Surgical/Anesthesia

Latest Issue of OR Manager
June 2019
Home Surgical/Anesthesia

Failure to debrief after anesthesia critical events tied to communication breakdowns

Editor's Note Failure to debrief after critical events is common in anesthesia trainees and teams, and communication breakdowns are associated with the failure to debrief, this study finds. Over a 1-year period at a large academic medical center, anesthesiology residents and some attending anesthesiologists were audited and/or interviewed about the…

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By: Judy Mathias
March 7, 2019
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Preop frailty linked to surgical outcomes

Editor's Note In this study of adult surgical patients across all ages, frailty was associated with higher postoperative rates of major illness and readmissions as well as increased costs. Of 14,530 patients (31.9% inpatient, 68.1% outpatient) analyzed, 3.4% had high frailty (5.3% of inpatients and 2.5% of outpatients). Compared with…

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By: Judy Mathias
March 6, 2019
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FDA: Class I recall of RVO 2.0 Raindrop near vision inlay

Editor's Note The Food & Drug Administration (FDA) on March 5 identified the recall by RVO 2.0, Inc (Aliso Viejo, California) of its Raindrop near vision inlay as Class I, the most serious. All lots of the inlay are being recalled because data from the post-approval study showed an increased…

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By: Judy Mathias
March 6, 2019
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FDA issues Safety Communication on using surgical robots in women’s health

Editor's Note The Food and Drug Administration (FDA) on February 28 issued a Safety Communication on the safety and effectiveness of using robotically-assisted surgical devices in mastectomy procedures or in the prevention or treatment of cancer in women. The FDA cited limited, preliminary evidence that the use of robotically-assisted surgical…

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By: Judy Mathias
March 5, 2019
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Long-term opioid use in family members linked to persistent postop use in adolescents, young adults

Editor's Note Long-term opioid use among family members was associated with persistent postoperative opioid use in opioid-naïve adolescents and young adults and should be screened for preoperatively, this study finds. Of 346,251 opioid-naïve patients aged 13 to 21 years having common surgical and dental procedures, persistent opioid use occurred in…

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By: Judy Mathias
March 4, 2019
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Association of overlapping surgery with outcomes

Editor's Note In this multicenter study, overlapping surgery was not significantly associated with in-hospital mortality or postoperative complication rates, but it was significantly linked to increased surgery time. Researchers from Stanford University, University of Michigan, University of Pennsylvania, and Harvard, analyzed 66,430 procedures, of which 8,224 were overlapping. Overlapping surgery…

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By: Judy Mathias
February 28, 2019
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Elevating standard of endoscope reprocessing with terminal sterilization of duodenoscopes

Editor's Note Terminal sterilization of duodenoscopes can be achieved with a hydrogen peroxide-ozone sterilizer, this study finds. A sterility assurance level of 10-6 was achieved under laboratory worst-case conditions and under clinical conditions using a hydrogen peroxide-ozone sterilizer with regulatory clearance for terminal sterilization of duodenoscopes (STERIZONE VP4, TSO3 Inc,…

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By: Judy Mathias
February 28, 2019
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Physician well-being and burnout improving, but increased burnout risk remains

Editor's Note Though physician burnout and satisfaction with work-life integration are improving, physicians remain at high risk for burnout, compared to workers in other fields, this study finds. Researchers from the Mayo Clinic, Stanford University, and the American Medical Association surveyed 30,456 US physicians in more than 20 specialties; 5,197…

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By: Judy Mathias
February 26, 2019
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ASCA: CMS makes minor changes to Emergency Preparedness requirements for ASCs

Editor's Note The Ambulatory Surgery Center Association (ASCA) on February 26 announced that the Centers for Medicare & Medicaid Services (CMS) released a Memorandum Summary with updates to Appendix Z of the State Operations Manual, which outlines the Emergency Preparedness requirements for CMS providers and suppliers. The primary change that affects…

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By: Judy Mathias
February 26, 2019
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Predictors of loss of independence after hip fracture repair

Editor's Note Age 50 to 80 years was a strong predictor of returning to independent living and walking 1 year after hip fracture surgery in this study. Of 600 patients aged 50 and older included in the study, 3.07% aged 50 to 80 years were living in an institution 1…

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By: Judy Mathias
February 26, 2019
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