Editor's Note A dispute over cameras in ORs reportedly added tension to nurse strike negotiations that recently culminated in a tentative agreement with union nurses at Brigham and Women's Hospital in Boston. According to an August 7 CBS News report, the OR cameras are intended to assist with robotic surgeries.…

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Editor's Note Optimizing patient positioning can help reduce the risk of surgical site infections due to airborne contaminants in positive-pressure ORs, according to a study published August 12 in Nature: Scientific Reports. Maintaining higher pressure than adjacent spaces prevents entry of contaminants from environments external to the OR. For this…

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Editor's Note The rising frequency of wildfires has anesthesiologists concerned about potential for adverse surgical outcomes to exposed patients, according to an article in the Online First edition of Anesthesiology,  the peer-reviewed journal of the American Society of Anesthesiologists (ASA). As of an August 6 report from ASA, nearly 100…

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Symptomatic SARS-COV-2 patients undergoing surgical procedures experience significantly higher 30-day in-hospital mortality, ICU admission, longer ICU and hospital stay, and pulmonary complications, according to a study published August 1 in the Journal of PeriAnesthesia Nursing. Researchers analyzed a year’s worth of records of 102 infected surgical patients and those who…

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Editor's Note An electronic health record (EHR)-based nudge could significantly reduce low-value axillary surgeries in older women with early-stage breast cancer, researchers reported July 17 in JAMA Surgery. Conducted across eight clinical settings, the initiative significantly cut the rates of low-value sentinel lymph node biopsies (SLNB) by nearly 50% over…

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Editor's Note Automated surgical video analysis could enhance evaluation of an OR team’s nontechnical skills, according to a study published July 31 in JAMA Network Open. Conducted between January 2021 and May 2022, the cross-sectional study involved 30 cardiovascular surgical teams at a teaching hospital in Boston, Massachusetts. Using OpenPose,…

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Editor's Note Medical professionals have long accepted that bilateral mastectomy does not improve survival outcomes for breast cancer patients. However, a study published in JAMA Oncology reveals a puzzling finding: Those who develop a second cancer in the other breast have a higher risk of death. As detailed in a…

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The administrator of an ambulatory surgery center (ASC) wears many hats, doing every odd job in the book to keep their free-standing center safe, compliant, and operational. But what does “wearing many hats” mean exactly? OR Manager spoke with Nyleen Flores, CPMSM, CPCS, CPCO, CASC, chief administrative officer at Lake…

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Some 800,000 knee replacements and 550,000 hip replacements are performed in the US each year. Factoring in the ever-expanding aging population, projections show the figure for knee replacements alone will explode to 3.5 million procedures being done annually by 2030—and that is just one type of procedure within a single…

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Editor's Note A needle-based technique that blocks sensory and motor function below the chest without intubation or general anesthesia makes surgery safer for pediatric patients, according to a July 15 report in Michigan Medicine. The University of Michigan's pediatric spinal anesthesia program, also implemented at University of Michigan-Sparrow Health Center,…

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