthesiology 2018 annual meeting in San Francisco. One study compared 308 hip fracture…

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By: Judy Mathias
October 15, 2018
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Effect of preop patient-centered surgical wellness program

Editor's Note In this study, a preoperative, patient-centered wellness program significantly reduced hospital acquired infections in surgical patients at an academic medical center. A total of 12,396 surgical patients were given a wellness bundle in a roller bag during preoperative screening. The bundle included chlorhexidine bath solution, immuno-nutrition supplements, an…

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By: Judy Mathias
October 11, 2018
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Joint Commission deletes PI standard for ASCs

Editor's Note The Joint Commission announced October 10 that accredited, deemed-status ambulatory surgery centers (ASCs) will no longer be required to collect data on medical necessity and appropriateness of procedures (PI.01.01.01, EP 21), effective July 1, 2019. The Joint Commission developed the performance improvement (PI) standard to align with the…

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By: Judy Mathias
October 11, 2018
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Effect of anesthesia care team composition on surgical outcomes

Editor's Note In this study, the composition of the anesthesia care team (anesthesiologist plus nurse anesthetist or anesthesiologist assistant) was not associated with any significant differences in mortality, length of stay, or inpatient spending. Of 443,098 Medicare beneficiaries who had inpatient surgery between 2004 and 2011, the adjusted mortality for…

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By: Judy Mathias
October 9, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Back to the Basics: The Key to PACU Patient and Staff Satisfaction

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