Surgical/Anesthesia

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June 2018
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Denver hospital breach may have exposed patients to HIV, hepatitis

Editor's Note Patients at Porter Adventist Hospital in Denver may be at risk for HIV or hepatitis after the hospital discovered a surgical instrument sterilization breach, the April 5 LiveScience reports. The process for precleaning surgical instruments was found to be inadequate, which may have put patients who had orthopedic…

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By: Judy Mathias
April 6, 2018
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Seattle surgery center patients discharged hours after joint replacement

Editor's Note At First Hill Surgery Center in Seattle, patients can have a knee or hip replaced in the morning and go home in the afternoon, the April Seattle Magazine reports. The surgical procedure takes about 2 hours, and patients admitted at 7:30 am generally are able to return home…

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By: Judy Mathias
April 4, 2018
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Outpatient vs inpatient anterior cervical discectomy, fusion

Editor's Note Anterior cervical discectomy and fusion (ACDF) can be performed on an outpatient basis with comparable morbidity, readmission rates, and lower costs as on an inpatient basis, finds this study. In this analysis of 3,135 outpatient and 46,966 inpatient ACDFs, the mean Charlson comorbidity index, length of stay, and…

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By: Judy Mathias
April 4, 2018
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Influence of traffic, other factors on OR microbial load

Editor's Note Movement in the OR is associated with microbial load, this study finds. Researchers determined areas in the OR with high and low numbers of people in transit and placed air samplers and settle plates in representative locations during 21 surgical procedures, in four ORs, during two seasons of…

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By: Judy Mathias
April 2, 2018
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Association of frailty with failure to rescue after inpatient surgery

Editor's Note Frailty is an important risk factor for postoperative complications and failure to rescue, after both low-risk and high-risk surgical procedures, this study finds. In this study of 984,550 patients in the American College of Surgeons National Surgical Quality Improvement Program, there was a dose-response association between increasing patient…

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By: Judy Mathias
March 22, 2018
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Study: Surgeon performance benefits from ‘warm-up’

Editor's Note In this study from the UK, researchers found a robust relationship between a surgeon’s daily OR schedule and surgical performance (indexed by duration of procedure). The researchers say surgeons should reorder their OR schedule, starting their days with the simpler cases and building up to the more difficult…

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By: Judy Mathias
March 21, 2018
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Spinal fusion devices poised for growth

Editor's Note Transparency Market Research predicts the global spinal fusion devices market will reach more than $10.97 billion by 2025, with a compound annual growth rate of 4.65%, the March 19 Becker’s Spine Review reports. Growth will be driven by the aging US population that is susceptible to degenerative spine…

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By: Judy Mathias
March 21, 2018
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Complications after outpatient tonsillectomy linked to age

Editor's Note Children younger than 3 years of age may benefit from 23-hour observation after tonsillectomy, this study finds. In this multicenter study of 1,817 healthy children having outpatient tonsillectomy, those younger than 3 years were at an increased risk for complications within the first 24 hours, and the complications…

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By: Judy Mathias
March 19, 2018
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AANA challenges Anthem on new anesthesia policy

Editor's Note The American Association of Nurse Anesthetists (AANA) on March 19 expressed strong opposition to the decision by insurer Anthem, Inc, that ophthalmologists assume responsibility for the administration of anesthesia and patient monitoring during cataract procedures. “Ophthalmologists are no more qualified to administer anesthesia than CRNAs are to perform…

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By: Judy Mathias
March 19, 2018
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One-year mortality after laparoscopic bariatric surgery

Editor's Note One-year mortality after contemporary laparoscopic bariatric surgery is low at <0.25%, which is much lower than previously reported, this study finds. Of 158,606 bariatric procedures analyzed between 2008 and 2012, the 30-day and 1-year mortality rates, respectively were: 0.13% and 0.23% for laparoscopic Roux-en-Y bypass (LRYGB) 0.06% and…

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By: Judy Mathias
March 19, 2018
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