Surgical/Anesthesia

Latest Issue of OR Manager
June 2019
Home Surgical/Anesthesia

FDA: Class I recall of SOLOPATH Balloon Expandable TransFemoral System, Re-Collapsible Balloon Access System

Editor's Note The Food & Drug Administration on May 30 identified the recall by Terumo Medical Corporation (Somerset, New Jersey) of its SOLOPATH Balloon Expandable TransFemoral System and Re-Collapsible Balloon Access System as Class I, the most serious. The recall was initiated because the tip could dislodge from the outer…

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By: Judy Mathias
June 3, 2019
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Joint Commission announces performance measures for heart attack certifications

Editor's Note The Joint Commission on May 29 announced performance measures for two newly developed advanced Disease-Specific Care Certification programs−Acute Heart Attack Ready and Primary Heart Attack Center. The measures will go into effect July 1, 2019, for critical access hospitals and hospitals (including freestanding emergency departments) pursuing these certifications.…

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By: Judy Mathias
May 30, 2019
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Association between postop delirium, cognitive dysfunction

Editor's Note In this study, postoperative delirium significantly increased the risk of postoperative cognitive dysfunction in older adults at 1 month after surgery, but there was no association at 2 and 6 months. Of 560 patients analyzed, 24% developed delirium during hospitalization. At 1 month after surgery, 47% had not…

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By: Judy Mathias
May 29, 2019
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FDA: Class I recall of Integra LifeSciences CSF drainage, ICP monitoring systems

Editor's Note The Food & Drug Administration on May 24 identified the recall by Integra LifeSciences of its LimiTorr Volume Limiting Cerebrospinal Fluid (CSF) Drainage System and the MoniTorr Intracranial Pressure (ICP) External CSF Drainage and Monitoring System as Class I, the most serious. The recall was initiated because of…

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By: Judy Mathias
May 28, 2019
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Joint Commission issues Quick Safety on disinfection of tonometers, other ophthalmology devices

Editor's Note The Joint Commission on May 21 issued Quick Safety 49: Disinfection of tonometers and other ophthalmology devices. The Joint Commission noted that the American Academy of Ophthalmology has reported that transmission of adenovirus and herpes simplex virus HIV, hepatitis C virus, enterovirus 70, Pseudomonas aeruginosa, methicillin-resistant Staphylococcus aureus,…

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By: Judy Mathias
May 23, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

What’s Shocking the PACU? Providing Safe Patient Care for Electroconvulsive Therapy

After this session you’ll be able to: 1.     Discuss new modalities in the care of patients requiring electroconvulsive therapy (ECT). 2.     Describe practices for managing ECT patient flow for your department. 3.     Explain how to merge profitability, staffing patterns, and other details for procedural care of unique patient populations.   Why this…

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Targeting MAP during CPB reduces postop delirium

Editor's Note Targeting a patient’s mean arterial pressure (MAP) during cardiopulmonary bypass (CPB) by monitoring cerebral blood flow autoregulation may reduce the incidence of delirium after cardiac surgery in older patients, this Johns Hopkins study finds. In this analysis of 199 patients, the incidence of delirium was significantly greater in…

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By: Judy Mathias
May 23, 2019
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FDA grants Stryker premarket approval for intracranial aneurysm stent

Editor's Note Stryker announced on May 20 that the Food & Drug Administration (FDA) granted premarket approval for its Neuroform Atlas stent system for intracranial aneurysms, the May 20 MassDevice reports.   The self-expanding nitinol stent can now be used with neurovascular embolization coils to treat patients with saccular wide-necked…

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By: Judy Mathias
May 23, 2019
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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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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

AMA (Ask Me Anything): Words of Wisdom From PACU Leaders

After this session you’ll be able to: Discuss fundamental concepts of PACU leadership., Identify tactics for adapting your leadership style to cope with challenging situations., Describe best practices for optimizing patient throughput and managing communication between departments. ,   Why this is important: From staff allocation to pain management, your…

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