Surgery/Specialties

Latest Issue of OR Manager
April 2024
Home Surgery/Specialties

Study makes case against preoperative urine culture for most surgical procedures

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Editor's Note Findings published March 4 in Jama Network show that preoperative urine culture is a low-value intervention for most surgical patients and should be de-implemented. Despite guidelines to the contrary from Infectious Diseases Society of America and the American College of Physicians, preoperative urine testing and antibiotic treatment persists…

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By: Matt Danford
March 25, 2024
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Forced-air device outperforms standard endoscope drying practices, study shows

Editor's Note Authors of a recent study evaluating the effectiveness of a forced-air drying system for endoscopes argue that the results reinforce the need to re-evaluate standard drying practices. Findings were published February 24 in the American Journal of Infection Control. Wet environments resulting from inadequate drying practices can result…

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By: Matt Danford
March 25, 2024
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Study: Propofol sedation increases colonoscopy costs without improving outcomes

Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…

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By: Matt Danford
March 25, 2024
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Study: Weight loss drugs could increase risk of surgical complications

Editor's Note Popular weight-loss drugs like Ozempic and Mounjaro could lead to complications in surgical procedures, according to study published March 6 in the journal JAMA Surgery.  The study focused on drugs known as glucagon-like peptide-1 receptor agonists (GLP-1 RAs) which are used to treat diabetes and obesity. The drugs, which…

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By: Brita Belli
March 22, 2024
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Swifty’s singing keeps brain surgery on track

Editor's Note Staying awake during brain surgery to sing Taylor Swift songs helped ensure the best possible outcome for Selena Campione, a 36-year-old teacher from Stanhope, New Jersey who recently had a tumor removed at Jersey Shore University Medical Center. As detailed in a March 21 report from People, neurooncologist…

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By: Matt Danford
March 22, 2024
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Surgical scrub evolution and the future of smart medical attire

For surgeons and other medical professionals, what to wear to work is more than just an afterthought. Over the decades, surgical scrubs have undergone a significant transformation, evolving from simple, functional garments to sophisticated attire that prioritizes both comfort and infection control. They are not merely clothing but a vital…

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By: Steven John Cumper, B.App.Sc. (Osteo), M.Ost.
March 22, 2024
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How gamification improves OR training, outcomes

Takeaways From mobile phone apps to immersive virtual reality surgery experiences, digital tools make healthcare training more interactive, more engaging, and more fun for everyone from nurses to surgeons. Modern procedures—including minimally invasive techniques and robotic surgery—require 50 to 100 cases for a surgeon to reach a safe proficiency level…

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By: Brita Belli
March 22, 2024
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Procedural sedation analgesia considerations for ASC leaders

The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…

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By: Uyen Vo, BSN, MBA
March 22, 2024
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Editorial: OR Business Management Conference tackled financial challenges, technological innovations

This past February, the OR Business Management Conference, held in Phoenix, Arizona, brought together business managers of all walks of life. The intimate event was once again a symbiotic blend between financial- and business-centric education and high-quality networking. The education offered for seasoned and new business leaders alike, perhaps more…

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By: Tarsilla Moura
March 22, 2024
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Safe postop patient recovery: A day in the PACU leader role

Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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By: Tarsilla Moura
March 22, 2024
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