Surgical/Anesthesia

Latest Issue of OR Manager
June 2019
Home Surgical/Anesthesia

FDA letter updates mortality risk in patients receiving Abiomed Impella RP System

Editor's Note The Food and Drug Administration (FDA) on May 21 released a letter to healthcare professionals about the most recent, interim post-approval study (PAS) results for the Abiomed Impella RP System, a percutaneous heart pump for right heart support.   The latest interim results show a lower survival rate…

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By: Judy Mathias
May 22, 2019
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Effect of regional anesthesia on readmission rates, costs after TKA

Editor's Note Regional anesthesia was not associated with decreased readmission rates and costs after total knee arthroplasty (TKA) in this study. In this analysis of 138,362 privately insured TKA patients 18-64 years of age, the adjusted 90-day readmission rate was 1.8% for those who did not receive regional anesthesia compared…

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By: Judy Mathias
May 21, 2019
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IV bags of normal saline, D5W do not support bacterial growth 24 hours after spiking

Editor's Note No bacterial growth was found in any of 257 samples of normal saline and dextrose 5% in water (D5W) 24 hours after using standard sterile techniques to spike them in the perioperative area. Two 1000 mL bags of IV normal saline and D5W were spiked and hung in…

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By: Judy Mathias
May 20, 2019
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Artificial intelligence makes surgical 'black box' smarter

Perioperative services departments have been slow to adopt the black boxes used in the aviation industry, partly because it can take a large team of experts hours to analyze data collected by the box. However, the team behind a surgical black box is using artificial intelligence (AI) to significantly cut…

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By: Cynthia Saver, MS, RN
May 17, 2019
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Cardiology services: The next wave in ASCs?

Many experts see cardiovascular (CV) care as the next wave in ambulatory surgery centers (ASCs), and a hybrid office-based lab (OBL)/ASC model is gaining momentum across the country. Robert J. Zasa, MSHHA, FACMPE, president and CEO of Ambulatory Systems Development, LLC, in Incline Village, Nevada, sees the hybrid arrangement as…

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By: Jennifer Lubell
May 17, 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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Performance on patient safety measures linked to hospital financial performance

Editor's Note Hospitals that perform better on measures to prevent postoperative complications also have better performance on measures of profitability, this study finds. Improved patient safety performance was associated with higher net patient revenue for five of seven Surgical Care Improvement Project (SCIP) measures, including starting and stopping preventive antibiotics…

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By: Judy Mathias
May 16, 2019
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Correlation of intraop staff movements, door openings with SSI risk

Editor's Note This multicenter study demonstrated an association between intraoperative staff movements and door openings with risk of surgical site infections (SSIs). In this study of 13 ORs in 10 hospitals, performing cardiac and total hip or knee replacement surgery, door openings were assessed by sensors fixed on the doors.…

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By: Judy Mathias
May 15, 2019
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Adherence to ERAS protocols associated with fewer postop complications

Editor's Note An increased in adherence to Enhanced Recovery after Surgery (ERAS) protocols was associated with a decrease in postoperative complications in this study. Of 2,084 patients analyzed, 566 had moderate to severe postoperative complications. The number of patients with moderate to severe complications was lower in the ERAS group…

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By: Judy Mathias
May 13, 2019
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CMS Physician Compare website lacks physician data

Editor's Note The Centers for Medicare & Medicaid Services (CMS) Physician Compare website contains quality information on just 23.3% of the more than 1 million physicians who care for Medicare patients, this study finds. A total of 76.6% of physician had no performance data, and almost none (99.7%) listed on…

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By: Judy Mathias
May 9, 2019
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FDA issues alert on premature battery depletion in certain Medtronic pacemakers

Editor's Note The Food & Drug Administration (FDA) on May 7 issued a Safety Alert on the risk for premature battery depletion in nearly 132,000 biventricular and conventional cardiac resynchronization therapy implantable pacemakers by Medtronic. The FDA is aware of three patients in which a battery fully drained because of…

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By: Judy Mathias
May 9, 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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