Surgical/Anesthesia

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June 2018
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MRSA more transmissible in OR than methicillin-sensitive S aureus

Editor's Note In this study, methicillin-resistant Staphylococcus aureus (MRSA) had a greater risk of transmission in the OR than methicillin-sensitive S aureus. Researchers collected 173 S aureus isolates from 274 randomly selected ORs (first and second cases of the day in each OR) at three hospitals. The isolates underwent systematic-phenotypic…

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By: Judy Mathias
April 30, 2018
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Type 2 diabetes linked to hip fracture risk

Editor's Note A statistically significant association was found between type 2 diabetes and the risk of hip fracture in this study. Researchers analyzed 158,984 patients with and without diabetes. The incidence of hip fracture in diabetics was 2.3% using the competing risk with death methodology (Fine-Gray models) and 2.6% using…

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By: Judy Mathias
April 30, 2018
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First penis transplantation completed in the US

Editor's Note Surgeons at the Massachusetts General Hospital, Boston, completed the first successful penis transplantation in the US in a patient who had a subtotal penectomy for penile cancer. Operative reinterventions were needed on postoperative days 2 and 3 for hematoma evacuation and skin eschar debridement. At 3 weeks, no…

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By: Judy Mathias
April 26, 2018
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ASA: Anesthesia drug shortages affecting patient care

Editor's Note The American Society of Anesthesiologists (ASA) on April 25 reported that a national drug shortage of injectable opioids and local anesthetics is negatively affecting care received by patients under anesthesia. An informal survey of 2,500 ASA members, found that 98% are now experiencing drug shortages at their institutions,…

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By: Judy Mathias
April 26, 2018
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Study: Procedures performed by older surgeons have lower mortality rates

Editor's Note In this study, non-elective surgical procedures performed by older surgeons (aged 50 and up) had lower mortality rates than those performed by younger surgeons, and mortality rates did not differ significantly by surgeon gender. A total of 892,187 Medicare patients who had one of 20 common types of…

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By: Judy Mathias
April 26, 2018
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NewYork-Presbyterian opens world-class center for ambulatory care

Editor's Note NewYork-Presbyterian on April 24 announced the opening of the David H. Koch Center, a world-class ambulatory care center that provides a seamless patient experience from diagnosis to treatment. The approximately 749,000 square foot facility includes services such as outpatient surgery, interventional radiology, diagnostic imaging, and infusion services as…

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By: Judy Mathias
April 26, 2018
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FDA issues Safety Alert for magnetic resonance-guided laser interstitial thermal therapy devices

Editor's Note The Food and Drug Administration (FDA) on April 25 issued a Safety Alert that provides preliminary information concerning magnetic resonance (MR) thermometry reliability with MR-guided laser interstitial thermal therapy (MRgLITT) devices. The FDA is evaluating data that suggests potentially inaccurate MR thermometry information can be displayed during treatment,…

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By: Judy Mathias
April 25, 2018
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Deadline for ASCQR program web-based measures fast approaching

Editor's Note The submission deadline for all Ambulatory Surgery Center Quality Reporting (ASCQR) program web-based measures is May 15, 2018, the Ambulatory Surgery Center Association reported on April 24. ASC-8: Influenza Vaccination Coverage among Healthcare Personnel is reported through the Centers for Disease Control and Prevention’s National Healthcare Safety Network.…

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By: Judy Mathias
April 24, 2018
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Neuropsychological, behavioral outcomes after exposure of young children to general anesthesia

Editor's Note This study from the Mayo Clinic of children undergoing general anesthesia before age 3 supports earlier findings of no significant impact on intelligence. However, multiple exposures may be tied to behavioral or learning difficulties. In this analysis of 997 children (411 unexposed, 380 singly exposed, 206 multiply exposed)…

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By: Judy Mathias
April 20, 2018
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Study: Residual moisture, waterborne pathogens found inside flexible endoscopes

Editor's Note Inadequate reprocessing and insufficient drying contributed to retained fluid and contamination found inside flexible endoscopes in this study led by noted epidemiologist Cori L. Ofstead. Of 45 endoscopes analyzed at 3 hospitals, fluid was detected in 49%, and the prevalence of moisture varied significantly by site (5%, 83%,…

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By: Judy Mathias
April 19, 2018
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