Surgical/Anesthesia

Latest Issue of OR Manager
June 2019
Home Surgical/Anesthesia

FDA considering additional regulatory actions to reduce duodenoscope risks

Editor's Note The Food & Drug Administration on April 16 announced it is considering additional regulatory actions, including consulting with federal health experts for guidance, to reduce the risks of contamination and infections associated with duodenoscopes. The FDA is also working with manufacturers of disposable duodenoscopes that would make reprocessing…

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By: Judy Mathias
April 23, 2019
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Preop functional status predicts total hip outcomes

Editor's Note Compared with preoperative independent functional status, preoperative dependent functional status was independently associated with worse outcomes after primary total hip arthroplasty in this study. Of 43,179 patients analyzed, those who were less able to care for themselves: were 2 to 3 times more likely to have surgical complications…

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By: Judy Mathias
April 23, 2019
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FDA announces new efforts to protect patients from risks associated with surgical staplers, implantable staples

Editor's Note The Food & Drug Administration on April 23 announced new steps it will be taking to help reduce risks associated with surgical staplers for internal use and implantable staples. The proposed steps include: Reclassifying surgical staplers from Class I (low risk) to Class II (moderate risk). Issuing guidance to…

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By: Judy Mathias
April 23, 2019
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Vigilance best protects ASCs from workplace violence

Violence is a fact of life in healthcare settings. The Occupational Safety and Health Administration estimates that, on average, healthcare workers are four times as likely to be victimized as those in private industry. Most types of violent incidents involve patients or visitors acting out against staff, accounting for 93%…

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By: Jennifer Lubell
April 22, 2019
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Accuracy of surgical procedure valuations in Medicare’s Fee Schedule

Editor's Note The Center’s for Medicare and Medicaid Services (CMS) is legally responsible for setting and updating the work element of its relative value units (RVUs), which form the Medicare Physician Fee Schedule used to determine physician payments. In practice, however, updating what is known as the “work RVU” is…

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By: Judy Mathias
April 18, 2019
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FDA continues efforts to assess duodenoscope contamination risk

Editor's Note The Food & Drug Administration (FDA) on April 12 announced that it is taking steps to implement additional regulatory actions, including consulting with federal health experts, on how to reduce the risks of contamination and infections linked to duodenoscopes. The agency is also collaborating with manufacturers of disposable…

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By: Judy Mathias
April 18, 2019
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Operative volume is essential quality indicator for performing emergent general surgery in elderly

Editor's Note In this study, survival rates for geriatric patients were significantly improved when emergency general surgery procedures were performed at hospitals with higher operative volumes. Of 41,860 surgical procedures evaluated at 200 hospitals, mortality decreased as hospital emergency operative volume increased. For every standardized increase in volume, reduction in…

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By: Judy Mathias
April 18, 2019
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AI detects prostate cancer as well as experienced radiologists

Editor's Note A new artificial intelligence (AI) system developed by researchers at the UCLA David Geffen School of Medicine improved the ability to diagnose prostate cancer in this study. The system, called “FocalNet,” helps identify and predict the aggressiveness of the disease by evaluating MRI scans. Results showed that FocalNet…

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By: Judy Mathias
April 17, 2019
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FDA: Class I recall of Brainlab Spine & Trauma 3D Navigation Software

Editor's Note The Food & Drug Administration (FDA) on April 15 identified the recall of Brainlab's Spine & Trauma 3D Navigation Software as Class I, the most serious. The Software is being recalled because of the potential for incorrect information to display during surgery, which may prevent the surgeon from…

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By: Judy Mathias
April 16, 2019
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Using machine learning for preop prediction of postop mortality, ICU admission

Editor's Note Machine learning can be used to improve surgical risk prediction compared to traditional risk calculators, this study from Singapore finds. The traditional Combined Assessment of Risk Encountered in Surgery and the American Society of Anesthesiologists Physical Status models were compared with machine learning models in the prediction of…

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By: Judy Mathias
April 11, 2019
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