Surgical/Anesthesia

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October 2018
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Johns Hopkins panel develops opioid prescribing guidelines for 20 surgical procedures

Editor's Note Led by Martin A. Makary, MD, MPH, a Johns Hopkins panel of experts developed the nation’s first set of opioid prescribing guidelines for 20 common surgical procedures in 8 surgical specialties. The guidelines are based on the premise that opioid prescribing should be based on the surgical procedure…

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By: Judy Mathias
August 15, 2018
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Effect of neuraxial anesthesia on total hip, knee outcomes

Editor's Note Increased use of neuraxial anesthesia was associated with lower hospitalization costs for hip and knee replacements, but more studies are needed before considering neuraxial anesthesia as a marker of quality, this study finds. National data on 808,237 total knee and 371,607 total hip replacements were analyzed. Increasing frequency…

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By: Judy Mathias
August 15, 2018
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New 3D-printed device with living cells could help treat spinal cord injuries

Editor's Note Engineers and neurosurgical researchers at the University of Minnesota have created a 3D-printed device with living cells that could help patients with long-term spinal cord injuries regain some function, according to this August 9 report from the University of Minnesota. For the procedure, a 3D-printed guide, made of…

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By: Judy Mathias
August 13, 2018
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Siemens, NuVasive announce partnership to create new spine imaging technology

Editor's Note Siemens Healthineers (Erlangen, Germany) and NuVasive (San Diego, California) have entered into a strategic partnership to create integrated 3D imaging, surgical automation technology, and navigation for minimally invasive spine procedures, the August 9 Becker’s Spine Review reports. The collaboration, called the “Spine Precision Partnership,” will integrate Siemen’s Cios…

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By: Judy Mathias
August 13, 2018
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Effect of sedation levels on postop delirium in elderly hip fracture patients

Editor's Note Limiting the level of sedation in elderly hip fracture patients with low comorbid states (Charlson comorbidity index [CCI] of 0) reduced postoperative delirium in this study. Of 200 elderly patients analyzed (100 in lighter sedation and 100 in heavier sedation levels), there was no statistically significant difference in…

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By: Judy Mathias
August 9, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Confronting the Opioid Crisis Head-On: New TJC and CMS Pain Standards

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Study: Lean methods improve first case on-time starts

Editor's Note In this study, implementation of Lean interventions to redesign the workflow in the preoperative holding area of a large urban medical center was linked to significantly improved rates of elective first case on-time starts. Data from 23,891 surgical procedures performed over 415 days were examined−86 days before, 35…

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By: Judy Mathias
August 6, 2018
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Study assesses cleaning of different surface types in the OR

Editor's Note This study finds that irregularly shaped OR surfaces may require enhanced covering, cleaning, and monitoring protocols, compared to more regularly shaped surfaces. Researchers coupled ATP assays with traditional RODAC plate sampling and mass spectrometry to evaluate cleaning of five types of high-touch surfaces in the OR.  Whether surfaces…

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By: Judy Mathias
August 2, 2018
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EHRs are top factor contributing to physician burnout

Editor's Note A recent Reaction Data survey of 254 physicians found that 21% believed electronic health records (EHRs) were the biggest determinant in burnout, followed by payers/preauthorization, regulatory compliance, and internal bureaucracy, the July 31 Healthcare Informatics reports. All factors had a common theme of consuming time and preventing physicians…

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By: Judy Mathias
August 2, 2018
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Door openings in the OR linked to increased environmental contamination

Editor's Note The number of door openings in the OR and duration of procedure were significantly associated with increased colony-forming units (CFUs) in the OR overall and outside of laminar airflow (LAF), this study finds. In LAF conditions, however, only the number of OR personnel was significantly associated with increased…

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By: Judy Mathias
August 1, 2018
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Relationship between nursing specialty certification and SSIs

Editor's Note This study, which examined the relationship between nursing specialty certification and surgical site infections (SSIs), found that only Magnet status was associated with lower SSI rates. Analyzing data from 69 hospitals, 346 units, and 6,585 RNs, along with SSI data on 22,188 patients after colon and abdominal hysterectomy…

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By: Judy Mathias
July 31, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

PACU Manager Summit Luncheon and Presentation: Managing the Matter of Anesthesia for the Behavioral Health Patient with Confidence!

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