Surgical/Anesthesia

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June 2018
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FDA issues letter to healthcare providers on risks of endoscope connectors

Editor's Note The Food and Drug Administration (FDA) on April 18 alerted healthcare providers and facilities about the risk of cross-contamination with 24-hour, multipatient use connectors used in gastrointestinal (GI) endoscopy. Endoscope connectors are small accessories used to connect the auxiliary water channel to a water source and irrigation tubing.…

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By: Judy Mathias
April 19, 2018
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Report predicts growth for spinal fusion devices

Editor's Note A Coherent Market Insights report predicts the global market for spinal fusion devices is set to grow at a 4.6% compound annual growth rate through 2025, after hitting $7.5 billion in 2016, according to the April 17 Becker’s Spine Review. The increasing incidence of spinal deformities will boost…

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By: Judy Mathias
April 19, 2018
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Parents’ vs surgeons’ expectations during concurrent pediatric surgery

Editor's Note In this study, a significant mismatch was found between parents’ and pediatric surgeons’ expectations on the role of the surgeon on the day of surgery, with parents expecting more direct involvement by the attending surgeon. A total of 110 parents and 84 pediatric surgeons and surgical residents completed…

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By: Judy Mathias
April 18, 2018
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Daily preop opioid use linked to worse outcomes after scoliosis surgery

Editor's Note Daily narcotic use before adult spinal deformity (ASD) surgery was associated with poorer outcomes 2 years postoperatively, this study finds. In this multicenter analysis of 575 patients, 425 had complete 2-year follow-up. A total of 44% reported daily preoperative narcotic use. Compared with non-daily users, daily narcotic users…

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By: Judy Mathias
April 16, 2018
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Effect perioperative ß-blockade with increasing patient age

Editor's Note No difference was found in the effect of perioperative ß-blockade (metoprolol continuous release 200 mg for 30 days) versus placebo on postoperative outcomes between older and younger patients in this study (POISE [perioperative ischemia evaluation] trial). In this analysis of 8,351 patients from 190 centers in 23 countries,…

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By: Judy Mathias
April 16, 2018
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Hysterectomy complication rates after FDA warning against power morcellation

Editor's Note In this study, 30-day complications rates increased after the Food and Drug Administration (FDA) warned against the use of power morcellation in women undergoing hysterectomy for benign gynecologic indications. In a cohort of 75,487 women who had hysterectomies, statistically and clinically significant increases in major (1.9% to 2.4%)…

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By: Judy Mathias
April 11, 2018
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FDA: System 83 Plus AERs complete validation testing

Editor's Note The Food and Drug Administration (FDA) on April 10 notified healthcare facilities that Custom Ultrasonics (Ivyland, Pennsylvania) has completed validation testing of the System 83 Plus (ie, System 83 Plus, System 83 Plus 2, and System 83 Plus 9) automated endoscope reprocessors (AERs) with specific duodenoscopes. The FDA…

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By: Judy Mathias
April 11, 2018
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Effect of anesthetic technique on mortality, morbidity after hip fracture repair

Editor's Note Spinal anesthesia was associated with lower mortality and morbidity rates after hip fracture repair than general anesthesia in this study that will be presented Saturday April 19 at the 2018 World Congress on Regional Anesthesia & Pain Medicine in New York City. In this analysis of 2,591 patients,…

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By: Judy Mathias
April 11, 2018
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Predictors of postop pain in spine surgery patients

Editor's Note The use of nonopioid analgesics intraoperatively was one of eight factors found to predict postoperative pain in the first 24 hours after spine surgery, finds this study that will be presented Saturday April 21 at the 2018 World Congress on Regional Anesthesia & Pain Medicine in New York…

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By: Judy Mathias
April 10, 2018
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Important ASC Medicare quality reporting deadlines approaching

Editor's Note All eligible Medicare-certified ambulatory surgery centers (ASCs) that want to avoid future penalties must complete a new electronic form by April 14 via the Centers for Disease Control and Prevention’s National Healthcare Safety Network website in order to report on ASC-8: Influenza Vaccination Coverage among Healthcare Personnel, the Ambulatory…

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By: Judy Mathias
April 10, 2018
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