Evidence-based Practice

Latest Issue of OR Manager
March 2020
Home Periop Nursing > Perioperative Practice > Evidence-based Practice

Five-year outcomes of on-pump vs off-pump CABG

Editor's Note In this multicenter study, on-pump coronary artery bypass grafting (CABG) led to significantly higher rates of 5-year survival and event-free survival than off-pump CABG. From 2002 to 2007, a total of 2,203 patients at 18 medical centers were randomly assigned to undergo either on-pump (1,099 patients) or off-…

Read More

By: Judy Mathias
August 17, 2017
Share

Predicting transfusions in total joint patients

Editor's Note Using patient-specific preoperative variables, a validated logistic regression model predicted transfusions in total hip and knee patients in this study. The model identified preoperative hemoglobin, total hip arthroplasty, and females 65 years of age and older as predictors of perioperative transfusions. The model also may help identify those…

Read More

By: Judy Mathias
June 5, 2017
Share

Evidence-based practice supports adopting ERAS protocols

As part of the shift to value-based care, a logical step for healthcare organizations is to adopt enhanced recovery after surgery (ERAS) protocols. The literature supporting the use of ERAS is growing, with many studies demonstrating that it leads to shorter length of stay (LOS) and fewer complications. Results of…

Read More

By: Elizabeth Wood
April 21, 2017
Share

Sponsored Message

Study: Tonsillectomies not beneficial long term

Editor's Note Children having tonsillectomies to improve the number of sore throats and throat infections, associated clinic visits, and days of school missed had improved outcomes in the first year after surgery compared with children not having surgery, but these benefits did not persist over time, this study finds. For…

Read More

By: Judy Mathias
January 25, 2017
Share

Effect of ERAS, fast track protocols on postop infections

Editor's Note Enhanced recovery after surgery (ERAS) and fast track surgery protocols were associated with a significant reduction in postoperative lung, urinary tract, and surgical site infections, compared with conventional protocols in this study. ERAS and fast track protocols also were linked to a significant decrease in hospital length of…

Read More

By: Judy Mathias
January 4, 2017
Share

CDC updates guidelines on CHG dressings

Editor's Note The Centers for Disease Control and Prevention (CDC) is accepting comments on the draft update to its recommendations for the use of chlorhexidine (CHG)-impregnated dressings to prevent intravascular catheter-related infections. The draft addresses new and updated strategies and is based on a review of the evidence since 2010…

Read More

By: Judy Mathias
November 29, 2016
Share

Sponsored Message

AABB publishes updated RBC transfusion guidelines

Editor's Note The AABB has published updated recommendations to assist clinicians in decisions on red blood cell (RBC) transfusion. The original recommendations were released in 2012. The update, titled “Red blood cell transfusion: 2016 clinical practice guideline from the AABB,” includes two main recommendations: Restrictive RBC transfusion thresholds:    …

Read More

By: Judy Mathias
October 13, 2016
Share

Study doesn’t support capnography for colonoscopy

Editor's Note Capnographic monitoring during outpatient colonoscopy with moderate sedation increased costs significantly and did not improve patient safety or satisfaction, this study finds. The analysis included 966 patients (465 without and 501 with capnography) who underwent colonoscopy at the Beth Israel Deaconess Medical Center, Boston. Patients and nurses reported…

Read More

By: Judy Mathias
February 23, 2016
Share

Rates of lab tests before low-risk surgical procedures

Editor's Note Depending on which hospital a patient goes to for a low-risk surgical procedure, he or she may be 2.4 times more or less likely to be sent for preoperative blood work, this study finds. Researchers found that overall, unnecessary preoperative lab tests (eg, complete blood count, blood clotting…

Read More

By: Judy Mathias
February 5, 2016
Share

Improved surgical outcomes in ACS NSQIP hospitals

Editor's Note Participation in the American College of Surgeons, National Surgical Quality Improvement Program (ACS NSQIP) is associated with a reduction in postoperative adverse events, and the magnitude of quality improvement increases with time in the program, this study finds. Hospitals in the ACS NSQIP program for at least 3…

Read More

By: Judy Mathias
January 11, 2016
Share

Get OR Manager Updates

Sign Up Now
OR Manager Jobs
Live chat by BoldChat