Surgical/Anesthesia

Latest Issue of OR Manager
January 2019
Home Surgical/Anesthesia

PSH improves outcomes in elderly, children

Editor's Note The Perioperative Surgical Home (PSH) model of care was successful in improving quality of care and outcomes in elderly hip fracture patients and children having cardiac surgery in two studies presented October 14 at the Anesthesiology 2018 annual meeting in San Francisco. One study compared 308 hip fracture…

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By: Judy Mathias
October 15, 2018
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Effect of preop patient-centered surgical wellness program

Editor's Note In this study, a preoperative, patient-centered wellness program significantly reduced hospital acquired infections in surgical patients at an academic medical center. A total of 12,396 surgical patients were given a wellness bundle in a roller bag during preoperative screening. The bundle included chlorhexidine bath solution, immuno-nutrition supplements, an…

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By: Judy Mathias
October 11, 2018
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Joint Commission deletes PI standard for ASCs

Editor's Note The Joint Commission announced October 10 that accredited, deemed-status ambulatory surgery centers (ASCs) will no longer be required to collect data on medical necessity and appropriateness of procedures (PI.01.01.01, EP 21), effective July 1, 2019. The Joint Commission developed the performance improvement (PI) standard to align with the…

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By: Judy Mathias
October 11, 2018
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Effect of anesthesia care team composition on surgical outcomes

Editor's Note In this study, the composition of the anesthesia care team (anesthesiologist plus nurse anesthetist or anesthesiologist assistant) was not associated with any significant differences in mortality, length of stay, or inpatient spending. Of 443,098 Medicare beneficiaries who had inpatient surgery between 2004 and 2011, the adjusted mortality for…

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By: Judy Mathias
October 9, 2018
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SASM issues guideline on intraop management of adults with OSA

Editor's Note The Society of Anesthesia and Sleep Medicine (SASM) has issued a new guideline on Intraoperative Management of Adult Patients with Obstructive Sleep Apnea (OSA). Specific aims of the guideline are to: evaluate considerations of difficult airway management in patients with OSA assess the impact of anesthesia-related drugs and…

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By: Judy Mathias
October 9, 2018
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Timing of preop blood testing not linked to postop morbidity, mortality

Editor's Note In patients with American Society of Anesthesiologists physical status I and II, the risk of 30-day morbidity and mortality was similar for those who had blood testing shortly before surgery and those whose testing was done up to 2 months before surgery, this study finds. Of 235,010 patients…

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By: Judy Mathias
October 8, 2018
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Projected burden of SSIs after total hips and knees, 2020 through 2030

In this study, researchers project that the burden of complex surgical site infections (SSIs) after primary and revision total hips and knees will increase 14% from 2020 through 2030 because of an aging population. Editor's Note In this study, researchers project that the burden of complex surgical site infections (SSIs)…

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By: Judy Mathias
October 5, 2018
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Early surgery vs physical therapy for meniscal tears

Editor's Note In this multicenter, randomized controlled trial from the Netherlands, physical therapy was noninferior to early arthroscopic partial menisectomy for improving knee function in patients with nonobstructive meniscal tears. In this analysis of 321 (159 surgery, 162 physical therapy) patients, knee function improved by 20.4 points in the physical…

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By: Judy Mathias
October 4, 2018
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Restrictive vs liberal transfusion strategy for cardiac surgery patients

Editor's Note In cardiac surgery patients at moderate-to-high risk for death, a restrictive strategy for red blood cell (RBC) transfusion was equivalent to a liberal strategy, with respect to death from any cause, myocardial infarction, stroke, or renal failure, at 6-months follow-up, this study finds. There also were no significant…

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By: Judy Mathias
October 2, 2018
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Increase in health problems up to 2 years after arthroscopic hip surgery

Editor's Note Major clinical comorbidities increased substantially in patients after elective arthroscopic hip surgery in this study by Duke researchers. These comorbidities have been overlooked in the past by major studies evaluating the procedure’s benefits and risks, the researchers say. In this analysis of 1,870 patients (mean age 32) in…

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By: Judy Mathias
October 1, 2018
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