Surgical/Anesthesia

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June 2018
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Preop walking test helps predict postop cognitive dysfunction

Editor's Note A simple 6-minute walking test before cardiac surgery helped predict the risk for cognitive issues after surgery, in this study from Japan. A 6-minute walk distance (6MWD) test was performed preoperatively on 181 patients who had nonemergency cardiac surgery. After surgery, 51 patients had postoperative cognitive dysfunction (POCD).…

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By: Judy Mathias
May 14, 2018
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Effect of ambient OR temperature on patient temperature

Editor's Note Ambient intraoperative OR temperature had a negligible effect on core temperature when patients were warmed with forced air in this study. The effect was larger when patients were passively insulated, but the magnitude remained small. A total of 292 adult patients were randomized to ambient temperatures 19º, 21º,…

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By: Judy Mathias
May 11, 2018
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FDA: Class I recall of Fabius Anesthesia Machines by Dräger Medical

Editor's Note The Food and Drug Administration (FDA) on May 9 announced a Class I recall, the most serious, of Fabius Anesthesia Machines by Dräger Medical. The recall was initiated because of excessive oil that was not removed at the time of production. Excess oil may interfere with the position…

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By: Judy Mathias
May 11, 2018
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Opioid abuse, dependence increases postop readmissions

Editor's Note Opioid abuse or dependence after major surgical procedures was associated with increased readmission rates and healthcare utilization. Of 16,016,842 patients in the National Readmission Database analyzed, 94,903 (0.6%) had diagnoses of opioid abuse or dependence. Comparing patients with and without opioid abuse or dependence, researchers found that patients…

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By: Judy Mathias
May 9, 2018
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FDA sends letter to healthcare providers on neurovascular stents

Editor's Note The Food and Drug Administration (FDA) on May 8 sent a letter to healthcare providers that included recommendations on the use of neurovascular stents for stent-assisted coiling in the treatment of unruptured brain aneurysms. The FDA has received reports associated with these devices that suggest events of peri-procedural…

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By: Judy Mathias
May 9, 2018
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ACS, other organizations offer recommendations on OR attire

Editor's Note The American College of Surgeons (ACS), Association for Professionals in Infection Control and Epidemiology, AORN, Joint Commission, and three other organizations have developed consensus recommendations on OR attire. The recommendations focus on ear and hair covering and include: Evidence-based recommendations on surgical attire are best created collaboratively, with…

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By: Judy Mathias
May 8, 2018
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Study finds fewer postop adverse events in ASCs vs HOPDs

Editor's Note Patients having outpatient surgery in ambulatory surgery centers (ASCs) versus hospital outpatient departments (HOPDs) are less likely to be admitted to a hospital or visit an emergency department a short time after surgery, this study finds. The study is the first to provide causal evidence on ASC quality,…

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By: Judy Mathias
May 8, 2018
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Effect of bouffant vs skull caps on SSIs

Editor's Note Surgeon preference for bouffant versus skull caps does not have a significant effect on surgical site infection (SSI) rates, after accounting for procedure type, this study finds. Of 1,543 procedures analyzed, surgeons wore bouffant caps in 39% and skull caps in 61% of cases. Overall, SSIs occurred in…

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By: Judy Mathias
May 7, 2018
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Allowing overlapping surgery for urgent neuro cases decreases length of stay

Editor's Note A change of policy to allow the practice of overlapping surgery for urgent neurosurgical procedures in a tertiary care, safety-net hospital significantly reduced length of stay, in this study presented May 1 at the American Association of Neurological Surgeons in New Orleans. Of 452 cases analyzed (201 in…

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By: Judy Mathias
May 2, 2018
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Health literacy linked to postop recovery in outpatients

Editor's Note Inadequate functional health literacy (FHL) in ambulatory surgery patients was associated with poorer postoperative recovery and a lower quality of life in this study. Of 704 patients undergoing ambulatory surgery who were surveyed, 427 (60.7%) reported sufficient FHL, 223 (31.7%) said problematic FHL, and 54 (7.7%) had inadequate…

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By: Judy Mathias
May 1, 2018
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