Surgical/Anesthesia

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February 2019
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OR gowning technique may lead to contamination of surgeon

Editor's Note To reduce contamination of the surgeon in the OR, the two-person gowning technique must be highly monitored, or the single-person gowning technique should be used, finds this study from the department of orthopedic surgery and rehabilitation at the University of Oklahoma Health Sciences Center, Oklahoma City. For the…

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By: Judy Mathias
January 8, 2019
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Incidence of reoperations after bariatric surgery

Editor's Note Reoperations after bariatric surgery occurred mainly within the first 10 years, and revisional surgeries (ie, conversions, corrections, and reversals) were more common after banding and vertical banded gastroplasty than gastric bypass, this Swedish study finds. In this analysis of 2,010 patients with 26 years of follow-up, first-time revisional…

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By: Judy Mathias
January 7, 2019
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Medicare’s bundled payments for joint replacements show moderate savings

Editor's Note In the first 2 years of Medicare’s Comprehensive Care for Joint Replacement (CJR) program, there was a modest reduction in spending per procedure without an increase in complication rates, this study finds. Comparing costs associated with 280,161 joint replacement procedures in 803 hospitals required to participate in the…

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By: Judy Mathias
January 3, 2019
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Nurses again most trusted in Gallup poll

Editor's Note An annual poll from Gallup found nurses rated the highest among professions in the US for their honesty and ethical standards for the 17th straight year. A total of 84% of respondents rated the honesty and ethical standards of nurses as “very high” or “high.” Physicians came in…

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By: Judy Mathias
January 3, 2019
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How should you manage patients using marijuana?

What is the current state of marijuana research? Russell: Marijuana research is unlike any other drug research. Researchers have to jump through a lot of hoops with the federal government to study it. As a result, people are using marijuana before there is enough science to prove safety and efficacy.…

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By: Catherine Spader, RN
December 13, 2018
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Orthopedic experts urge caution when starting total knee service lines

Total joint replacements contribute hefty profits to hospitals and healthcare systems. Once the Centers for Medicare & Medicaid Services (CMS) starts reimbursing surgery centers—as is done for hospital outpatient surgery departments (HOPDs)—the competition between hospitals, HOPDs, and ambulatory surgery centers (ASCs) will intensify. “Total joints are the hot ticket in…

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By: Janet M. Boivin, BSN, BSJ, RN
December 13, 2018
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SHEA issues new guidance on infection control in anesthesiology

Editor's Note The Society for Healthcare Epidemiology of America (SHEA) on December 11 published a new expert guidance on “Infection prevention in the operating room anesthesia work area.” Key recommendations of the guidance to improve infection prevention include: Increased hand hygiene performed, at a minimum, before aseptic tasks, after removing…

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By: Judy Mathias
December 12, 2018
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Ultrarestrictive opioid prescription strategy results in fewer pills dispensed, no increase in pain

Editor's Note In this study, an ultrarestrictive opioid prescribing strategy was associated with a reduction in the number of pills dispensed without changes in postoperative pain, complications, or increases in prescription refill requests. In this case-control 2-year analysis of 1,231 women having surgery for gynecologic cancer, those having ambulatory or…

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By: Judy Mathias
December 11, 2018
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FDA issues statement on updated rates of duodenoscope contamination

Editor's Note The Food and Drug Administration (FDA) on December 10 issued a statement on an updated safety communication about rates of duodenoscope contamination obtained from preliminary postmarket data. Interim results from sampling studies from device manufacturers−Olympus, Fujifilm, and Pentax− indicate higher-than-expected contamination rates after reprocessing. Up to 3% of…

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By: Judy Mathias
December 11, 2018
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Cost-effectiveness analysis of implants used in total hip replacements

Editor's Note New research from the Hip Implant Prosthesis Study (HIPS) team at the University of Bristol Medical School that analyzed hip replacements in more than 1 million patients in the United Kingdom and Sweden found that: Small-head (less than 36 mm in diameter) cemented metal-on-polyethylene implants were the most…

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By: Judy Mathias
December 6, 2018
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