Surgical/Anesthesia

Latest Issue of OR Manager
April 2019
Home Surgical/Anesthesia

Effect of care bundle on emergency laparotomy outcomes

Editor's Note Hospitals should consider adopting a care bundle approach to improve outcomes for emergency laparotomy patients, this study finds. In this analysis of 14,809 patients in 28 hospitals in the UK, reduction in unadjusted mortality (from 9.8% to 8.3%) and length of stay (from 20.1 days to 18.9 days)…

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By: Judy Mathias
March 21, 2019
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Inhaled anesthetics vs total IV anesthesia for CABG surgery

Editor's Note In this study, having elective coronary artery bypass grafting (CABG) surgery under inhaled (ie, desflurane, isoflurane, or sevoflurane) anesthesia did not result in significantly fewer deaths than total intravenous (IV) anesthesia, though inhaled agents have cardioprotective effects. A total of 5,400 patients at 36 centers in 13 countries…

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By: Judy Mathias
March 21, 2019
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After 10 years, EHRs don’t live up to promise

Editor's Note The US government claimed that digitization of healthcare records would improve the quality and value of healthcare; however, 10 years after legislation fast-tracked the move to electronic healthcare records (EHRs), even the architects of the effort agree that the $36 billion investment has not delivered as expected, the…

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By: Judy Mathias
March 20, 2019
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Study: TAVR equal to or better than surgery

Editor's Note This study comparing transcatheter aortic valve replacement (TAVR) with standard open-heart surgery found no difference in stroke or death from any cause at 2 years follow-up. The findings were presented March 17 at the American College of Cardiology’s Annual Scientific Session in New Orleans. A total of 1,468…

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By: Judy Mathias
March 19, 2019
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Effect of hospital intervention, state legislation on postop opioid prescribing practices

Editor's Note After a hospital-wide intervention and state-wide legislation, this community hospital in Michigan achieved a 60%-70% decrease in postoperative opioid prescriptions and less variation in opioid prescription practices. This retrospective study of opioid naïve adult patients who had one of five general surgical procedures between 2015 and 2017 found…

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By: Judy Mathias
March 18, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Be a Bridge Builder: Close the Knowledge Gap of Who You Report To

After this session you’ll be able to: Develop a collaborative relationship with your direct report., Explain how transparency is not just lip service., Provide data to equip your director to make sound decisions for your PACU., Why this is important: Do you ever find yourself thinking: “I wish my OR…

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Non-opioid pain management gaining favor in ASCs

Pressure to contain opioid overuse in the United States is at a boiling point. The Centers for Disease Control and Prevention reports that overdose deaths linked to opioid prescriptions have increased fivefold over the last two decades. To reduce reliance on opioid prescriptions, the Centers for Medicare & Medicaid Services…

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By: Jennifer Lubell
March 15, 2019
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No increased risk of complications after ambulatory total joint procedures

Editor's Note There were no increased risks of complications or readmissions after total hip replacements (THRs) and total knee replacements (TKRs) performed in a community-based ambulatory surgery center (ASC), finds this study reported in a Poster Session March 14 at the American Academy of Orthopaedic Surgeons in Las Vegas. A…

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By: Judy Mathias
March 14, 2019
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ACDF can be performed safely in outpatient setting

Editor's Note Removal of multiple herniated or degenerative discs in the neck, known as anterior cervical discectomy and fusion (ACDF), can be safely performed in an outpatient setting, finds this study presented March 13 at the American Academy of Orthopaedic Surgeons in Las Vegas. Of 103 patients included in the…

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By: Judy Mathias
March 14, 2019
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IV and oral acetaminophen work equally well after THA

Editor's Note Intravenous (IV) acetaminophen did not result in a significant difference in pain scores, opioid consumption, or opioid-related adverse events compared with oral acetaminophen, finds this study presented March 12 at the American Academy of Orthopaedic Surgeons Annual Meeting in Las Vegas. A total of 154 patients having total…

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By: Judy Mathias
March 13, 2019
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Discharging surgical patients earlier in the day linked to LOS, hospital throughput

Editor's Note A 12-month targeted initiative to discharge surgical patients earlier was associated with a 50% increase in patients being discharged by noon in this study. The initiative, which included preoperative and inpatient components: increased discharge by noon rates from 14.3% to 21.5% decreased length of stay (LOS) from 2.17…

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By: Judy Mathias
March 11, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

MH SWAT Team: The Unassuming Threat of Malignant Hyperthermia Inside and Outside of Surgical Services

After this session you’ll be able to: Identify areas of your hospital at risk for malignant hyperthermia., Create a malignant hyperthermia intervention process specific to your hospital needs and resources., Develop a plan to conduct mock drills to measure the effectiveness of your malignant hyperthermia process in any hospital area.,…

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